A few weeks ago, I was interviewed by a German TV channel which wanted to show that taking over the counter drugs was a dangerous practice, and had gone to great pains to do some secret filming in Thai suburban pharmacies (of which there are numerous).
The drug they wished to highlight was our old friend (or probably better described as the “friend of the old”), the blue diamonds. They had chosen Thailand because so many blue diamonds were being taken here, and they wanted to show the disastrous side effects from taking the fake pills.
During the course of the interview I pointed out that Germany has its own very well known red light areas, so they could save money on plane fares and get the blue diamond statistics much closer to home. I also pointed out that we were not inundated with octogenarians with heart failure and loaded condoms, and “over the counter” (OTC) drugs could be found all over the world, and not just here.
It might come as no surprise to those who have an inkling of television “news” that they cut my interview out of the feature. Do not forget the journalist’s creed – “Never let the truth stand in the way of a good story”!
So back to counterfeit blue diamonds, how do you find out that yours are real or otherwise? Every day I receive Spam, offering me the opportunity to keep a battalion of beauties satisfied. These are the internet email offers of cut-price drugs that will keep me in a state of perpetual priapism, a continuing (and painful) male erection and the term was coined after the Greek god Priapus who is shown in paintings to have a central member like a third leg.
Offers like these which are too good to be true, are usually just that – too good to be true! These cut-price drugs are not the real deal. The chances are very high that they are counterfeit.
One of the patients showed me a box purporting to be genuine brand name Cialis tablets, which were not having the desired effect. I was immediately suspicious as the box was not all that well printed. I was quite sure they were counterfeit when I read the Patient Information slip (the printed sheet that you don’t read). The English grammar was incorrect, and there were spelling mistakes. Eli Lilly, the ‘real’ manufacturer does not send out mis-spelled literature with their product. How real is the threat of counterfeit drugs? The World Health Organization estimates that one in three drugs on the worldwide market today is counterfeit. One in three!
Pfizer’s laboratories analyze fakes and stated, “We’ve seen boric acid, heavy metals, road paint, floor wax to coat the pills and give them a shine.”This is actually a serious situation. If specific drugs are only available through pharmacies, on the prescription of a doctor, is it safe to just buy over the internet (or counter), without any doctor’s advice?
According to WHO, drugs commonly counterfeited include antibiotics, antimalarials, hormones and steroids. Increasingly, anticancer and antiviral drugs are also faked. And you can add to that, the ‘blue diamonds’. Get your medications on a doctor’s prescription. There is a reason for it.
I do know that many of our patients complain that my hospital’s pharmacy is expensive, but that is the price of guaranteeing that your medications are not the WHO’s one in three fake medications in our pharmacy! We may be more expensive, but the medication is the real deal!
Previously published in the Pattaya Mail.
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Cialis Tablets
Cialis, also known by its generic name Tadalafil, is a medication primarily used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, facilitating a stronger and longer-lasting erection during sexual activity. It is available in various forms, including tablets, oral jelly, and topical gel formulations. When taken as directed by your healthcare provider, Cialis can provide lasting and effective results.
How Does Cialis Work?
Cialis, known by its generic name Tadalafil, works by increasing blood flow to the penis, enabling a stronger and longer-lasting erection during sexual activity. Always follow the prescribed dosage and duration as advised by your healthcare provider to achieve optimal results.
What to Expect from Cialis Tablets
Cialis Tablets offer a convenient and discreet option for those looking to enhance their sexual experiences. Unlike traditional oral medications, Cialis is a prescription-only medication, making it easy to take without a doctor's guidance. The medication works by increasing blood flow to the penis, facilitating a stronger and longer-lasting erection during sexual activity. The medication can also be taken with or without food, making it a more accessible option for those who find it difficult to swallow pills. With its fast-acting formula, Cialis is absorbed quickly into the bloodstream, allowing for more spontaneity in sexual encounters. Its smooth, long-lasting effects provide a more enjoyable experience, making it an essential addition to any intimate moments.
How to Take Cialis Tablets
It's crucial to follow your healthcare provider's instructions for using Cialis. The tablets typically come in strengths of 2.5mg and 5mg, which can be adjusted based on your individual needs and response. It is recommended to take one tablet approximately 15 to 30 minutes before anticipated sexual activity. The recommended starting dose is 2.5mg, taken about 30 minutes to 1 hour before anticipated sexual activity. It is important to note that the duration of action may vary depending on the individual's response and any adverse effects. While Cialis is typically taken orally, it is advisable to take it at the same time every day to maintain consistency. Always follow your healthcare provider's instructions regarding dosage and timing of use.
Dosage and How It Works
Cialis, also known as Tadalafil, is an oral medication used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, facilitating an erection when sexually aroused.
Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
Read more about Cialis at atRead more about Cialis at CaoTCialis is a prescription medication that belongs to a class of drugs called phosphodiesterase type 5 inhibitors. CaoTCialis is used to treat pulmonary hypertension, where the blood vessels in the lungs are weak and narrow, or to prevent angina from causing heart pain. This condition causes heart attacks, strokes, and certain types of chest pain. The active ingredient in CaoTCialis is called Cialis.Cialis can also be used to treat erectile dysfunction in men. This condition causes the penis to shaft, which can cause erections. In some cases, men taking Cialis have also experienced sexual dysfunction, such as decreased libido, erectile dysfunction, or problems with ejaculation. CaoTCialis can also be used to treat pulmonary arterial hypertension, where the blood vessels in the lungs are constricted. This condition causes the heart to pump blood more strongly, causing it toptoms such as chest pain, dizziness, and fainting.
Before taking CaoTCialis, inform your doctor of your medical history, especially if you have heart disease, high blood pressure, liver disease, kidney disease, asthma, or trouble breathing. This medication can interact with medications such as nitrates used to treat angina, alpha-blockers used to treat erectile dysfunction, or other medicines you may be taking. As with all prescription medications, inform your doctor of any medications you are currently taking.
As with all prescription medications, be sure to consult with your doctor before starting or stopping any medication, including CaoTCialis. This medication can cause a dangerous drop in blood pressure, leading to dizziness, fainting, or heart attack or stroke. CaoTCialis should not be taken if you are currently taking nitrates used to treat angina or alpha-blockers used to treat erectile dysfunction.
As with all prescription medications, be sure to inform your doctor of any medical conditions you are managing before starting CaoTCialis. CaoTCialis can interact with medications, causing potentially serious adverse reactions.
As with all prescription medications, be sure to inform your doctor of any medication you are currently taking. CaoTCialis can also interact with nitrates used to treat angina or alpha-blockers used to treat erectile dysfunction.
Cialisis a popular medication that has been widely prescribed to help men manage erectile dysfunction (ED) and promote overall sexual health. Unlike traditional prescription medications that only require a prescription, Cialis offers a fast-acting solution that can be taken without the need for a doctor’s visit.
Unlike some other ED drugs, Cialis is not meant for immediate use, as it is specifically designed for those who need to maintain an erection for extended periods of time. This makes it a more accessible option for those who cannot take it without a doctor’s prescription.
Cialis is designed to be taken by men who have trouble getting an erection, such as those with prostate conditions or those with low libido issues. It works by increasing blood flow to the penis, which can lead to improved sexual performance and satisfaction.
While Cialis offers a fast-acting solution for men who cannot take the traditional prescription medication, it can also be prescribed by a doctor who is knowledgeable about the risks and benefits of the drug. It is important to note that Cialis is not a cure for erectile dysfunction, and it is only designed for men with underlying health conditions. The use of Cialis is not meant to replace other medications, such as Viagra, which are commonly used to treat ED.
Cialis and Viagra are two popular ED medications available at a fraction of the cost, but they both contain the same active ingredient, tadalafil, which works by increasing blood flow to the penis. Unlike other prescription ED drugs, Cialis is designed for those who cannot take the traditional drug or need a prescription. It is important to note that Cialis is not intended for immediate use, as it is designed for those who need to maintain an erection for extended periods of time.
Cialis, however, does not have the same active ingredient, and it has not been shown to be safe for use under the guidance of a doctor. In the case of Cialis, it has been found that its effectiveness is significantly better than its use by men who cannot take the traditional drug, as it is much easier to take and has a lower risk of side effects.
In conclusion, while Cialis is a popular medication for men with erectile dysfunction, it is not a cure for ED. It is a prescription medication, and it is not intended for immediate use. If you are unsure about the right Cialis dosage, it is important to consult with a healthcare professional before starting any new medication.
Cialis:It is important to note that Cialis is not intended for immediate use, as it is designed for men who cannot take the traditional drug or need a prescription. The drug is designed for men with underlying health conditions, such as heart disease, liver problems, or those who have a history of premature ejaculation.
Cialis is not meant for immediate use, as it is designed for men who need to maintain an erection for extended periods of time. It is only intended for those who need to maintain an erection for extended periods of time. It is a prescription medication, and it is only designed for men who need to maintain an erection for extended periods of time.
While Cialis and Viagra are both prescribed medications for treating erectile dysfunction, they all contain the same active ingredient, tadalafil, which works by increasing blood flow to the penis. As such, they both contain the same risk of side effects, such as a decrease in sexual desire and erectile dysfunction. While Cialis is designed for men who need to maintain an erection for extended periods of time, it is not intended for immediate use. It is important to note that Cialis is not intended for use by men who have underlying health conditions, such as heart disease, liver disease, or those who have a history of premature ejaculation.