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Blue Pills (viagra) – Eligibility, Precautions And Side Effects

Consisting of the active ingredient sildenafil citrate, Viagra is one of the most popular and effective oral prescription medications used in the treatment of erectile dysfunction in men. Erectile dysfunction is commonly known as impotence and is characterized by a complete, partial or inconsistent inability to achieve or retain an erection that is good enough for satisfactory sexual intercourse. Before taking Viagra, you should be aware of few very important information about Viagra like eligibility to take Viagra, precautions and side effects.

Conditions to get a Viagra prescription

Since Viagra is a prescription medication, it cannot be used for recreational purposes and can only be prescribed for the treatment of erectile dysfunction.
It is not recommended for those below the age of 18 or for those who are allergic to sildenafil or any of the other ingredients in Viagra.
You should not take Viagra or any other erectile dysfunction medication if you have been advised to abstain from sexual activity due to medical reasons.
You cannot get a Viagra prescription if you suffer from serious health conditions such as heart disease or irregular heartbeat; stroke; congestive heart failure; low or high blood pressure; coronary artery disease; kidney or liver disease; blood cell disorders such as multiple myeloma, sickle cell anaemia or leukaemia; bleeding disorders such as Haemophilia; stomach ulcers; penile deformities such as Peyronies disease and vision problems such as retinitis pigmentosa.
Men older than 65 may be prescribed the lowest dose of this medication.
If you have been prescribed protease inhibitors for treating HIV, your doctor may limit you to a 25mg dose in a period of 48 hours.
A lower dose may be prescribed if you take alpha blockers for the treatment of high blood pressure or prostate problems.
Avoid Viagra if you currently take nitrate medications for angina or chest pain.
Viagra is not licensed for women or for those below the age of 18 years.

Precautions for Viagra usage

Do not take Viagra or any other prescription impotence medications without consulting your doctor first.
Do not adjust your Viagra dosage without your doctors recommendation.
Consult your healthcare provider if you have conditions such as blood vessel disease or heart disease; liver disease or liver failure; history of stroke, heart disease or arrhythmia; history of priapism (prolonged and painful erections) and allergies of any kind.
It is essential to provide a complete list of all the prescription or non-prescription medications you take, including herbal supplements or tonics. This will help to avoid potential drug interactions.

Common, less common and rare side effects of Viagra
The effects of Viagra have been extensively studied and documented in a number of clinical trials. Some of the minor and commonly experienced side effects of Viagra include:

Headache
Facial flushing
Nasal congestion
Dyspepsia or indigestion
Vision problems
Diarrhoea
Dizziness or fainting spells
Back and joint pain
Respiratory tract infections
Rashes
Symptoms of influenza

Some of less common but more serious side effects of Viagra include:

llergic reactions
Severe migraine
Congestive heart failure
Temporary loss of vision or hearing
Angina pectoris
Anaemia
Dry mouth syndrome
gout

This is not an exhaustive list of Viagra side effects. You need to consult your doctor or pharmacist for a more detailed one.

Stress- Can It Really Cause Heart Disease

Stress- were all aware of the feeling- overburdened, overwhelmed, and at times ready to pull our hair out. Yet, can it really be damaging physically? Can it lead to heart trouble?

A recent heart patient illustrates this question. John, a middle-aged man with a ruddy complexion and large eyes, had been admitted to the hospital on my cardiology practice because of terrible pains that gripped his chest. The pain was in fact a heart attack, quite a large one.

Oddly, he possessed no real risk factors for heart disease. He didn’t smoke, have high blood pressure, or admit to a family history of heart disease. Even his cholesterol was normal.

After taking a detailed history, the only thing I could come up with as a cause of his heart attack was stress. His dog, the only real thing in life he cherished, had recently died. He wasn’t married, and didn’t have children. Even his parents were gone. His pet golden retriever had recently been hit by a car.

His grief following the loss was so encompassing, so burdensome that it had created an anvil like weight across his chest. When the pain became unbearable he’d scurried to the Emergency Department.

Is it possible that stress alone- in this case overwhelming grief, can cause actual heart disease?

All of us are familiar with the stress of modern day living. With both adults frequently working, the typical American family must juggle shopping, work, kid’s activities, and a host of other essential tasks. It isn’t unusual to rise early, perform under pressure for long hours at work and then come home to face even more duties.

The constant and seemingly endless hectic pace can numb the body and the mind. Such stress is all too familiar, but can it actually lead to illness? Can it truly be bad for your heart?

A publication in the British Medical Journal has given undeniable proof that stress is indeed harmful to our heart health. They followed hundreds of research participants for up to seven years and found that people who had subjective feelings of being “over burdened” at work, or performed repetitive activities with no chance for advancement- these people developed nearly three times the heart disease as people who didn’t have this type of stress.

They also found that the chances of suffering a life ending heart attack were also 2-3 times higher.

So what can we do about the feeling of being, “overwhelmed,” or “not being able to take it any more?” Is there hope for hearts that are crying?

The answer is “Yes.” You don’t have to become a medical statistic and suffer a heart attack because of stress.

The first step for avoiding this tragedy is to acknowledge your troublesome feelings. Recognize that you are exhausted or have difficulty.

Next, seek help. One of the reasons I’ve created this web site is to provide a resource for who people with psychological and emotional difficulties.

Herbal Treatment For Heart Disease

Herbal treatment for heart disease is not a new concept. People have been using herbs for hundreds of years to treat many chronic diseases, including the cardiovascular ones. Herbs were used to prevent and treat almost every disease long before the advent of modern medicine. Because of the rapidly growing popularity of allopathic medicine, many people today don”t even know if herbs can be very effective in treating even the otherwise incurable diseases. The best thing about herbal medicines is that they have very little or no side effects. But, it is still wise to know the right way to use herbs so that all the possibility (if any) of side effects could be ruled out.

Herbs That Are Rich In Anti-Oxidants
When it comes to herbal treatment for heart disease, herbs and other substances that are rich in anti-oxidants can be very helpful. Both contemporary western medicine as well as alternative medicine approves the tremendous health benefits of such herbs. However, there can also be several other sources for anti-oxidants, such as tea.

Pomegranate Juice
According to the latest research and studies done by People’s Pharmacy, modern science now recommends pomegranate juice as a wonderful remedy for cardiovascular treatment. Therefore, make sure that you drink 2-3 glasses of pomegranate juices everyday.

Fish Oils
If you are suffering from rhythmic disturbance heart disease, you are recommended to consume fish oils. In this type of cardiovascular condition, you may experience an array of things, such as palpitation, flutter, and fibrillation. Fish oil can be very beneficial in regulating heart rhythms naturally. Therefore, by including it in your diet plan, you can substantially reduce the risk of heart failure.

Herbs With Vitamin E
Herbs with Vitamin E can also be a very effective herbal treatment for heart disease. Such herbs are particularly more beneficial in conditions where cardiac problems include inflammation of the muscles. Because of the anti-inflammatory effects of Vitamin E, such herbs can work well in this type of heart disease.

Herbs To Control Cholesterol Level
There are also numerous herbs that can contribute to controlling cholesterol level. High cholesterol level is the biggest risk factor that can lead to cardiac disease. Therefore, it is very important for you to know how to maintain cholesterol to a healthy level. Some natural ingredients that you will find very useful for this purpose include grape seed extract, substances containing vitamin B group, soy, and garlic. All these herbal substances have great cholesterol fighting properties.

However, the herbal treatment for heart disease can be helpful only if you incorporate the treatment programs with good healthy lifestyle changes. For example, if you smoke, you must quit smoking now. Besides that, you must also follow proper diet and exercise plans. Most importantly, even herbal remedies must be practiced under the guidance of an expert doctor.

Seven Safe Steps To Avoid Heart Disease

You have already heard the term you are what you eat. It’s been around forever. It’s also common knowledge that eating certain foods increases your risk for heart disease. But despite that fact we continue to consume more and more foods that we know is bad for us. This is often because changing your eating habits is one of the hardest lifestyle changes you can make. Or so it seems. But take it from me, someone who has 31 years of unhealthy eating attached to my name and frame, there are things you can do to make a change and turn back the hands of time. In this article you’ll find eight different ways you can make a change and lower your risks for heart disease.

Meal Planning

When you are planning a meal, or a snack, remember the heart healthy meal plate released by Harvard’s School of Public Health. When you’re choosing the foods make sure to portion your plate with mostly vegetables, then fruit, then whole grains, and finally a source of low fat low sodium protein. An important thing to do when planning is add some variety to your food choices. Don’t get hung up on a certain food for too long or you’ll risk burning yourself out. Plus changing up the menu often makes sure your body gets the necessary nutrients on top of spicing up your meals!

Portion Sizes

You always need to watch what you eat. But you also need to watch how much you eat. Filling that plate up, or going for seconds, and especially eating until you feel so stuffed your about to bust is awful for you. It HAS to be stopped! When you eat like that you are taking in way to many calories, carbs, fat, and cholesterol than you should. This WILL lead to you becoming overweight and worse it can lead to numerous diseases such as heart attacks and possibly strokes. So make sure to keep an eye on the number of servings you eat as well as the sizes of those servings.

Scale Back On Sodium

Sodium can cause high blood pressure which causes you to face the risk of heart disease. So scaling back on the amount of sodium you intake is part of a heart conscious diet. In fact a healthy adult shouldn’t take in more than 2,300 milligrams of sodium per day. So walk into your kitchen and look down at the teaspoon. 2,300 milligrams is about as big as a teaspoon. But we’re not talking just table salt. Remember that every food you eat already has a certain amount of natural sodium in it. So check the nutritional labels before you go adding salt to a dish. Another important fact is if you are over 51, an African-American, or have been diagnosed with high blood pressure, diabetes, or chronic kidney disease your sodium intake should me 1,500 milligrams of sodium or less per day! A great way to reduce the amount of sodium you intake though is just to stop adding salt to meals. Once you do that you should also consider eating only fresh foods. These usually have way less sodium than canned or processed foods. But if you’re like me and just need the easy route sometimes because of a hectic schedule make sure to get them with reduced sodium.

Eat Only Whole Grains.

Whole grains are the greatest source of fiber and other required nutrients. These nutrients help regulate blood pressure, lower cholesterol, and promote good heart health. So forget the refined grains such as white bread and go for whole grains only. Eating these whole grains instead of refined grains substantially lowers total cholesterol, LDL, triglycerides, insulin levels, offers modest protection against colorectal cancer, prevents diverticular disease, and it also helps lower the risk of developing type 2 diabetes. So make sure to include whole grains as a part of every meal!

Eat Your Fruits and Vegetables.

Fruits and veggies are a major staple of every balanced diet. This is because they are great sources of vitamins, minerals, fiber, and they also make a great low calorie low carbohydrate snack. As such they are one of the best ways to eat healthy and lower your risk for heart disease. A holdup for some people is figuring out how they can add these fruits and veggies into their diets. Well for snacks that’s easy. Find some things you like and eat it. I tend to snack on broccoli, carrots, or celery with a small dribble of hidden valley ranch dressing or even some fresh cut cucumbers. These snacks are much better for you then meat, or cheese, or chips and a soda. For a meal I would typically eat some fruit for breakfast, a salad for lunch, and green beans, or broccoli and cheese, or a side salad, or even grilled red peppers, green peppers, and onions. It all depends on the rest of the meal. For fruits I’m not very picky. There are plenty of fresh fruits I enjoy such as apples, oranges, bananas, grapes, strawberries, peaches, grapefruit, lemons, limes, and much more. Just take a stop in your local produce section or your local farmers market and you’ll be able to easily spice up your meals while lowering your risk of heart problems!

Choose Protein That’s Good For You.

The best sources of protein are the leaner meats. Fish, Shellfish, Chicken, Pork Tenderloin, and similar meats are going to be your best sources of protein. When choosing protein it’s all about going as low fat as possible. Such as eating a grilled skinless chicken breast over the country fried steak. For me I tend to gravitate towards seafood as my main source of protein. The oceans and rivers are endless in providing us with great tasting sources of healthy protein. The best thing about fish is that they are super heart healthy. Fish and seafood from colder deep sea’s water are the highest in omega-3 fatty acids. These acids help protect against many diseases such as; Alzheimer’s, cancers, arthritis, high blood pressure, inflammations, depression, strokes, and heart disease. So make sure to include some seafood in your diet plan at least twice per week. Some seafood I tend to eat is shrimp, crab, crawfish, scallops, mussels, tilapia, salmon, and even canned light tuna.

Watch the Fat and Cholesterol

This is the last section but definitely not the least! Out of all the changes you can make this is probably the most important section when it comes to lowering your risk for heart attacks and heart disease. High cholesterol will lead to plaque building up in your arteries which is what causes you to have a heart attack or stroke. To reduce this risk it’s important to limit the amount of fats and cholesterol included in your diet. The best way to do that is cut out the lard. Cut the butter, the margarine, and the shortening out of the food you cook. Start to trim the fat off of all the meat you get. Watch your sugar intake by using natural low sugar jellies and jams instead of the others. That also means trying to cut the cookies and cakes, the snack foods, and mostly everything that’s high in saturated fat, trans fat, and cholesterol. If you have to use some sort of fat for cooking make sure to use canola oil, extra virgin olive oil, or even a nut or seed oil. If you start to adjust your diet around these principals you’ll be on your way to a heart healthy diet!

Higher Diabetes Incidence In Southeast United States

Dr. Munsif reported that the incidence of diabetes is higher in the South when compared to states in the Northwest. Among other states with low incidence of diabetes is Vermont. Incidence in these states was 10 to 12 cases per 1000 when compared to 4 to 6 cases in the Northwest. Similar data was reported for obesity and physical inactivity.
Regional imbalances in incidence of diabetes have been reported. Regions of the country with higher incidence of diabetes signifies existence of environmental factors which trigger such higher numbers.
Diabetes is a major public health problem in the United States and the world.
There are 23 million people (7.9% of total population)who suffer from diabetes in North America and 194 million (5.1% of total population) in the world.
Distinction between incidence and prevalence of a disease
Incidence of a disease is defined as the occurrance of new cases of a disease over period of one year in a given population per 1,000 population. This is different from prevalence of a disease, which refers to all cases of a disease (old and new cases).
Regional imbalances in incidence of diabetes
In the United States, the states with higher incidence of diabetes (10.8 to 12.8 per 1000 population) include not only the states in the south (Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee and West Virginia), but also Texas and Arizona and Puerto Rico. States with lower incidence (5.0 to 7.6 per 1,000 population are not only in the northwest (Montana, North Dakota, South Dakota and Wisconsin) but also Colorado, Ohio, Oregon and Vermont, with Vemont with the lowest incidence of 5 cases per 1,000 population. Virginia has lower incidence of diabetes, although it is surrounded by states with much higher incidence.
Modifiable risk factors for diabetes and correlation of prevalence of obesity and physical inactivity with geography
The South also has higher incidence of the modifiable risk factors for type 2 diabetes, viz. obesity and physical inactivity. The prevalence of obesity is greatest in the south (27.3%) and least in the northwest (23.1%). The Midwest (25.5%) and Northeast are in the middle with regard to prevalence of diabetes. Therefore, the higher incidence of diabetes in the south is not surprising. Obesity prevalence exceeded 30% in three southern states: Alabama, Mississippi, and Tennessee.
The South had greater prevalence of physical inactivity (17.4%), compared with the Northeast (15.7%), Midwest (14.1%), and West (11.2%).
Conclusions
Diabetes statistics reveal regional imbalances. The causes of these regional imbalances (primarily higher incidence in the south) are not known. However, an inference ccan be made from statistics which reveal higher incidence of modifiable risk factors for diabetes (obesity and physical inactivity) in the same geographical area. Copyright (c) 2009 A. N. Munsif.
1. Diabetes mellitus handbook, Morristown Publishing Company, P.O. Box 672, Livingston, New Jersey 07039, 2009.
2. Centers for Disease Control (CDC),MMWR 2008; 57(43);1169-1173 (http://cdc.gov).
3. Geiss LS, Pan L, Cadwell B, Gregg EW, Benjamin SM, Engelgau MM. Changes in incidence of diabetes in U.S. adults, 1997–2003. Am J Prev Med 2006;30:371-7 (http://www.ajpm-online.net/).
4. CDC. State-specific prevalence of obesity among adults—United States, 2007. MMWR 2008;57:7658 (http://www.cdc.gov/mmwr/).
5. Knowler WC, Barrett-Conner E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention. N Engl J Med 2002;346:393-403 (http://content.nejm.org/).
6. United Nations – Department for Economic and Social Information – Population Division. World urbanization prospects: the 1994 revision. Estimates and projections of urban and rural populations and of urban agglomerations. United Nations, New York, 1995. (http://www.un.org/esa/population/publications/wup2007/2007wup.htm).
Reference URLs:
1. Diabetes Mellitus Handbook – Morristown Publishing Company, P.O. Box 672, Livingston, New Jersey 07039.
2. Centers for Disease Control – Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333, U.S.A.
KEYWORDS
Diabetes, Incidence, Prevalence, Obesity, Risk factors
Description
Dr. Munsif reported that incidence of diabetes is higher in the southern states of the United States when compared to states in the Northwest. Among other states with low incidence of diabetes is Vermont. Incidence in these states was 10 to 12 cases per 1000 when compared to 4 to 6 cases in the northwest. Similar data was reported for obesity.