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Tadalafil, Sildenafil Citrate and Vardenafil is actively present in the Cialis, 레비트라구매 Viagra and Levitra respectively which help to boost the blood circulation toward the reproductive organ which maintain an erection during the physical activity and give sexual satisfaction to you and your partner.
But in Cialis, Viagra and Levitra; Levitra is work quickly as compare to the Cialis and Viagra.

What causes erectile dysfunction

Congressional Republicans don’t have anything against penis pumps. 

They just don’t want Medicare paying for them unless cheaper prescription drugs are also on the list of taxpayer-funded therapies for men with problems they usually attribute to ‘a friend.’

As part of a plan to pay for a new initiative aimed at helping disabled Americans save tax-free for education, housing and transportation costs, a House bill unveiled Tuesday eliminates $444 million in Medicare funding for the ‘vacuum erection systems.’

IT’S FOR A FRIEND: 레비트라부작용 Medical-equipment versions of ‘penis pumps,’ devices prescribed for men who can’t get erections, are covered under Medicare to the tune of $44 MILLION per year

Florida Rep. Ander Crenshaw, the bill’s sponsor, said it will help ‘millions of Americans’

Washington Republican Congresswoman Cathy McMorris-Rodgers (right) said she supports the ABLE Act’s tax advantages for disabled Americans because of her son Cole (center), who was born with Down Syndrome

The larger legislation, called the Achieving a Better Life Experience (ABLE) Act, will allow states to set up and manage specialized savings accounts for Americans with disabilities, opening the door for them to receive tax breaks and access to Medicare entitlements currently out of their reach.

Republicans in the House propose to pay for it with a series of budget ‘offsets’ including the congressional erection maneuver – which the Congressional Budget Office estimates will save the government nearly a half-million dollars over ten years beginning in 2015.

A House Ways and Means Committee report issued Tuesday explains that the pumps would be de-funded ‘until such time that Medicare covers erectile dysfunction drugs under Medicare Part D.’

‘When the Part D program was created in 2003, it established a statutory prohibition on erectile dysfunction drugs,’ committee staff added.

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Of the nine offsets added to the bill this week, the $44 million-per-year savings figure is the largest. Other measures increase fuel taxes for cargo ships operating on U.S. inland waterways and an IRS proposal that will index tax-nonpayment penalties for inflation – driving up the fines over time.

The larger point of the ABLE Act, however, is to give disabled people access to tax write-offs that others take for granted – including the ability to earn tax-free interest in the way parents with ‘Section 529′ plans can while saving for their childrens’ college tuition.

House Speaker John Boehner said Tuesday that ‘under the status quo, which dates back to 1974, people with disabilities can only save $2,000 in assets’ before taxes kick in.’

‘This makes it nearly impossible for them to plan for the future just as any family would.’ 

SAVINGS: Disabled Americans will be able to earn tax-free interest on savings for education, transportation, housing and other expenses under the ABLE Act

THE LITTLE PILL THAT COULD: Congressmen and women want Medicare to fund cheaper drugs like Viagra (pictured) and Levitra instead of assuming expensive appliances are the only option

SERIOUS SUBJECT: House Speaker John Boehner said Tuesday that tax rules for disabled Americans’ savings date back to 1974 and tax-free interest is capped at $2,000 of savings

Florida Republican Rep. Ander Crenshaw added that ‘with ABLE in place, individuals with disabilities would no longer have to stand by and watch others use Internal Revenue Service-sanctioned tools to lay the groundwork for a brighter future,’

Crenshaw, who first proposed the law, predicted it will help ‘millions of Americans.’

Congress seems united on the measure, with more co-sponsors of both parties in bouth chambers of Congress than any other pending legislation. A whopping 380 House members support it, along with 74 senators.

One of those ABLE Act cheerleaders is Washington Republican Rep. Cathy McMorris Rodgers, whose seven-year-old son Cole was born with Down syndrome.

‘Cole has helped me understand how too many times federal policies limit – not expand – opportunities for those with disabilities,’ Rodgers said Tuesday.

Read more:

Summary of H.R. 647, the Achieving a Better Life Experience (ABLE) Act of 2014

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이중 레비트라 5mg의 수입실적이 매우 낮다는 점 등을 감안했을 때 사실상 한국 철수를 위한 움직임이 시작된 것으로 업계 관계자는 전망했다. 업계 관계자는 실제 해당 제품군의 매출이 채 1억원 혹은 그 밑을 상회하는 수준에 불과할 것이라고 밝힌다. 2013년 야일라의 매출은 실제 5억원 선에 불과했다. 알약의 형태에서 물 없이 복용 가능한 구강붕해정, 필름지 형태 등 언제 어디서나 쉽게, 약처럼 보이지 않는 센스까지 겸비한 제품들이 도전장을 내밀고 있다. 물 없이도 언제 어디서든 먹을 수 있어 환자의 복용 편의성을 높이고, 레비트라복용법 질환의 특성상 심리적 요인이 크게 작용하는 점에 착안, 패키지 디자인도 작고 예쁜 명함지갑 정도의 슬라이딩 버고팩 형태로 제작해 약처럼 보이지 않도록 했다. 약처럼 보이지 않는 세련된 패키지 디자인과 물 없이 언제 어디서든 먹을 수 있는 새로운 제형인 구강붕해정으로 아예 새롭게 태어났다. 그러나 당시 FDA는 최종허가의 전제조건으로 ‘레비트라’가 심장에 미칠 수 있는 영향을 평가하기 위해 추가적인 임상시험을 진행토록 요구했었다. 우울증이 발기부전 환자들에게서 다빈도로 눈에 띄고 있음에도 불구, 지금까지 ‘레비트라’가 발기부전 환자들의 우을증을 개선하는데도 효과적인지 유무를 평가하기 위해 진행되었던 연구사례가 찾아보기 어려웠음을 상기할 때 주목되는 연구결과인 셈.

이번에 공개된 임상시험 사례들은 양사의 연구비 지원으로 진행되었던 것이다. 이 중 하나의 예가 대한남성과학회와 더불어 ‘성건강교육연구회’를 창립, 교육 자료를 개발하고 계간지 ‘건강한 성, 행복한 삶’을 발행한 것이다. 남성 당뇨병 환자들에게서 발기부전 증상이 나타날 확률은 건강한 이들에 비해 3배나 높은 것으로 추정되고 있을 정도. 이상지질혈증을 동반한 발기부전 남성의 발기도를 평가한 결과 레비트라가 발기부전 환자의 삽입 성공률 및 발기유지능력을 향상시켰다는 최초의 전향적인 연구결과가 나왔다. 또한 질 내 삽입 성공률에서도 FP비트라ODT 투여 군은 71.3%, 위약군은 43.9%를 보였고, 발기유지 및 성관계 성공률에서도 레비트라ODT 투여군이 위약군(26%)에 비해 2배 이상 높은 성공률인 62.7%을 나타냈다. 레비트라는 또, 삽입 성공률(sep2)과 발기 지속률(sep3) 역시 위약에 비해 두드러지게 높은 것으로 나타났다. 연구진은 당뇨병 환자 138명에 대한 자료를 분석했는데 그 결과 레비트라는 위약에 비해 통계적으로 유의적인 효과가 있는 것으로 나타났다. 20㎎(평균 10㎎)을 12주 동안 복용했던 당뇨병 환자들의 경우 플라시보 투여群에 비해 통계적으로 유의할만한 수준의 효과를 보았던 것으로 분석됐다. 비급여로 처방을 받는 경우도 존재하고 그 경우 인지도 있는 회사가 환자의 신뢰도로 이어지는 탓이다. 최근 뜨거운 경쟁이 ‘현재진행형’인 발기부전 치료제 시장에서 후발품목인 일라이 릴리/아이코스社의 ‘시알리스'(타달라필)에도 추월당하고 있는 ‘레비트라’에 반격의 발판을 구축해 줄 것이라는 기대감에 불씨를 지필 만한 대목인 셈.

게다가 비뇨기과 전문의들은 당뇨병에 동반되는 발기부전 증상의 경우 치료하기가 가장 어려운 그룹에 속한다는데 입을 모으고 있는 형편이다. 인디펜던트’紙는 “FDA가 이처럼 이례적인(unusual) 행보를 보이고 있는 것은 또 다른 자료제출을 요구할 가능성을 배제할 수 없음을 시사하는 것이며, 이 경우 ‘레비트라’의 미국시장 발매시기가 상당정도 지연될 수 있으리라는 우려가 일부 애널리스트들에 의해 제기되고 있다”고 전했다. 화이자社가 발매 중인 ‘비아그라’의 경우 이미 시장에 데뷔한 후 5년의 시간이 경과한 데다 이 분야의 대명사격 약물로 인식되고 있는 상황이다. 바이엘쉐링제약(바이엘헬스케어)은 최근 스웨덴 스톡홀롬에서 열린 유럽비뇨기학회 (EAU: European Association of Urology)에서 발기부전 치료에 대한 기존의 인식을 바꿀 수 있는 새로운 연구 결과(ENDURANCE)가 발됐다며 이같이 밝혔다. 를 얻지 못한 발기부전 남성들에게도 레비트라가 효과가 있음을 보여준다고 강조했다. 레비트라는 선호도를 묻는 대부분 항목에서 비아그라에 대해 우위를 보였으며, 효능 입증을 위해 빈번히 이용되는 EF DOMAIN, SEP 등과 같은 척도들에서도 역시 레비트라가 비아그라에 대해 통계학적인 우위를 보인 것으로 나타났다고 한다. 미국 베일러 의대의 앨런 가버 박사와 연구진은 비아그라에 반응하지 않는 중등증 이상의 발기부전증 환자 463명을 대상으로 레비트라와 위약을 대조했다. 또 다른 경쟁제품인 일라이 릴리社와 ICOS社의 시알리스(Cialis)도 금년말 미국 시장에 입성할 것으로 예상된다. 글락소스미스클라인社와 바이엘社는 7일 미국 플로리다州 올랜도에서 열린 제 64차 미국 당뇨협회(ADA) 사이언티픽 세션 학술회의에서 이 같은 임상시험 결과를 발표했다.

이 결과는 지난 13일 마드리드에서 열린 제 18차 유럽비뇨기학회학술대회에서 발표됐다. 이미 발현시간이 가장 빠른 것으로 보고되는 레비트라는 최근 10분 만에 이 제품을 복용한 환자가 발기, 최단시간 기록을 갱신했다는 새로운 연구결과도 발표됐다. 발기부전증 치료제인 레비트라(Levitra)가 비아그라로 효과를 보지 못한 당뇨병 환자에게 효과적이라는 임상 결과가 미국당뇨병학회(ADA)에서 발표됐다. 바이엘과 글락소스미스클라인은 최근 남성 발기 부전 치료를 위한 새로운 경구용 PDE-5 억제제인 “레비트라”(성분명: vardenafil HCI)가 유럽 연합으로부터 판매 승인을 받았다고 밝혔다. 이와 관련, ‘비아그라'(실데나필)를 복용하고도 증상개선에 별다른 도움을 받지 못했던 당뇨병 환자들의 발기부전 증상을 개선하는데 ‘레비트라'(바데나필)가 효과를 발휘할 수 있을 것임이 입증되었다는 요지의 임상시험 결과가 공개되어 비상한 관심을 모으고 있다. 이와 관련, FDA 자문위원회는 양사가 추가로 제출할 임상시험 결과를 검토하기 위해 다음달 29일 회의를 소집할 예정으로 있다. 이를 위해 권세라 마케팅 총괄을 비롯해 39명의 영업팀원들이 노력 중이다. 권세라 마케팅 총괄은 “기존 약에 비해 약효가 빠르고 10mg 단일의 같은 용량에서 효능도 높다”고 자신했다. 레비트라ODT의 권세라 마케팅 총괄은 “확실히 의사들이나 환자들의 관심이 크다는 것이 느껴진다. 권세라 마케팅 총괄은 ” 발기부전체료제들은 각각의 특장점이 있지만 레비트라ODT는 물 없이 먹을 수 있다는 확실한 차별화된 특장점을 지니고 있다. 레비트라ODT는 본사의 ‘애니타임 애니웨어(Any time, Any where)’라는 문구를 ‘굿바이 워터(Good bye water)’로 새로 바꾸고, 환자들을 대상으로 한 리서치를 통해 많은 준비를 하고 나온 제품이다. ‘굿바이 워터(Good bye water)’라는 귀에 쏙 들어오는 슬로건을 걸고 아시아에서는 처음으로 한국에 출시된 레비트라ODT.

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Since time immemorial, sex has been treated as a very important activity in our day to day lives. Sex has been inscribed in the scriptures of Kamasutra as one of the best defining moments. Various sex positions are also documented in these sex books. It is only understandable that sex has always taken a grand 레비트라부작용 seat in the minds and heart of the youth. What is youth without sex? What is the fun of being together if there is no intermingling of the sex organs and no coital pleasure? Man very early on understood the need for this coital pleasure and hence it is one of the main exquisite gifts that a man can give to his wife or girl friend.

There are various inhibitions that go along with sex. It is one of the most desirable things to be done when a man is together with his wife. There are various channels that show sex shows to teach the technicalities of it. The lack of sexual prowess might leads to a very adverse effect on the nature of sex that would be carried out by these fellows who do not know the correct way out. Lack of erection is really a very serious issue as far as sex is concerned. The most common form of sexual dysfunction is erectile dysfunction that is faced by many. This dysfunction is a marked by the lack of the ability to have erection at the time of performing sex.

Just imagine how suffocating is the feeling of not being able to have sex properly. It is one of the most dreaded situations that lead to total dismal consequences. The attachments in the form of sexual pleasure can really lead to a lot of developments in the relationship of a person. Have you ever imagines how life would be if there is no sexual pleasure? Yes, the situation is exactly the same for those who do not have the ability to have sex properly. There are various ways out of it. Medications are present in huge numbers that treat erectile dysfunction. this include Generic Levitra, Kamagra, etc. these medicines are generic versions of the master drug Viagra. Generic Levitra is one of the best medicines that work into the sexual fitness of the body by increasing the blood circulation. After the consumption of this tablet one gets erections within 25 to 30 minutes. This erection remains for around 5- 7 hours which is huge. Get Kamagra and Generic Levitra at the most affordable prices and feel the pleasures of love.

A Pharmacy researcher – Steven Clark studying the effects and causes of impotence in male. Many articles written on impotence and it’s best treatment have been written by him.The main focus is on Generic Viagra. and Generic Levitra and their online. providers

It’s the little blue pill that has revolutionised sex lives over the world.

Viagra, known generically as sildenafil, helps boost blood flow to a man’s penis so he can maintain an erection.

But the popular drug was invented accidentally, to treat angina, a heart condition that constricts the vessels that supply the organ with blood.

Pfizer, the pharmaceutical company that creates the drug, were searching for something to relax these blood vessels, and in the process stumbled on a pill for erectile dysfunction. 

Until recently, only men who suffered impotence as a side-effect of illness or those seen by a specialist could be given the pills on the NHS.

But since Viagra’s patent ran out in 2013, its cost has plummeted by 93 per cent and cheaper, generic versions of the drug have become available.

Because of this, the NHS has allowed all men with serious impotence problems to be prescribed the pill, and prescriptions have soared, with more than 3,800 prescriptions being dished out every day last year. 

As the drug becomes increasingly common, Dr Tom Brett, a GP in London and medical director of , explains exactly how it works…

Scroll down for video 

What is erectile dysfunction?

To fully understand Viagra one must understand the condition it treats.

Erectile dysfunction (ED) occurs when a man is unable to gain or maintain an erection sufficient to have successful sexual intercourse. 

ED can be caused by psychological issues such as stress, an underlying medical condition, or sometimes by lifestyle choices.

How does Viagra work?

The quick answer is Viagra works by relaxing the muscle cells in the blood vessels supplying the penis, allowing more blood to flow there.

This increased blood flow increases the likelihood of getting an erection.

The science behind Viagra is relatively simple, once you get your head around the jargon. The bullet points below should break it down for you:

• When the brain gets aroused a signal is sent to the penis.
Nerve cells in the erectile tissue in the penis start producing nitric oxide. This leads to the creation of a chemical called cGMP.

• cGMP relaxes the smooth muscle in the walls of the blood vessels of the penis, causing them to dilate and increasing the blood flow to the penis.

This increased blood flow helps create an erection. This pathway is disrupted in men with erectile dysfunction.

• PDE5 is an enzyme found in the penis which breaks down cGMP when you stop having sex.
As the level of cGMP falls, the penis returns to its non-erect state.

• The active ingredient in Viagra is sildenafil citrate. Sildenafil selectively inhibits PDE5. Inhibiting PDE5 increases the level of cGMP when aroused, and allows extra blood flow to the penis to help create an erection.

Background on Viagra

Viagra is the best known treatment for erectile dysfunction. 

The little blue pill was introduced by the American pharmaceutical corporation Pfizer in 1998 and was an immediate success. 

In 2000 Viagra sales accounted for 92 per cent of the global market for prescribed erectile dysfunction pills.

Viagra was under patent protection in the UK until 2013.

Since the patent expired, legal cheaper versions of generic Viagra (sildenafil) have been made available. 

However, the quality of the Viagra brand name means many men still prefer to use the original product.

Can Viagra cause side effects?

Most men will not experience any side effects when taking Viagra.

If side effects do occur they are generally mild and brief. 

The most common are headache and facial flushing. Other side effects can include palpitations, indigestion, dizziness, and blurred vision. 

In the case of any side effects, always consult a doctor before proceeding further.

Who can take Viagra?

Viagra is prescription-only for a reason. Always get expert approval before starting to take it.

Peope should be sure to disclose all medical conditions to their doctor, especially if they have a history of angina, recent heart attack, recent stroke, high or low blood pressure, as well as any allergies.

Viagra must never be taken by those using any nitrate or nicorandil medicines.

Erectile dysfunction can be caused by underlying medical conditions such as high blood pressure, high cholesterol, obesity and type 2 diabetes. 

ED is often the first sign of these conditions, so anyone suffering from erectile dysfunction, particularly if they are over the age of 40, should book an appointment with their GP.

Can anything limit how effective Viagra is?

Yes.

Alcohol can limit Viagra’s effectiveness, as can high fat foods. For the best results, Viagra should ideally be taken on an empty stomach. 

Cialis and Levitra, other ED treatments, can be taken with a meal (but not with alcohol), so if this is important to a person, they may wish to try these options instead.

What if Viagra doesn’t work?

Viagra doesn’t always work first time, but that doesn’t mean it won’t ever work.

If nothing happens the first time round, Viagra could nevertheless be more effective next time.

Indeed, doctors advise trying all erectile dysfunction medicines eight times before giving up and moving on to another treatment or higher dose.