All posts by Alexander Pretorius

I am medical practitioner from Cape Town. My professional interest: new treatments of erectile dysfunction.

Viagra: here is what makes it the top choice

Viagra is a supplement that helps with the increase of blood flow of the male genitals. The most common practice and use for the supplement is to assist with sexual activity and those who would like to increase their endurance and duration for sex. For most users, the supplement will start to work after around 30 minutes when one takes the drug. In order for the Viagra to kick in, there will be some sexual stimulation required for it to get going. It may or may not work the same for others as some may feel the effects of the increase of blood flow sooner than others and it may take longer for others as well.

What are side effects related to Viagra?

Buy Viagra In Perth

Some common side effects of taking Viagra may include a sensation to your head in the form of a headache, where you may feel some slight pain likely from the dehydration. Also, you may feel some form of flushing and may end up with an upset stomach. It is highly recommended that you do not intake any alcohol while using Viagra as it is not a mix that is recommended. Another side effect would be abnormal vision and you may be subject to change in color vision and also some mild blurred vision. Last but not least, you may also experience some form of a stuffy nose and even pain in your back and muscles as you may feel unexpected tension from the drug use.

Viagra versus Cialis

When comparing Viagra versus Cialis in terms of treating erectile dysfunction is the duration on how long the drug will remain in your system and your body. It is commonly known that Viagra is more for a short term fix especially engaging in sexual activities in one go around. This is probably the most common use of the drug to help treat for erectile dysfunction. Those that prefer Cialis over Viagra is due to the stamina and length of time that it provides over the Viagra counterpart. If you are looking for something to last over half the day, Cialis is the right choice for you. Fortunately both of these brands are available and is not hard to find if you’re looking to make a quick purchase. Depending on your choice of sexual activity, if you are having less sex and just need the quick pop, Viagra is the choice to make. If you’re looking to go for some time and the distance, then Cialis would be the choice to make.

Which one is the best to purchase online in Australia?

When comparing the two and deciding on which one to purchase, Viagra is the cheaper alternative versus Cialis. You can find Viagra available to you at the drug store and pharmacy such as CVS and Walgreens. For Cialis, you would need to get a prescription before making such purchase as it is a lot stronger compared to Viagra. When comparing the pricing, the price of Viagra is likely to be five times less expensive than Cialis. It would not be unheard of to use both products depending on the mood you are in and the objectives you are trying to achieve in your sex life. All in all, without question, use both drugs at your own discretion and make sure to be safe as well by performing safe sex.

When Things Come A Little Early: A Study On Premature Ejaculation

How To Stop Ejaculation

     What is premature ejaculation? It is basically a condition in which a man has an orgasm which results in the expulsion of semen. This orgasm typically happens within a very short amount of time and with minimal stimulation. There is no specific definition as to what is defined as premature ejaculation but it has been widely accepted that it is within 1 minute after penetration. The condition is also called rapid ejaculation, early climax, early ejaculation, and rapid climax. The ICD-10, (codes of physical diagnosis) has annotated the disorder as occurring within 15 seconds of penetration. The condition is full of very subjective definitions. Many men with the condition state they have no control over their quick orgasm time. Its not clear if its a physical condition or merely a mental phenomena. The average man typically lasts anywhere from 4-8 minutes, anything beyond that point has been labeled as delayed ejaculation. Much of the negative results of this condition revolve around significant distress with partners such as emotional distress and feelings of inadequacy. Statistically, the condition seems to have more of a negative effect on the overall mental health of men, many women consider the condition less of a problem, but this also varies depending on whom you ask. There has been some advancement on the cause of this disorder neurologically. Studies have shown that certain areas of the brain become programmed to have a faster response in their pelvis area. This is often caused by frequent masturbation during puberty, this can be the result of having to do this very quickly. This is only a theory and is only believed by a minority. More in depth studies contribute issues in the amount of serotonin receptors in the brain. Additionally, many believe this is a genetic disorder. In order to receive an official diagnosis this condition must have persisted for a minimum of 6 months.

     For those with this problem there are several different types of treatment available in the form of medication and treatment. Some of the treatment for men is basically self induced mental distractions as well as trying to control the frequency of penetration. Additionally, controlling the rate of speed of thrusting is a method tried by some. This method has proven to be quite effective with nearly 80% of cases being resolved on their own independent of a clinical specialist. In some cases men can be treated with different types of SSRI’s (serotonin reuptake inhibitors). These types of medications have proven effective in increasing ejaculation times by 6-20 times greater than before medication. Most people that take medication are able to stop within a year of taking these medicines. However, in some cases the SSRI’s actually cause other side effects such as diminished libido thus creating another problem to deal with.



What are the Pros and Cons for Using Viagra Before Sex

How Viagra Can Help Australians With ED

If Kobe Bryant is one of the Gods of basketball, Viagra is the holy grail of sexual enhancement drugs. It is one of the most talked about, rarely replicated sexual performance drugs that will ever exist on this planet we call earth. I am here to tell you more about it. First things first, I will describe what it is and where it comes first. It goes by the name Sildenafil and was created to help mean in the area of Erectile Dysfunction. It was a way to “uplift” them so to speak. At one point, it even assisted with the certain heart diseases but is still primarily used for erection issues.

Viagra Sunshine Coast

What is Viagra

Time is of the essence when it comes to drugs such as these and, for Viagra, that time comes to about 30 minutes. Some factors including the food that you consume along with in other conditions that may exist will influence the amount of time that it takes for this soldier booster to kick in. If I haven’t made myself clear, we are talking about erections people. When nerves in your little johnson are aroused and stimulated, this causes the everything to lock in place and cause what we know as the salute. When the blood begins to flow in the genital area and everything begins to engorge, you are well on your way to self-duplication.

What is erectile dysfunction

When someone experiences Erectile dysfunction, it is because the brain never properly gets the message of what is supposed to happen next. However, when the Viagra is consumed, the world’s first smartphone (the brain) sends a text message that we need to send some more blood to the lower regions and get started with some reproduction. Now although it is supposed to take about 30 minutes for it to work, it can do it without the help of nature itself. That’s right, no arousal still equals no performance whether the pill is taken or not. So, keep in mind that it can still take a couple hours or not work at all if there is no arousal in the man.

How it’s taken

If you are excited to get started and you want to know how long you have, the correct time would be 2 to 3 hours. The clock is ticking from the moment the pill kicks in. A few hours should be more than sufficient. A very important thing to know is that Viagra doesn’t necessarily improve your performance.

If you weren’t getting multiple erections in the past, Viagra is unlikely to give it to you know. At the same token, If you tend to get overstimulated and end the show before everybody performs, nothing will change as a result of this pill. So, better luck next time.

For older men, the metabolism can slow down and make things less effective. For example, men over 65 may not have the endurance to last an hour because they don’t have that energy available in everyday life. However, a 20 year old may be able to run a sexual marathon but it has very little to do with the pill and more to do with his age and newfound confidence.

Dietary choices

Eating all the right foods still pays a major contribution to the better sex foundation so be aware and continue to give charity. It is essential to have a diet that is high in nutrients and low in sugars and fats. This will not only lead to better health but, should you need Viagra, the absorption will happen easier with a system that isn’t clogged.

Drinking alcohol can also cause major problems in your blood stream as it may decrease blood flow which, in turns, will make it harder to get and maintain erections for an extended period of time.

Other contributing factors

Please, please, please pay attention to the amount of time that the pill is in your system and how long the erection is lasting. Although being a sexual super hero seems to be every man’s fantasy, the longer is not necessarily the better. Having an erection for too long can weaken and/or damage the vessels in your man region causing a break down that leads to very severe long-term issues with erections. But, I am not here to be a party pooper. I suggest that you be careful, watch your dosage and consult a doctor if necessary. In the meantime, make sure your tools are in tip-top shape because they may come in handy one day.


What is Herpes Zoster and What Does it Do?


New Herpes Zoster breakouts: why vaccination is so important to erase them before they become untreatable

Shingle’s rash only affects a limited area of the skin and is usually associated with pain. People most commonly get this rash on their hands, their arms, their legs, and sometimes they might get a breakout on their face or their eras. The pain associated with this rash is said to feel tired, run-down, and even depressed. 

New Shingles Vaccine

Who Herpes Zoster affects

Shingles usually, only affect a small section on one side of your body. Pain is usually the first symptom as well as burning, numbness or tingling. The red blistering rash begins a few days after the pain begins. People are the most contagious during this stage and are most likely to spread the virus to another person before the bumps even appear. The blisters will break open and crust over, this generally causes itching and discomfort. Some people also experience fever, chills, general achiness, headache, and fatigue. Shingles have existed since the middle ages and were a huge scare to those who had no idea what it was the prevalent disease until 1831 by a scientist named Richard bright who hypothesized that it was carried by the spinal ganglion. 


A spinal ganglion is a cluster of nerve cell bodies that attach to the base root of a spinal nerve. So theoretically this virus actually lives in the nerves of your spine this is also the main reason why shingles are said to be so painful doctors agreed with Bright and 1861 he confirmed this hypothesis when he performed the first postmortem examination also knows as an autopsy. The medical community didn’t recognize the severity of the shingles symptoms until the 1950s, before then, it was thought to be painless and harmless. The word herpes is derived from the Greek word herpein (“to creep”), referring to the latent, recurring infections of this virus. Zoster comes from the Greek word meaning “belt” or “girdle”.

One million Americans

As many as one million Americans will be affected by herpes zoster will this disease is often more common in women than it is in men. Aso people tend to get this virus when they are older, and it is rare if someone is diagnosed with shingles at a young age. Scientists still don’t understand why women tend to deal with this more than men, or why adults experience this more than children. They are looking more into if it has to do with an individual’s genetic composition. Shingles is a viral infection that results from the varicella-zoster virus (VZV), the same virus that causes chickenpox. It typically affects a single sensory nerve ganglion and the skin surface that the nerve supplies.


Anyone who has had chickenpox can later develop shingles. In fact, according to the Centers for Disease Control and Prevention (CDC), an estimated 1 in 3 people trusted Source in the United States develop shingles during their lifetime. However, a person can only develop shingles if they have had chickenpox or exposure to the virus that causes it. This virus can lie dormant for years. Most adults with the dormant virus never develop shingles, but for some, the virus reactivates several times. Shingles are most common after the age of 50 years, but it can appear at any age if a person has previously had chickenpox. In this article, learn more about shingles, including symptoms, complications, and treatments.


Shingles usually affect one side of the body. This is most often the waist, chest, abdomen, or back. Symptoms can also appear on the face and in the eyes, mouth, ears. The virus can also affect some internal organs.

According to Shingles typically affect a single sensory nerve ganglion near the spinal cord called a dorsal root ganglion this is why the symptoms occur in specific areas of the body rather than all over it the pain results from nerve involvement rather than rash itself. In fact, some people have pain but no rash others meanwhile may have a rash with pain that is accompanied by other symptoms such as fever chills or headache. Shingles is a rash with shooting pain. It usually shows up on just one side of your body. 

Final thoughts

Learn more about shingles symptoms, causes, who hypothesized that it was carried by the spinal ganglion. A spinal ganglion is a cluster of nerve cell bodies that attach to the base root of a spinal nerve. So theoretically, this virus actually lives in the nerves of your spine. This is also the main reason why shingles are said to be so painful.

Premature ejaculation: a new insight into mental and emotional factors

Premature Ejaculation: Common Experiences and Advice

It’s embarrassing. I don’t want to talk about it, you don’t want to talk about it, nobody wants to think about it or admit it’s a possibility, but it’s there and if we don’t talk about it then it’s just going to keep happening. Premature ejaculation is real. When is the last time you were making love and thought, “OK, is that enough time to have an orgasm?” It just doesn’t work like that. For lots of men, the orgasm comes earlier than they want but since they have been able to make love for a little while they just accept it. For those who suffer most, the orgasm comes before intercourse and completely ruins the intimate time. For those men, the shame can be too much to overcome in those situations and instead of continuing to pleasure their partner and perhaps even reaching a second orgasm, men will give up in shame and never face or take any actions to improve their situation.


What can be done about Premature ejaculation

The fact is though, one can take action. First, slow down. As excited as you might be, just take your time and let any overly intense feelings that come up simply wash away. Remember to relax and even if you do have an orgasm, that doesn’t mean the intimate time is over. Second, try to make love almost every day. The novelty of lovemaking can be a very powerful trigger for many men and by normalizing the activity many men will feel a lessening of performance pressure.

Similarly, if an evening does not go quite as planned or lovemaking ends sooner than one or both parties would wish, both partners know that lovemaking will be happening pretty much every day so there is a chance for more fun right around the corner.

Removing this pressure lets both partners relax and lessens the disappointment they may feel in the moment when their intimate time did not proceed as they had hoped or planned.

Not just sex

Additionally, partners should spend time being intimate without making love. ALso you may use medication from named Priligy. Gentle caresses, kisses and soothing talk make partners feel closer to each other and can heighten feelings of intimate satisfaction without relying completely on physical interaction. Both partners can derive strength from the closeness they feel in these times and their own self-satisfaction becomes heightened knowing that there are ways to achieve closeness and intimacy even without full lovemaking or orgasm.

Ways to orgasm

At that point, both partners may wish to engage in different kinds of pleasure. Oral stimulation is one way that couples enjoy physical intimacy without pressure to have an orgasm at the same time. By using oral pleasure in this way, if the man orgasms quickly then the woman is not afraid that she won’t get her turn and the man is not worried about letting the woman down. When both partners have very different times to arousal and orgasm than each other, disconnecting the timing of orgasms in this way can be extremely beneficial and lead to much higher rates of sexual satisfaction and even to more incidences of lovemaking. When both partners have had an orgasm prior to lovemaking, the lovemaking sessions become longer, more intense, and more satisfying to both partners.

Lying together after sex and gently caressing each other similarly makes lovemaking more satisfying to both partners and makes both partners feel that they have done their part to please the other and that the other feels that they have done their part as well. 

Confidence is key

When both partners feel confident in their abilities then they are more willing to take risks and perform in a way that accentuates the lovemaking experience and maximizes feelings of pleasure and connectedness. The connectedness factor is key in both partners feeling satisfaction from the lovemaking experience. When there is true connectedness and both partners feel confident, they carry these emotions out into the world with them and become significantly more positive, creative, and confident in all areas of their lives. Ultimately this is the most beneficial thing that can come out of the experience and both partners can emerge stronger from having experienced premature ejaculation and having worked through it to find a positive place.

Diabetes: How to recognize, diagnose, treat, manage and live with it

Different Types of Diabetes, How They Develop and Treatment

When people have an imbalance of blood sugar in their body it can cause health problems that if left untreated could lead to severe health complications. Diabetes is a disease that happens when there is too much sugar in your blood. The sugar in the blood is called blood glucose and it represents the primary fuel that provides the body with energy.

Gestational Diabetes

Types of Diabetes

There are four main types of diabetes that people can be diagnosed with and they are type I, type II, prediabetes, and gestational diabetes. Each type of diabetes needs to be taken care of and requires treatment or severe health consequences can follow such as peripheral artery disease (PAD). This causes the blood flow to the extremities to be reduced because of the blood vessels becoming too narrow. This can lead to amputations of extremities including toes, feet, and lower legs.

Type I

Type I diabetes refers to people whose bodies do not make enough insulin. This can happen when the immune system attacks the cells in the pancreas which are responsible for insulin production. People of all ages can have from type I diabetes and it is commonly diagnosed in children and adults alike. Those who have type I diabetes must take insulin injections daily or complications such as peripheral artery disease (PAD) can arise.

Type II

Those with type II diabetes produce too much insulin and it is the most commonly diagnosed type of diabetes. This type of diabetes is most common among middle-aged adults and above. Those who are 45 and above should undergo routine screening. If you are overweight it is best to get the test every two to three years at least. Type I and type II diabetes are two very different types so it is necessary for doctors to do additional testing to determine which type you have.


Prediabetes is a condition where the blood glucose levels are higher than they should be not high enough to be considered diabetic. This condition requires careful management of how much sugar is taken into the body. People who receive a diagnosis of type II diabetes are usually prediabetic prior to the diagnosis making it something that can be caught early on if undergoing regular checks.

Gestational diabetes

The fourth most commonly diagnosed type of diabetes is gestational diabetes. Gestational diabetes occurs in pregnant women only and is when the body forms too much blood sugar during pregnancy. This is signified by an otherwise healthy woman who becomes pregnant and did not have diabetes but later on, in the pregnancy, her body starts producing too much blood glucose. This leads to a diagnosis of gestational diabetes.


Each type of diabetes requires a unique treatment but all of them require regular monitoring of blood sugar. Treatment for type II diabetes can require a whole regiment of modalities in order to combat the increased levels of blood glucose. This can mean taking in fewer calories, fewer sugary foods, and less saturated fat. It is also advisable to have a regular intake of fruits and vegetables. In addition to dietary restrictions, people with type II diabetes should exercise regularly.

Exercising can automatically reduce the amount of blood sugar in the body since you are using it as fuel for energy.

Diabetes medications

Another common treatment for type II diabetes is pharmaceutical medication such as Metformin, Glucophage and Glumetza. These are used to help lower glucose production in the body and helps it to better utilize the insulin that’s available at There are also many other types of pharmaceutical treatments that include Sulfonylureas, Thiazolidinediones, and DPP-4 inhibitors but the one that is most recognized is insulin.


People diagnosed with type I diabetes must take regular insulin injections to keep their blood glucose at an optimum level. Those who are diagnosed with type I diabetes will know their blood sugar levels are too low because they will become ill. That is when an insulin injection is required. The insulin is administered to the body with a needle because if it were simply taken orally the stomach acids would destroy the medicine before it could be absorbed properly.

The Mysterious New Trend of “Keto” And How it Works

Weight Loss And The Way To Keep It Off: Here’s What You Need To Know

 Back in 2001 a new diet hit the scene. But it wasn’t as new as everyone thought since the original mention of the eating plan had emerged nearly 30 years prior. In 2001 it was republished and America went crazy. It promised a healthy life style by cutting carbs from your meals and then over time, slowly introducing certain foods back into your diet. But we’re not here to talk about Atkins are we? We’re here to talk about Atkins “cousin”, the Ketogenic Diet.

 You see Atkin was a man, and the diet was named after that man. While the Ketogenic Diet (or Keto for short) is merely named after the process and fat burning state in which your body is now working. This is the “ketogenic state”. While Atkins was a quick fix to your weight problems, and slowly allowing you to basically return to normal, Keto is more of a long term, lifestyle.

  Keto has been shown over the years to help promote weight loss by starving your body of glucose (which our body loves to use as energy and fuel) and causing a rise in ketones, which break down the fat stored in your body. After all, that’s what we’re all after right? A way to lose that stubborn fat that we’ve accumulated. Ketosis is a metabolic state which uses fat rather than sugars and carbs as your source of energy. This diet is a high fat (75% of your foods), moderate-protein (20%), and VERY low carb (5%) diet.

  For decades America has been spinning this “Fat Is Bad” propaganda to the people due to false studies in the 20th century. We came to associate fat foods..with fat bodies. So for many years food makers have proudly boasted on the front of their products that it has low or even zero fat. While not mentioning the amount of sugar and carbs in that same space on the front of the package. This misinformation has caused a lot of scrutiny that low carb diets are bad for you health, but to quite the contrary, this form of consumption can not only reduce your weight, but can provide other health benefits as well.

Not Drinking Alcohol Diet

  In some studies it has been shown to ease diabetic symptoms and even get people off of their medications for diabetes. It can also reduce acne, improve heart health, it could reduce the risk of cancer, it can promote more cognitive ability in autistic children and my personal favorite, it can even reduce seizures!

  With all these health benefits whats not to like?

  Well, the main complaint many newcomers to Keto report, is the difficulty in maintaining a low carb diet, as the American diet is bombarded with sugary foods. Sugar is hiding in places you wouldn’t even imagine they would be. When you first start Keto you will quickly find that 95% of the foods in your home must be thrown out to replace them with non-processed, fresh foods. But to their surprise, there are many ways to satiate that sweet tooth with countless “mock recipes” that imitate your favorite deserts and finding many breakfast, lunch and dinner recipes that are actually quite delicious.

  Before jumping straight into the Ketogenic Diet, you should first prepare yourself with as much knowledge as you can on the topic, to ensure success. This isn’t a diet where you can just go buy a brand of food that covers all your meals like weight watchers. There is a learning curb and a lot of cooking involved so be prepared to get in the kitchen.

  I think after researching this viagra online in south africa that most people would agree that it is truly an ideal way to live. As long as we can ditch the donuts.

I am a 56 year old man who is obese.  Obesity runs in my family so I never felt too guilty about overeating or about not compensating for overeating by exercising appropriately.  I overeat too feel better about myself, to layer myself in the comfort I find in fattening, sugary foods.  Last month I went to my doctor for my annual physical and received some disturbing news.  My blood pressure was quite elevated, 200/110.  My ankles and lower legs were swollen.  My doctor heard disturbing breath sounds when he listened to my chest and respiration.  Blood work was taken and it showed that my glucose levels were elevated beyond what my doctor called pre-diabetes.  My LDL cholesterol was very high, 280, and my HDL – the good cholesterol – was too low, 34.  Even the results of my kidney function test were poor.  My doctor prescribed medication and ordered me to begin an immediate weight loss program, consisting of diet and exercise.  He warned me that my obesity puts me at significant risk.  For 2 months I followed the plan carefully:  low carbs, hi protein. Lots of fruit, vegetables, fish, chicken.  A gradually increasing program of light, and then moderate, aerobic exercise.  I lost 8 pounds over those 8 weeks and then was able to step up my weight loss program with an even stricter dietary regimen and more prolonged exercise.  I dropped another 16 pounds.  Now that I see that I can actually accomplish my weight loss goals I feel much more confident, and energized, and proud of myself, which in turn helps me to make even greater improvements in my weight loss program.  My blood pressure has normalized and so has my glucose levels.  I feel healthier and stronger, and know that if I continue to make progress I will greatly increase my risk of debilitating disease, like diabetes or cardiovascular disease, and will greatly increase my chances of living a longer, healthier and happier life.

Michael Gill

Cialis: the pros and cons of long-term use in your relationship

Cialis: It’s Uses And Effects

Cialis is a drug based on the active ingredient tadalafil, belonging to the category of erectile dysfunction and specifically drugs used in erection dysfunction. Cialis can be prescribed with Recipe RR – medicines subject to medical prescription. Cialis is used for the treatment and treatment of various diseases and pathologies such as Erectile Dysfunction. Indications that Cialis treatment is required include a lack of libido and erectile dysfunction in adult men. Sexual stimulation is required for tadalafil to be effective. The use of Cialis in women is not indicated.



For adult men in general, the recommended dose is 10 mg taken before a planned sexual activity and regardless of meals. In those patients where a 10 mg dose of tadalafil does not produce an adequate effect, a dose of 20 mg can be tried. The medicine can be taken at least 30 minutes before sexual activity. The maximum frequency of administration is once a day. Tadalafil 10 mg and 20 mg doses are indicated for use before a planned sexual activity but are not recommended for continuous daily use.

In patients with frequent use of Cialis (for example, at least twice a week) a once-a-day dosing schedule with the lowest doses of Cialis could be considered suitable, based on the patient’s choice and the doctor’s judgment. In these patients, the recommended dose is 5 mg taken once a day at about the same time of day. The dose can be decreased to 2.5 mg once a day based on individual tolerability. The appropriateness of continued use of the daily schedule should be reviewed periodically. For particular populations such as elderly men, no dose adjustment is required.

Men with kidney failure 

No dose adjustment is required in patients with mild to moderate renal impairment. For patients with severe renal impairment, the maximum recommended dose is 10 mg. The administration of tadalafil once a day is not recommended in patients with severe renal impairment. (see sections 4.4 and 5.2). Men with liver failure The recommended dose of Cialis is 10 mg to be taken before an expected sexual activity and regardless of meals.

There are limited clinical data on the safety of Cialis in patients with severe hepatic impairment (class C according to the Child-Pugh classification); if prescribed, a careful case-by-case assessment of the benefit-risk ratio by the prescribing doctor must be performed. There are no data available on the administration of tadalafil at doses greater than 10 mg in patients with hepatic impairment. Once-daily administration has not been evaluated in patients with hepatic impairment; therefore, if prescribed, a careful case-by-case assessment of the benefit-risk ratio by the prescribing physician should be performed.

Diabetic men 

No dosage adjustments are required in diabetic patients.

Pediatric population 

There is no indication for a specific use of Cialis in the pediatric population concerning the treatment of erectile dysfunction.

Method of administration 

Cialis is available as 2.5 mg, 5 mg, 10 mg and 20 mg film-coated tablets for oral use. Contraindications Hypersensitivity to the active substance may be experienced or any of the excipients listed in section 6.1. In clinical studies, tadalafil has been shown to increase the hypotensive effects of nitrates. It is important to remember that you should not take tadalafil if you take medication with nitrates. Nitrates are in medications commonly used to treat chest pain. It is also not intended to be mixed with other stimulators such as Adempas which is commonly used to treat pulmonary hypertension. Once taken, Cialis can last up to 36 hours. This doesn’t mean an erection will be present for the full 36 hours.

Special warnings and precautions for use Before treatment with Cialis 

Before considering pharmacological treatment, medical history and physical examination should be performed to diagnose erectile dysfunction. Another precaution is to be on the lookout for an erection that lasts longer than 4 hours. A condition called priapism can cause permanent damage to the penis if an erection lasts too long. Worst-case scenarios of priapism if left untreated can cause erectile dysfunction by damaging the tissue.

Equivalent drugs 

The equivalent drugs of Cialis based on Tadalafil are:

  • Tadalafil Alter
  • Tadalafil Aurobindo
  • Generic Tadalafil Doc
  • Tadalafil EG
  • Tadalafil Krka
  • Tadalafil Mylan
  • Tadalafil Pensa
  • Tadalafil Sandoz
  • Tadalafil Teva
  • Tadap
  • Telefil

Cialis: An innovative solution for men struggling with erectile dysfunction

Cialis is a great medication that helps those that experience erectile dysfunction

The drug is also known as Tadalafil, and is known to treat males that are having difficulty in the bedroom. Erectile dysfunction is the inability to keep or sustain an erection and effects many males worldwide. It can be that you cannot get or sustain an erection that is hard enough to participate in any kind of sexual activity. It is sometimes attributed to stress, or could be a sign of an underlying health problem that should be discussed with a medical practitioner.

See your physician first!

If you are interested in potentially taking Cialis to help with your erectile dysfunction, you will first need to discuss with your doctor to make sure that it is right for you. It is to be taken orally with or without food, or as directed by your doctor. Of course, with taking any sort of medications there are some side effects that you should be aware of before taking Cialis.

Side effects

The most common side effects patients incur, are a headache, an upset stomach, back pain, muscle pain, flushing in the face of any kind, a stuffy nose, cold sweats, heartburn, acid or sour stomach, belching, or sometimes dizziness. If you are experiencing these, you will need to contact your doctor or pharmacy immediately. Many people do not incur any sort of side effects, but it is important to be aware of the possibilities in case it happens to you. In addition, extreme care should be taken if you have any sort of health problems. Finally, if you are taking Cialis and you end up having an erection that lasts longer than four hours, please see a healthcare professional right away or you run the risk of experiencing permanent problems.

This is not an all inclusive list of side effects, so if you are experiencing another, please do not hesitate to speak with your doctor. They will also be able to advise you about ways you can decrease your risk of getting any of these side effects.

Cialis can be purchased once you speak with your doctor and they recommend that it is right for you

They will give you a prescription which you can take to a physical pharmacy store, and some online sources. You do need to be careful of where you are buying Cialis, as there are some sources online which offer imitation versions, and you do not want to be taking those as they might have increased risks that are unknown.

Dosages and Cialis prices

There are several quantity options that you can find online, and it depends how much of the drug you need. Basically, the price per pill can range anywhere from $1.75 to $4.67 depending on how much you are ordering. Please be sure to check a local pharmacy before you look to buy online. Some physical pharmacies may offer home delivery as well, which is very convenient.

Once again, please make sure that you are discussing with a medical practitioner to make sure that the drug is right for you before taking it to ensure that it will work like it is intended to.

What are the side effects of Kamagra oral jelly? Can Kamagra cause impotence?

Kamagra jelly is a generic form of Viagra that is used for instant sexual performance.  This medicine is orally taken.    It is used to treat erectile dysfunction. Oral jelly should be consumed at least 15 minutes before sexual activity.  Kamagra oral jelly is considered to be as safe and effective as Viagra.

Kamagra is a branded erectile dysfunction treatment that contains Sildenafil Citrate.  It is a cheaper form of Viagra, but contains the same active ingredient. Kamagra oral jelly was created by an Indian pharmaceutical company who also manufactures under Ajanta Pharma and has gained a huge action over the years.  It is medically ticked by India’s FDA, and has received the license for wordly distribution.

In clinical trials with sildenafil, the most common side effect was headache

It was experienced by up to 16 percent of participants in some studies.  Other side effects reported in these trials include dizziness, facial flushing, indigestion, upset stomach, diarrhea, nasal congestion, and urinary tract infection. The most common side effect of is headaches.  The headaches and migraines are caused by sensitization and hyperexitability of perivascular sensory nerve terminals.  Which means that Kamagra causes a low pain threshold to otherwise normal activity exchanges in the brain.  Another side effect, Flushing, occurs in around 10 percent of the time.  It happens often during sexual stimulation and Kamagra can intensify its effects.

Please note, sildenafil can cause problems for people with cardiovascular disease.  It has been associated with a rapid or irregular heartbeat, and may not be safe for people with heart disease, angina, low or high blood pressure, arrhythmia, or anyone who has suffered a heart attack or stroke within the past six months.  Some men have also experience a sudden loss of vision after taking sildenafil.  This can involve a decrease in vision, or a partial or total loss of vision.  This condition can be permanent is some cases.  It is possible for some people to experience an allergic reaction to Kamagra jelly.  This may include a rash, or hives, itching, trouble breathing, and facial or mouth swelling.

Kamagra oral jelly is extremely popular in Australia and distributed virtually in all pharmacies throughout the country

Kamagra oral jelly is  also distributed under the brand name Kamagra Gel.  The formulation is identical, regardless of the title. The Pharmaceutical Benefits Scheme, also know as PBS, is a program of the Australia Govenment that provides subsidised prescription drugs to residents of Australia.  The PBS is there to ensure that Australian residents have affordable and reliable access to a wide range of necessary medicines.  Together with Medicare, the PBS is a key component of health care in Australia. When purchasing a medication under PBS, the maximum price a patient pays is the patient contribution (also called a co-payment or out-of-pocket cost), which in 2019 was A$40.30 for general patients. This is a great program that is offered in Australia, and many residents are not even aware that the program is out there for them to take advantage of.  You can visit the website, for a complete listing of the drugs on this list.

There are many online pharmacies, where you can purchase Kamagra Gel.

There a few of these pharmacies:,,, just to name a few.

Please notes that when ordering large packages of Kamagra Jelly, the price is always lower than when purchasing a small packages.  Most of the websites offer free shipping when you order larger quantites.  Some websites will also offer extra discounts if your recommend their website to your friends in Australia or other countries.

It is  also nice to order online, because in Australia, you can get your Kamagra oral jelly online with the most convenience possible

They will ask no more questions other then specifying your shipment details.  Your delivery will come to you completely confidential, with the box wrapped in opaque material, so that prying eyes will not be able to see what it is.  As long as you are of age in Australia,  Not only can you save money by going through the PBS, you can also purchase online.  It is great that people in South Africa have the option of saving money through PBS, as well as certain foreign visitors covered by a Reciprocal Health Care Agreement.

Kamagra oral jelly: Need help for a Healthier Sex?

One of the most searched-for diseases on the Internet as per Wikipedia is Erectile dysfunction, where a person cannot maintain a penile erection for a long time. This proves to be a curse in the bedroom, since lack of sexual pleasure often affects how a person performs in their day-to-day life. There are several options available in the market today, the most famous of all of them being Cialis, Viagra and Kamagra Oral Jelly.

Kamagra apotheek

Like Viagra and Cialis, Kamagra Oral Jelly is a product of the popular drug for erectile dysfunctions, Sildenafil.

So what makes Kamagra oral Jelly really different ?

One word, customer feedback. Erectile dysfunction mostly affects men of a certain age, which also suffer from a condition such as dysphagia where the patient has trouble swallowing. Most of the other alternatives for erectile dysfunction are available in the form of tablets, which is an issue for people who suffer from the aforementioned issue of swallowing. In such cases, Kamagra Oral Jelly proves to be a boon. Invented by an Indian pharmaceutical company Ajanta Pharma, which still is one of the leading manufacturers, the jelly has proved to be a blessing for even people who have a psychological barrier to using tablets. The jelly is also offered in 7 different flavours, ranging from orange vanilla to even caramel and kiwi which makes it preferable to people looking to continue their pleasant sexual experience. Moreover, the jelly is easily absorbed into the blood plasma increasing it’s bioavailability, which means that it increases the probability of a person maintaining an erection.

Kamagra Oral Jelly is produced in sachet, each of which has 100 mg of Sildenafil.

This is the recommended daily dose, and this is generally enough for any forms of erectile dysfunction. Kamagra Oral Jelly may be used right from a sachet, or it may be added to 150-200 ml of water. Mixing jelly with alcohol, fizzy drinks, juice or milk is not recommended, since it could have have an opposite effect of reducing the chances of having an erection. The drug should be consumed 15 minutes before sexual activity, which means about 4-6 hours of sexual bliss. Kamagra Oral Jelly also results in a reduced recovery period post ejaculation, which means no partner goes disappointed. It is generally recommended to consult a doctor before consuming any erectile dysfunction products about the timing and the dosage, and this includes Kamagra Oral Jelly too.

Like any other Sildenafil product, Kamagra Oral Jelly also has it’s side effects, ranging from transient to more dangerous side effects too.

Some of the more common ones are Headache (very common), dizziness, visual colour distortions (blue vision), visual disturbance, blurred vision, flushing, hot flushes,, nasal congestion, Nausea and indigestion. Sildenafil has been linked to priapism, a condition involving a painful erection lasting longer than six hours, and this is not a good thing unfortunately. Visit the emergency rooms if this happens to you. Kamagra Oral Jelly is also not recommended for people suffering from high blood pressure and cardiovascular issues, and people who are already ingesting any medicines containing nitrates.

Kamagra is available for sale online on several online websites including for about $1-$3 a pop, which makes it a bit cheaper than Viagra.

Depending on your location and market stock, delivery can take upto 5-6 days. This would also depend on whether you are buying from a local marketer or importing the good from another country. It is generally recommended to buy such a product from a healthcare provider recommended by your doctor, since it would be very difficult for a person, especially a first timer, to differentiate between actual Kamagra Oral Jelly and generic sugar tablets.