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About Viagra

Sildenafil citrate, sold as Viagra, Revatio and under various other trade names, is a drug used to treat erectile dysfunction and pulmonary arterial hypertension (PAH). It was originally developed by British scientists and then brought to market by the US-based pharmaceutical company Pfizer. It acts by inhibiting cGMP-specific phosphodiesterase type 5, an enzyme that delays degradation of cGMP, which regulates blood flow in the penis. Since becoming available in 1998, sildenafil has been the prime treatment for erectile dysfunction; its primary competitors on the market are tadalafil (Cialis) and vardenafil (Levitra).

The primary indication of sildenafil is treatment of erectile dysfunction (inability to sustain a satisfactory erection to complete intercourse). Its use is now standard treatment for erectile dysfunction in all settings, including diabetes. People on antidepressants may experience sexual dysfunction, either as a result of their illness or as a result of their treatment. A 2003 study showed that sildenafil improved sexual function in men in this situation. Following up to earlier reports from 1999, the same researchers found that sildenafil was able to improve sexual function in female patients on antidepressants as well.

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Amoxil (Ospamox)
Amoxil
Active Ingredient: Amoxicillin
Amoxil is used to treat many different types of infections caused by bacteria, such as ear infections, bladder infections, pneumonia, gonorrhea, and E. coli or salmonella infection.
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  • INDICATIONS

    Amoxil is used for treating infections caused by certain bacteria. It is also used with other medicines to treat Helicobacter pylori infection and ulcers of the small intestines. Amoxil is a penicillin antibiotic. It works by killing sensitive bacteria.

    INSTRUCTIONS

    Use Amoxil as directed by your doctor.

    • Take Amoxil by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
    • To clear up your infection completely, take Amoxil for the full course of treatment. Keep taking it even if you feel better in a few days.
    • If you miss a dose of Amoxil, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    Ask your health care provider any questions you may have about how to use Amoxil.

    STORAGE

    Store Amoxil at or below 77 degrees F (25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Amoxil out of the reach of children and away from pets.

    MORE INFO:

    Active Ingredient: Amoxicillin.

  • Do NOT use Amoxil if:

    • you are allergic to any ingredient in Amoxil or another penicillin antibiotic (eg, ampicillin)
    • you have recently received or will be receiving live oral typhoid vaccine
    • you have infectious mononucleosis (mono).

    Contact your doctor or health care provider right away if any of these apply to you.

    Some medical conditions may interact with Amoxil. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

    • if you are pregnant, planning to become pregnant, or are breast-feeding
    • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    • if you have allergies to medicines, foods, or other substances
    • if you have a history of allergies, asthma, hay fever, or hives
    • if you have had a severe allergic reaction (eg, severe rash, hives, breathing difficulties, dizziness) to a cephalosporin (eg, cephalexin) or another beta-lactam antibiotic (eg, imipenem)
    • if you have kidney problems or gonorrhea.

    Some medicines may interact with Amoxil. Tell your health care provider if you are taking any other medicines, especially any of the following:

    • Anticoagulants (eg, warfarin) because the risk of bleeding may be increased
    • Probenecid because it may increase the amount of Amoxil in your blood
    • Chloramphenicol, macrolide antibiotics (eg, erythromycin), sulfonamides (eg, sulfamethoxazole), or tetracycline antibiotics (eg, doxycycline) because they may decrease Amoxil's effectiveness
    • Methotrexate because the risk of its side effects may be increased by Amoxil
    • Live oral typhoid vaccine or hormonal birth control (eg, birth control pills) because their effectiveness may be decreased by Amoxil.

    This may not be a complete list of all interactions that may occur. Ask your health care provider if Amoxil may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

    Important safety information:

    • Amoxil may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Amoxil with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
    • Amoxil only works against bacteria; it does not treat viral infections (eg, the common cold).
    • Be sure to use Amoxil for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
    • Long-term or repeated use of Amoxil may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
    • Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
    • Hormonal birth control (eg, birth control pills) may not work as well while you are using Amoxil. To prevent pregnancy, use an extra form of birth control (eg, condoms).
    • Brown, yellow, or gray tooth discoloration has occurred rarely in some patients taking Amoxil. It occurred most often in children. The discoloration was reduced or removed by brushing or dental cleaning in most cases. Contact your doctor if you experience this effect.
    • Diabetes patients - Amoxil may cause the results of some tests for urine glucose to be wrong. Ask your doctor before you change your diet or the dose of your diabetes medicine.
    • Lab tests, including liver function, kidney function, and complete blood cell counts, may be performed if you use Amoxil for a long period of time. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
    • Use Amoxil with caution in the elderly; they may be more sensitive to its effects, especially patients with kidney problems.
    • Use Amoxil with extreme caution in children younger than 10 years old who have diarrhea or an infection of the stomach or bowel.
    • Caution is advised when using Amoxil in children younger than 3 months old; they may be more sensitive to its effects.
    • Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Amoxil while you are pregnant. Amoxil is found in breast milk. If you are or will be breast-feeding while you use Amoxil, check with your doctor. Discuss any possible risks to your baby.
  • All medicines may cause side effects, but many people have no, or minor, side effects.

    Check with your doctor if any of these most common side effects persist or become bothersome:

    Diarrhea; nausea; vomiting.

    Seek medical attention right away if any of these severe side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody stools; confusion; dark urine; fever, chills, or persistent sore throat; red, swollen, blistered, or peeling skin; seizures; severe diarrhea; stomach pain or cramps; unusual bruising or bleeding; vaginal discharge or irritation; yellowing of the skin or eyes.

    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.