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What Is Cialis?

  • Cialis Relaxes Muscles and Increases Blood Flow to Particular Areas of the Body.
  • Cialis Is Used to Treat Erectile Dysfunction (Impotence).
  • Cialis May Also Be Used for Purposes Other Than Those Listed in This Medication Guide.

What Should I Discuss with My Doctor Before Taking Cialis?

  • Do Not Take Cialis If You Are Also Using a Nitrate Drug for Chest Pain or Heart Problems. This Includes Nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and Others), Isosorbide Dinitrate (Dilatrate-Sr, Isordil, Sorbitrate), and Isosorbide Mononitrate (Imdur, Ismo, Monoket). Nitrates Are Also Found in Some Recreational Drugs Such as Amyl Nitrate or Nitrite (“Poppers”). Taking Cialis with a Nitrate Medicine Can Cause a Serious Decrease in Blood Pressure, Leading to Fainting, Stroke, or Heart Attack.
  • a Small Number of Patients Have Had a Sudden Loss of Eyesight After Taking Cialis. This Type of Vision Loss Is Caused by Decreased Blood Flow to the Optic Nerve of the Eye. It Is Not Clear Whether Cialis Is the Actual Cause of Such Vision Loss. Sudden Vision Loss with Cialis Use Has Occurred Most Often in People with Heart Disease, Diabetes, High Blood Pressure, High Cholesterol, or Certain Pre-Existing Eye Problems, and in Those Who Smoke or Are Over 50 Years Old.
  • Before Taking Cialis, Tell Your Doctor If You Have:
  • Heart Disease or Heart Rhythm Problems;
  • a Recent History a Heart Attack (Within the Past 90 Days);
  • a Recent History of Stroke or Congestive Heart Failure (Within the Past 6 Months);
  • Angina (Chest Pain);
  • High or Low Blood Pressure;
  • Liver Disease;
  • Kidney Disease (Or If You Are on Dialysis);
  • a Blood Cell Disorder Such as Sickle Cell Anemia, Multiple Myeloma, or Leukemia;
  • a Bleeding Disorder Such as Hemophilia;
  • a Stomach Ulcer;
  • Retinitis Pigmentosa (An Inherited Condition of the Eye);
  • a Physical Deformity of the Penis (Such as Peyronie’s Disease); or
  • If You Have Been Told You Should Not Have Sexual Intercourse for Health Reasons.
  • If You Have Any of These Conditions, You May Not Be Able to Use Cialis or You May Need a Dosage Adjustment or Special Tests During Treatment.
  • Fda Pregnancy Category B: Although Cialis Is Not for Use in Women, This Medication Is Not Expected to Be Harmful to an Unborn Baby. Do Not Use Cialis Without Telling Your Doctor If You Are Pregnant or Plan to Become Pregnant During Treatment.
  • Although Cialis Is Not for Use in Women, It Is Not Known If Cialis Passes into Breast Milk or If It Could Harm a Nursing Baby. Do Not Use This Medication Without Telling Your Doctor If You Are Breast-Feeding a Baby.
  • You May Need a Lower Dose of This Medication If You Are Older Than 65. Follow Your Doctor’s Instructions.

How Should I Take Cialis?

  • Take Each Dose with a Full Glass of Water.
  • Avoid Taking High-Fat Food Before Taking Viagra as It May Cause the Medicine to Take More Time to Start Working.
  • Cialis Is Usually Taken Only When Needed, 30 – 60 Minutes Before Sexual Activity. The Medication Can Help Achieve an Erection When Sexual Stimulation Occurs. an Erection Will Not Occur Just by Taking a Pill.
  • Do Not Take Cialis More Than Once a Day. Allow 24 Hours to Pass Between Doses.
  • Store This Medication at Room Temperature Away from Moisture and Heat.

What Happens If I Miss a Dose?

Since Cialis Is Used as Needed, You Are Not Likely to Be on a Dosing Schedule.

What Happens If I Overdose?

  • Seek Emergency Medical Attention If You Think You Have Used Too Much of This Medicine.
  • Symptoms of a Cialis Overdose May Include Chest Pain, Nausea, Irregular Heartbeat, and Feeling Light-Headed or Fainting.

What Should I Avoid While Taking Cialis?

  • Avoid Drinking Alcohol, Which Can Increase Some of the Side Effects of Cialis.
  • Grapefruit and Grapefruit Juice May Interact with Cialis. Discuss the Use of Grapefruit Products with Your Doctor. Do Not Increase or Decrease the Amount of Grapefruit Products in Your Diet Without First Talking to Your Doctor.
  • Do Not Use Any Other Drug to Treat Impotence, Such as Alprostadil (Caverject, Muse, Edex) or Yohimbine (Yocon, Yodoxin, Others), Unless Your Doctor Tells You To.

What Are the Possible Side Effects of Cialis?

  • If You Become Dizzy or Nauseated, or Have Pain, Numbness, or Tingling in Your Chest, Arms, Neck, or Jaw During Sexual Activity, Stop and Call Your Doctor Right Away. You Could Be Having a Serious Side Effect of Cialis.
  • Stop Using Cialis and Get Emergency Medical Help If You Have Sudden Vision Loss.
  • Get Emergency Medical Help If You Have Any of These Signs of an Allergic Reaction: Hives; Difficulty Breathing; Swelling of Your Face, Lips, Tongue, or Throat.
  • Stop Using Cialis and Call Your Doctor at Once If You Have Any of These Serious Side Effects:
    • Chest Pain or Heavy Feeling, Pain Spreading to the Arm or Shoulder, Nausea, Sweating, General Ill Feeling;
    • Irregular Heartbeat;
    • Swelling in Your Hands, Ankles, or Feet;
    • Shortness of Breath;
    • Vision Changes;
    • Feeling Light-Headed, Fainting; or
    • Penis Erection That Is Painful or Lasts 4 Hours or Longer.
  • Continue Taking Cialis and Talk with Your Doctor If You Have Any of These Less Serious Side Effects:
    • Warmth or Redness in Your Face, Neck, or Chest;
    • Stuffy Nose;
    • Headache;
    • Upset Stomach; or
    • Back Pain.
  • Side Effects Other Than Those Listed Here May Also Occur. Talk to Your Doctor About Any Side Effect That Seems Unusual or That Is Especially Bothersome.

What Drug(s) May Interact with Cialis?

Do Not Take Cialis If You Are Taking the Following Medications:

  • Nitroglycerin-Type Drugs for the Heart or Chest Pain Such as Amyl Nitrite, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Even If These Are Only Taken Occasionally

Cialis May Also Interact with the Following Medications:

  • Alpha Blockers, Such as Alfuzosin (Uroxatral®), Doxazosin (Cardura®), Prazosin (Minipress®), or Terazosin (Hytrin®), Used to Treat High Blood Pressure or an Enlarged Prostate.
  • Bosentan
  • Certain Antibiotics Such as Clarithromycin, Erythromycin, Troleandomycin
  • Certain Drugs Used for Seizures Such as Carbamazepine, Phenytoin, and Phenobarbital
  • Cimetidine
  • Cisapride
  • Diltiazem
  • Grapefruit Juice
  • Medicines for Fungal Infections (Fluconazole, Itraconazole, Ketoconazole, Voriconazole)
  • Mibefradil
  • Nicardipine
  • Certain Medicines for the Treatment of Hiv Infection or Aids
  • Quinidine
  • Rifabutin, Rifampin or Rifapentine
  • Some Drugs for Treating Depression, Anxiety or Other Mood Problems (Examples: Fluoxetine, Fluvoxamine, Nefazodone)
  • Verapamil

What Is the Shelf Life of the Pills?

the Expiry Date Is Mentioned on Each Blister. It Is Different for Different Batches. The Shelf Life Is 2 Years from the Date of Manufacture and Would Differ from Batch to Batch Depending on When They Were Manufactured.

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Furthermore, you will always be happy in the knowledge that the shelf life on your Kratom increases tenfold with the new product being delivered in pill form. how to take kratom powder reddit The encapsulation process acts as a perfect shield and so the powder does not come into contact with any external factors that can degenerate the kratom i.e. direct sunlight and name a few. Opting for the capsules will help keep your purchase well preserved and perfectly potent, what more can you ask for!

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An easy Guide To Online Football Betting

Football is one of the most followed sports events by fans and bettors alike. Plenty of wagers are riding on all of the football games. Football wagering has now become แทงบอล even more popular because it is now available online. Today, you can engage in football wagering likelihood just by connecting to the internet. Online Football Betting likelihood has made it a lot easier to make your football wagers for any game or event.

Some people are still hesitant about trying Online Football Betting because they fear that it is complicated. Some people also worry that online football likelihood is not secure. These are all merely misconceptions because online football likelihood is actually very simple and it is very secure as long as you follow the principles. You can win a lot of money and have a really great time placing your football bet online.

The first step to online football likelihood is to join up with an online bookmaker. You do not just sign up with the first bookmaker that you find on the internet. You have to make sure that it is a reliable one and one way to tell is by determining whether the online football likelihood website has been doing operation for a long time. Scam websites often do not last for a long time so if the online bookmaker has been doing business for several years now then it is reliable and legitimate.

Your security should also be your priority in online football likelihood. You must make sure that your online bookmaker understands the value of your security. The moderators of your online football likelihood website must in no way reveal your personal information to other parties. Your personal information as well as credit card details must remain secret at all times to maintain your security.

After creating your take into account the online Football Likelihood, it does not mean that you should stop there. You must also put in the effort to assemble information that can help you flourish in your football wagering likelihood. You must constantly update yourself on the latest news and extremely important info about the teams you are wagering on. The depth of your knowledge about most, if not all, of the important football teams will serve as your guide in making wise decisions on your football wagering. Information pertaining to news about injured players on the football teams as well as the game venues helps determine the overall performance of the teams.

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Small Footprints, Big Journeys – Buddhist Novices Removing the Stigma of HIV in Northern Thailand

One hundred and nine kilometers northwest of Chiangmai, perched on this side of the border between Thailand and what is officially called Myanmar, formerly known (And still called by many) as Burma, lies the district of Wiang Haeng, within which is a collection of small villages not on the typical tourist route. Getting there, I drove from Changmai out across a verdant sea of rice fields then up and down the nearly vertical mountains that rise majestically from the plains. I was on a journey to learn more about a remarkable group of young Buddhist novices and nains, the latter being young children to young adults. The age for being ordained a Thai monk is twenty. In July, this group of young devoted men won a collective UNAID Red Ribbon Award at the AIDS 2010 Ceremony in Vienna, Austria for their exceptional community service.

Like the majority of the people in this area, most of these young Buddhists have come from the Shan State, which lies across the border from Wiang Haeng. The history of the Shan, a Tai ethnic group, is extremely complicated and their political relationships with neighboring groups are even more convoluted. In 2001, border conflicts erupted between the Shan and the Wa. The Wa people have agreed to trade their autonomy for support from the militaristic regime of the Union of Myanmar and are being used by the junta to help de-stabilize the Shan State through encroachment on Shan territories. A primary goal of the Myanmar junta is to eliminate the Shan State, both culturally and politically and they have been ruthless in their methods.

During the conflicts between the Shan and the WA, the Myanmar army moved in swiftly, destroying village after village. Families were torn apart, and in many cases, children witnessed their parents being tortured and murdered and their mothers being raped by army soldiers. Thousands managed to escape across the border into Thailand where they remain. However, even today, many are not afforded official refugee status, but are simply stateless people struggling in poverty.

I visited Phratyhat Wat Fa Wiang In, a temple that had once been completely on Thai soil, but now is severed in half by new boundaries as a result of the 2001 conflict. Separated by only several hundred feet, across a pastoral gully planted with fruit trees and deadly land mines, we stared at what used to be dormitories for Thai monks; now they are used as barracks for the Myanmar army. On the Thai side the temple was filled with young nains and a few novices busily sweeping up leaves near the main chedi. We spoke with a Shan monk who had secretly crossed back into Burma with a camera hidden beneath his robs. For weeks he traveled his country, copying old Shan photographs and documents that had been hidden from the junta. Had he been caught, the consequences would have been certain imprisonment or death. Another group of older novices were busy with whatever primitive tools they could find remodeling an old temple building in which to house this collection of historical artifacts. It will be a museum to help preserve the culture of the Shan people.

The results of this devastating conflict brought numerous and immediate problems. A huge gateway was created for the smuggling of methamphetamine pills, known as yaba. This year alone, 400,000 pills were confiscated in only one seizure. It is rumored that corrupt groups within the WA State Army of Myanmar bring in most of the illegal drugs. Like the world over, populations who struggle in abject poverty, hopelessness, and desperation are prey to these crippling drugs. The intensity of delivery and increasing addictive strength of the drug continue to grow, supplying an endless demand. Equally devastating are the social scars from the sex-trade industry. Some girls and young women are sold as sex slaves, smuggled into Thai brothels while some, both women and young men, volunteer out of desperation to help support their families. It’s all too obvious what lies on the other side of these unfortunate equations-a dangerous and demoralizing rise in the HIV/AIDS epidemic and drug addiction.

In his re-adaptation of the “Tibetan Wheel of Dependent Origination” to the problems of HIV/AIDS, Buddhist, teacher and humanitarian, Lawrence Maund articulates the chain of events that originate out of ignorance. There follows fear, then discrimination and segregation. This path of darkness leads to unemployment, loss of income, financial worries, stress and anxiety, depression, hopelessness and withdrawal. The end result is we neglect our mental and physical health, falling into sickness, despair and, finally, death

Under the guidance of senior monk and educator, Phra Thanee, these are the problems being tackled by the novices and nains. From various temples throughout the area they have come to a center they call Pleekawiwek (a place of peaceful solitude, suitable for meditation). Their purpose is to learn everything they can about the affects on their communities from HIV/AIDS and drug addiction and the positive ways they can disseminate that learning back into the villages. What is of primary concern is to eliminate the stigma of HIV/AIDS that has, through ignorance, attached itself to the minds of the people, for those who carry the virus and those who do not; everyone is affected.

This understanding and teaching is not relegated to only these problems. What has grown from this benevolence is an action holistic in its approach and from which the seeds of hope and recourse are planted – the development and use of organic fertilizers and organic pesticide. They also teach the people how to make inexpensive mud-brick houses for themselves and they instruct villagers on the positive elements of life skills. A small group of energetic spirits are dedicating their lives to make a difference for those in need.

Pleekawiwek is indeed a quiet, peaceful place yet charged with energy from these young Buddhists who move quietly and with utter conviction, changing the world, step by step. It is a small footprint, but a compelling journey with big rewards. In the pulse of their hearts, their actions move on the river of Buddhist thought, “Neither fire nor wind, birth nor death can erase our good deeds.”

We are now living in a time of much distress throughout the world in which the creative richness of individual spirits is being smothered by a dark cloud of capitalism and corporatism. We are suffocating from consumerism and greed. The illness cannot be healed from the large to the small, but only from the small to the large. As the Italian artist Modigliani said, “Life is a gift, from the few to the many, from those who know and have to those who do not know and do not have.”

I believe the spirit of Pleekawiwek is this kind of extraordinary gift, from the few to the many through which we can begin to heal from the loss of something found neither in governments nor religions but in irreducible, natural, positive goodness given to us from this earth.

Galen Garwood is a painter, filmmaker, writer and photographer. He currently lives in Northern Thailand, within the pulse of Buddhism. He invites you to share his thoughts on all aspects of the creative spirit, the human condition; our relationship to one another, to other creatures, and to this planet we call home. You can visit him at umzugsservice wien

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