A few years ago, I was interviewed by a German TV channel which wanted to show that taking over the counter drugs was a dangerous practice, and had gone to great pains to do some secret filming in Thai suburban pharmacies (of which there are numerous).
The drug they wished to highlight was our old friend (or probably better described as the “friend of the old”), the blue diamonds. They had chosen Thailand because so many blue diamonds were being taken here, and they wanted to show the disastrous side effects from taking the fake pills.
During the course of the interview I pointed out that Germany has its own very well known red light areas, so they could save money on plane fares and get the blue diamond statistics much closer to home. I also pointed out that we were not inundated with octogenarians with heart failure and loaded condoms, and “over the counter” (OTC) drugs could be found all over the world, and not just here.
It might come as no surprise to those who have an inkling of television “news” that they cut my interview out of the feature. Do not forget the journalist’s creed – “Never let the truth stand in the way of a good story”!
So back to counterfeit blue diamonds, how do you find out that yours are real or otherwise? Every day I receive Spam, offering me the opportunity to keep a battalion of beauties satisfied. These are the internet email offers of cut-price drugs that will keep me in a state of perpetual priapism, a continuing (and painful) male erection and the term was coined after the Greek god Priapus who is shown in paintings to have a central member like a third leg.
Offers like these which are too good to be true, are usually just that – too good to be true! These cut-price drugs are not the real deal. The chances are very high that they are counterfeit.
One of the patients showed me a box purporting to be genuine brand name Cialis tablets, which were not having the desired effect. I was immediately suspicious as the box was not all that well printed. I was quite sure they were counterfeit when I read the Patient Information slip (the printed sheet that you don’t read). The English grammar was incorrect, and there were spelling mistakes. Eli Lilly, the ‘real’ manufacturer does not send out mis-spelled literature with their product. How real is the threat of counterfeit drugs? The World Health Organization estimates that one in three drugs on the worldwide market today is counterfeit. One in three!
Pfizer’s laboratories analyze fakes and stated, “We’ve seen boric acid, heavy metals, road paint, floor wax to coat the pills and give them a shine.”This is actually a serious situation. If specific drugs are only available through pharmacies, on the prescription of a doctor, is it safe to just buy over the internet (or counter), without any doctor’s advice?
According to WHO, drugs commonly counterfeited include antibiotics, antimalarials, hormones and steroids. Increasingly, anticancer and antiviral drugs are also faked. And you can add to that, the ‘blue diamonds’. Get your medications on a doctor’s prescription. There is a reason for it.
I do know that many of our patients complain that my hospital’s pharmacy is expensive, but that is the price of guaranteeing that your medications are not the WHO’s one in three fake medications in our pharmacy! We may be more expensive, but the medication is the real deal!
Previously published in the Pattaya Mail.
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Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
Read more about Cialis's side effects.azain medication interaction Read more about Cialis's side effects.If you experience any of the above-mentioned side effects, seek medical attention immediately.
As with all prescription medications, inform your doctor if you have or ever had type IIb or type Ia fungal infections.
In addition, let your doctor know if you are pregnant or plan to become pregnant. Cialis can interact with thyroid medication, causing potentially serious adverse reactions.
In addition, let your doctor know if you are a known or family history of erectile dysfunction.
As with all prescription medications, let your doctor know if you are pregnant or plan to become pregnant.
It can be frustrating to try to find what works for you and what not to find. For example, you might want to go shopping for a local discount chain and ask them to give you the name and address of the store, but if that’s not working for you, the prices may be too high.
It’s also helpful to know where to find the cheapest place to buy the same product.
Here, we’ll show you the list of prices and prices for a variety of products. We will go over the price of Cialis at most pharmacies and how much it costs them to buy it at a pharmacy. In this article, we’ll cover everything you need to know about buying Cialis and how to buy it.
Cialis
Cialis is a medication that is used to treat erectile dysfunction. It is available in different forms and is available in different strengths, including 10mg, 20mg, and 40mg. The generic version of Cialis is called tadalafil. It comes in tablet form and is taken orally.
Cialis is used to treat erectile dysfunction in men. It works by helping to relax the blood vessels in your penis, allowing more blood to flow into your penis when you get sexually excited.
Cialis is also prescribed to help men achieve and maintain an erection. It works by increasing the amount of blood that flows into the penis when you’re sexually excited. It can also help to improve sexual function in men who have impotence.
The active ingredient in Cialis is tadalafil. It is also available as a generic medication. It is not usually recommended to take more than one dose per day.
If you want to use Cialis for erectile dysfunction, your doctor will decide how you should use it. The dosage and type of Cialis you should use depend on your age, medical history, and overall health.
For the treatment of erectile dysfunction, you will need to take the tablet before sexual activity. This will help to relax the blood vessels in your penis and allow more blood to flow in. It can help you to achieve and maintain an erection when you’re sexually excited.
For the treatment of sexual arousal disorder, you will need to take the tablet at least 30 minutes before sexual activity.
You can take Cialis if you are sexually excited.
You can also take Cialis if you are not sure about the strength of the medication. This will help you to remember to take it when you have an erection.
You can also take Cialis if you are planning to have sex. You should not take Cialis if you have any of the following conditions:
If you have any of the above conditions, you should consult your doctor before taking Cialis. Your doctor may recommend that you take a lower dose of Cialis to help lower the risk of side effects.
In some cases, you may also need to take Cialis if you have certain medical conditions such as a heart attack or stroke. You will need to be sexually aroused for the medication to work.
You should avoid drinking alcohol while taking Cialis. It can increase the likelihood of side effects and could reduce the effectiveness of the medication. This is because alcohol can increase the amount of the drug in your body, which could reduce the effectiveness of the medication.
Do not take Cialis if you are taking nitrates. If you use this medication to treat angina, you should use it along with a blood pressure lowering drug like nitroglycerin.
If you are taking any other medicines, you should tell your doctor before taking Cialis. This may affect the effectiveness of the medication.
You should avoid taking Cialis if you are pregnant or breastfeeding. Cialis is only available as a tablet. It should only be taken when prescribed by a doctor and will not be taken by women who are pregnant or breastfeeding.
If you’ve been struggling to get an erection, you know how frustrating it can be to have no one around. That’s where Cialis comes in. It’s a phosphodiesterase (PDE) inhibitor, which basically means it works by relaxing the smooth muscles in your penis. It works by increasing blood flow to your penis, which helps you get and keep an erection.
However, Cialis only works when you’re sexually aroused. It’s important to understand that Cialis won’t work without sexual stimulation. It’s a natural response to a drug, so you should always tell your doctor about any other treatments you have been given.
Before you start taking Cialis, it’s important to talk to your doctor about other medications you’re taking, including some that may be off-label. They may be able to help you get an erection without sexual stimulation, but Cialis won’t give you that. It’s a prescription medication and you’re not allowed to have more than one use of it at a time.
Yes. Cialis is a PDE inhibitor. It works by blocking the action of a chemical called cGMP. cGMP is a substance that helps relax smooth muscle tissue, making it easier to get an erection. cGMP also helps to increase blood flow to your penis, which can help to get an erection when sexually stimulated.
So, how does Cialis work? Cialis comes in three different forms, and they all work in exactly the same way.
Cialis is available in 5mg, 10mg, 20mg, and 40mg.
Cialis comes in Tadalafil 10mg, 20mg, 40mg.
Cialis comes in Viagra 20mg, 40mg, and 100mg.
Cialis works by relaxing the smooth muscles in your penis. This helps to increase blood flow to your penis. This relaxes the smooth muscles in your penis to allow more blood to enter your penis, which can cause an erection when you’re sexually aroused.
Cialis comes in the following forms:
Cialis is usually taken orally with a glass of water. You should swallow the pill whole with water, and avoid breaking or chewing the pill before taking it. You should not take Cialis with grapefruit juice as it can reduce the effectiveness of Cialis.
Cialis should not be taken with grapefruit juice as it can reduce the effectiveness of Cialis.
Cialis may interact with other medications, and your doctor will be able to adjust the dosage or switch you between different medications. Be sure to tell your doctor about all the medications you’re taking, including prescription, over-the-counter, and herbal medications.
Cialis can cause some side effects.
Stade de France Pharmacy