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Startup Roman Diagnoses Erectile Dysfunction and Sells Meds—All Online
 
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Zachariah Reitano was 17 when he took his first stress test. His heart rate peaked to 240 beats per minute and he collapsed on the treadmill. It was a scary thing that never would've happened if he hadn't talked to his dad about his erectile dysfunction. Zachariah says 17 is a shockingly early age to experience ED, which in his case was the first sign of a far more serious underlying heart condition. He says he was incredibly lucky to have a father who was both a physician and an expert in sexual health. For other men who might not have a doctor for a dad, Zachariah, Saman Rahmanian, and Rob Schutz created Roman, a direct-to-consumer men's health company that diagnoses ED and delivers medication right to your door. Something most people don't know, Zachariah says, is that ED is often the first sign of a far more serious underlying condition—such as diabetes, heart disease, high blood pressure, or high cholesterol. It is also commonly associated with obesity and depression. Roman works with men to treat their ED, identify the underlying cause, and try to improve their overall health, Zachariah says. And the brand handles the sensitive subject matter with some humor. The first Roman commercial, which has more than a million views on Facebook, pokes fun at the clichés in so many ED ads. Rob says 20 years of ridiculous ED ads showing guys throwing footballs through tire swings and couples in separate bathtubs didn't make a lot of sense and were easy to poke fun at. Roman's humor makes it a little easier for men to start a conversation about ED. But Roman takes the medical side of things seriously. The company's leadership team of 10 doctors includes former U.S. Surgeon General Jocelyn Elders. Licensed physicians handle every online visit. Saman says that after that initial conversation with a physician, that same doctor also follows up with the patient to make sure the treatment is working well, to ask about any side effects, and to answer any questions. Online doctor's visits cost $15, which Roman will refund if you're not a candidate for meds. Prescriptions average $30 a month with free shipping. Those prescriptions arrive in a completely unmarked box, Saman says. The package has no branding until you open it privately at home. And that discreet approach is resonating with a lot of men. Rob says the company did more volume in their first month and a half than they anticipated doing for the entire year. And now Roman does more business on a daily basis than they had projected doing in its first few months. Roman prescribes Cialis, Levitra, and Viagra as well as sildenafil, the generic version of Viagra. —ALISON MORRIS For more information visit: www.getroman.com
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Choosing The Right Sildenafil Dosage
 
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Looking for the right Sildenafil dosage? Check out Roman Pharmacy here: http://www.edsolutions.xyz/getroman Getting the right Sildenafil dosage will take some trial and error. Since every man is different you will need different medications. For the most part, a Sildenafil dosage of 60mg should do the trick. That is the most popular dosage from Roman Pharmacy. Starting out at that level is probably where you want to start. After taking the ED meds a few times you will come to realize if that is the proper dosage for you. As always, consult your doctor and let him or her know exactly what is going on, that way they can make an informed prescription. For me, 40mg has been just right. I have, at times, taken 60mg and 80mg. The difference between 40mg and 60 was negligible. There was a big difference between 40mg and 80mg, but the side effects were also greater.
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V. I. A. G. R. A - When You Should Not Take it ?
 
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What is Viagra? Viagra, the brand name of Sildenafil, has the effect of relaxing blood vessel walls, thereby allowing blood to flow more easily to certain parts of the body. Introduced in the 1990s, it started out as a treatment for pulmonary arterial hypertension and is now mainly used to treat male impotence. Revatio, another brand of drug which contains the Sildenafil active ingredient, is now used to treat pulmonary arterial hypertension in both men and women. Read through the information below to discover more about Viagra. When is Viagra used? Erectile Dysfunction is caused by inadequate blood flow into the penis for erectile purposes, so that an erection either does not occur at all, or is not maintained for long enough for effective intercourse to take place. This may lead on to more complex issues such as a decrease in sexual arousal, depression and relationship problems. The active ingredient (Sildenafil) in Viagra stimulates the penile blood vessels to expand and allow more blood to flow and maintain the erection. The breakdown of the body’s own blood vessel stimulants is also inhibited, so a stronger, firmer and longer-lasting erection is maintained. How do you use Viagra? Viagra is taken in pill form as and when required, typically 30 minutes or an hour before sexual activity commences, although you can take it up to four hours in advance. It should not be taken more than once per day. It should be noted that the pill alone will not induce an erection but must be accompanied by normal sexual stimulation. You should always follow the instructions regarding dosage and use of the drug. The blister packs contain four, eight or 12 tablets each. If you are not affected by any form of Erectile Dysfunction then it is inadvisable to take Viagra. It will not increase the size of your penis, as is popularly assumed, nor will it increase your libido. It is not an aphrodisiac and does not induce spontaneous erections. Viagra only works in conjunction with normal sexual arousal, and as such is not a miracle drug but rather an aid to normal sexual activity for men who find it difficult to achieve and maintain an erection. Dosage Viagra has a distinctive diamond shape which is instantly recognisable, along with its blue colour and imprint on each side. The strength is indicated by a number on one side (either 25mg, 50mg or 100mg), followed by the VGR suffix indicating authenticity. On the other is the PFIZER name of the manufacturer. Side effects Viagra, in common with most other drugs, is not suitable for every man with an ED issue, and if you experience side effects another product will probably be recommended. It is possible that you may experience some side effects such as: • Dizziness • Nausea • Tingling • Numbness • General pain in the arms, chest, jaw or neck areas. If you experience any of these then see your doctor at once. It should also be noted that there are effective alternatives to Viagra such as Levitra and Cialis, and your doctor may prescribe one of these should Viagra not be having the desired effect. Nitrate-based medicines can be especially problematic and result in potentially serious side effects when taken with Viagra. Nitrates are most often prescribed for conditions such as Angina. Viagra should therefore never be combined with recreational drugs such as ‘poppers’, or amyl nitrate, which release nitrogen monoxide into the bloodstream. This can trigger a drop in blood pressure that may in some cases prove fatal. If you consult your doctor before taking Viagra you shouldn’t experience any problems. There are many online websites advertising the drug, but buying from them, without any consideration of personal medical history, can be dangerous at best, and potentially fatal at worst. Contraindications If you are on other medication, consult your doctor before taking Viagra. Other contraindications include low blood pressure, a recent heart attack or stroke and severe liver or heart problems. If you are taking medicines to treat any of these the side effects and health risks of also taking Viagra can be serious and even life-threatening. This is why Viagra is not sold over the counter but is strictly a prescription-only medicine that requires a prior consultation with a health professional before use. Always be sure to read the literature accompanying your Viagra packet, and if you have any queries or concerns about using the drug do not hesitate to seek professional advice before taking it. Like any effective and legal drug, used wisely it can enhance your quality of life. Use during pregnancy, while driving or with alcohol Viagra is not prescribed for women as it is used mainly to treat male impotency, specifically Erectile Dysfunction. Taking alcohol with Viagra increases the likelihood of experiencing potentially adverse side effects, and you should also try to avoid drinking grapefruit juice while taking the drug.
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Dec. 19 (Bloomberg) -- Bloomberg's Eric Chemi take a look at the two most popular erectile dysfunction medications on the market, Viagra and Cialis. Pfizer, the maker of Viagra, eliminated 20% of its sales workforce on December 18.
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PAKISTAN: VIAGRA FINDS ITS WAY ONTO THE BLACK MARKET
 
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Urdu/Eng/Nat Doctors in Pakistan are warning of the dangers of men buying the impotence pill Viagra on the black market and taking it without prescription. The sale of the drug in the country is currently being debated by the government - it says it wants to make sure the drug will be made available in the safest possible way. But medical experts say the problem of impotency is high in the country and that men are anxious to try out supplies of Viagra introduced illegally at a high price. Viagra, the impotency pill, is proving to be big business in Pakistan. The drug, first released in the U-S in March 1998, is legally available in more than 50 countries worldwide. Many people consider it the beginning of a new revolution in pharmaceuticals. In Pakistan, the government is currently discussing when and how to introduce the drug. But Viagra has already found its way onto the black market in the country's capital Islamabad and can be bought at a high price. One tablet can cost anything from 20 to 50 U-S dollars - a bottle of Viagra tablets can cost anything from 360 to 800 U-S dollars. Some Viagra users say the drug has been freely available to them for some time now and that they're prepared to pay up. SOUNDBITE: (Urdu) "Viagra is a sex drug and I have been using it for about two years and found it very good, because it adds energy to the body if we use it two hours before sexual intercourse. I have found no other medicine better than Viagra and the demand for it is now growing." SUPER CAPTION: Abdul Qadir, Viagra user The country's health department has so far been reluctant to legalise Viagra - but it is aware of the black market problem and is prosecuting anyone found selling the drug. Government officials say they want to make sure that there are no loopholes before Viagra is legally available in Pakistan. SOUNDBITE: (English) "In the West they know that this drug has got side effects and that it is a prescription drug. So nobody can buy it without prescription, while in Pakistan we still have some loopholes, some weaknesses where the drug can be sold over the counter and this is my main worry in resisting to register it." SUPER CAPTION: Professor Ghayyur H. Ayub, Director General of Health Ministry There have been worries that Viagra may have side effects. But Pfizer, the company that produces Viagra, maintains the drug is a safe medicine for erectile dysfunction when used as recommended in the approved package insert. There are already many legal drugs on sale in Pakistan to help enhance sex. Herbal doctors offer remedies for impotency, claiming they're natural products that have no side effects. The herbal remedy sellers can often be found on roadsides doing a roaring trade - but even they now say that the new wonder drug is threatening their trade. Medical experts say there is no official impotency figure in the country because Pakistani men are reluctant to admit they have a problem in a nation where sex is a taboo subject. But doctors say it is an ever increasing problem and they are warning of the dangers of taking the impotence pill without prescription. Doctor Khalid Saeed said it is even more of a worry as impotency affects men of all ages. SOUNDBITE: (English) "There are two basic main groups in which we can find this who come to us commonly. One is the younger age group - they are really people in their early 20s and the other group is somewhere in the late 40s and 50s and both of them have different presentations. People in the younger age group generally come to you just before they are about to get married." SUPER CAPTION: Dr Khalid Saeed, Consultant Psychiatrist at the Institute of Psychiatry, Rawalpindi In the meantime, they are encouraging people to seek alternative remedies. You can license this story through AP Archive: http://www.aparchive.com/metadata/youtube/14195c089563ad5cfdadadb596478314 Find out more about AP Archive: http://www.aparchive.com/HowWeWork
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PHILIPPINES: VIAGRA GOES ON SALE NATIONWIDE
 
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Tagalog/Eng/Nat Viagra, the headline grabbing anti-impotency pill, is now on sale in the Philippines. Pfizer, who manufacture the drug, have started delivering to local drugstores in Manila, two weeks after the local Bureau of Food and Drug gave its approval for its sale in the country. Pharmacies in the Philippines have finally begun to receive their stocks of Viagra. The manufacturer Pfizer, started deliveries of the new wonder drug at drugstores in Manila this week. Some stores already began selling the drug on Tuesday. With Viagra becoming the talk of the town, drugstore owners are anticipating a huge demand. Pharmacy owner Bhoyette Vizconde sold five tablets on the first day. SOUNDBITE: (English) "I already hoard (laughs) stocks because I'm really expecting that being the first to have Viagra here in our vicinity, I'm sure a lot of people will come here and inquire or buy Viagra." SUPER CAPTION: Bhoyette Vizconde, Owner of Marcelo's Pharmacy Pharmacy Plus received its first supply early this week. Owner James Sandoval, who owns several stores in the capital, put a few boxes of the pill on the shelf to show clients that the drug is now available. But before the drug was put on sale in his stores, Sandoval issued a memo to all his store managers to ensure that safety precautions are practiced before the drug is dispensed to patients. The B-F-A-D says it is important the pill is only sold to patients who come with a legitimate prescription from their doctors. Each pill comes with a leaflet giving warnings of possible side-effects if the drug is not taken properly. Pfizer warned that the drug should not be taken by people being treated with nitrate-based medication for heart problems. While he expects a huge demand for the drug, Sandoval said Filipino men may be a little shy of asking for the drug themselves. He says the men here will probably not want to admit they need Viagra and so he is arranging a home delivery service to put them out of their misery. SOUNDBITE: (English) "Because maybe at the secrecy of their own home, they can acquire the product because they might be too embarrassed to come forward to admit that they have a sexual problem. Any person that comes forward asking about the product - they're so defensive, they say right away "Hey listen I don't have a problem with this. I'm just inquiring". That goes to tell you how sensitive the issue is." SUPER CAPTION: James Sandoval, Owner of A-B Sandoval Drugstore Dr. Jesus Mendoza is a local doctor who has been checking out the testing of the Viagra drug. SOUNDBITE: (English) "Well, I was pretty excited and wanted to find out whether it was really going to work. Of course, there was some degree of skepticism at first. But when we started seeing back the patients who were on the study, then it was confirmed that my gosh, this works." SUPER CAPTION: Dr. Jesus Mendoza, Urologist In a press conference early this month, Pfizer said the approval from B-F-A-D came after they completed a six-month study of its effects on 500 men from six Asian countries, including the Philippines. The man who discovered Viagra, Dr. Peter Ellis, was in Manila last week and spoke of how his drug differs from the others already available in the market. SOUNDBITE: (English) "And I think the beauty of the drug is that it works to enhance the natural process. All the other products that are out there, you take the product, you get an erection. But Viagra, you take the product, you don't get an erection but it's only when sexually aroused. So it's basically enhancing a perfectly natural function and restoring it back to normal." SUPER CAPTION: Dr. Peter Ellis, Discoverer of Viagra SOUNDBITE: (Tagalog) You can license this story through AP Archive: http://www.aparchive.com/metadata/youtube/82332744ffb865c4de45bb3f42e9c31f Find out more about AP Archive: http://www.aparchive.com/HowWeWork
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What happens when you take Viagra and Cialis together at the same time - Daily News
 
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