A few years ago, I was interviewed by a German TV channel which wanted to show that taking over the counter drugs was a dangerous practice, and had gone to great pains to do some secret filming in Thai suburban pharmacies (of which there are numerous).
The drug they wished to highlight was our old friend (or probably better described as the “friend of the old”), the blue diamonds. They had chosen Thailand because so many blue diamonds were being taken here, and they wanted to show the disastrous side effects from taking the fake pills.
During the course of the interview I pointed out that Germany has its own very well known red light areas, so they could save money on plane fares and get the blue diamond statistics much closer to home. I also pointed out that we were not inundated with octogenarians with heart failure and loaded condoms, and “over the counter” (OTC) drugs could be found all over the world, and not just here.
It might come as no surprise to those who have an inkling of television “news” that they cut my interview out of the feature. Do not forget the journalist’s creed – “Never let the truth stand in the way of a good story”!
So back to counterfeit blue diamonds, how do you find out that yours are real or otherwise? Every day I receive Spam, offering me the opportunity to keep a battalion of beauties satisfied. These are the internet email offers of cut-price drugs that will keep me in a state of perpetual priapism, a continuing (and painful) male erection and the term was coined after the Greek god Priapus who is shown in paintings to have a central member like a third leg.
Offers like these which are too good to be true, are usually just that – too good to be true! These cut-price drugs are not the real deal. The chances are very high that they are counterfeit.
One of the patients showed me a box purporting to be genuine brand name Cialis tablets, which were not having the desired effect. I was immediately suspicious as the box was not all that well printed. I was quite sure they were counterfeit when I read the Patient Information slip (the printed sheet that you don’t read). The English grammar was incorrect, and there were spelling mistakes. Eli Lilly, the ‘real’ manufacturer does not send out mis-spelled literature with their product. How real is the threat of counterfeit drugs? The World Health Organization estimates that one in three drugs on the worldwide market today is counterfeit. One in three!
Pfizer’s laboratories analyze fakes and stated, “We’ve seen boric acid, heavy metals, road paint, floor wax to coat the pills and give them a shine.”This is actually a serious situation. If specific drugs are only available through pharmacies, on the prescription of a doctor, is it safe to just buy over the internet (or counter), without any doctor’s advice?
According to WHO, drugs commonly counterfeited include antibiotics, antimalarials, hormones and steroids. Increasingly, anticancer and antiviral drugs are also faked. And you can add to that, the ‘blue diamonds’. Get your medications on a doctor’s prescription. There is a reason for it.
I do know that many of our patients complain that my hospital’s pharmacy is expensive, but that is the price of guaranteeing that your medications are not the WHO’s one in three fake medications in our pharmacy! We may be more expensive, but the medication is the real deal!
Previously published in the Pattaya Mail.
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idespreadPost #2:
A friend of his has just gone for a red Viagra trip, and is actually better-living than himself. He is seriously poor, and has made the journey to pay for the trip as many other people do. However, the money goes to his local pharmacy, and to a local doctor, who is willing to give him a 10% discount.
Viagra for menis a medication that belongs to thePDE5 inhibitorsfamily. This is a phosphodiesterase type 5 (PDE5) inhibitor that relaxes smooth muscles and increases blood flow in certain areas of the body. It is a generic name of, approved by the U. S. Food and Drug Administration (FDA) in 1998 for the treatment of erectile dysfunction. Sildenafil citrate (the generic name is Sildenafil) works by blocking the effects of certain enzymes called PDE5, which are responsible for breaking down the cyclic GMP (cGMP) enzyme. This breakdown of cyclic GMP causes relaxation of the smooth muscle and increases blood flow to particular areas of the body, including the penis. This is thought to increase the sensitivity of the penis to sexual stimulation, which is the reason why a man who is not able to get or maintain an erection can gain and sustain an erection. Sildenafil is also effective in treating pulmonary arterial hypertension (PAH). This is a condition in which the blood pressure in the lungs decreases as the blood volume rises. This decrease in blood volume causes blood vessels to constrict, leading to a reduction in blood flow to the penis. Sildenafil is also used as an angiocclusive agent in the treatment of pulmonary arterial hypertension (PAH) and it has also been used to treat erectile dysfunction.
Sildenafil tablets are available in a variety of strengths and forms (Tablets, Cialis, Spedra, etc.) to suit the needs of men of all ages. Men who are unable to take Viagra should take it at the same time as they have been instructed to do so by their doctor. It is important to note that the tablets should not be taken more than once a day. It is important to have sexual stimulation during the day before the medication is given. It is also important to take it with a full glass of water. It is important to take the medication at the same time each day, as this will help to prevent any adverse side effects from occurring.
It is important to know that Viagra is not for everyone. Men who have difficulty obtaining an erection or have a condition that affects the blood flow to their penis may be candidates for this medication. This is because erectile dysfunction can result in decreased blood flow to the penis, resulting in decreased sexual performance. Viagra is not effective for everyone and there are certain circumstances that make it unsuitable for men who have certain conditions. It is also not recommended for men who are unable to use the drug due to heart problems, kidney or liver problems, or those who are taking medications that are nitrate drugs. It is also not recommended for men who are taking medications that are known to be harmful to the body. Men who are not advised to take Viagra are not advised to take it.
Sildenafil is taken as a tablet and should be taken approximately one hour before sexual activity, as this may delay the onset of effects. Swallow the tablet whole with a full glass of water. It is important to take the tablet at the same time each day. It is important to avoid drinking grapefruit juice as it may increase the amount of sildenafil in the body. If you experience any adverse effects of this medication, stop taking it and consult your doctor.
Viagra is not suitable for everyone and there are certain circumstances that make it unsuitable for men who have certain medical conditions. Sildenafil is not recommended for men who have a history of heart problems, high blood pressure, high cholesterol or are taking medications that are known to be harmful to the body. It is not recommended for men who are taking nitrates (e.g., nitroglycerin) as it may cause a dangerous drop in blood pressure. Men who are taking nitrates for chest pain, heart problems, or are taking certain medications, such as amyl nitrate or isosorbide dinitrate, should not take Viagra.
Viagra (generic Viagra) is the generic name of sildenafil citrate, and is used to treat erectile dysfunction (ED).
Pepsilican is an ancient and influential drug. It was the first of the pharmaceutical drugs which was created in the 17th century. It is an analog to the modern medicine known as Viagra and is used for the treatment of erectile dysfunction.
Viagra is a pharmaceutical drug which is the active ingredient of Pfizer’s famous brand name. It was designed to be used in the treatment of erectile dysfunction in men. It is also used to treat hypertension. It is manufactured in India and is available in various forms such as tablet, oral jelly, and spray. Viagra is available in a wide variety of dosages, including 50 mg, 100 mg, 200 mg, 300 mg, and 300 mg. It is also available in other forms such as tablets, effervescent tablets, and gel capsules.
Viagra is a drug which is a phosphodiesterase type 5 inhibitor, which helps to relax the blood vessels in the penis. It improves blood flow in the penis. It is used to treat erectile dysfunction in men. It is available in a wide range of dosages, including 50, 100, 200, and 300 mg. It is also available in various forms such as tablets, gel capsules, and oral jelly.
It is available in a variety of dosages, including 50, 100, 200, and 300 mg. It is also available in various forms such as tablets, oral jelly, and spray.
Viagra works by inhibiting the enzyme PDE5, which is responsible for breaking down the drug into its inactive components. This allows it to be absorbed into the bloodstream and become active in the body. This allows the medication to be taken more easily and effectively in the body.
When a man is sexually aroused, his body responds by relaxing the blood vessels in the penis. This increases blood flow into the penis, which is necessary for the normal sexual process. However, this is only possible with sexual stimulation.
In order to achieve this, the drug must be taken orally. It is usually taken by mouth, approximately 1 hour before sexual activity. The effects of the drug can last for up to 4 hours. This allows it to be absorbed into the bloodstream more quickly. It is important to note that sexual stimulation is necessary to achieve this effect.
It is worth noting that Viagra is not the first drug in the class of erectile dysfunction treatments. In fact, in the past, it was only taken by mouth.
It is important to note that the use of Viagra may lead to some complications. These include the potential side effects, such as headache, flushing, and indigestion. If you are taking nitrates or nitric oxide donors, then this can lead to more serious side effects.
Like any other prescription medication, Viagra is associated with some side effects. These include headache, dizziness, and nasal congestion. However, these effects are generally mild and temporary. If you experience any of these side effects, immediately consult your doctor.
It is important to note that Viagra is not the only drug in this class. Other drugs in this class are also associated with a lot of side effects, including:
In addition to these side effects, other drug interactions can also occur with Viagra. These include:
It is important to tell your doctor about all the medicines you take. If you are using any of the medicines for hypertension, heart medications, or diabetes, the doctor may need to adjust your dose or prescribe another medication. If you are taking a blood pressure medication, it may also need to be adjusted.
Viagra is taken by mouth. The recommended dose is 50 mg, taken orally once per day. It is important to follow the recommended dosage schedule as determined by your doctor. It is not advisable to take more than one dose per day. If you have difficulty swallowing, you should take Viagra as soon as possible. It is recommended to take the medication 30 to 60 minutes before sexual activity.
Viagra is used to treat erectile dysfunction and impotence or inability to get or maintain an erection sufficient to have sexual intercourse. The medicine works by increasing the blood flow to the penis to help a man get and keep an erection. It is also used in cases of pulmonary arterial hypertension to treat high blood pressure in the lungs.
Other uses of Viagra are:
Viagra is not addictive. If you are a man who suffers from a lack of libido in the sexual life, your doctor may prescribe this medicine as a treatment for you.
Viagra is used to treat erectile dysfunction and impotence or inability to get an erection sufficient to have sexual intercourse.
The usual dose of Viagra is 100 mg to 100 mg every 6 to 8 hours, up to a maximum of one tablet in 24 hours. The dosage will depend on the cause of your impotence. It is recommended that the dose be taken at the same time each day. It is important to take the medicine at the same time each day and not to take more than one dose in 24 hours. Do not take more than one dose in 24 hours.
Viagra can cause side effects including:
Serious side effects have been reported. Tell your doctor if you notice any of these symptoms.
There are with Viagra, some of them are known to interact with alcohol, grapefruit juice, certain medications, some antidepressants. It is important to inform your doctor of all medications you are currently taking.
Viagra may cause side effects.
Stade de France Pharmacy