Further Information (BPH and ED)

Tadalafil is an oral drug that is used for treating ED  brand Cialis (the inability to attain or maintain a penile erection) and benign prostatic hyperplasia (BPH). It is in a class of drugs called phosphodiesterase-5 (PDE5) inhibitors that also includes SILDENAFIL (Viagra) and Vardenafil. Erection of the penis is caused by the filling of the penis with blood. Filling occurs because the blood vessels that bring blood to the penis increase in size and deliver more blood to the penis, and, at the same time, the blood vessels that take blood away from the penis decrease in size and remove less blood from the penis. Sexual stimulation that leads to an erection causes the production and release of nitric oxide in the penis. The nitric oxide causes an enzyme, guanylate cyclase, to produce cyclic guanosine monophosphate. It is that is primarily reponsible for increasing and decreasing the size of blood vessels carrying blood to and from the penis, respectively, and causing an erection. When the cGMP is destroyed by another enzyme, phosphodiesterase-5, the blood vessels return to their normal size, blood leaves the penis, and the erection ends. Generic Tadalafil prevents phosphodieserase-5 from destroying  so that stays around longer. The persistence of leads to a more prolonged engorgement of the penis with blood.

Areas to be treated should be cleansed thoroughly. Use of a mild, non-medicated soap is recommended. Pat the skin dry without rubbing. Allow area to dry for at least 20-30 minutes before application of Generic Renova to the skin. Twice daily washing of the treated area is more than sufficient.

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Cryotherapy:

• This treatment is not preferred as a standard curative treatmentoption but may be used in select patients with localized prostate cancer or as foal therapy in low-risk patients (experimental);
• Cryotherapy (also known as cryosurgery or cryoablation) involves using transrectal ultrasonographic guidance percutaneous cryoprobes are placed and used to freeze prostate tissue;
• Complications include tissue sloughing, perineal ecchymosis, stricture or contracture, incontinence, Erectile Dysfunction, and fistula formation between the urinary and gastrointestinal tracts;
• Can also be considered as salvage therapy after failed radiation therapy.

Topical tretinoin is only for use on skin and it should not be applied to eyes or mucosal tissues. Common side effects include skin irritation, redness, swelling, and blistering.

Posttraumatic Stress Disorder: The most commonly observed adverse events associated with the use of Generic Paxil (incidence of 5% or greater and incidence for generic Paxil at least twice that for placebo, derived from Table 4) were: Asthenia, sweating, nausea, dry mouth, diarrhea, decreased appetite, somnolence, libido decreased, abnormal ejaculation, female genital disorders, and ED. Incidence in Controlled Clinical Trials: The prescriber should be aare that the figures in the tables following cannot be used to predict the incidence of side effects in the course of usual medical practice where patient characteristics and other factors differ from those that prevailed in the clinical trials. Similarly, the cited frequencies cannot be copared with figures obtained from other clinical investigations involving different treatments, uses, and invesigators. The cited figures, however, do provide the prescribing physician with some basis for estimating the relative contribution of drug and nondrug factors to the side effect incidence rate in the populations studied.

MALE SEXUAL DYSFUNCTION

The most common side effects of Duagen (dutasteride) are Erectile Dysfunction (trouble getting or keeping an erection), a decrease in Erectile Dysfunction sex drive, and enlarged breasts. Also, some men may notice a decrease in the amount of semen they release during SEX.