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The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. Erectile Dysfuntion Pulmonary arterial hypertension Benign prostatic hyperplasia. How long does it take for this medicine to take effect?

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Sun Pharmaceutical Industries Ltd. In PAH, it relaxes or widens the blood vessels inside the lungs, which reduces blood pressure in the lungs. It should be strictly taken as advised by your doctor.

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The average onset of action is about 2 hours after administration of the medicine. Alcohol is not recommended when you are using this medicine. The combination of it with alcohol may cause symptoms like dizziness, exhaustion, lack of focus or understanding, and pains in your head. This medicine is not advisable to be used when you are pregnant. You must seek medical attention to help you in determining the dosage if you absolutely cannot do without it.

This medicine can absolutely not be used by mothers who are lactating. You should use some other medicine as replacement when you are breastfeeding. Lack of focus caused by this medicine varies from person to person, so you should not drive or operate heavy machinery if you feel drowsy yourself after consuming this drug.

This medicine is not recommended for patients of kidney disease. Speak to your doctor before you go ahead, in any case. If you have intense liver disease, you are asked to not take this medicine. You can have lesser doses if your liver ailment is less serious. Consult your doctor before taking any action. If you have forgotten the timing of a dose, and hence happen to have skipped it, take it as soon as you remember.

However, if you are due for your next dose at the time, skip the missed dose altogether. This medicine relaxes the smooth muscles by inhibiting Phosphodiesterase type It results in an increase of cyclic guanosine monophosphate cGMP, which relaxes the smooth muscles and increases the flow of blood. Whenever you take more than one medicine, or mix it with certain foods or beverages, youre at risk of a drug interaction.

This medicine if taken in combination with alcohol may cause abnormally less blood pressure, and fainting, sweating and dizziness along with it. Hence, alcohol use is recommended to be limited when a person is consuming this medicine. This medicine interacts with other medicines like Amlodipine, Carbamazepine, Ketoconazole, Phenytoin, Nitroglycerin and Cimetidine. This interaction may harm efficiencies of both medicines. This medicine interacts with diseases like heart disease, increased blood pressure, ailments of the liver and kidney, seizure disorder and abnormal erections.

Ans: No, using this medication does not affect fertility. It works by relaxing the muscles of penile blood vessels and has no effect on fertility. Ans: Alcohol in small amounts may not cause any discomfort to you. However, drinking too much alcohol 5 units or greater can increase your chances of getting a headache or feeling dizzy, increased heart rate, or low blood pressure. Ans: No, it is not known to affect ejaculation. Ans: You should immediately consult your doctor if you experience sudden vision loss in one or both eyes, sudden decrease in hearing or hearing loss, ringing in the ears, and dizziness.

In case of any kind of side effects, you are advised to take medical help immediately.

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Health care professionals are able to prescribe all medicines, including unlicensed medicines and controlled drugs since July All supplementary prescribers may prescribe for the full range of medical conditions, provided that they do so under the terms of a patient-specific CMP and within the limits of their competence. Supplementary prescribing may only commence following assessment and diagnosis by the independent prescriber and the development of a written CMP agreed between the independent prescriber, the supplementary prescriber and the patient. The independent prescriber is responsible for the initial diagnosis of a patient and the contents and conditions of their CMP, although they need not write it personally. Within the limits of a CMP, the supplementary prescriber may be able to alter the choice of medicine, the dosage, the frequency of administration and other variables.

Piperazine has few side effects, mainly gastrointestinal disturbances. Niclosamide is used against tapeworms. It works by damaging the head of the tapeworm so that it can no longer attach to the inside of the intestine. Niclosamide has few side effects, but it has been superseded by praziquantel. Praziquantel is a highly effective anthelmintic, which induces muscular contraction and spastic paralysis in trematodes and cestodes by increasing calcium ion fluxes.

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Crude coal tar is the most effective, but few outpatients tolerate the mess and smell. In hospitals, coal tar is often combined with ultraviolet B (UVB) radiation. There are many proprietary preparations, which are more refined and therefore more acceptable to patients, but they are less effective.

The large intestine is where water is reabsorbed from the remains of digested food. Here some drug metabolites that have been excreted in bile can be regenerated by the action of bacteria in the large intestine. The absorbing membrane for nutrients and drugs is the mucous membrane of the epithelial cells lining the gastrointestinal tract. General factors affecting diffusion across cell membranes, considered above, apply in addition to the pH of gastrointestinal contents: surface area of the gastrointestinal tract; gastric emptying and intestinal transit time; blood flow from the gastrointestinal tract; plasma protein binding; active transport mechanisms and drug formulation. This is known as first pass metabolism, which can result in considerable loss of activity for some drugs on first pass through the liver.