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Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction. Viagra, Levitra and Cialis Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc. Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation. Cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC. The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug. Mechanism of Action PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body's response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Effectiveness of PDE-5 Inhibitors All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%. Pharmaceutical Forms, Onset of Action and Duration of Effect Viagra and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences. Viagra: 25 mg, 50 mg 100 mg tablets Onset of action: 30 minutes (effect delayed if taken with food) Duration of action: 4 to 5 hours Levitra: 2.5 mg, 5 mg, 10 mg, 20 mg tablets Onset of action: 25 minutes (effect delayed by fatty meal) Duration of action: 4 to 5 hours Cialis: 5 mg, 10 mg, 20 mg tablets Onset of action: 16-45 minutes (effect NOT delayed by food) Duration of action: 36 hours All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis has a slower onset of action and longer duration of action, which is attributed to its longer half-life. Patients who wish for spontaneity may opt for Cialis, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects. Dosage The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day. Possible Side Effects Although all three drugs are generally well tolerated, side effects are still possible. Most common side effects: Viagra: facial flushing, headache, indigestion Levitra: facial flushing, headache Cialis: headache, indigestion Less Common Side Effects: Viagra: altered vision, dizziness, nasal, congestion Levitra: indigestion, nausea, dizziness, nasal congestion Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness Precautions and Contraindications All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates. Alpha-blockers Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. 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Erectile dysfunction (ED), which is generally called impotence, is the repeated inability of a man to get or maintain an erection of penis sufficiently rigid for sexual intercourse, ejaculation, or both. Today, ED has become a serious sexual health problem in men as it affects a person psychologically. Due to the personal nature of the disease, it is difficult to estimate how many men are affected by it. A person suffering from Erectile dysfunction rarely come forward to talk it openly with health personnel, but nowadays, it is discussed openly and more men are coming forward to treat it. The most common cause of Erectile dysfunction (ED) is damage to the tissues, nerves, arteries, muscles or fibrous tissue. Conditions such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis and cardiovascular disease account for around 70% of cases of ED. Erectile dysfunction is also a side effect of some common medications, including blood pressure drugs, antihistamiines, antidepressants and tranquilizers. According to health experts, psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause up to 20% of cases. Smoking has also been linked to ED. Being older is primarily associated with impotence in most men. Nevertheless, impotence is not inevitable with age. Clinical studies suggest that men of any age can be affected by this problem at some point of their sexual life. ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED. Various options for the treatment of ED are available today. Psychotherapy is prescribed by doctors for patients who are likely to benefit, but alternative treatment includes drugs, vacuum devices, and surgery. There has been a surge of interest among men on the wonder drug Sildenafil citrate or Viagra, which was approved by the U.S. Food and Drug Administration in 1998. Viagra belongs to a class of drugs called phosphodiesterase inhibitors, and it works by increasing blood flow to the penis. Once you take it, Viagra can work in as quickly as 30 minutes. Viagra works for 4 hours. As with all erectile dysfunction medications, Viagra should only be used under a doctor's supervision. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The most common side effects of Viagra are headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur. With the increasing use of the Internet as a vehicle for buying goods at the ease of one’s home, one can easily buy Viagra or any other anti-ED drugs online. Buying Viagra online ensures anonymity of the buyer and the drug is delivered at your doorsteps confidentially. Moreover, there are numerous pharmaceutical companies offering generous discounts on price for those who buy Viagra online. So, if you are depressed due to ED and ashamed of discussing it to others, come out of the closet and get benefited by buying cheap Viagra online. penis enhancement cream pro solution pills review free penis enlargement tip penile enlargment before and after picture home pnis enlargement vimax penis enlargement excersizes easy enlagement free penis surgery way vimax permanent penis enlargement vigrx scam

Six stories, six fates, six ways to show us… Fallen idols. The Short Happy Life of Francis Macomber by Hemingway is pretty ironical. The main character rich Mr. Macomber has everything he needs to have – money, handsomeness, beautiful wife, the status in the society. But he’s not happy. Is it true that due to the high status in the society he tends to gain all of the things he does not need in general. If he’s just a normal person, having wealth would make him confident and calm. What’s that Francis lack that makes his life just a spectacle? Being in state of fear of loosing all of his wealth forms his not self-confident. Francis does not believe in himself and vain killing of a lion becomes a push for the further actions – wife’s reproaches and as a result – overestimating of the values. And finding the way out of fear, Mr. Macomber stops to be afraid – afraid of his wife, wild animals. He finds that power of universe is inside of him, he trusts himself, listening to inner voice. And exactly at the moment when his life changed, he’s killed. Is it always in this way so when a person finally finds the way of being happy, he dies. Let’s look at Miss Lonelyhearts by Nathaniel West. The author purposely does not make us aware of the main character’s name. Miss Lonelyhearts – it’s not just the nickname of the man, it becomes his name as a preist, as St. Paul for example. So, a young man writes the advice column in a newspaper. In the beginning of his work, he does not really take it seriously but like a job-joke. Later he realizes that his correspondents take him seriously. And becoming a speaker of the moral values just like Christ at his time, he stops seeing his job as a joke but himself as a victim of someone’s joke. He’s forced to examine the values by which he lives (as he himself told). He’s not gay anymore, he becomes sick. Miss Lonelyhearts tries to find the root of happiness being a perfectionist. But is he on the right way? He’s violent (remember the first dialogue with a woman loved him), he’s indifferent to other’s feelings (comes to Shrike’s wife when hiss boss at home). Gaining the Chirst complex he knows that standard answers don’t work. But what’s then? If he’d believed in Christ it would be clear what’s wrong and what’s right however he complicates himself. And finally finding the unity with the source of joy, God; finding the way out, Miss Lonelyhearts is killed. And all of this happens while people stop going to church looking for an advice. People go to the psychologists, watch the TV shows or right to Miss Lonelyhearts. And church becomes a place where money is made. Art replaces religion as the way to find, to experience the sublime. That’s what Miss Lonelyhearts’ boss Mr. Shrike preach to the author. Oh, humanity… Soldier’s Home by Hemingway tells us about a soldier returned home from the war. Isn’t the home a place where a person feels not lonely? 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In God Rest You Merry Gentlemen written by Hemingway we meet literal treating of Bible by a young man come to the clinics. There’s be a boy asking for the amputation of his penis just because being a young he could not stay impassionate for women’ bodies. Taking the rule of Christ about cutting a hand if it sins he does not understand that it is not the hand (or whatever it may be) that sins. The mind is so powerful that the thoughts take the physical form. And if a person does not like it, he should change his thoughts, as only they affect the matter. Story The Gambler, The Nun, and the Radio by Hemingway is about the artist who observes of the society, not being agree with it norms, points out the problems through his works of art. The main character is in clinics and he’s thinks about “opium of people”. Of course, thinking in his way, everything can be counted as opium. Why are his thoughts full of depressive notes? Because his physical sickness comes to the mental one, and being separate from the source of being, from the harmonious state of joy, he’s in pain. Great Gatsby is beautiful, rich a sad story. Mr. Gatsby is a young successful handsome wealthy man lived in New York. He’s so wealthy that it allows him to make parties with high-society people. Being everything, he’s nothing – he’s Mr. Nobody from Nowhere. In past poor boy goes to the war and later comes back becoming bootlegger. Reading further we understand that his status is false – he’s even living in West Egg – a place of “easy money”. Being a watcher not an observer, Gatsby draws the picture taken from the past. Like a great successful producer he makes up amazing stage (his rich house next to Nick’s one), decorations (interior with its library and real uncut books), actors (the not-known guests during the splendid parties). Even script is written – a story taken from the past. 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