Maloney Medical Support

In Search Of A Reliable Pharmacy: Where To Buy Drugs?

Online drug stores are becoming more and more popular, and numerous Americans are switching to online drug shopping since it’s a simple, productive, and anonymous way to purchase prescription remedies and over-the-counter meds. While numerous online drug stores are superbly fine, there can be issues and risks with some of them, and it is critical to know whether you are purchasing from a reliable company.

Before you purchase from an online drug store, make sure to see if it is an appropriately authorized. A few associations, including the National Association of Boards of Pharmacy (NABP), The United States Food and Drug Administration (FDA), PharmacyChecker, and the Canadian International Pharmacy Association (CIPA) check online medication stores. Every one of these associations has a registry which records the drug stores they have endorsed.

But you can do a little bit of research yourself, too. Let’s find out how to choose a reliable online pharmacy that sells genuine drugs and complies with regulations.

What’s the trick with online pharmacies?

There are various potential issues with online drug stores, but you should keep in mind that there are laws to secure you, there are additional constraints to those laws. However, some untrustworthy organizations manage to find a loom in the law.

The FDA, which controls prescription sedatives in the United States, has no opportunity to screen the security and adequacy of imported items. However, you can always check if the products available in store are approved by FDA. Scan the list of any pharmacy store with the sortiment of FDA-approved drug as a reference, you can go with Borderhealth.org. Since sites can spring up in a day and vanish as fast, little can be done if you get fake medications or if you are scammed.

The major problems with online drug stores are:

They may sell fake meds.
They do not store and transport medications in certain conditions, which might affect the quality of products.
They can send you not what you requested.
They may sell unapproved drugs.
They might sell drugs without a prescription.
They may not protect your personal data.

How to avoid scams and unreliable companies?

It is okay to order medications from an online drug store, however not every single online drug store complies with legitimate rules. There are various things that you ought to think about when looking for an online drug store.

Here’s what you should do:

Check with your medical insurance

If your medicines are secured by your medical coverage organization, consider asking your health insurer for the list of affirmed online drug stores, as payers check drug stores before accepting them as providers. On the off chance that a drug store isn’t affirmed by your insurer that does not always mean that the drug store isn’t legal—it just implies that your insurance agency and the drug store don’t have an agreement with one another.

Make sure that the drug store asks for a prescription

Yes, prescriptions are a nuisance, but if an online drug store allows you to order any drug without a prescription, this is an indication that it isn’t legitimate. On the off chance that the drug store gives the possibility to et a prescription via their own physicians, this is not a legal and safe company.

Too low price tags are suspicious

If you are paying for your prescription medicines yourself, you will need to save money, and it’s a smart idea to shop around. However, if you see a drug store with ridiculously low or high costs, watch out. Better find another place to buy meds.

Ensure the drug store company has a physical location

If a drug store claims to be in the US or Canada, make sure that there is a certain address in one of those countries, because a P.O. box address is an indication that the drug store isn’t located where the name suggests.

Choose a pharmacy you’ve dealt with

Among others, choose the sites of pharmacies that you have seen or visited in real life. This way, you’ll have no doubt that this is a real pharmacy with legal and actual addresses, licenses, landlines, etc.

Check the conditions

It is generally useful to see what and under what conditions a pharmacy offers. Reliable companies will not sell all the drugs remotely, for which there are restrictions and strict regulations. Another sign that should alerted you is a limited assortment that incldies only serious medications and no over-the-counter additives, such as vitamins, medical devices like tonometers and other necessary trifles (ordinary pharmacies make a serious profit on them, and over-the-counter production makes up for 60% profit )

Take a closer look at medications offered

A reliable pharmacy will not offer medications that require special storage or transportation conditions, because it will be problematic to comply with them during delivery. In those, the rule of pre-order with subsequent redemption in a stationary pharmacy usually applies. This is generally the principle that distinguishes a reliable pharmacy from an illegal one, which is not responsible for anything.

How to check pharmacies? Let associations help you

In addition to the above-mentioned recommendations, you can use a few resources to find a real and authorized drug store. You don’t have to inquire at all of these companies, as they often work together.

Interesting to note: most of these organizations do not confirm the reliability of the majority of Net pharmacies.

NABP

The NABP is an expert relationship of the state sheets of the drug store, which are in charge of approving drug specialists and drug stores in the U.S. The NABP has two projects to help you. These incorporate the Verified Internet Pharmacy Practice Sites (VIPPS) program and a procedure of checking sites with the “.pharmacy” in their URL.

In 1999, the NABP built up the Verified Internet Pharmacy Practice Sites (VIPPS) program. The NABP screens the quality in online drug stores in 17 territories, for example, how they fill prescriptions, how they secure customers’ personal data, and how they interact with buyers. You will see the VIPPS seal on the sites of guaranteed organizations and the NABP records VIPPS certify drug stores on their site.

If an online drug store has a .pharmacy domain, or has the VIPPS seal, or is recorded as an affirmed drug store on the NABP or FDA site, it is accredited by these associations.

As indicated by the NABP, 96% of the Internet medication organizations they survey are not complying with state or government guidelines. NABP gives a list of online drug stores that are ‘Not Recommended’.

FDA

The NABP partners with the FDA to figure out which online drug stores get the VIPPS seal of approval. Because of this relationship and the way that the NABP speaks to the 50 state boards that permit drug stores, only U.S. organizations can get the VIPPS seal. Non-U.S. drug stores can enter the .Pharmacy program.

The FDA allows users to verify whether a drug store is appropriately authorized.

In the event that you choose to purchase drugs on the web, it is crucial to understand the legitimate issues. As per the FDA, “it is unlawful to import an unapproved medication into the U.S.” and “it is illicit for anybody, including a foreign drug store, to send prescribed medications that are not affirmed by the FDA into the U.S., despite the fact that the medication might be legitimate to sell in that drug store’s nation.”

Canadian Pharmacies — a way out

In some cases, Americans purchase prescriptions from Canada since they might be less expensive. A large number of these drug stores are affirmed by CIPA (official website Cipa.com). Notwithstanding, not every online drug store with the name “Canada” is really Canadian. The Canadian government has given admonitions to purchasers and CIPA gives a full rundown of confirmed online drug stores so you can check if a Canadian drug store is approved.

PharmacyChecker

PharmacyChecker is a for-profit organization that “gathers, assesses and reports accreditations, costs and client reviews in regards to drug stores that work on the web.” PharmacyChecker checks both the U.S. also, remote online drugstores, and it gives value correlations with explicit meds alongside evaluations from shoppers dependent on a five-star rating framework. To get the PharmacyChecker “seal of approval,” drug stores must:

Distribute their drugs through a drug store that has a permit in the United States, Canada, or other nation acknowledged by PharmacyChecker;
Guarantee that the financial data you send online is secure;
Guarantee that the therapeutic data you send online is private;
Require a unique prescription from a doctor;
Give right contact data on its site, including the organization address and telephone number.

Bottom Line

The number of online pharmacies on the web is overwhelming. Given the high price of drugs in brick-and-mortar US pharmacies and ever-growing cost of prescription drugs, it’s not a surprise that many Americans are seeking the ways to save money and find generic analogs.

You are free to monitor the market of online drugstores, but before rushing to make an order and save an extra buck, make sure you’ve found a legal and approved company. It’s not only about money — it’s about your health, too!

Seasonal Analytics of 5-Top Sought-After Drugs and Slumping Prices in 2020

Pricing Dynamics in 2019

The United States continue to hold advanced positions due to increased investment in clinical research and development of a large number of drugs in the fight against rare and serious diseases. It is noteworthy, how much companies spend on research, since these data are helpful in finding out which company focuses on the issue of internal growth. According to the data of the monthly retail audit of the Canadian pharmaceutical market conducted in the first half of 2019, 5 billion packages of medicines worth $300 billion were sold through the retail segment. The capacity of the drug market increased by 15% compared to the same period in 2018.

The weighted average price of one package of drugs increased by 6%. Cheap drugs are being removed from pharmacy assortment and consumers are forced to switch to more expensive drugs. Moreover, the price factor is less significant. In 2018, in the first half of the year, prices rose by 5%. The structure has changed in favor of drugs of the high price segment relative to February-July last year. Positive dynamics of sales was observed only in the category “over $8”, due to which the share of expensive drugs increased by 23% in money and by 2% in natural terms. By contrast, some public health initiatives were undertaken to counteract this extreme and uncontrolled soaring of the drug costs. In summer 2019 – and extended for the first autumn month, seeing the huge popularity of the deals – Canadian Pharmacy cohealthop.org released a number of special offers for most demanded healthcare items: cohealthop.org/seasonal-summer-offers-2019

Generic companies have been active in release and registration of new drugs, which exacerbates competition at the American pharmaceutical market. Drugs with the following therapeutic categories prevail in the generic market: agents that affect respiratory and central nervous systems, antitumor drugs and drugs that affect the digestive system and metabolism. Cordially-vascular drugs occupy about 20% of the US generic market, antibiotics – 14,5 %, and slightly less analgesics – 13%. One of the main risks for large U.S. pharmaceutical companies today is the expiration of a patent protection for original blockbusters. These drugs form a noticeable share in total sales of pharmaceutical giants, and this phenomenon has a great influence on the overall results of their business activities.

Tough Market and Prospects for 2020

Pharmaceutical companies trading in the public sector face greater barriers than firms in other industries — their patents are short-lived, their approval process is lengthy, and most of their projects are disadvantageous. The fact that the top three drugs were brought to market by large pharmaceutical companies should not be surprising. These companies had reliable pipelines, a good track record of transferring pipeline products to the market and money for PR and mass production. Small pharmaceutical companies stumble upon profitable drugs, but they are often bought back by large companies because they lack the resources to bring these drugs to the market.

From the investment point of view, this situation provokes speculative games of small firms, but even large firms are far from stable ratings. Large firms may suddenly lose their drug patents, which make up a significant portion of their profits, as Eli Lilly and Prozac did. That is why the pipeline is of great importance. Even with a large, profitable product such as Prozac or Viagra, the pharmaceutical company must have other products that are suitable to protect against the expiration of their patents and hidden patent trolls.

It is not always easy to predict the future of the drug. Studying social needs and desires can help determine what the next big thing will be in the pharmaceutical market. As with Prozac, all kinds of incidents can affect the area. With such an unpredictable and often unsustainable foundation, it is thorough research and understanding that makes the drug market financially viable.

Expenses on Promotion and Marketing

A significant part of the increase in promotional costs is attributable to sales professionals or sales force employees. However, many of the industry’s largest markets are currently oversaturated by sales representatives whose sales methods are becoming increasingly ineffective.

So, in the period 2005-2019 the number of sales representatives in the USA almost doubled to 80 thousand people, although the number of practicing doctors increased by only 28%. Thus, various U.S. states have accepted laws requiring pharmaceutical companies to disclose all gifts or benefits to healthcare providers in excess of $25.

In addition to the work of medical representatives, another big weapon in the marketing artillery of pharmaceutical companies is direct advertising to consumers. In the United States, companies are currently allowed to market their medicines directly to consumers. Pharma’s DTC advertising costs are about $6 billion representing just 15% of the total marketing budget. Thus, aggressive marketing, whether aimed at doctors or patients, is becoming increasingly ineffective as a means of stimulating demand. Big Pharma responded to this challenge with various measures to reduce costs, including a reduction in the number of sales force employees in the forthcoming 2020.

By 2020, the role of the traditional sales representative will become largely obsolete. The industry, on the contrary, will have a much greater need for people with experience in creating brands, managing a network of external alliances, negotiating with governments and insurers, and establishing communication with mid-level specialists and patients. This will require retraining of existing staff and changing the core values of pharmaceutical companies, taking into account the patient and his needs. However, if Pharma can overcome new challenges, it will be possible to achieve a significant reduction in marketing and sales costs. Counseling health care payers during development will put them in a much better position. This will ensure that the billions of dollars invested in R&D (
en.wikipedia.org/wiki/Research_and_development) are wisely spent. Creating packages of medical services for the treatment of specific diseases (personalized approach) will guarantee the value of medicines, as well as provide new sources of income and greater loyalty from patients.

Top 5 of Most Demanded Drugs in the U.S. and Canada

There are 5 major players that take impact on the whole financial situation on the U.S. pharmaceutical market. For the period 2015-2019, ten U.S. pharmaceutical companies have increased sales of their medicines in the range of 20-100%. So, the leader among American drugs in the U.S. and Canadian market is Pfizer, Viagra. Sales of this drug increased over the analyzed period from $35 to $48 million, by 36%. Viagra was first used as a treatment for angina pectoris and hypertension, but it did not have much success in combating these conditions. Fortunately, the drug caused an unintended biochemical reaction on male sexual abilities. In 2012, the Pfizer patent for Viagra expired in all countries except the United States and Canada. This meant that other companies were able to produce generics using the same active substance. In the United States and Canada, a patent is valid until 2020. But the corporation still had to make concessions and allow Mylan and Teva to release the Viagra generics from 2017. The figure of Pfizer’s revenue is steadily falling and bearing a discouraging forecast for 2020.

Along with Viagra, the top five includes 2 more Pfizer drugs: Diflucan and Norvasc, occupying 2 and 3 places, respectively. Bristol-Myers Squibb’s Monopril takes the fourth position: over the analyzed period, its sales decreased from $24 to 23 million, by 6,8 %. This situation indicates the focus of companies on any segment of pharmaceutical market in order to obtain maximum profits from the sale of one or two drugs. Thus, the role of American pharmaceutical companies on the market is fixed by the introduction of several drugs that occupy a strong market position and create fierce competition. Targeted U.S. company policies provide absolute leadership and perfect opportunities for 2020.

Prozac was created by Eli Lilly. The drug was used as an anti-obesity medicine and remedy for high blood pressure before the company came across its psychiatric use. Prozac was sold as a new drug for treating general depression by controlling the level of serotonin in the patient’s brain. This was the right time for Prozac, as the only drug for depression, Valium, was addictive and not completely free from unpleasant side effects.Despite competition from cheaper generic drugs, Prozac remains one of the most popular antidepressants and is used by millions around the world. According to the World Health Organization, out of 875 million Europeans, 100 million are in a deep level of depression. By 2020, depression will become a leader in global disease statistics, leaving behind infectious and cardiovascular diseases. And now, depression is the first most popular reason for going on sick leave in Sweden and the second in the USA.

Diabetes in Adults vs Diabetes in Kinds: What Treatments Plans are Offered in Canadian Pharmacies

Local pharmacists with legally regulated treatment plans work in a variety of settings across Canada – the situation significantly improved over the last decade. These factors lead to variations in the perception of Canadian pharmacy practice, specifically when it is related to diabetes care and treatment.

According to Canadian Journal of Diabetes and Plateau Canadian Pharmacy, almost 75% of Canadian pharmacists work in community pharmacies which often serve as an primary source of contact with the healthcare system for patients – both adults and children – who were diagnosed of diabetes type 1 and type 2. Most diabetes patients need to take medications during lifetime so it was a crucial task to create solid treatment plans so people could get necessary prescription and OTC meds in any pharmacy operating in Canada.

It’s an interesting fact that most Canadian provinces have already introduced the legal obligations allowing local pharmacists for expanding the available healthcare services for diabetes patients. For instance, pharmacists in Ontario province even have the legal right to initiate the diabetes drug therapy and administer special injectable medications for customers with diabetes of both types.

Now let’s take a closer look on how people with different types of diabetes get treatment in Canadian Pharmacies.

Treatment plans for children with diabetes in pharmacies of Canada

Diabetes mellitus is a disease characterized by a chronic increase in the level of sugar (glucose) in the blood. Diabetes mellitus is ranked at first among all endocrine diseases in children. Children with diabetes are relatively acute and, without a proper treatment, tend to get a severe, progressive course. Such a development of diabetes in children occurs due to the intensive growth of the child’s body and increased metabolism.

There are 2 main types of diabetes in children:

Insulin dependent diabetes (diabetes type 1);
Non-insulin dependent diabetes (diabetes type 2);

When diabetes type 2 is prevalent among adults, diabetes mellitus (insulin-dependent) prevails among children. Diabetes type 1 is characterized by a very low level of insulin in the blood when a child with diabetes mellitus is dependent on the insulin treatment.

The treatment of diabetes for a child with diabetes type 1 includes physical exercise, diet and the regular use of medications.

Correct organization of physical activity in children with diabetes necessarily involves the use of additional carbohydrates before, during and after physical exercise in accordance with the advice given by your doctor, as well as periodic monitoring of blood glucose concentration.

Almost all Canadian children suffering from diabetes type 1 receive insulin. Due to the introduction of long-acting insulin in the treatment plans in Canada, there is only one injection of insulin is required per day.

Popular Glucagon pills are effective in treating diabetes in adults, but they rarely produce the good results in children. These pills are used in mild forms of the disease or are prescribed as an adjuvant to reduce the number of injections or the dose of insulin. Children and adolescents who are regularly treated, follow the diet restrictions are well developed physically and mentally.

Sometimes Canadian pharmacies cover the treatment plan with Metformin for children and teens with diabetes of both types. Metformin is used to reduce insulin resistance, increase insulin secretion in children and adolescents. This drug acts through insulin receptors on the sensitivity of peripheral tissues to insulin and reduces the level of insulin circulating in the blood flow.

Types of insulin injections for children and adult

Rapid-Acting Insulin starts working 15 minutes after the injection and lasts up to 4 hrs;
Short-Acting Insulin starts working 60 minutes after the use and lasts up to 9 hrs;
Intermediate-Acting Insulin starts working 1-4 hours after the use and lasts up to 10-24 hrs;
Long-Acting Insulin starts working within a few hours after the use and lasts up to 18-24 hrs;

Advantages of using short-acting insulins in children and adolescents:

It improves the quality of life for diabetes patients – it is convenient for the use (immediately before meals), can be used after meals, reduce the risk of hypoglycemia and doesn’t affect flexibility of the diet;
One short-acting insulin injection improves the state of carbohydrate metabolism;

Short-acting insulin injections are shown to children of the first years of life with inconsistent, changing appetite, adolescents in expanding their lifestyle and nutrition, with a tendency to hypoglycemia in late evening and during the nighttime, with an unstable course of the disease and significant fluctuations of the glucose levels.

Canadian treatment plans for adults with diabetes

This disease can cause serious complications, such as vascular diseases and brain damage. It is important at the initial stage to carry out competent treatment of diabetes.

According to Canadian healthcare guidelines, the treatment of a mild type of type 2 diabetes is required in the early stages, when patients feel dry mouth, muscle weakness. At the same time, they retain their normal working capacity. In such cases, the insulin treatment is not required.

Treatment plans with the moderate severity and a profound metabolic disorder occurs. A person is systematically required to administer an insulin or use an anti-depressant drug, only so that a patient is able to digest food according to his/her physiological needs.

Modern treatment methods for adults

Insulin-lowering drugs are divided into several groups according to the mechanism of action. The classes of drugs for diabetes is like this:

Biguanides (like Metformin);
Gliptins;
Meglitinides (Prandin);
Thiazolidinediones (Glitazones);
Α-glucosidase inhibitors;
Insulin;

Metformin (RxList information) is not only an effective remedy for the treatment of type 2 diabetes, but also a medicine that has a prophylactic effect against heart disease. The drug is able to inhibit the growth of tumor cells, as well as slow down aging processes.

Another popular medication for adults with diabetes type 1 and 2 is the group of DPP-4 inhibitors or gliptins.

One of the main advantages of a new class of insulin-lowering pills is the lack of risk of hypoglycemia. In old age hypoglycemic conditions can provoke development of a hypertensive crisis, spasm of coronary vessels with the development of acute myocardial infarction, sudden loss of vision.

Gliptins like Januvia, Janumet and Vipidia can be assigned:

As a treatment of patients with a newly diagnosed diabetes;
For people with poor tolerability or contraindications for the appointment of biguanides;
In the combination with other pills that reduce blood sugar;

Diabetes medications have few side effects, do not cause an increase in body weight, delayed emptying of the stomach. The intake of gliptins is not accompanied by the development of edema. These types of type 2 diabetes can be taken at all stages of chronic kidney disease.

Sources:

https://www.canadianjournalofdiabetes.com/
https://www.plateaudrugs.com
https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193
https://www.medicinenet.com/glucagon/article.htm
https://www.canada.ca/en/

Cialis Professional vs Levitra Professional vs Viagra Professional

There are three most popular compounds in the pharmaceutical industry when it comes to ED pills. Obviously, we talk about Sildenafil Citrate (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra). These three medications changed the world and our perception of the erectile dysfunction problem. Suddenly, it turned into an easily solvable problem for men with issues caused by high blood pressure. All these compounds are PDE5 inhibitors that work similarly and affect cGMP molecules in order to relax smooth muscle tissues controlling arteries. This allows the blood to flow freely to cavernous penile tissues and cause strong maintainable erection.

A couple of decades ago, the world knew only several medications that could help with erectile dysfunction. After the triumph of Viagra in the market multiple new drugs entered the market and soon Viagra’s positions were shaken by Cialis and Levitra. Both new competitors were effective medications for ED. After the arrival of generics, the relevance of the argument which drug is better became more apparent. Generics are widely accessible and can be purchased for a low price meaning that the target audience is much wider than a decade ago.

We want to compare these medications to each other and find which are the best for specific patients with individual problems. Men’s health is a topic that we must approach carefully and from different angles in order to find the most optimal solution. Let’s talk about Cialis, Levitra, and Viagra and their respective Pro versions.

Why Professional Versions?

AB generics are high quality copies of drugs that were previously protected by a specific license but were marketed extensively. Offshore manufacturers could benefit from long standing marketing campaigns launched by original developers of drugs. This is why many generics have names like Viagra Professional or Cialis Professional. In many cases, such names are just smart ways to avoid copyright claims and spend less on unnecessary advertising for a new brand. However, there are several key differences between generics and their original versions. Let’s talk about each drug separately.

Viagra Professional. This medication is a slightly more powerful pill that frequently comes in a triangle blue pill with 50mg or 100mg of the active ingredient Sildenafil Citrate. This medication has a slightly shorter offset time and will help patients that did not find 25mg and 50mg pills effective. At the same time, the list of inactive ingredients was redesigned in order to amplify the effectiveness of the medication.
Cialis Professional. This drug has from little to no differences with the original. It usually has the same strength but a slightly altered list of inactive ingredients. While many manufacturers claim that the formula is improved, the drug is just the same Cialis but in a new package. However, all benefits of Tadalafil are still intact.
Levitra Professional. There are several generic versions that are often marketed as Levitra Professional. All of them vary in terms of pill strengths and contents, but the PRO version often has additional ingredients to amplify the anti-PE effect.

We want to intensify your focus on the fact that professional generics are your regular pills of respective drugs. They will not provide a hugely improved effect. However, AB generics are generally cheaper and come in bigger packages meaning that you can purchase them for a low price and use them conveniently when needed. Purchasing in bulks is preferable if you are a Cialis user since Tadalafil is the only PDE5 inhibitor used as a recreational everyday drug.

Benefits of Viagra Professional

Sildenafil Citrate was developed over 20 years ago and entered the market in 1998. Ever since, the medication has been hugely popular amongst males of all ages. Viagra earned a strong image of that very effective reliable drug that can treat all forms of erectile dysfunction. Over the course of the next decade, new competitors arrived. Tadalafil offered its users a much longer and persistent effect while Vardenafil also helped to prolong the intravaginal latency. Some people believed that the epoch of Viagra has ended, but the arrival of cheap generic Viagra Professional changed the market once again. There are several very important upsides to this drug:

Viagra Professional is on average the cheapest generic of all PDE5 inhibitors. If you are searching for the right balance between the quality and the price, choosing generic Viagra is frequently the right choice.
Viagra works for a relatively brief period of time (3-4 hours) and will be metabolized and removed from the body within 8 hours.
The drug starts working within 20-30 minutes. The effect is reliable. You will need to take a pill right before sex.

Some advantages of Viagra are quite apparent. It is a very simple to use medication that has a purpose and fulfills it perfectly. It is nearly impossible to overdose (you need to take roughly 800mg of the medication at once to truly be in danger) for a healthy man. If you don’t have any other problems and need to address erectile dysfunction only, Viagra Professional is a good choice. If you want to buy Viagra Professional, Dr. Maloney recomends this website: https://www.buyviagraprofessional.com. This is the official retailer of this product.

Benefits of Cialis Professional

Tadalafil appeared in the international scene in 2003. It was a new PDE5 inhibitor that had a more consistent and, which is maybe even more important, persistent effect compared to Sildenafil Citrate. While first couple of years were rough for the new drug that had to compete with a well-established brand of Viagra, consumers quickly realized that Cialis had several key advantages over its competitors.

Cialis Professional can be used as a recreational medication. If you want to be ready for sex all the time, there is no better drug than Cialis.
Cialis helps with benign prostate hyperplasia. Clinical tests showed that regular intakes of this medication help to reduce symptoms of BPH.
Tadalafil maintains the effect for over 36 hours. This is why some people call it a “weekend drug”. You can take a pill on Friday night and still enjoy the effect on Sunday.

Cialis is a better choice when you do not plan your sexual intercourses and want to be ready for sex at all times. Due to a more controllable and systematic treatment plan with Tadalafil, you will be able to address both the erectile dysfunction problem and benign prostate hyperplasia. If you seek for a complex solution, purchasing Cialis Professional in bulks is quite efficient.

Benefits of Levitra Professional

Vardenafil did not take the market by the storm and actually started quietly. One of the most important marketing pivots of the drug was the fact that it not only helped to overcome an erectile dysfunction caused by the blood flow obstructions, but also improved the intravaginal latency – the amount of time between the initial penetration and the eventual ejaculation. Several studies showed that the drug improved the intravaginal latency in cases of genuine premature ejaculation. The drug’s effect on men without PE is questionable.

Levitra Professional quickly started to outperform Viagra due to the fact that Levitra is essentially Viagra. The latter is still a better performing drugs sales wise due to more extensive marketing and branding. In fact, Levitra is a superior medication. Viagra is still a better choice if you do not need to treat a genuine case of premature ejaculation. The effect of Sildenafil Citrate persists for a couple of hours longer compared to Levitra. With the latter you need to be more precise with planning your upcoming sexual intercourses.

Adverse Effects Exclusive to Each Medication

All three drugs have common adverse effects shared by all PDE5 inhibitors. However, there are several specific effects that occur only or more often when you use either of them. The list of common shared negative effects includes: muscle pains, headaches, rash or skin redness (in cases of specific allergy), stuffy or runny nose, dizziness, constipation, diarrhea, and others. Let’s talk through adverse effects characteristic for each drug.

Viagra Professional. One of the “iconic” negative symptoms caused by Sildenafil Citrate is back pains. Muscle pains are normal for all PDE5 inhibitors, but Viagra causes pains mostly in the back area. This effect usually goes away within 8-12 hours, but may persist for longer. Another drug-specific adverse effect is vision changes and even a temporary loss of vision. This happens due to the fact that Sildenafil as an inhibitor also affects our eyes.
Cialis Professional. This drug does not unique adverse effects, but some rare ones may manifest themselves stronger when you use Cialis. Some of rare symptoms are tinnitus, asthenia, and uterine bleeding. These three effects were reported slightly more often by people who used Cialis as their main ED med.
Levitra Professional. As many other PDE5 inhibitors, Vardenafil may cause temporary or permanent vision issues and muscle pains. However, more frequently reported adverse effects are nose bleeding, seizures, and penile hemorrhage.

All PDE5 inhibitors works similarly and thus usually cause the same side effects, but each PDE5 inhibitor has its own specific set of negative symptoms that occur more frequently. Note that all effects listed above happen in about 0.1% of all clinically recorded cases or even less. If you experience any changes in your condition after taking a pill of either Viagra Professional, Cialis Professional or Levitra Professional, immediately seek for medical attention.

Administration, Dosages, and Usage

Each medication has its own merits in terms of how frequently you use it (how many pills you purchase for a set period of time) and how much of it you take at once. It is important to pay close attention to these parameters in order to maximize the effect of each drug and choose the right medical solution for your health and budget.

Viagra Professional. This medication should be used only when needed. It is recommended to take a single pill 20-30 minutes before sex on an empty stomach. Usually, you will need to take 50mg at once. If this amount does not provide a strong effect, you may switch to pills with 100mg of Sildenafil Citrate. If you are using beta-blockers or other blood pressure lowering drugs, consult with your doctor and use 25mg pills instead. You do not need to take more than one pill per day. Using Viagra is quite efficient due to the fact that you do not need to maintain a specific routine.
Cialis Professional. This drug can be used both as a when-needed solution or a recreational treatment solution. When used as the latter, a 50mg pill of Cialis is usually more than enough. The daily dosage is cut down to 25mg when you take the drug together with beta-blockers. Any daily amount of the drug helps to reduce symptoms of benign prostatic hyperplasia. Adopting a systematic treatment routine involving Cialis Professional can be pricy due to the fact that you will need to purchase about 30 pills per month. In such cases, buying big bulks with a good discount is usually a good solution.
Levitra Professional. This medication is also recommended as a when-needed solution. Due to its very short half-life period in the body, it is nearly useless to take pills on a daily basis. If you need a high quality solution for erectile dysfunction paired with premature ejaculation, purchasing drugs like Vardenafil can be beneficial. Just as in case with Viagra, you will control the amount of pills you need to purchase.

Note that amongst all PDE5 inhibitors, only Cialis Professional is used as a recreation preparation and requires regular refilling. Depending on the treatment strategy that you choose for your specific case, you will have to pick a medication that will benefit you the most.

Efficient Applications for Each Drug

These three medications are different in terms of what they actually treat. Depending on how complicated your erectile dysfunction problem is, you can choose a specific drug that will be optimal.

- Viagra Professional. This medication is a perfect choice for patients that have issues with erectile dysfunction caused by high blood pressure. Sildenafil Citrate does not treat other diseases and helps only with ED and pulmonary arterial hypertension. In some cases, you may experience improvements of Raynaud’s.

Cialis Professional. If you have a combined problem of erectile dysfunction coupled with benign prostate hyperplasia, Tadalafil is your most perfect choice. In smaller dosages and when the stage of BPH is not overly concerning, the therapeutic effect of Cialis is noticeable and can substitute for other systematic treatments. If you take a pill per day, you will notice that symptoms of BPH are less troublesome and that you are always ready for sex.
Levitra Professional. The list of possible applications for Levitra is the same as for Viagra, but Vardenafil also can help in cases of genuine premature ejaculation. If you have problems with satisfying your partner and erectile dysfunction as well, purchasing a bulk of Levitra pills is generally a good idea.

References:

https://en.wikipedia.org/wiki/Cyclic_guanosine_monophosphate
https://medlineplus.gov/druginfo/meds/a699015.html
https://www.buyviagraprofessional.com
https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/symptoms-causes/syc-20370087
https://www.drugs.com/sildenafil.html
https://www.rxlist.com/levitra-drug.htm
https://www.ncbi.nlm.nih.gov/pubmed/18614424

Main Government Rules Regulating The Drugs

This article is devoted to the pharmaceutical branch of the USA. We have tried to collect of the necessary information that will help you understand the rules of drug regulation and pharmaceutical branch organization.

US pharmaceutical branch is organized quite differently comparing to those of the other countries. firstly, most regular stores are considered to be places where one can buy things needed every day, for example personal hygiene products, household chemicals, make-up products, dry packed food, drinks, and medical drugs, of course.

In the given store there is always a department where people can buy prescription medicines only.

In the USA drug stores may be a part of large pharmacy chains like Walgreens, BC Health (Battle Creek Canadian Pharmacy), Rite Aid, Duane Reade, CVS, Costco or may conduct their business independently. Sometimes big chains even provide their shopping space for small pharmaceutical shops inside.

Types of medications in the US drug stores

One should remember that medications in the USA are divided into two big groups: prescription and non-prescription drugs. The group of non-prescription drugs includes:

Pimple care (facial crèmes, gels, scrubs, masks etc.);
Cough / cold remedy (pills, sprays for throat, nasal sprays, cough syrups, cough drops and so on);
Remedies for allergic disease (Claritin, Zyrtec, Allergra, Benadryl);
Pain relievers (fever or pain relievers in the form of pills, crèmes, gels sprays etc. everything depends upon the type of pain);
Antiacids to treat epigastric burning, stomach ache cause by the superacidity;
Remedies for flatus, diarrhea, constipation;
Vitamins.

You can buy all the above-mentioned drugs without prescription. While choosing the medication you can always ask pharmacist for assistance as even non-prescription medications have their contraindications. So, the pharmacist will help you find the drug that will improve your health condition most effectively.

Another type of medications refers to the prescription drugs. As a rule, they are prescribed to treat chronic or complex disease and infections. You will need a doctor’s prescription when you decide to buy these medicines.

The given group includes remedies for:

Asthma
Diabetes
Heart diseases (any heart problems except high blood pressure)
High blood pressure
Hyperlipidemia (high cholesterol level)
Infections (including bacterial infections to be treated with antibiotics and mycotic infections to be treated with anti-fungal drugs)
Arthritis
Epilepsy
Cancer
Migraine.

This list does not include all the prescribed medications, so you need to contanc your doctor or ask a pharmacist in the drug store.

What do you need to fill in the prescription?

Of course, you don’t fill in the prescription document. However, you should know which information is needed.

First of all you should visit your doctor. In the USA it is called PCP – primary care physician. Sometimes you need another medical specialist. It depends upon the disorder you have.

As a rule, the doctor can give a paper copy of the prescription (you need to show it in the drug store) or send the electronic one to the drug store you choose. In this case your order will be ready as soon as you enter the drug store.

The doctor can also call to the drug store and provide complete information regarding your prescription. Be ready that you will not wait for a long period of time when you come to the drug store for your medications.

How to pay for the prescription?

Usually patients have medical insurance that covers the price of medication. It is very important that you provide correct insurance card in the drug store with “RX” letters on it.

Most insurance types provide only partial cost coverage. It means that insurance will cover major part of expenses and you will need to pay small share of the total price. For example, if you have private insurance (Aetna, Empire Blue Cross Blue Shield, Oxford, Medco, Innoviant etc.) you partial payment will make up 5 to 100 US dollars depending upon the total price of the medications.

If you have state insurance (Medicaid, Health First, Health Plus, Metro-Plus, Fidelis,) your payments will not exceed several dollars.

However, if you do not have any insurance the medications will cost you much. In this case you can ask pharmacist for a “discount”. As a rule drug stores can provide discount cards for patients to reduce the cost of medications. For example, Bchealth.com online pharmacy sells discount cards for 20 USD per year and this card will cover the cost of most medicines.

Some pieces of advice

When you are going to buy non-prescription drugs you will see the branded products like Advil, Viagra or Cialis for example which are expensive. At the same time there will be another medication lying on the shelf nearby and its price will be several time less. These drugs are called non-branded or generic as they are produced by independent pharmaceutical company, not by the branded company.

As a rule, generic drugs has the same pharmaceutical content and active substance and, as a result, the same pharmaceutical action. The pharmacist will help you find all the necessary information about these medications and reduce your expenses for medications.

What is FDA?

All the drugs and food produced and sold in the USA must have an FDA approval.

FDA is a Food and Drug Administration that controls pharmaceutical branch, issues laws and regulations referring the medications. The FDA’s mission is to improve quality and safety of food products, food supplements, beauty products and medical drugs, vaccines, veterinary drugs. According to the rules the above-mentioned products can be sold only after it is approved by FDA. DFA does not only provide certificates. It constantly conducts tests and controls quality of products and is authorized to terminate the certificate or license if the product does not meet high requirements of FDA.

FDA was created in 1906 and since then is responsible for the following activities:

Evaluation of food product quality and safety;
Pharmaceutical product effectiveness control;
Animal feed quality control;
Medical equipment quality control.

FDA approval has positive effect on the pharmaceutical company image and sales volumes of the medical drugs (as patients trust the medication and are ready to buy it). Find drugs with FDA sign on them and be sure you buy safe and effective medications.

However, don’t forget about restrictions and contraindications every drug has that is why consult your doctor before taking any medicine. Moreover, you should also remember that generic drugs (as we told here before) that does not have FDA approval may also be safe and of high quality. So you can check all the available information and then buy the required medication.

Maloney Medical and Canadian Pharmacy Review of Generic Viagra Types

Erectile dysfunction (ED) is an increasingly common condition that may have wide-ranging consequences on the relationships and self-esteem of those affected. Some estimations count at least 30 million men with erectile dysfunction in the U.S. alone. The worldwide occurrence of ED is projected to grow beyond 322 million men by 2025. Often under-reported, ED is likely a much more frequent health condition.

On the optimistic note, medical management of ED can be very successful, especially with modern class of drugs called PDE5 inhibitors known under their brand names Viagra, Cialis and Levitra. The most popular of the three, Viagra became a household name in ED treatment.

You can read more about Erectile Dysfunction treatment in this articles:

everydayhealth.com/erectile-dysfunction/guide
canadahealthcaremall.com/erectile-dysfunction-impotence

types

In this review, the experts of Smart Canadian Pharmacy will be your guides in the expanding universe of generic Viagra class of drugs. All generic Viagra drugs contain a common active component – sildenafil citrate, a phosphodiesterase type 5 (PDE5) inhibitor with proven ability to deliver outstanding results. It blocks the enzyme PDE5, which hinders the relaxation of smooth muscle tissues.

The variety of generic Viagra medications is quite impressive nowadays, although this can easily overwhelm a patient willing to resolve his ED problem quickly and cost-efficiently.

In the ensuing paragraphs, the experts of Smart Canadian Pharmacy suggest that you take a careful look at innovative forms of generic Viagra that are challenging the reign of classical generic Viagra due to their improved pharmacological characteristics. We will walk you through such types of generic Viagra as Viagra Professional, Viagra Plus, Viagra Super Active+, Viagra Super Force, Viagra Soft Tabs and Viagra Oral Jelly. Select the type of generic Viagra that works for you!

Smart Canadian Pharmacy smartcanadianpharmacy.com is a reliable source of quality drugs online, just a click away. Whenever you are hesitating on a type of generic Viagra or any other drug you need, you can easily get expert consultation from a competent in-house pharmacist available at your service around the clock.

Generic Viagra Professional

An enhanced-formula preparation of regular generic Viagra, Viagra Professional is administered orally for the treatment of ED in men, activating the natural blood flow, followed by expansion and hardness in the penis for strong sexual performance. The drug hit the market in the early 2000s, and it immediately gained popularity with patients on a budget looking for a solid alternative to the costlier original Viagra.

Both generic Viagra and Viagra Professional generic share an active ingredient sildenafil citrate. Both pills work their best when not accompanied with excessive alcohol and fatty foods. The administration guidelines are also similar. Yet, there are a few differences:

Viagra Professional can be administered in 100 mg dosage (effective in 92% of patients) while the regular dose of classic Viagra is 50 mg;
Due to additional inactive ingredients, Viagra Professional has fewer side effects. If the negative reactions ensue, they manifest in a milder way;
One pill of generic Viagra Professional delivers an extended restoration of the erectile power – up to 6 hours vs 4 hours with a regular generic Viagra pill;
Due to its strong blood circulation activating capabilities, Viagra Professional 100mg can be used in treatment of deceases other than ED (Reynaud`s disorder and pulmonary hypertension, among others).

Find out what Canadian Pharmacy customers think about Viagra Professional: https://www.smartcanadianpharmacy.com/viagra-professional-reviews.html

Viagra Plus

Generic Viagra Plus is an innovative version of the classical generic Viagra. The active working component sildenafil citrate is enhanced with several vitamins and ginseng – a herb historically known for its erection-facilitating and libido-boosting properties.

Viagra Plus enables broad enhancement of the male sexual performance and reproductive health alike. Sildenafil citrate in the low dose of 25 mg acts by boosting the flow of blood to the penis, assisting to gain an erection at a moment of sexual arousal.

Several amino acids and vitamins including Folic Acid, Vitamin B6, Vitamin B12 and L-arginine target the reproductive system and facilitate improvement of the overall health.

The experts of Smart Canadian Pharmacy emphasize that Viagra Plus tablets are the right choice for those ED patients who want to improve both their sexual performance and overall energy level including cognitive function.

Viagra Super Active+

While most generic Viagra types are available as traditional pills, Viagra Super Active Plus comes in the form of soft gelatin tabs that are easier to swallow and faster to get absorbed in the bloodstream. Viagra Super Active+ enables faster effect and allows ED patients to experience extensive response period.

In the list below, the experts of Smart Canadian Pharmacy summarized the benefits of generic Viagra Super Active+:

Manufactured in soft gelatin capsule preparation, it starts acting almost instantaneously;
Almost immediately dissolved in the bloodstream, the active ingredient (sildenafil citrate 25 mg/ 50 mg /100 mg or 150 mg) affects the nervous system instantly, leaving a patient`s blood vessels dilated;
The response period of Viagra Super Active Plus stretches up to 9 hours (vs 4 hours with traditional generic Viagra), letting a patient experience the positive effect over again.

See Other benefits and advantages on product page: https://www.canadianhealthmall.com/viagra-super-active

In certain cases, the administration of Viagra Super Active+ must be restricted to one capsule in every 72 hours, warn the experts of Smart Canadian Pharmacy. A patient is advised to consult with his healthcare practitioner regarding the optimal initial dosage of this drug.

Viagra Super Force (Dapoxetine+Sildenafil)

Viagra Super Force is a drug used for treating both ED and Premature Ejaculation. The two active components, sildenafil citrate and dapoxetine are combined in one pill thus eliminating the need for taking two individual pills. The 60 mg dose of dapoxetine counteracts premature ejaculation, while the 100 mg dose of sildenafil citrate helps a patient to keep an erection during sexual endeavor.

Dapoxetine is effectively an antidepressant that belongs to the Selective Serotonin Reuptake Inhibitors (SSRIs). Due to rapid absorption and very quick elimination of dapoxetine, it has not been useful as a traditional antidepressant but it has appeared to be perfectly effective in treating premature ejaculation. Dapoxetine improves distress and advances satisfaction with sexual intercourse. The point that dapoxetine gets quickly absorbed and then removed in a few hours makes it ideal for the time frame of sexual interaction.

Viagra Super Force must be taken about 60 minutes in advance of sexual activity. Sildenafil citrate will boost the blood flow in the pelvic area and it will work when the man is sexually aroused. The powerful mixture of dapoxetine and sildenafil citrate gives patients a chance for a much longer, stronger, harder and stiffer erection throughout their sexual activity.

The team of Canadian Pharmacy advise not to take Viagra Super Force on every-day basis as it can lead to developing addiction to dapoxetine.

Viagra Soft Tabs

Viagra Soft Tabs are oral chewable tablets that contain rapidly dissolving compounds. As with the regular generic Viagra, the active ingredient of generic Viagra Soft Tabs is sildenafil citrate, which stimulates the natural erection progression by soothing the penile smooth muscles and dilating the arteries. Dilated pelvic arteries fill with blood, making corpora cavernosa expand, thus making the penis erect in the natural way.

The chewable Viagra Soft Tabs generic formulation delivers a similar level of effectiveness and endurance as classical Viagra. On the other hand, since generic Viagra Soft Tabs are quickly absorbed directly into the blood circulation, their effectiveness slightly surges and they demonstrate a speedier onset of action. Compared to classical Viagra, Viagra Soft Tabs decrease the starting time from 30 minutes to 15-19 minutes with the effective action period of 5 to 6 hours on average, and at least 3 hours, per dose. Generic Viagra Soft Tabs can start working only if a patient is sexually stimulated.

The drug is manufactured in a form of a diamond shape tablets. A package usually holds 20, 50 or 90 tabs with Viagra Soft Tabs 100mg of sildenafil citrate contained in every tab. The soft tabs formulation allows a patient not to worry about the restriction on eating heavy foods before taking the drugs.

Viagra Oral Jelly

Sachets with liquid drugs are increasingly popular due to their high convenience factor and fast onset of action. Generic Viagra Oral Jelly is a real salvation for ED patients who have hard times swallowing the pills due to certain physical disorders. Some people do not tolerate pills because they simply do not like the sensations while taking them. With generic Viagra Oral Jelly, a particularly sensitive patient can choose one of many different flavors, making the drug exceptionally comfortable to swallow.

Viagra Oral Jelly (sometimes known as Kamagra Viagra Oral Jelly) should be taken 30 minutes in advance of the intended sexual interaction. A patient can take Viagra Oral jelly either by squeezing the medication directly into a mouth or by pouring it into a spoon first. Most patients find it handy to take the jelly using a spoon. Let the jelly dissolve in your mouth before swallowing it. You can choose to consume the drug with or without water. Also, it is okay to mix the jelly drug with whatever drinks you want, except for alcohol so that its effectiveness is not decreased. A patient must also avoid fatty foods while taking Viagra Oral Jelly since they might hinder the action of the drug’s active ingredient.

The jelly drug continues to work for up to 4 hours, just as classical generic Viagra does, and during this interval a patient has an opportunity to achieve multiple reliable erections. Since the absorption of any medication is faster when it is administered in its liquid form, the peak concentration of the medicine in the blood is reached considerably faster.

The team of Smart Canadian Pharmacy emphasize that liquid drugs have softer impact on human organism minimizing the possibility and magnitude of side effects when compared to the usage of regular tablets. Also, the list of contraindications and potential drugs interactions is usually shorter for liquid drugs than that for their tablet analogues.

As you see, generic Viagra Oral Jelly offers a less harsh and faster impact while offering a similar action time when you can reach erections. Each Viagra Oral Jelly sachet delivers the same dosage and offers the same ingredients as its pill counterpart. It entirely replicates all the characteristics of the classical Viagra, generic or branded.

Generic Viagra Oral jelly is available with the content of sildenafil citrate of either 25 mg or 100 mg. The recommended initial dosage is 50 mg, which is sufficient for achieving desired results for most ED patients. If the anticipated effect is not realized, the dosage can be doubled up to Viagra Oral Jelly 100 mg per day. It is smart to discuss the dosage modification with your healthcare practitioner first. In many cases, even 25 mg of sildenafil citrate is a sufficient dose for developing a proper erection and increasing sensitivity.

Switching between doses and formulations for achieving result

ED patients using any of the above-mentioned types of generic Viagra for the first time may not attain the precise kind of success they have hoped for. It might take time and a few tries to get accustomed to sildenafil citrate and to squeeze the most of it. If you had tried one of the types of generic Viagra discussed in this article a couple of times without achieving success, Smart Canadian Pharmacy advise to switch to another dose or type of formulation, ideally using the guidance from your doctor or utilizing free customer consultation service at Smart Canadian Pharmacy.

Precautions for using any type of generic Viagra

Do not forget to consult with your physician before taking any type of generic Viagra discussed in the previous paragraphs in the following cases:

you are currently taking any nitrate-containing medicines or amyl nitrite;
you have a history of allergic reactions to any medications;
you have heart or blood vessel disorders, blood system cancers, or a history of strokes;
you have a penis conditions including malformation, fibrosis or scarring, or a history of priapism;
you have diabetes;
you have vision problems, especially retina diseases;
you have kidney or liver disorders