TADALAFIL

Buy Tadalafil online

Tadalafil Oral tablet

What is this medicine?

TADALAFIL (tah DA la fil) is used to treat erection problems in men. It is also used for enlargement of the prostate gland in men, a condition called benign prostatic hyperplasia or BPH. This medicine improves urine flow and reduces BPH symptoms. This medicine can also treat both erection problems and BPH when they occur together.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
•bleeding disorders
•eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
•heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems
•high or low blood pressure
•history of priapism (painful and prolonged erection)
•history of stomach bleeding
•kidney or liver disease
•Peyronie's disease
•stroke
•an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You may take this medicine with or without meals. When this medicine is used for erection problems, your doctor may prescribe it to be taken once daily or as needed. If you are taking the medicine as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it. Whether you are taking the medicine as needed or once daily, you should not take more than one dose per day. If you are taking this medicine for symptoms of benign prostatic hyperplasia (BPH) or to treat both BPH and an erection problem, take the dose once daily at about the same time each day. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What may interact with this medicine?

Do not take this medicine with any of the following medications:
•nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
•other tadalafil products (Adcirca)
•sildenafil
•vardenafil

This medicine may also interact with the following medications:
•certain drugs for high blood pressure
•certain drugs for the treatment of HIV infection or AIDS
•certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole
•certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital
•grapefruit juice
•macrolide antibiotics like clarithromycin, erythromycin, troleandomycin
•medicines for prostate problems
•rifabutin, rifampin or rifapentine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible. Stop using this medicine and call your health care provider right away if you have a loss of sight in one or both eyes.

Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of serious problem and must be treated right away to prevent permanent damage.

If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible.

Do not drink alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking this medicine. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate or lowering your blood pressure.

Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:
•allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
•breathing problems
•changes in hearing
•changes in vision
•chest pain
•erection lasting more than 4 hours
•fast, irregular heartbeat

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
•back pain
•dizziness
•flushing
•headache
•indigestion
•muscle aches
•stuffy or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

ALLEGRA-D

12 Hour Tablets

Chemical Name: FEXOFENADINE (fex-oh-FEN-a-deen) and PSEUDOEPHEDRINE (soo-doe-e-FED-rin)

Common uses
This medicine is an antihistamine and decongestant combination that is used to relieve symptoms of seasonal allergies such as watery or itchy eyes, runny nose, itchy throat, sneezing, and stuffy nose (nasal congestion).

Before Using
USE OF THIS MEDICINE IN CHILDREN UNDER 12 is not recommended due to the high amount of pseudoephedrine. Please talk with your doctor about risks and benefits before giving this medicine to your child. Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking or have taken in the last 14 days a monoamine oxidase inhibitor, or MAOI, (e.g., furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline, isocarboxazid, tranylcypromine). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking certain blood pressure medicines (methyldopa, guanethidine, beta blockers such as propranolol), adrenaline-like medicines, (e.g., ephedrine, methylphenidate), antacids containing aluminum and magnesium, certain herbal products containing ephedra, or St. John's wort. DO NOT START OR STOP any medicine without the approval of doctor or pharmacist. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of narrow-angle glaucoma, severe difficulty urinating (urinary retention), severe high blood pressure, severe heart/blood vessel disease (e.g., coronary artery disease), or if you have experienced serious side effects in the past with decongestants (e.g., irregular heart rhythm). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you have kidney disease, glaucoma (open angle type), high blood pressure, diabetes, heart problems (e.g., QT prolongation, ischemic heart disease), problems urinating (e.g., enlarged prostate) or thyroid problems (hyperthyroidism). Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. This medicine is usually taken by mouth twice daily. SWALLOW WHOLE. Do not break, crush, or chew before swallowing. Take this medicine on an empty stomach at least 1 hour before or 2 hours after eating. High-fat meals may decrease the absorption of the medicine into your bloodstream. DO NOT TAKE ANTACIDS (CONTAINING ALUMINUM OR MAGNESIUM) within 2 hours of taking this medicine. These antacids may decrease the absorption of this medicine. The U.S. manufacturer recommends that you STORE THIS MEDICINE at room temperature between 68 and 77 degrees F (20 to 25 degrees C). The Canadian manufacturer recommends that you STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15-30 degrees C). Store this medicine in a tightly-closed container, away from heat, moisture, and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.

Cautions
DO NOT INCREASE YOUR DOSE or take more of this medicine than prescribed without checking with your doctor. THIS MEDICINE MAY CAUSE DIZZINESS. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. LIMIT ALCOHOLIC BEVERAGES while taking this medicine. THIS MEDICINE MAY INTERFERE with allergy test results. Check with your doctor for instruction on how long you will need to stop taking this medicine prior to those tests. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines which contain diet or appetite control medicines, antihistamines, or decongestants. Ask your pharmacist about the safe use of these medicines. CAUTION IS ADVISED WHEN THIS MEDICINE IS USED IN THE ELDERLY because they may be more sensitive to the effects of the medicine. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. ONE OF THE INGREDIENTS IN THIS MEDICINE (PSEUDOEPHDRINE) IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include nausea, stomach upset, trouble sleeping, headache, dizziness, nervousness, or dry mouth. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience unusually fast/irregular heartbeat, or uncontrolled shaking or tremor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience any serious but unlikely side effects including seizures, chest pain, mental or mood changes. AN ALLERGIC REACTION TO THIS MEDICINE is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
IF OVERDOSE IS SUSPECTED, contact your local poison control center or emergency room immediately. Symptoms of overdose may include irregular or unusually slow or fast heartbeat, unusual nervousness or excitement, and seizures.

Additional information
Carry an identification card at all times that says you are taking this medicine. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

RENOVA

Cream
Chemical Name: TRETINOIN (TRET-i-noyn)

Common uses
This medicine is a vitamin A derivative used to treat wrinkles, brown spots, and surface roughness on the face.

Before Using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of eczema. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. THIS MEDICINE COMES WITH A PATIENT INFORMATION LEAFLET. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have before using this medicine. BEFORE APPLYING THIS MEDICINE, wash the affected area with a mild soap and gently dry. Wait 20 to 30 minutes before applying the medicine. Apply a thin film of medicine to the affected and surrounding area. Pat in gently according to the package leaflet. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, skip the missed dose and go back to your regular dosing schedule.

Cautions
DO NOT GET THIS MEDICINE in your eyes or on the inside of your nose or mouth. FOR THE FIRST 2 TO 3 WEEKS OF TREATMENT, your skin condition may appear to worsen. This is expected. Do not stop using the medicine during this time. DO NOT USE OTHER MEDICINES ON YOUR SKIN without first discussing it with your doctor. While you are using this medicine, you may use cosmetics. After using cosmetics, thoroughly wash and dry the affected area before applying this medicine. THIS MEDICINE MAY CAUSE increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to this medicine. Use a sunscreen if you must be outside. Do not apply this medicine to sunburned skin. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include redness, peeling, stinging, or a feeling of warmth. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience blistering, crusting, swelling, excessive redness or peeling of your skin. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. This medicine may be harmful if swallowed. Symptoms of overdose may include excessive redness, peeling, and discomfort.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

ORTHO TRI-CYCLEN

Tablets
Chemical Name: NORGESTIMATE (nor-JES-ti-mate) and ETHINYL ESTRADIOL (ETH-in-il ess-tra-DYE-ole)

Common uses
This medicine is an estrogen and progestin combination used to prevent pregnancy. It may also be used to regulate the menstrual cycle, treat symptoms of menopause, or treat other conditions as determined by your doctor.

Before Using
WARNING: Smoking cigarettes while using this medicine increases your chance of having heart problems. Do not smoke while using this medicine. The risk of heart problems increases with age (in women greater than 35 years of age) and with frequent smoking (15 cigarettes per day or greater). Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking nevirapine or rifampin. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking barbiturates, carvedilol, corticosteroids, felbamate, griseofulvin, HIV protease inhibitors, modafinil, metoprolol, pioglitazone, penicillin or tetracycline antibiotics, theophylline, topiramate, troglitazone, troleandomycin, or medicine for seizures. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of cancer, heart or liver conditions, pulmonary embolism, blood clots, stroke, cerebrovascular disease, or smoking. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. THIS MEDICINE COMES with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have before using this medicine. TRY TO TAKE THIS MEDICINE at the same time every day, not more than 24 hours apart. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as you remember. Take your next dose at the regular time. This means you may take 2 doses on the same day. IF YOU MISS MORE THAN 1 DOSE OF THIS MEDICINE, refer to the patient information that came with this medicine. If you have any questions, contact your doctor, nurse, or pharmacist.

Cautions
SMOKING CIGARETTES while using this medicine may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels. IF YOU HAVE VOMITING OR DIARRHEA for any reason, your medicine may not work as well. TAKING CERTAIN ANTIBIOTICS or anticonvulsants while you are using this medicine may decrease the effectiveness of this medicine. To prevent pregnancy, use an additional form of birth control until your next period. If you have any questions, contact your doctor, nurse, or pharmacist. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. IF YOU WEAR CONTACT LENSES and you develop problems with them, contact your doctor. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. THIS MEDICINE MAY CAUSE dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or protective clothing when exposed to the sun, sunlamps, or tanning booths. USE OF THIS MEDICINE WILL NOT PREVENT the spread of sexually transmitted diseases (STDs). DO NOT USE THIS MEDICINE if you are pregnant. IF YOU SUSPECT THAT YOU COULD BE PREGNANT, contact your doctor immediately. THIS MEDICINE IS EXCRETED IN BREAST MILK. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include nausea, vomiting, bleeding between menstrual periods, breast tenderness, or weight change. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience persistent or recurrent abnormal vaginal bleeding, a missed menstrual period, dizziness or fainting, swelling of fingers or ankles, headache, or difficulty wearing contact lenses. CONTACT YOUR DOCTOR IMMEDIATELY if you experience calf/leg pain or swelling, trouble breathing or shortness of breath, chest pain, one-sided weakness, slurred speech, lumps in the breast, sudden severe headache, sharp or crushing chest pain, sudden shortness of breath, yellowing skin or eyes, changes in vision, numbness of an arm or leg, or severe stomach pain. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea and vomiting. Females may experience vaginal bleeding.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

ORTHO EVRA

Patches
Chemical Name: NORELGESTROMIN (nor-el-JES-troe-min) and ETHINYL ESTRADIOL (ETH-in-il es-tra-DYE-ol)

Common uses
This medicine is an estrogen and progestin combination used to prevent pregnancy. It may also be used to treat other conditions as determined by your doctor.

Before Using
WARNING: Smoking cigarettes while using this medicine increases your chance of having heart problems. Do not smoke while using this medicine. The risk of heart problems increases with age (women greater than 35 years of age) and with frequent smoking (15 cigarettes per day or greater). Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are also taking anti-seizure medicine (e.g., carbamazepine, felbamate, phenobarbital, phenytoin, topiramate), certain antibiotics (e.g., ampicillin, erythromycin), HIV protease inhibitors (e.g., indinavir, ritonavir), phenylbutazone, griseofulvin, atorvastatin, azole antifungals (e.g., itraconazole, ketoconazole), rifampin, St. John's wort, cyclosporine, temazepam, prednisolone, morphine, theophylline, ascorbic acid (vitamin C), acetaminophen, aspirin, clofibric acid, modafinil, troglitazone. Inform your doctor of any other medical conditions including high blood lipid levels (hypercholesterolemia, hypertriglyceridemia), depression, high blood pressure, gallbladder problems, thyroid problems, allergies, or breast-feeding. DO NOT USE THIS MEDICINE if you have any of the following conditions: pregnancy, blood circulation problems (e.g., history of blood clots in the legs or groin), history of heart disease or stroke, severe high blood pressure, diabetes, severe headaches, recent major surgery, long periods of sitting or lying down (e.g., immobility such as being bedridden), liver problems, history of yellowing eyes and skin (jaundice) during pregnancy or while using birth control pills, cancer (especially endometrial or breast), undiagnosed abnormal vaginal bleeding, heavy tobacco use (if 35 years old or greater). Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. THIS MEDICINE COMES with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. Remove patch from foil and peel off liner. Apply to area of clean, dry skin on the abdomen, buttocks, upper outer arm, or upper torso. Do not apply at the waistline, breast, or other place where it would be rubbed by tight clothing. Press firmly in place for 10 seconds. The patch is worn for 7 days. DO NOT APPLY THIS MEDICINE to skin that is irritated or broken or over other topical products such as make-up, creams, lotions, or powders. DO NOT APPLY THIS MEDICINE TO THE SAME SKIN SITE. Use a different site each week. After 7 days, remove the old patch and apply a new patch. Repeat this weekly cycle for 3 weeks (3 patches over 3 weeks equal 1 cycle). After the third patch is removed, you will have one week without using the patch. Your menstrual cycle (period) usually should start during the week when you do not use the patch. If your period does not begin during this week, consult your doctor. After your fourth week, begin a new patch cycle, even if you still are experiencing some bleeding (still having your period). Do not go longer than 7 days without a patch. Doing so may make this medicine less effective. IF YOUR PATCH ACCIDENTALLY FALLS OFF, dry your skin and reapply it. If you weigh more than 198 pounds (90 kg), this patch may not work as well for you. Be sure your doctor knows your current weight and ask your doctor about which form of birth control may be best for you. STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15 and 30 degrees C), away from heat and light. DO NOT REFRIGERATE or freeze. AFTER YOU REMOVE THE USED PATCH, fold the sticky side together. Discard out of the reach of children and pets. IF YOU FORGET TO CHANGE THE PATCH AS SCHEDULED follow the directions in the patient information leaflet or consult your doctor or pharmacist for a new schedule.

Cautions
WHILE USING THIS MEDICINE, YOU MAY EXPERIENCE absence of menstrual periods. If you experience irregular menstrual periods, contact your doctor. YOU SHOULD perform regular self-examinations of your breasts. If you have questions about how to do this, ask your doctor, nurse, or pharmacist. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. IF YOU HAVE DIFFICULTY wearing contact lenses after you begin using this medicine, check with your doctor. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. THIS MEDICINE MAY CAUSE dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or protective clothing when exposed to the sun, sunlamps, or tanning booths. Some Laboratory test results (e.g., thyroid function, liver function) may be affected by this medicine. SMOKING WHILE USING THIS MEDICINE may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels. USE OF THIS MEDICINE WILL NOT PREVENT HIV or the spread of other sexually transmitted diseases (STDs). DO NOT USE THIS MEDICINE if you are pregnant. IF YOU SUSPECT THAT YOU COULD BE PREGNANT, contact your doctor immediately.

Possible side effects
SIDE EFFECTS that may occur while taking this medicine include nausea, vomiting, headache, redness or itching at the patch application site, dizziness, breast tenderness, vaginal discomfort or irritation, stomach cramping, or bloating. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience dark patches on the skin (melasma), change in appetite, weight changes (gain or loss), problems wearing contact lenses, unusual vaginal discharge, changes in vaginal bleeding (e.g., spotting, breakthrough bleeding, prolonged or complete stoppage of bleeding), swelling, trouble sleeping, or mental or mood changes. CONTACT YOUR DOCTOR IMMEDIATELY if you experience pain in the groin or lower legs, trouble breathing, rash, chest pain, severe headache, stomach pain, vision or eye problems, yellowing eyes or skin, dark urine, one-sided weakness, numbness in the arms or legs, lumps in the breast. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, remove the patch. Contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe nausea, vomiting, unusual vaginal bleeding, or irregular menstrual periods

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

VIAGRA

Tablets
Chemical Name: SILDENAFIL (sil-DEN-a-fil)

Common uses
This medicine is a phosphodiesterase inhibitor used to treat erectile dysfunction (ED).

Before Using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking or using nitroglycerin or other nitrates in any form. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking cimetidine, erythromycin, ketoconazole, itraconazole, mibefradil, or an HIV protease inhibitor. Inform your doctor of any other medical conditions or allergies. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of heart conditions, high or low blood pressure, stroke, or retinitis pigmentosa. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. TAKE THIS MEDICINE about 1 hour before sexual activity, although it may be taken from 30 minutes to 4 hours before sexual activity. STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a tightly-closed container, away from heat and light.

Cautions
DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. DO NOT TAKE THIS MEDICINE MORE THAN once a day. DO NOT TAKE THIS MEDICINE IF YOU TAKE OR USE NITROGLYCERIN, including nitroglycerin tablets, patches, or ointment, OR OTHER NITRATES, such as isosorbide. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist. USE OF THIS MEDICINE WILL NOT PREVENT the spread of sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV). BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist.

Possible side effects
SIDE EFFECTS that may occur while taking this medicine include headache, flushing, upset stomach, stuffy nose, diarrhea, blurred vision, changes in blue or green vision, or increased light sensitivity. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience prolonged abnormal, painful erections. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately.

Additional information
If your symptoms do not improve or if they become worse, check with your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS PRODUCT out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

LEVITRA

Levitra

This medicine is for your personal use only. Before using this medicine please check carefully if this is the medicine your doctor has prescribed. Verify if the name and address on the package and the name of the medicine are exactly the same as you ordered. This information may change. Therefore, read the leaflet included in the package again each time you get more of this medicine.

DIRECTIONS
Your doctor will have suggested a suitable dose for you. Always take Levitra exactly as your doctor has instructed you, and check with the doctor if you are unsure. Tell the doctor if you think Levitra is too strong or too weak. He or she may suggest a different dose, depending on your condition.

Take a Levitra tablet about 25 to 60 minutes before sexual activity. With sexual stimulation you may achieve an erection anywhere from 25 minutes up to four to five hours after taking Levitra. Swallow one tablet with a glass of water. You can take Levitra with or without food - but preferably not after a heavy or high-fat meal.

CAUTION
Do not use Levitra more than once a day. Men who take too much Levitra may experience more side effects or may get severe back pain. If you take more Levitra than you should, tell your doctor.

POSSIBLE SIDE EFFECTS
Taking Levitra can cause side effects, although not everybody gets them. Most of the effects are mild or moderate.

Very common side effects
(These may affect 1 in 10 people or more)
Headaches
Flushing


Common side effects
(These may affect between 1 in 10 and 1 in 100 people)
Indigestion
Feeling sick (nausea)
Dizziness
Blocked or runny nose


Uncommon side effects
(These may affect less than 1 in 100 people)
Sensitivity of the eye to sunlight
High or low blood pressure
Fainting
Stiffness in muscles
Effects on vision
Erectile disturbances (such as spontaneous or painful erections)


If any of these affects you badly, or doesn’t go away as you carry on taking Levitra, tell your doctor. If you notice any side effects not mentioned in this leaflet, please tell your doctor.

STORAGE
Do not use after the expire date stated on the packaging. KEEP LEVITRA AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.

CIALIS

Cialis Information

Cialis is a brand new impotence treatment that helps men achieve erections faster. By expanding blood vessels and increasing blood flow to the penis, Cialis delivers results in as little as 30 minutes (30 minutes sooner than Viagra).

Directions
If you don't experience results the first time you take Cialis, your doctor may recommend increasing your dose to 20 mg. For most patients however, the normal startup dose is 10 mg at least 30 minutes before sexual activity. While taking Cialis, you should follow your doctor's advice exactly. DO NOT take more Cialis than what's prescribed to you. If side effects occur or if they become bothersome, talk to your doctor.

Side effects
Like all prescription medications, Cialis may produce some side effects. These side effects are generally mild to moderate in nature, and usually go away within a few hours of use. They include headache, dyspepsia, dizziness, flushing nasal congestion, back pain, and or muscle aches.

Cialis FAQs

1. What is Cialis?
Cialis is approved for the treatment of men who experience difficulty having and maintaining an erection (impotence).

2. How does Cialis work?
Cialis works by enhancing the effects of one of the chemicals the body normally releases into the penis during sexual arousal. This allows an increase of blood flow into the penis. An erection is the result of an increase in blood flow into certain internal areas of the penis.

3. How is Cialis different from other medications for erectile dysfunction (ED)?
Cialis is different from other currently approved products for ED in that it stays in the body longer. However, there were no studies that directly compared the clinical efficacy and safety of Cialis to other products.

4. How do I take Cialis?
Cialis is taken orally before sexual activity, not more than once daily. Cialis may be taken with or without food. In some patients, the dose strength and maximum frequency of use may be adjusted. For more detailed information consult with your health care provider.

5. Are there any side effects with Cialis?
As with any drug product, there may be side effects. The most commonly reported side effects in patients treated with Cialis during the testing of the product were:

headache
indigestion
back pain
muscle pain
flushing
stuffy nose
Patients who get back pain and muscle aches usually get them 12 to 24 hours after taking Cialis and these usually go away by themselves within 48 hours. A small number of patients taking Cialis also reported abnormal vision.

6. What important information should you know about Cialis?:
· CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with any nitrate medication or with any alpha-blocker medication (alpha blockers are medicines used to treat benign prostatic hyperplasia and high blood pressure) other than FLOMAX (tamsulosin) 0.4 mg daily. You could get dizzy, faint or have a heart attack or stroke.

· Tell your healthcare provider that you take Cialis. If you need emergency medical care for a heart problem, it will be important for your health care provider to know when you last took Cialis.

· After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

7. What should I talk to my doctor about when considering if Cialis is right for me?
Because sexual activity can increase the work of the heart, your doctors should talk to you about your heart’s general condition and if Cialis is right for you. Patients who have a condition called "left ventricular outlet obstruction" from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

8. Who should not take Cialis?
Cialis should not be used by patients taking nitrates (such as nitroglycerin tablets or patches) or any alpha blocker other than FLOMAX 0.4mg daily because the combination of these with Cialis could significantly lower blood pressure and lead to fainting or even death in some men.

9. Can Cialis be used with other treatments for impotence?
The safety and effectiveness of Cialis when used with other treatments for impotence has not been studied. Combined use could lead to additional lowering of blood pressure, possibly to unsafe levels. Therefore the use of such treatments in combination with Cialis is not recommended.

10. What if I am taking other drugs?
Always discuss with your health care practitioner ALL of the medications you are taking (prescription and over-the-counter) that way, you can receive the best advice for your own situation. Cialis is not recommended for people taking any form of nitroglycerin and most alpha-blockers, other than FLOMAX, because the combination may lower blood pressure to an unsafe level.

11. How is Cialis supplied?
Cialis is available as oral tablets in 5mg, 10mg and 20mg strengths.

PROPECIA

Tablets
Chemical Name: FINASTERIDE (fi-NAS-teer-ide)

Common uses
This medicine is an androgen hormone inhibitor used to treat male pattern hair loss IN MEN ONLY.

Before Using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. Inform your doctor of any other medical conditions, allergies, or pregnancy. USE OF THIS MEDICINE IS NOT RECOMMENDED if you are female. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. THIS MEDICINE COMES WITH A PATIENT INFORMATION LEAFLET. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. This medicine may be taken on an empty stomach or with food. STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a tightly-closed container, away from moisture. IF YOU MISS A DOSE OF THIS MEDICINE and you remember the same day, take it as soon as possible. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions
IT MAY TAKE SEVERAL MONTHS for this medicine to work. Do not stop taking this medicine without checking with your doctor. Stopping this medicine will result in a return within 12 months to the same amount of baldness as when you started. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. ANY WOMAN WHO IS PREGNANT OR WHO MAY BECOME PREGNANT SHOULD NOT HANDLE crushed or broken tablets of this medicine. If a woman who is pregnant comes in contact with crushed or broken tablets of this medicine, contact your doctor as soon as possible.

Possible side effects
A SIDE EFFECT that may occur while taking this medicine is a change in sexual function. If it continues or is bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience the following side effects or symptoms of toxicity: skin rash or swelling of lips. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

ULTRAM

Tablets
Chemical Name: TRAMADOL (TRA-ma-doll)

Common uses
This medicine is an analgesic used to treat or prevent pain.

Before Using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. USE OF THIS MEDICINE is not recommended if you are also taking cyclobenzaprine or medicine for depression or other emotional or mood disorders. If you are taking any of these medicines, be sure your doctor knows. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking bupropion, narcotic analgesics, carbamazepine, or have a history of seizures. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.

Cautions
DO NOT EXCEED THE RECOMMENDED DOSE OR TAKE THIS MEDICINE for longer than prescribed. IF YOU EXPERIENCE difficulty breathing or tightness of chest; swelling of eyelids, face, or lips; or develop a rash or hives, tell your doctor immediately. Do not take any more of this medicine unless your doctor tells you to do so. AVOID ALCOHOL while you are using this medicine. This medicine will add to the effects of alcohol and other depressants. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. Caution should be used in the elderly since they may be more sensitive to the effects of this drug. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include dizziness, nausea, drowsiness, dry mouth, constipation, headache, or sweating. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience skin rash, itching, seizures, or hallucinations. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, seizures, deep sleep, and loss of consciousness.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

ESGIC PLUS

Tablets

Chemical Name: BUTALBITAL (byoo-TAL-bi-tal), ACETAMINOPHEN (a-seat-a-MIN-oh-fen) and CAFFEINE (kaf-EEN)

Common uses
This medicine is an analgesic, barbiturate, and stimulant combination used to treat tension headaches.

Before Using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking anticoagulants, birth control pills, corticosteroids, doxycycline, isoniazid, metronidazole, quinidine, theophylline, or medicine for high blood pressure or heart conditions (beta blockers). Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. STORE THIS MEDICINE at room temperature in a tightly-closed container, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE and you are using it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions
DO NOT EXCEED THE RECOMMENDED DOSE or take this medicine for longer than prescribed without checking with your doctor. Exceeding the recommended dose or taking this medicine for longer than prescribed may be habit-forming. AVOID ALCOHOL while you are using this medicine. This medicine will add to the effects of alcohol and other depressants. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. THIS MEDICINE CONTAINS ACETAMINOPHEN. Do not take additional acetaminophen for pain or fever without checking with your doctor or pharmacist. Ask your pharmacist if you have questions about which medicines contain acetaminophen. Acetaminophen may cause liver damage. If you drink alcohol on a daily basis, do not take this medicine without first discussing it with your doctor. Alcohol use combined with acetaminophen may increase your risk for liver damage. Pain medications work best if they are used as the first signs of pain (or first signs of migraine) occur. If you wait until the pain has significantly worsened, the pain medicine may not work as well. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN TAKING BIRTH CONTROL PILLS: this medicine may decrease the effectiveness of your birth control pills. To prevent pregnancy, use an additional form of birth control while you are taking this medicine. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include drowsiness, dizziness, lightheadedness, or nausea. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include vomiting, excessive sweating, dark urine, stomach pain, extreme fatigue, unusual drowsiness or dizziness, lack of feeling alert, slow or shallow breathing, cold or clammy skin, and loss of consciousness.

Additional information
IF YOUR HEADACHE SYMPTOMS do not improve or if they become worse, contact your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

TRAMADOL

Tablets

Chemical Name: TRAMADOL (TRA-ma-doll)

Common uses
This medicine is an analgesic used to treat or prevent pain.

Before Using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. USE OF THIS MEDICINE is not recommended if you are also taking cyclobenzaprine or medicine for depression or other emotional or mood disorders. If you are taking any of these medicines, be sure your doctor knows. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking bupropion, narcotic analgesics, carbamazepine, or have a history of seizures. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.

Cautions
DO NOT EXCEED THE RECOMMENDED DOSE OR TAKE THIS MEDICINE for longer than prescribed. IF YOU EXPERIENCE difficulty breathing or tightness of chest; swelling of eyelids, face, or lips; or develop a rash or hives, tell your doctor immediately. Do not take any more of this medicine unless your doctor tells you to do so. AVOID ALCOHOL while you are using this medicine. This medicine will add to the effects of alcohol and other depressants. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. Caution should be used in the elderly since they may be more sensitive to the effects of this drug. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include dizziness, nausea, drowsiness, dry mouth, constipation, headache, or sweating. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience skin rash, itching, seizures, or hallucinations. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, seizures, deep sleep, and loss of consciousness.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.