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    January 2009 Anyone with a television probably knows that three prescription medications currently are used to treat erectile dysfunction (ED): sildenafil (VIAGRA), tadalafil (CIALIS) and vardenafil (LEVITRA). These drugs, which belong to the class of drugs called phosphodiesterase-5 inhibitors (PDE5i), are widely used, especially in older men. And because older men are more likely to be concurrently taking other medications, they should be aware of the potential for dangerous interactions when ED drugs are mixed with other prescription drugs. This article deals only with these three approved prescription ED drugs, not the many untested ED products widely advertised on the Internet and elsewhere (see Tables 1, 2, and 3). Sildenafil, tadalafil and vardenafil are drugs that cause the dilation of blood vessels (vasodilators) and this effect can be magnified when they are used with other medications with similar vasodilating effects. It is this vasodilating effect that increases blood flow to the penis causing an erection. Most ED drug interactions, however, result from the fact that these drugs are metabolized by the enzyme CYP3A4 in the intestine and liver. CYP3A4 is the most important enzyme for drug metabolism, and many medications can interact with ED drugs by decreasing or increasing CYP3A4 activity, causing ED drug levels to increase or decrease, respectively. Cialis tadalafil dose, indications, adverse effects, interactions. from. can you buy flagyl over the counter Vasodilators Side Effects, List of Names Prescription, Natural, OTC Viagra_Vasodilator_VasoconstrictorSafeandSecure
     
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    One of the questions that we are frequently asked is, “What is the effect of Lasix on blood viscosity? Bleeds, or exercise induced pulmonary hemorrhages (EIPH), affect the majority of horses during intense exercise, and Lasix is often used to reduce or prevent bleeds. Lasix (or furosemide) is a potent loop diuretic that increases urine production and urinary frequency. Lasix has been administered to horses before races for the past 40 years as a way to reduce or prevent bleeds [1]. Because Lasix reduces plasma volume, it is believed by many experts to reduce blood pressure in the lungs and prevent bleeds from occurring. Lasix has been shown to reduce plasma volume by 11-13%, and the effect lasts for up to 3-4 hours [2]. Despite the reduced blood pressure and plasma volume in furosemide treated horses, veterinary researchers at the University of Pennsylvania stated, “Using a visual endoscopic scoring system, numerous studies conducted after racing have shown either a slight or no reduction in EIPH in horses administered furosemide before racing” [1]. An authoritative review by equine veterinary scientists Lawrence Soma and Cornelius Uboh published in the Journal of Veterinary Pharmacology and Therapeutics stated that the reduction in blood pressure in the lungs caused by Lasix is not sufficient in magnitude to prevent bleeds [3]. Regulatory Changes Not Expected Following Lasix Studies. valtrex allergy Use of Furosemide Lasix/Salix for Prevention and Management of. Equine Health Labs - Lasix and Blood Viscosity
     
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