All posts by Alexander Pretorius

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

A Review of Tadalafil Use in Pulmonary Arterial Hypertension

Cialis (also known as Tadalafil in the medical world of generics) is one of the most well-known erectile dysfunction drugs used in the world and South Africa is no exception. Cialis is considered a “lifestyle drug”, a meaning it treats issues that come up as a result of your lifestyle, like weight gain. This is a very lucrative market for the companies and with popularity, as well as the possibility for making a lot of money, comes a thriving counterfeit market.

South Africa has been hesitant to make these drugs over the counter due to the threat of misuse or abuse and believe it should be managed in a pharmacy setting.

Erectile dysfunction drugs are some of the most highly generic drugs on the global market

When these drugs are sold only through pharmacies, many South African men who are unable to obtain a prescription, for one reason or another, are turning to sex shops or illegitimate online pharmacies to obtain these erectile dysfunction medication. There are at least 1,800 illegitimate pharmacies on the internet.

These counterfeit tablets can either have too little or too much of the active ingredient and that can be harmful to Aussies when they unwittingly use outside of tested limitations. In addition, they drugs could have been tampered with and contain ingredients or additives that may cause serious medical harm to the person ingesting them. Counterfeiters go to great lengths to make the pills look like the real thing using the same shape, markings on the pills and packaging.

The hope that making the drug available on an over the counter basis in South Africa will kill two birds with one stone

They are hoping to curtail the illegal counterfeit drug market and lessen the circulation of dangerous counterfeit drugs on the market. Another positive reason would be the monetary benefits for South African pharmacies by directing some of the billion in counterfeit drug sales back into their businesses. It seems simple enough to ask the question why South African men do not just go and received a prescription from their general practitioner. The biggest issue is the perceived social stigma attached to erectile dysfunction.

The primary issue seems to be the perception of “lost manhood”.

This is something that transcends South Africans and effects men around the globe. It is a psychological impediment that many men struggle with, even today with raised awareness of the issue. Up to 70% of men who have erectile dysfunction in South Africa will not go to a doctor for treatment. In some areas of South Africa, there is a lack of general practitioner services which renders men unable to seek help, even if they want it.

In addition, another issue that seems to further aid the counterfeit market for Cialis in South Africa is the fact that the non-generic pills cost more and are only prescribed in small doses.

Making Cialis and other erectile dysfunction drugs available for over the counter consumption in South Africa should be done sooner than later.

The United Kingdom and New Zealand have been able to successfully transition Cialis for over the counter use, so South Africa should be able to follow their process to make it work.

Viagra: Is this the wonder drug that will cure my erectile dysfunction?

When considering what medication you would like to take for the treatment of your erectile dysfunction you could of course consider Viagra. Viagra is been around for quite a long time at this point and is trusted by many men when it comes to the treatment of their erectile dysfunction.

You could easily even argue that Viagra is the gold standard when it comes to the treatment of erectile dysfunction for many men.

Treating your erectile dysfunction is often quite important as it is a condition that does not get better with time and may well end up getting worse. When you take into affect the added stress that is attributed from the condition of erectile dysfunction you can actually worsen the condition itself, this is because stress is known to actually play a part in erectile dysfunction as well. You can also sometimes see issues with your relationship due to the fact that neither partner feel satisfied, which is something that no one ever wants to see. Though men may be prideful it is important to speak with your doctor in order to treat the condition of erectile dysfunction appropriately. Though some may try to avoid this due to feelings of uneasiness when it comes to the subject, it is still important to the treatment in order to return to a normal lifestyle.

There is little reason to fear speaking with your doctor about a condition is doctors are all thoroughly trained in and handling such conditions.

Your doctor is of course a professional one will handle any information you give them as such. Viagra is known to have a four hour window of which you will see relief from the symptoms of erectile dysfunction. This gives you more than enough time in order to have a meaningful sexual experience without feeling as if you may become to easily arouse throughout the rest of the day. This allows you to get it and when you want to, but also not feel encumber throughout the rest of the day.

Typically you will see a starting dosage of 50 mg when it comes to a prescription of Viagra, many men will find this to be suitable and it will suit their needs.

You may of course require more or less but that all depends upon your condition and how it impacts you. The maximum dosage of Viagra is 100 mg and is never to be exceeded within a given day. It is also important to note that you are not intended to dose yourself more than once in any given day you regardless of what your dosage is.

When it comes to receiving your medication you may be interested in knowing that there are multitude of online pharmacies that are capable of delivering your medication directly to your door.

You may find that this saves you time as well as the energy of having to go and wait in line it normal pharmacy as one typically would. Remember of course that erections are not intended the last longer than four hours and in the event that they do it is important to seek appropriate medical treatment as this can cause lasting side effects that would prove negative for the individual. Consider speaking with your doctor today to learn more about Viagra.

Levitra: a miracle drug for your erectile dysfunction

When dealing with conditions such as erectile dysfunction it can be a difficult subject to speak about due to the nature of the condition. For many men this can be difficult to talk about because it relates to one’s inability to perform sexually and can damper their confidence. However erectile dysfunction is a condition that does not get better on its own and needs to be appropriately treated in order to see positive results. That is why it is important to speak with your doctor and figure out which treatment is appropriate for you.

You will find that your doctors are of course trained to deal with such conditions and subjects without being judgmental about them.

Because they are capable of dealing with such conditions impartially there is not a reason to feel uncomfortable in speaking about it with them. The more quickly you seek treatment the quicker you can get back to a normal out the sexual life. As you may already be aware simply dealing with erectile dysfunction greatly increases stress levels and can make one opposed or adverse to sexual experiences due to the lack of really knowing whether or not the attempt will be successful. This can of course also cause issues within the relationship which is something that no one wants to experience, especially when a relates to something that should be so simple and natural. There are course a multitude of many medications that are available for the treatment of erectile dysfunction and with the guidance of your doctor you can of course work to find one that works for you appropriately.

You may consider the use of Levitra for the treatment of your condition of erectile dysfunction.

Levitra is known to help increase the blood flow allowing full lasting erections when used in combination with sexual stimulation. The decision to take Levitra with or without food is entirely up to you but should be done about an hour before pursuing sexual activity. Something to note with Levitra usage is that you are not intended to take more than one dose daily and dosages should be spaced at least 24 hours apart to prevent any issues.

If you are familiar with other erectile dysfunction medications you may take note of the fact that Levitra dosages are a bit smaller numerically than some other erectile dysfunction medications.

However this is not to be a source of worry as it is still perfectly capable of treating erectile dysfunction some medication simply require less in order to achieve the same results.


If you are an individual who enjoys grapefruit it is something that should be avoided when taking Levitra. In speaking with your doctor about receiving a prescription for Levitra it will be important that you bring up any current medications that you are taking to the doctor in order to verify that they will not negatively interact with Levitra. Some medications can of course increase risk factors when used in conjunction with other medications. Consider using online pharmacies in order to receive your medication directly to your door and save yourself the time of waiting at a traditional one.

Viagra…it can simplify the important thing in your life

Many men suffer from the condition known as erectile dysfunction. Though some assume that this is the condition that primarily affects older individuals that is not necessarily the case. Erectile dysfunction can affect anyone at any age really is not necessarily limited to older individuals. Given this it is also valuable for younger men to also understand how to go about treating erectile dysfunction.

When dealing with erectile dysfunction is important to understand that not only does it affect one physically but there also mental impacts as well.

Erectile dysfunction is capable of bringing just about any man to feeling stressed and questioning their ability to perform in a sexual sense. The stress and negativity can quickly compound itself and work to further increase the symptoms of the initial condition of erectile dysfunction. It is known within the medical community that stress and the mental state in general do play a part in erectile dysfunction. Knowing this it is important to treat the underlying condition in order to prevent it from getting worse. Typically erectile dysfunction be caused by a blood flow restriction that would limit the ability of the blood to flow appropriately to the penis. Conditions relating to blood pressure can also contribute to erectile dysfunction.

When considering the treatment options for your condition you may of course consider Viagra.

Viagra is probably one of the most well-known erectile dysfunction medications and it has been around for quite some time and used by many men. Commercials for the medication a been prevalent for a number of years and served to help spread the word of the medication that may otherwise not be talked about as erectile dysfunction is typically seen as an embarrassing subject. The problem with this of course is that it is not a condition that simply treats itself it has to be addressed medically. When you speak with your doctor about Viagra you can expect them to go over things relating to your medical condition in order to verify that you have no underlying risk factors when it comes to taking the medication and that its usage doesn’t indicate any serious problems that could occur.

Generally speaking your families medical history will also be considered as well in order to look for issues that may be passed down through genetics that can also prove problematic.

Viagra is known to have a roughly 4 hour window in which you can see relief from the symptoms of erectile dysfunction and be able to achieve a full and lasting erection. You would usually see a starting dosage of 50 mg that could then be adjusted depending on what your personal needs are in order to see benefit from the medication as appropriate.

You may consider the use of online pharmacies when you choose to receive your medication so that you may receive it directly to your home.

This would of course bypass the need to go to the traditional pharmacy in order to pick up your medication which may be preferred by some men due to privacy concerns.

Viagra Professional: The extra-potent version of Viagra that might be right for you

Is sexy time being a downer because you can’t get it up? Don’t worry. Viagra Super Active is here to help you during this time and to make sure you get it up and it stays up!
The main ingredient of Viagra Super Active is Sildenafil Citrate and this is a generic form of it!. Sildenafil Citrate enhances smooth muscle relaxation. This relaxation allows more blood flow into certain areas of the penis, which of course leads to the erection that you are wanting! Sildenafil Citrate may also be used to treat pulmonary arterial hypertension in people and many other illnesses. The most well known is the erectile dysfunction though!
Before you plan to get intimate please take Viagra Super Active 5-10 minutes ahead of time! This will allow the medicine to get into your bloodstream and get you the results that you are wanting! These are gelatin capsules that can stay in your system for up to 50 hours! Some warnings though before taking this drug are to not drink grapefruit or grape juice beforehand. This may limit the results that you are wanting to see. Also, eating meals with high fat count may also hamper the results that you are wanting to achieve. As always, please talk to your doctor before taking any medication. Some users of Viagra Super Active have experienced some allergies while taking this medicine. So talk to your doctor about any previous allergies to make sure this is the right medicine for you. Of course, women and children should NOT take this medicine.
Like with any medicine, there are possible side effects when you are taking Viagra Super Active. Some users of Viagra Super Active have reported having headaches, vision issues, dizziness, diarrhea, and many more. Please read all the information given in your pamphlet regarding Viagra Super Active before taking any medicine. If you experience any of these symptoms ore more serious symptoms while taking Viagra Super Active please stop taking the medicine and call your primary care physician immediately.
Viagra Super Active may also counteract with other medications or illegal substances you may or may not be taking. If you are taking other medications with nitrates please do not use Viagra Super Active. If you are currently using the recreational drug called “poppers” please do not take Viagra Super Active. The ingredients amyl or butyl nitrite in ‘poppers’ will react badly with the ingredients in Viagra Super Active. If you are taking other medications for impotence please do not take Viagra Super Active with it. Please just pick one to take. Some high blood pressure medicines will also react with Viagra Super Active. Please contact your primary care physicians for a full list and resources of medicines that react with Viagra Super Active.
Since Viagra Super Active is used as needed, you don’t have to really worry about overdosing! But please remember, just take one pill at a time! If you do feel you have overdosed, please contact a doctor immediately. The main symptom of overdosing is chest pain.
When storing Viagra Super Active, please still it in room temperature away from liquids, pets, and children.

All you want to know about Viagra super active but hesitate to ask

Viagra super active

Why, How And Where To Buy Viagra in South Africa

Viagra, the extremely famous medication for sexual impotence, is presented to the users in three different formats. All versions of Viagra that can be normally bought come as pills, and the difference is the dosage of the substance present in each one of them.

The strongest version receives the name Viagra Super Active, and offers 100mg, while the others take the common Viagra name and come in either 25mg or 50mg dosages.

For someone struggling with erectile dysfunction and thinking if Viagra is the right solution for them, it is worth noticing that the medication does count with a very high success rate, and that the method it uses to affect the patient’s metabolism to better sexual performance is the one known to have most success – providing the problem experienced is of a bodily nature. Many times a person can struggle to have erections, or not have them in the way they desire, because of psychological complications, or just habits that come in the way of experiencing sexual desire as one should.

So before considering Viagra, it is important to try and change habits, new ways of experiencing arousal, manage stress levels, and, then, if none of those can help, search a doctor, who will be able to say if this type of medicine is recommended in the particular case.

If it is, then Viagra is one of the best options, and does not present a lot more, or less, risks than other similar substances.
The doctor’s opinion is not only helpful, as it is a necessary step, since Viagra can not be bought legally without a prescription. So once having that, and the assurance from the doctor that Viagra is the best solution for your problem, you can easily find it on most Australian pharmacies.

It generally costs around for 12 tabs of the 100mg (Super Active) kind, or for 4 tabs of the 50mg or 25mg kind.

Once having all of those at hand, the patient can program himself to take Viagra, and then count with either having their erections back, or having them stronger, or for longer – depending on what their impediment is to take the medication in the first place -, bearing in mind that Viagra is not supposed to be taken regularly, and does not offer a permanent cure. The pill should be ingested 120 minutes before expecting to have a sexual experience, preferably without eating too much food, or ingesting alcohol, since the substance must not be competing with others to be absorbed by the body.

The higher dosage of Viagra Super Active also comes as a fast absorption pill and can be taken 60 minutes before expecting the erection, and many users report it can even act as fast as 15 minutes, adding a lot of convenience compared to its other counterparts.

It offers this extra function because the pills for Viagra Super Active have a soft gel consistency, which allows the body to absorb it not only faster, but better. It has been reported that, even though counting with 100mg of the substance, the effects are equivalent to taking 150mg of Viagra in its common, non-gel form.

Kamagra Oral Jelly: most popular treatments of erectile dysfunction in Australia.

kamagra jelly in south africa,

The gel based composition is extremely safe to consume. This PDE-5 inhibitor performs exceptionally well by controlling erection failure and improving overall sexual performance in men. Phosphodiesterase type-5 (PDE-5) inhibitors are a class of vasoactive drugs that have been developed for the treatment of erectile dysfunction (ED). The mechanism of action involves active inhibition of the PDE-5 enzyme and resulting increase in cyclic guanosine monophosphate (cGMP) and smooth muscle relaxation in the penis. This smooth muscle relaxation allows increased blood flow into certain areas of the penis which leads to an erection. The jelly can be squeezed onto a spoon and mixed with a glass of water and then is consumed ideally thirty minutes prior to intercourse. It can also be squeezed into the mouth directly instead and placed under the tongue where it will melt immediately. It is absorbed directly into the bloodstream and is fast acting. Kamagra Oral Jelly is an innovative pharmaceutical form of the well known erection stimulator, Sildenafil Citrate.

As a rule, Sildenafil based medications are sold in the form of traditional tablets such as that of Viagra and Cialis.

However, the tablet form is not always the most convenient and acceptable method of consumption for some men. In these cases, Kamagra Oral Jelly is an ideal substitute and has been shown to be generally effective in the treatment of ED and is normally taken for episodes of erectile dysfunction ranging from mild to extreme cases, although the degree of efficacy varies according to the etiology and severity of the disorder. The effects can ordinarily begin to be observed within a few minutes after consumption and requires only a small dosage to have the desired effect. The drug is well tolerated with relatively few contraindications and safety risks. The cardiovascular effects of Sildenafil Citrate, in particular, have been extensively investigated. As the inhibitor is dissolved into the bloodstream, overall sexual health is shown to increase improving overall sensual performance and curing ED without leaving any scope for further failures. Although it can be taken orally by several methods, to get the best results from this product, it is advised to take it without consuming alcohol, as this will reduce the effectiveness of the medicine. Kamagra Oral Jelly comes in various flavors such as strawberry, pineapple, orange, chocolate, butterscotch and mint. Large and fatty meals should also be avoided as much as possible when taking it. This product is indeed known to be one of the most trusted medications in helping to increase sexual performance in men and is widely available for purchase from a host of online providers.

It should be noted however, that Kamagra Oral Jelly is not an aphrodisiac.

To develop an erection, stimulation is still required. Kamagra Oral Jelly may in a few instances cause unwanted side effects. In particular, this may include a mild headache, nasal congestion, flushing of the face and nausea. Overall the positive results reported by men when using this product have proven it to be very beneficial in the treatment of erectile dysfunction.

Viagra has been the topic of discussion a lot lately among men living in South africa

Viagra in cape town - how to buy?

The popular erectile dysfunction treatment has been labeled as one of the most expensive medications on the market. This, of course, has put a bad taste in the mouths of customers. However, is it so cut and dry as the medication just being expensive? Today, we are going to take a look at why Viagra is considered on the most expensive erectile treatment medications on the market. In addition to that, we are going to talk about various ways to circumvent those supposedly high costs.

So, why is Viagra considered so expensive? Well, simply because it actually is.

At your local pharmacy, 30 tablets of Viagra can cost men upwards of ,000. That is more expensive than most people’s monthly rental payments for their homes. The reason behind this cost is two-fold. First, the pharmacies are partly to blame and insurance companies take the rest of that blame. When it comes to insurance, Viagra and other popular erectile dysfunction treatments are not covered by insurance. This forces men to pay out of pocket for treatment and I think you know what I am about to say next.

That’s right. Pharmacies are now free to charge just about anything they want for the medication.

In this case, you can expect to pay anywhere from to per pill. This price gouge has been one of the primary reasons why men who are diagnosed with erectile problems don’t seek help. While Viagra has been clinically proven to help men with even the most severe erectile problems. Its high price is a literal turn off for men seeking treatment. This has actually caused a surge in illegal or generic versions of Viagra but I am going to show you how to avoid the high costs.

The first thing you are going to have to do to get Viagra at a cheaper price is to store going to physical stores.

Physical locations have the highest possible prices for Viagra. You want to do all your shopping for Viagra online only! When purchasing online you can find Viagra over 50% off the original price. What was roughly to dollars a pill, you can find as low as to . However, that isn’t the only way you can skim costs. A really good trick is buying the lowest dosage tablets you can. Higher doses of Viagra are much more expensive, so try to stick to 20mg doses.

Lastly, look for really good online retailers.

The reason I say this is obviously to prevent purchasing generic pills. The next reason is that a lot of these reputable stores will have deals. For example, there are a number of online stores that will actually give out free samples of Viagra to try. They know there are a lot of pretenders out there. So what better way to show they are legitimate by giving out high-quality samples? You benefit by getting free Viagra, and you have the peace of mind knowing the source is real. Viagra is still the number one medication for treating erectile and has an 85% success rate. Don’t let high prices keep you from getting better, shop online today.

Cialis: how it can be purchased online?

Cialis online in Australia

For many folks in Australia, the drug, Cialis, could be a life changer.

If you have not heard of Cialis, it is a brand name for the drug tadalafil. This drug is used to treat erectile dysfunction. It is often compared to Viagra. It works by releasing nitric oxide to the penis, which in turn increases blood flow to the penis. When sexually stimulated, this will enable an erection.

The drug comes in a pill shaped tablet in doses of 5,10, or 20 milligrams.

Most patients start out with 10 milligrams. It is recommended to take it 30 minutes before sexual activity. Patients can adjust the dosage later depending on their own individual needs. However, the maximum recommended dosage at one time is 20 milligrams. Also, it should not be taken more than once in a 24 hour period. Only patients over the age of 18 years should take Cialis. Any man that is taking a nitrate drug prescription for chest pain or heart problems should refrain from taking Cialis.

There are some side effects that all Australian men need to be aware of with Cialis.

If nausea, dizziness, or numbness and tingling/pain in the jaws, arms, chest or neck occur, medical assistance should be pursued immediately. Also, in cases where an erection lasts more than 4 hours, a medical professional should be contacted. A rarer but quite serious complication that can occur is sudden loss of vision. This is caused by undermining the blood flow to the optic nerve of the eye. This tends to be more common in patients with hypertension, high cholesterol, diabetes, heart disease or pre-existing eye issues. Another more serious complication that the FDA has mentioned is sudden hearing loss. This has occurred in instances with similar products. Also, the FDA is evaluating the risk of skin cancer with Cialis use.

In addition to men under 18 or currently taking a nitrate drug prescription, there are some people who should also refrain from taking Cialis.

These includes any man who has liver or kidney disease, stomach ulcers, any kind of heart disease, high or low blood pressure, sickle cell anemia, multiple myeloma hemophilia, leukemia or another blood disorder, retinitis pigmentosa, a structural deformity of the penis or any health condition where they have been told not to engage in sexual intercourse.

While many of the precautions can seem scary to the average Australian man, the many people who will benefit from this drug can outweigh the concerns. Men will find a happier sex life can improve many areas of their life and give them the benefit of increased self-confidence as well as better relationships.

So, where can an Australian man with an erectile dysfunction disorder can Cialis?

While it can be purchased online, this is not recommended since counterfeit tablets have become a popular way for scammers to take advantage of people with this condition. The best way is to go see your doctor. They can give you a prescription and talk to you about dosage and side effects. If you have any issues or questions, your doctor will be there for you when you need help.

What do we know about Viagra safety?

Viagra south Africa

Viagra is a very well-known medication and that is used by males in order to assist in erectile dysfunction disorder. The medication was developed by the company name Pfizer and was originally made in order to help people who suffered from issues related to blood pressure. However one of the major side effects associated with the drug it was discovered is that it results in men developing huge erections after use. This led to researchers deciding that the Viagra medication was better used as an erectile dysfunction medication instead of a blood pressure medication.

Today in South Africa Viagra is the most popular erectile dysfunction available on the market.

If you wish to purchase grow when you live in South Africa you will need to visit a doctor in order to obtain his prescription. Once you’ve obtained a doctor option for Viagra you may visit any pharmacy located in South Africa in order to have the prescription filled.

The cost of Viagra can vary but it is typically around 20 to 30 for a 30 day supply. Of course the cost can be a little bit cheaper if you are able to go to a pharmacy that is running a promotion for Viagra.

Before you start taking Viagra you will need to be aware of a few important points. The first thing to be aware of is that there are some side effects associated with the use of Viagra. Some of the most common side effects are a little bit of discomfort in the lower region of the abdomen along with some slight nausea. The most serious side effects that are associated with the use of Viagra have to do with prolonged erection. Any erection that lasts for longer than a few hours is something that is indicating a major medical issue has occurred. If this is happened to you after you’ve consumed Viagra it is very critical that you go to a doctor urgency room as soon as possible in order to receive treatment for the condition.

It’s also very important to understand Viagra is that a drug that can be abused and therefore should be stored away safely and locked.

There have been many reports of children and pets obtaining their parents Viagra and consuming the drug which can have unpleasant side effects. If you feel like your child or pet has consumed some of your Viagra it’s very important that you contact a poison control center immediately for advice on how to proceed. It’s also very important that you do not try to obtain your Viagra from any sources that are apart of the black market in South Africa. There are a number of people who manufacture illegal versions of Viagra for sale in South Africa and the problem with these medications is that there are unknown ingredients contained within. There have been numerous reports of people taking counterfeit Viagra in South Africa and then suffering major medical consequences including coma.

Therefore it’s very important that you verify the source for your Viagra as legitimate to ensure your safety and health.

If you feel like that your Viagra is not being very effective for treating your condition it’s important that you go to your doctor in order to discuss potential options. Your doctor may decide to up your dosage of Viagra and give you a greater milligram.