Erectile Dysfunction Treatment Options: Viagra, Cialis, Levitra

HOW TO CURE ERECTILE DYSFUNCTIONErectile dysfunction: treatment of such a male sexual disorder with erectile dysfunction pills will be the fastest and most effective option if you consult a doctor on time. But there are also other effective erectile dysfunction therapy types available.

Read in the article:

  • Erectile dysfunction treatment with intracavernous injections of vasoactive drugs;
  • How to cure erectile dysfunction with the help of intraurethral therapy;
  • Vacuum-constrictive therapy;
  • Surgical effects;
  • Drugs for erectile dysfunction treatment.

Erectile dysfunction treatment with intracavernous injections of vasoactive drugs

This method involves the introduction of small doses of vasoactive drugs into the penis by microinjection. Among conservative erectile dysfunction types of treatment, this method is considered to be the most effective. Injections of prostaglandin, alprostadil (separately or in combination with other substances) are very useful.

The preparate is usually used in a variety of combinations in order to reduce the risk of side effects (by lowering the concentration of each substance). This makes it possible to make this method of erectile dysfunction not only effective, but also safe.

Asthma and Healthy Lifestyle

To completely get rid of asthma is rarely luck. Most people have to take drugs for all life – long and avoid contact with allergens. The goal of treatment is to achieve control over bronchial asthma (BA). And it is simply unrealistic to eliminate asthma without lifestyle changes.

Importance of healthy lifestyle in case of allergic diseases (including asthma) can not be overestimated. In many cases medicative therapy is more important. Agree, it is much easier to prevent attack emergence than to arrest it by means of asthma inhalers.

There are various inhalers names for bronhial asthma:

  • Ventolin;
  • Proventil;
  • Flovent;
  • Advair;
  • Spiriva;
  • Xopenex;
  • Combivent;
  • Serevent.

Bacterial Antibiotic Zithromax Canadian pharmacy

Zithromax is a bacteria fighting antibiotic and used for the treatment of infections caused by bacteria. Zithromax canadian pharmacy is used for the cure of below infections of:

  • Throat
  • Skin
  • Ear
  • Sexually transmitted diseases

The main component of Zithromax canadian pharmacy is a zithromycin. Doctor’s prescription is recommended for the usage of this antibiotic.

Talk to your doctor

Your doctor should be informed if you have ever suffered from or are suffering from below mentioned diseases:

  • Jaundice or any other liver problems
  • Allergy to any sort of drugs
  • Kidney disorders
  • Heart rhythm
  • Pregnant, planning for pregnancy or breast feedings
  • Any other medical condition

This will help the doctor identify if Zithromax canadian pharmacy is the right antibiotic for you or not. If you are already allergic to azithromycin, it is not advisable to use this antibiotic since it may cause severe conditions.


Dosage of Zithromax canadian pharmacy

Available in My Canadian Pharmacy, this antibiotic should not be taken without the prescription of a doctor. The dosage may differ depending on the type of infections. Zithromax is not for children below six months and will not fight on viral infections such as cold or flu.

Zithromax can be consumed with or without water. If you taking the liquid form, it is advisable to use the medical measuring cup rather than a home spoon for exact measurement. Do not stop the course without consulting with the doctor even if you feel better. There are chances that there may still be an uncured infection or the infection may come back if you do not complete the medical course prescribed by the doctor.


Some of the drugs, when taken with Zithromax can make it less effective. Talk to your doctor if you need to take any other form of medicines while on the course. You may be recommended to take the medication with a 2-hour gap before or after taking Zithromax.

Stop using Zithromax if you suffer from diarrhea. It may signify a new infection. Contact your doctor for further steps.

Side Effects

ZithromaxIf you are using Zithromax for the first time or are using if without doctor’s reference, there are chances that you might suffer from the allergic reactions. Visit your doctor if you suffer from below mentioned reactions.

  • Allergy reactions

    • Swollen tongue, lips
    • Difficulty in breathing
  • Uneven heath rhythm
  • Headache, chest pain
  • Skin reactions like rashes
  • Diarrhea
  • Vomiting
  • Nausea
  • Stomach pain

These are just a limited list of side effects that can be seen in a patient.

Market Availability

Zithromax canadian pharmacy is easily available in a local pharmacy store or through an online pharmaceutical website including My Canadian Pharmacy.

Following the instructions given by the doctor, the patient should be able to see the results within 3-6 days. It is to be remembered that the course completion of any antibiotic is recommended to avoid the infection from coming back in the future.

My Canadian Pharmacy: Interfacility Transport of the Critically III Pediatric Patient: Historical Perspective

Critically III Pediatric PatientKids are not just little adults. This statement is especially true for adult practitioners faced with a child requiring critical care services. For the emergency medicine physician, general surgeon, pediatrician in a small community hospital, and emergency medical system (EMS) personnel in the field, care of a critically ill child can be challenging. This is especially true in children with underlying chronic medical conditions. Many practitioners welcome the ability to contact pediatric specialists in emergency medicine, critical care, and surgery at regional pediatric centers. In addition to diagnostic and therapeutic advice, activation of the pediatric transport team can be initiated to efficiently transport the critically ill child to a pediatric center that can provide the higher level of care requested.

Specialized transport systems have evolved from military experience. Some of the earliest references related to transport of the injured are from the Napoleonic wars in the early 1800s. Dominique Jean Larrey, one of Napoleon’s battle surgeons, is cred field. This care had to be extended during rapid transport to a field medical facility with care provided en route. To accomplish this, he employed the ambulance volante or “flying ambulance.” This large horse-drawn carriage was used to ferry the wounded to the field hospital. Ongoing refinements of our current civilian transport system have been driven in large part through the use of battlefield evacuation and treatment techniques during the course of conflicts over the last century and a half. The latest leap in transport technology was the introduction of the air ambulance in the form of a rotary wing aircraft. Such aircraft were used with great success in the late 1950s and early 1960s during the Korean and Vietnam wars. In the 1960s, civilian trauma surgeons and neonatologists began to apply military transport concepts and resources to trauma victims and infants, respectively. It is possible to care for your close people with remedies of My Canadian Pharmacy.

ited with several initial concepts that remain cornerstones in modern transport medicine. Larrey developed the concept of triage (from the French verb trier meaning to sort) to efficiently categorize the injured. Additionally, he recognized the importance of trained individuals to care for the wounded in the Origins of our current pediatric critical care transport teams evolved from the initial neonatal foundations established in the 1970s. Usher described a 50% reduction in mortality rate for critically ill newborns who received care at regional centers. Other studies” supported this work and confirmed improved infant mortality rates when these neonates were transported to regional centers. Not surprising, outcomes for critically ill children improve when treatment is provided by skilled pediatric specialists. The need for rapid and safe transport of critically ill and injured children to a tertiary pediatric care center has driven the formation of specialized pediatric transport teams.

The American Academy of Pediatrics (AAP) published “Guidelines for Air and Ground Transportation of Pediatric Patients” in 1986. This document was the AAP response to provide standardized guidelines for transport of critically ill and injured children. These guidelines have been revised twice, in 19939 and again in 2007. During this time, active organization within the arena of pediatric transport medicine has been crystallized by the AAP Section on Transport Medicine (SOTM). Established in 1990, the SOTM provides expert leadership by neonatologists, pediatric intensivists, and pediatric emergency medicine physicians for medical personnel dealing with interfacility transport of critically ill neonates, children, and adolescents. The SOTM also coordinates research and education, and provides an online discussion forum for pediatric transport personnel.

National growth of pediatric ICUs (PICUs) has increased significantly over the past 10 years. One study revealed 349 PICUs in the United States, with the largest growth (34.4%) in PICUs with > 15 beds; approximately one half of the PICUs in this study operate < 8 beds. The national growth of PICUs may reflect the need for more specialized care of children in rural areas. Some of these children will require transfer to a tertiary care pediatric facility for ongoing medical care or surgical intervention. Although the actual number of pediatric transport teams in the United States is currently not available, many regional pediatric centers of excellence have established teams to safely and efficiently transport children referred to their institutions. The SOTM published a partial list of neonatal and pediatric teams in the United States; the information is self-reported and unverified but is an important initial step toward a vitally needed comprehensive database of teams.

The Side Effects of Zithromax

Bacterial infections can take on a variety of forms. They can also be quite painful. In some cases, they are even dangerous. As a result, they need to be taken care of as soon as possible. In order to do so, you need a medicine like azithromycin.

What is Azithromycin?

Azithromycin is a generic drug which acts as an antibiotic. It is sold in the form of an oral medication under the brand name Zithromax. This antibiotic is capable of destroying bacteria and, as a result, treats the infections caused by those microorganisms. It is not too difficult to purchase azithromycin as it is easily available from places such as My Canadian Pharmacy and other drugstores.

The Side Effects

Azithromycin is considered to be a safe oral medication. Nonetheless, side effects are possible. You should contact your doctor to find out if you are at risk of developing any of the side effects such as allergic reactions. If the doctor prescribes this medicine, it is usually because the benefits will far outweigh the harmful side effects.


Allergic Reactions

If you are allergic to azithromycin, you must make sure that you inform the doctor and stop using it. There are other drugs which work similarly such as erythromycin and clarithromycin. If you are allergic to such drugs, you will have to avoid this medicine as well. If you experience allergic reactions while taking this drug, you need to get emergency medical help. Some of the symptoms of allergic reactions include the following.

  • Bloody or watery type of diarrhea
  • Severe stomach pain
  • Headaches with severe dizziness along with chest pain
  • Rapid heartbeats
  • Fainting
  • Itching
  • NauseaAzithromycin
  • Loss of appetite
  • Dark urine
  • Tired feeling
  • Jaundice
  • Stools of a clay color
  • Pain in the upper stomach
  • Fever
  • Swelling in the tongue or face
  • Sore throat
  • Fever
  • Skin pain
  • Burning sensation in the eyes

It is very rare to experience a very severe allergic reaction to the drug. On the other hand, if they do occur, you have to seek medical attention as soon as possible. It is possible that you can experience the allergic reactions even after the use of this oral medication has been stopped. Therefore, you need to keep a watch for a number of days after an allergic reaction has occurred. This will help you prevent a relapse.

Intestinal Condition

It is possible for a severe intestinal condition to develop due the use of this oral medication from My Canadian Pharmacy. This is caused by the presence of resistant bacteria. The condition need not occur immediately. In some cases, the condition developed weeks and even months after the treatment was completed. If you start suffering from this condition, you need to avoid using narcotic pain and anti-diarrhea medications. Doing so can worsen the condition. These are the some of the symptoms you need to watch out for. Consult a doctor immediately if they occur.

  • Persistent diarrhea
  • Pain or cramping in the abdomen
  • Pain or cramping in the stomach
  • Blood or mucus present in the stool

Zithromax is a powerful antibiotic. Therefore, proper care and precautions must be taken for its use.

My Canadian Pharmacy: The Itao Out of Three Criteria for the Diagnosis of Infarction

acute myocardial infarctionIn an attempt to standardize the diagnostic criteria of acute myocardial infarction, the World Health Organization (WHO) in 1959 proposed a classification now referred to as the two-out-of-three criteria, namely, the presence of two or more of the following: chest pain, elevated plasma enzymes or new Q waves on the electrocardiogram. The criteria served a very important function and rapidly became the gold standard throughout the world.

Since that time, diagnostic techniques have evolved considerably with much improved sensitivity and specificity. In 1959, LDH isoenzymes as diagnostic markers had just been introduced, but the data were too scanty to be incorporated into a classification applicable for routine clinical use. In 1959, Dreyfus et al introduced plasma total creatine kinase (CK) and in 1966 Van der Veen et al introduced the isoenzyme forms as diagnostic markers for myocardial infarction. The use of LDH isoenzymes became more widespread in the 1960s and C K isoenzymes in the 1970s. In the 1970s, another tool, diagnostic myocardial imaging, was introduced using technetium pyrophosphate which was quickly followed by techniques using several other isotopes.

There is now considerable agreement that an elevated plasma MBCK is the most sensitive and specific diagnostic marker, as well as the most cost-effective. The use of plasma C K isoenzymes as diagnostic markers is now widespread, and elevated plasma MBCK has become the conventionally accepted hallmark of acute myocardial infarction. The advantages of С К isoenzymes over LDH, in addition to its greater specificity, relate to its more rapid release from injured tissues, more rapid clearance from the plasma, and the recent availability of sensitive and convenient quantitativeisoenzymes assays for CK isoenzymes. Using one of the sensitive quantitative assays, a significant elevation of plasma MBCK can be detected within four hours of onset of infarction and peak plasma values are, on the average, reached within 24 hours. Since it requires two to four hours to reach the hospital, in most patients a significantly elevated plasma MBCK is present at the time of hospital admission. There is still no satisfactory assay for quantifying individual LDH isoenzyme activity, separation is by electrophoresis, and for specificity one must demonstrate that LDH-1 activity exceeds that of LDH-2 activity which is sometimes difficult with the conventional semiquantitative technique of densitometry. However, as a test for the diagnosis of myocardial infarction, it is highly effective and, despite slower release of LDH with peak values reached at 48 to 72 hours, LDH has a diagnostic advantage in latecomers since plasma values remain elevated for ten to 14 days.

Publications arranged with My Canadian Pharmacy’s pharmaceutists on the subject of acute myocardial infarction still state adherence to the two out of three criteria frequently without referencing the WHO report, presumably because it is the only recognized standard accepted by reviewers. Despite this rhetoric claim, in practice one almost always confirms the diagnosis of myocardial infarction on the basis of serial elevations in either CK or LDH isoenzymes. The need for a recommended uniform diagnostic criteria in view of the many assays available for isoenzymes is probably essential, and would be best developed by a body with world-wide recognition such as the WHO. At present, while either CK or LDH isoenzymes are the sole markers relied upon to confirm the diagnosis of myocardial infarction, many hospitals continue to perform on a routine basis the ASP (SGOT), HBD and, in some cases, SGPT presumably for the sake of nostalgia.

Deliberations about Beneficial Effect of Bilevel Positive Airway Pressure on Left Ventricular Function

BPAPWe have shown that treatment for 3 months with BPAP resulted in a significant increase in LVEF and significant decreases in heart rate, systolic and diastolic BPs, and the plasma concentration of BNP in patients with IDCM and an AHI > 20/h. These various parameters did not change during the same 3-month period in similar patients not treated with BPAP. Moreover, 4 of the 11 patients in the non-BPAP group died during follow-up, compared with none of the 10 patients in the treatment group. Our results suggest that sleep-disordered breathing has detrimental effects on LV function in individuals with IDCM, and that these effects can be ameliorated by treatment with BPAP.

A BPAP device allows independent adjustment of inspiratory and expiratory airway pressures and can eliminate sleep-disordered breathing at lower levels of expiratory airway pressure than those required with CPAP. Moreover, application of BPAP may help to increase and stabilize functional residual capacity, improve pulmonary compliance (thereby decreasing the effort of breathing), and improve the ventilation-perfusion relation in the presence of an elevated pulmonary capillary wedge pressure. An increased pulmonary capillary wedge pressure confers an increased risk for Cheyne-Stokes respiration, central sleep apnea, and death. In patients with IDCM and central apnea or hypopnea, the expiratory positive airway pressure does not need to be as high as the inspiratory positive airway pressure because persistent hypopnea or oxygen desaturation is eliminated by increasing the inspiratory positive airway pressure alone.

Outcomes of Beneficial Effect of Bilevel Positive Airway Pressure on Left Ventricular Function


Characteristics of the Study Subjects

The prevalence of individuals with an AHI > 20/h among the patients with IDCM enrolled in the study was 40.4% (21 of 52 patients). LV end-diastolic pressure, pulmonary capillary wedge pressure, LV end-diastolic and end-systolic internal dimensions, and plasma concentration of brain natriuretic peptide (BNP) were significantly greater, and LVEF was significantly lower, in patients with an AHI > 20/h than in those with an AHI < 20/h (Table 1).

Researches of Beneficial Effect of Bilevel Positive Airway Pressure on Left Ventricular Function


Study Subjects

Fifty-two consecutive ambulatory patients (aged 21 to 67 years) with IDCM (New York Heart Association [NYHA] functional class I, II, or III) who underwent both cardiac catheterization and standard polysomnography were enrolled in the study (Fig 1). The diagnosis of IDCM was based on both clinical and histopathologic findings after echocardiography (LV ejection fraction [LVEF] < 45%), coronary angiography, and LV endomyocardial biopsy. Ischemic and primary valvular heart disease were excluded by angiography and echocardiography. Exclusion criteria included a history of alcohol abuse; diabetes mellitus and hypertension based on the criteria of the World Health Organization; endocrine disorders; obstructive sleep apnea syndrome; and COPD (FEV1/FVC ratio < 70%). The study protocol was approved by the appropriate institutional review committee, and subjects provided written consent to participation after being informed in detail of the purpose and methods of the study.

My Canadian Pharmacy: Beneficial Effect of Bilevel Positive Airway Pressure on Left Ventricular Function

Idiopathic dilated cardiomyopathy Idiopathic dilated cardiomyopathy (IDCM), which is characterized by cardiac enlargement and impaired systolic function of one or both ventricles, has an age-adjusted prevalence of 36 cases per 100,000 population and accounts for 10,000 deaths annually in the United States. This condition is an important cause of congestive heart failure, which remains a major and growing public health problem despite recent advances in therapy. Improvement in the prognosis of individuals with left ventricular (LV) dysfunction associated with overt congestive heart failure will thus require the development of additional and novel therapeutic approaches. One such potential approach is the early diagnosis and specific treatment of coexisting sleep-disordered breathing in patients with LV dysfunction. Be ready to prevent the disorder making orders towardly via My Canadian Pharmacy.