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Viagra is getting a cheaper, generic makeover from Pfizer in an effort to preempt competitors.Pfizer has repackaged its famous little blue impotence pill in a white tablet, called sildenafil, and will slash the$65-a-pill retail price of its blockbuster drug by half starting Monday.The pharmaceutical giant's patent for Viagra is set to expire next week, opening the flood gates for competitors to jump into the market with their cheaper generic versions.Rather than lose most of its sales to other companies, Pfizer is banking on the lower price point of and the 40 percent of its customer base that claims to be loyal to Viagra to help the company ride the wave of generics slated to undercut Viagra's prices by as much as 90 percent.'Patients are paying fortunes. When generic Viagra comes out, they will be very happy,' said Dr Nachum Katlowitz, a urologist at New York's Staten Island University Hospital.Launched in 1998, Viagra was the first pill for impotence. It transformed a private frustration for many aging men into a publicly discussed medical condition with an easy treatment, far more appealing than options like penile injections and implants. Pfizer's early TV ads for the little blue pill even coined the term erectile dysfunction, ED for short.Eli Lilly's Cialis came out in 2003 and now dominates the U.S. market with on-demand pills and daily, low-dose ones. Viagra is a close second.Pfizer says its market research shows 20 percent of customers are loyal to Viagra. So rather than give up sales to generic makers as brand-name drug makers once routinely did, the company is selling its own generic and also fighting to keep men on its blue pills.'We believe that the story for Viagra isn't done. It's just going to be a new chapter,' said Jim Sage, president of U.S. brands for Pfizer Essential Health, which sells its older medicines.In January, the drug maker will offer two new discount programs and increase its co-payment card discounts. Uninsured men can get brand-name Viagra half off through an innovative online home delivery program, Pfizer Direct. Many insured patients will be able to get a month's prescription - typically six to 10 pills, depending on plan limits - for as little as a $20 co-payment.'This is the most comprehensive pricing and marketing response I've seen to a generic,' said Erik Gordon, a pharmaceuticals analyst at the University of Michigan's business school. 'It's unprecedented.'Gordon thinks Pfizer's reduced prices will retain some patients and attract others who buy pills, often counterfeits, from the internet.Dr. Matthias Hofer, a urologist at Northwestern Memorial Hospital in Chicago, said some of his insured patients who take Viagra wouldn't want a generic. 'They will be ecstatic if they can save money and get the brand product from Pfizer,' he said.Last year, more than 12 million prescriptions for Viagra and Cialis were filled in the US, generating a combined $3 billion in sales, according to health data and clinical resea AutoNews- Source: http://www.dailymail.co.uk/health/article-5152483/Viagra-goes-generic-Pfizer-launch-little-white-pill.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490
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Cialis vs Viagra What's the difference between them - Daily News. Cialis and Viagra are both PDE5 inhibitors used for the treatment of erectile dysfunction (ED). Both only work when a man is sexually aroused. Cialis lasts for around 36 hours compared with only 4 to 5 hours for Viagra. Food does not affect the activity of Cialis, whereas food may decrease the effectiveness of Viagra. Cialis can be used once daily, at a smaller dosage, and is also effective at treating benign prostatic hyperplasia (BPH). Dosage of Cialis may need to be reduced in men with liver or kidney problems and risk of interactions may be higher than with Viagra.
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Mike is in for more than he bargains for when he experiments with "Male Enhancement"
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Assalam o alikum nawaz khan live app ki khidmat me If you have any questions, ask your doctor or pharmacist. To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective, ki saaat hazir
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As a full time RVer, medical insurance and prescription management can be challenging. Recently I ran out of my migraine medicine so took a trip to Mexico to buy my meds over the counter. This video shows how to buy prescription drugs in Mexico and answers questions about what can and can NOT be bought. Watch and join me as I visit Mexico with my friend Bob to stock up on prescription medicine.
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I think this my most important video to date. People are getting ripped off when they pay massively overinflated prices for Viagra. Inexpensive generic Sildenafil (the ingredient of Viagra that makes it work) is available, your doctor and you just need to know how to approach it. This video explains how I deal with the subject.
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Shortness of breath? Learn more and get a better lung disease treatment plan with top experts. Visit our Online Expert Centers at https://diagnosticdetectives.com/expert-centers/ Exclusive interview / Dr. Anton Titov MD and Professor Dr. Aaron Waxman MD, leading pulmonary arterial hypertension, right heart failure and lung disease expert. Find out exact cause if you have shortness of breath - get a precise diagnosis and best treatment for shortness of breath root cause. - Pulmonary arterial hypertension treatment. You mentioned phosphodiesterase type 5 inhibitors. They are also used for erectile disfunction. Common medications are viagra, sildenafil, and there are other medications of that class. So they're also used to treat pulmonary arterial hypertension. What is a typical way how they are used for pulmonary arterial hypertension? Are they effective? There is probably a different dosing schedule of those medications? So phosphodiesterase 5 inhibitors are in the nitric oxide pathway. And nitric oxide response, which really is our most potent vasodilator, works through cyclic GMP. So all the phosphodiesterase 5 inhibitors do is keep that cyclic GMP around longer by preventing its breakdown. And within the same path now we also have a medication called Riociguat, which is a soluble guanylate cyclase stimulator. So it actually increases the amount of available cyclic GMP and works in parallel with nitric oxide or independently of nitric oxide in pulmonary arterial hypertension. These patients generally have inadequate NO production. So all of these drugs are vasodilators. There's probably some added benefit, although we don't fully understand yet how, as far as remodeling - both myocardial remodeling and vascular remodeling. But there's no way to know which patients are going to get the most benefit from each individual drug. But I would say from an efficacy standpoint they're all pretty equivalent in pulmonary arterial hypertension. We don't combine them, but as individual drugs they're all pretty equivalent. - Are they used early in a therapy of pulmonary arterial hypertension, or when the first line therapy fails? - No, they probably are now first line therapy. Certainly sildenafil and tadalafil are considered first-line therapy, because they're generally very well tolerated and they're easy to use and they've been around for a long time in pulmonary arterial hypertension. I think Riociguatis a little more complicated to use because there's titration involved and it has a little more broader FDA approval targeting. It includes chronic thromboembolic disease but otherwise it's probably equally effective in pulmonary arterial hypertension. - Is the typical dosage [of PDE5 inhibitors in PAH] continuous or daily? Is it a smaller dose to compare with doses used for erectile disfunction indications? - When we did the clinical trials in pulmonary arterial hypertension, we studied sildenafil at 20 milligrams, 40 milligrams and 80 milligrams, at 3 times per day. So the usual dose for erectile dysfunction is 25, 50 and 75 mg, and a 100 mg, "when you need it". So certainly during the clinical trial, before the drug was approved, we were using Viagra at those doses. So I think there's room for dose adjustment. The only dose that was approved was 20 milligrams three times a day. So from an insurance standpoint we might have a little difficulty changing dose. But we often do titrate the dose, and Tadalafilwe use it at 40 milligrams once a day. - Every day? So with this frequent and fairly large dosing for pulmonary arterial hypertension treatment, as far as the cardiovascular side effects or other side effects, have you seen any major side effects? It's interesting, because the reason we went to these drugs are because phosphodiesterase 5 is predominantly localized to the vessels of the lung and the vessels of the penis. So we actually don't see a huge incidence of cardiovascular side effects. There are some patients whose blood pressure may be a little soft [low] with these drugs. But most patients with pulmonary arterial hypertension tolerate it quite well. I think the most important side effect that we see is headache, and it's not a bad headache. But it can be a nuisance. But it's usually readily responsive to simple things like Tylenol and aspirin or a non-steroidal anti-inflammatory medications.
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Vendor on the Walking Street - Viagra, Cialis, Kamagra. Angeles city Philippines 2018
 
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* Join "Gonzo Street" Patreon today: https://www.patreon.com/GonzoStreet Subscribe and give it a thumb up. This is the motivation for creating more videos as soon as possible. This channel is a copy of the channel "Gonzo Street", if the channel "Gonzo Street" is blocked. Please subscribe to both channels. Gonzo Street - https://www.youtube.com/channel/UCM2MGSU6h_cT950GK5MGlVA?sub_confirmation=1 Gonzo Street 2 - http://www.youtube.com/channel/UCrT--tP96BwX0PHItmj-L3Q?sub_confirmation=1 I walked along Walking Street of the Angeles City of the Philippines. 2018 June. About 21.00 nightlife. There are many bars and people. And a lot of street vendors on the Walking Street and Fields Avenue. One street vendor tried to sell me Kamagra, but he also has Cialis, Viagra, Black Ann. Anyway he asked a tricky fake price and often Kamagra, Cialis, Viagra are fake. Don't trust them. Street vendors call you friend, but want to trick you. They sell you pills or jelly in 3-10 times higher, than real price. Just be cerfull and ask local foreigners about true price. 0:15 I do not like street vendors (Walking Street, Fields Avenue) 0:20 They call you - friend. 0:25 We are not friends. 0:30 Fake price (3-10 times higher) 0:37 Often product is fake. (Cialis, Viagra, Kamagra) 0:44 Pills often don't work. 01:00 Kidding =) 01:14 Real price maybe 50 peso ($1) 01:21 Because for a pill 50 peso it is normal price 01:36 Rich guys often ready to pay 200 peso for a one pill of Cialis, Viagra, Kamagra. 02:05 He touchs me. I don't like it. 02:18 Cialis, Viagra, Kamagra, Jelly 02:28 And sometimes illegal stuff 03:08 Fake tricky smile. Subscribe and give it a thumb up. This is the motivation for creating more videos as soon as possible.
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Efectos Secundarios Del Cialis: ¿Los Conoces?
 
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Descubre los mejores consejos para tratar la impotencia, así como el método definitivo que permitirá revertir esta enfermedad en menos de 60 días. Visita ► http://ImpotenciaErectil.com/ Efectos Secundarios Del Cialis A pesar de que la mayoría de los hombres no tienen problemas para tolerar el Cialis, es posible que algunos sufran de efectos secundarios menores como dolores de cabeza e indigestión. Sin embargo, en contadas ocasiones es posible que surjan efectos secundarios mucho más graves que es importante que se den a conocer. Efectos Secundarios del Cialis Más Comunes Incontables ensayos clínicos han estudiados los efectos positivos y negativos del Cialis en alrededor de 5700 hombres. Cuando surgen efectos secundarios, estos siempre son documentados por dichos ensayos y la información que se tiene es que los efectos más comunes ocurrieron en poco más del 2% de los hombres evaluados e incluían: • Dolor de cabeza: aproximadamente 15% de las personas • Indigestión (dispepsia): aproximadamente 10% de las personas • Enrojecimiento del rostro: aproximadamente 3% de las personas • Dolor muscular: aproximadamente 4% de las personas • Congestión nasal: aproximadamente 4% de las personas Efectos Secundarios del Cialis Menos Comunes Durante los mismos ensayos clínicos, surgieron efectos secundarios más particulares en menos del 2% de los hombres que estaban tomando Cialis. Sin embargo, los investigadores no han podido determinar si dichos efectos secundarios ocurrieron por el Cialis o por algún otro motivo. Algunos de ellos fueron: • Angina • Insomnio • Hipertensión • Sensación de vértigo • Resequedad bucal • Migrañas • Erección prologada hasta por 4 horas • Erección dolorosa y prolongada por más de 6 horas (priapismo) En casos más específicos han ocurrido serios problemas relacionados con el cerebro, los vasos sanguíneos y el corazón: • Accidente cerebrovascular • Ataque cardíaco • Palpitaciones cardíacas • Dolores de pecho • Ataque cardíaco Por estos motivos es importante que acudas a tu médico de confianza para determinar si tienes alguna condición médica que te impida tomar Cialis. Si te encuentras en buen estado físico y tu médico te autoriza, lo más probable es que no sufras ningún efecto secundario tomando Cialis.
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A local Thai vendor shows me her collection of Kamagra cialis and blank ant. All sort of things to make sure you dont run out of power in Pattaya If you like my videos please take a look at the following information below. If you would like to help my channel grow and you would like to make a small donation please go to one of the links below. https://www.patreon.com/TheEyesofOwen Paypal https://www.paypal.me/TheEyesofOwen64 My website https://theeyesofowen.com/ Google+ https://plus.google.com/+TheeyesofOwen Instagram https://www.instagram.com/theeyesofowen/ Twitter https://twitter.com/Owen6990 Thank you for watching my videos and if you have not already PLEASE SUBSCRIBE Thank you
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