Generic Cialis is used to treat erection problems in men. It is the only drug which is not only fast acting (works in 30 minutes) but is also know to be effective for as long as 36 hours, thus enabling you to choose the moment that is just right for you as well as your partner. Millions of men have benefited from Cialis as it works effectively in mild, moderate or severe Erectile Dysfunction.

Generic Nolvadex is used for treating breast cancer that has spread to other sites in the body. It is also used along with other medicines to treat other types of breast cancer. It is used in women who are at high risk for breast cancer and in women with DCIS (after surgery and radiation) to decrease the risk of developing breast cancer.

Generic Zithromax is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases. In children, it is used to treat middle ear infection, pneumonia, tonsillitis, and strep throat.

How does Viagra work?

Viagra helps by increasing the blood flow into the penis to minimize the symptoms of erectile dysfunction. It does this to be pumped into the penis by relaxing the blood vessels more blood. For Viagra to take effect and the penis occur to have an erection, must be sexually stimulated.

How long does Viagra work?

After taking Viagra you should be able to have an erection later about 30 minutes and once the medication was taken its effect can last up to 4 hours. Viagra is effective, fast, if you have not eaten before taking the pill.

How often can I take Viagra?

Viagra can be taken once a day, if necessary, although it is important to remember that you never, even if you have to take a pill more than this on the lowest dose of the drug. What is the best dose of Viagra for me? The dosage depends on your individual circumstances and it is best to go to your GP and see to seek advice to the dosage for you is best. If you have a serious health condition you are on other medications or have often started from at the lowest dose, to ensure that your health is not damaged.

Can women take viagra?

More recent studies have shown that even women can take Viagra, although it is important to seek medical advice, as it may be other non-medical treatments that women suffer from sexual related conditions might help. Can taking Viagra be life-threatening? If you have seen your doctor and have your medical history and current health status assessed and stay at the doses that were prescribed, then you have a very low chance of suffering from one of the more serious side effects of Viagra. It is important to monitor yourself, and if you feel that the pills do not suiting then you need to seek instructions from your doctor.

Cost of Buying Viagra at CVS, Walgreens, and Walmart Pharmacy

Viagra can be purchased online as well as from bricks and mortar pharmacies.

What You’ll Pay for Prescription Viagra Pills at Major U.S. Pharmacies

If you live in the United States, you are probably used to high costs for prescription drugs. Even the largest pharmacy chains — like CVS, Walgreens, and Walmart — can only reduce costs so much with their enormous bulk purchases.

When it comes to buying 10 Viagra tablets of 100mg each. costs are as follows at each of these chain pharmacies:

• CVS: $446.99 ($44.70 per tablet)
• Walgreens: $420.99 ($42.10 per tablet)
• Walmart: $421.20 ($42.12 per tablet)

There are ways to work around these costs. For example, many pharmacies price 100mg tablets the same as 50mg tablets.

That means if a physician deliberately prescribes 100mg tablets for someone who needs 50mg tablets the patient can cut the 100mg tablets in half and essentially get their Viagra for half price.

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A large number of men with ED prefer to use online facilitators like AccessRX.com to fill their prescriptions for erectile dysfunction drugs. For only $20 more per order than your local pharmacy, the benefits by ordering online outweigh the costs of going to your local pharmacy. Customers choose Accessrx.com due to cost, convenience, or to maintain privacy. Some men are uncomfortable with the idea of their local pharmacist knowing that they take an ED drug, and so they use an online pharmacy for privacy and have the medications delivered right to their door.

Sales of ED drugs have soared as baby boomers approach retirement.

The Cost of Treating ED

The cost of treating erectile dysfunction is a subject of increasing interest as baby boomers approach retirement age. The incidence of ED increases with age, and with health conditions such as diabetes and coronary artery disease. But with the cost per tablet at around $30, the expense can be difficult to justify for many people. Furthermore, neither Medicare nor many private insurance plans covers the cost of ED drugs.

In 2005, Congress removed coverage for ED drugs from both Medicare and Medicaid, and many self-funded health coverage plans and private insurers followed their lead. A number of health insurance programs contractually excluded treatment for ED shortly after Viagra was introduced to the market back in 1998.

In the clinical journal Clinical Pharmacology & Therapeutics . M.C. Hornbrook and J. Holup of The Center for Health Research, Kaiser Permanente, asserted that exclusion of insurance coverage of ED drugs “is arbitrary and discriminatory (particularly against older men) and has no business, medical, or ethical rationale. Coverage of ED prescriptions should be included in basic health benefits by all public and private payers and health-care delivery systems when indicated to maintain, restore, or compensate for loss of function caused by disease, injury, or medical treatment.”

This should not discourage men with ED from discussing their concerns with a physician. Many doctors are willing to work with patients to help get the costs down, with techniques like the process described above of prescribing 100mg tablets that can be cut in half.

Only a Fraction of Men with Erectile Dysfunction Use ED Drugs

Insurance companies excluded Erectile Dysfunction drugs from their contracts for fear that the costs would be prohibitive. However, a study of a managed care claim database of 28 million individuals in 51 health plans in the U.S found 285,436 claims for men with ED whose health plans covered ED treatment.

The estimated cost of ED care — including physician evaluation, diagnostic procedures, and ED drugs — in health plans with 100,000 members or more was only about 71 cents per member.

Insurance plans that cover ED drugs are able to control costs by limiting dispensing of ED drugs. For example, one plan allows coverage of up to 6 tablets per month, with plan members paying out of pocket if they want more. One study estimated median annual Viagra use at only 29 tablets per year, or around 2.5 tablets per month. Whether such studies will eventually result in more plans covering ED drugs remains to be seen.

Inflation rates for drug costs have far exceeded national inflation rates.

Changes in Costs of ED Drugs

Since its introduction to the market in 1998, the price of Viagra has risen by more than 100%. The same has been true of Cialis, which increased in price even more rapidly. While many generic drug makers were looking forward to the expiration of Pfizer Inc.’s patent for Viagra in late March 2012, a court ruling in August 2011 is putting the kibosh on generic versions.

According to a report by Bloomberg News. Teva Pharmaceutical Industries Ltd. in particular was blocked from marketing a generic version of Viagra until 2019.

The court ruling was a surprise, according to Bloomberg’s Asthika Goonewardene, who said, “The patent was a method-of-use patent, and usually these don’t hold up that well in court for small molecular drugs. The court’s decision to uphold this patent means other filers wanting to enter in 2012 are not likely to do so then.”

While some men will take chances with so-called generics from overseas, the FDA has shown that many counterfeit medications entering the U.S. are ineffective or even harmful.

A 2011 court ruling may mean delays for generic ED drugs coming onto the market.

Reactions from Organizations like AARP

The increase in prices for ED drugs only reflects the overall trend toward high rates of inflation for pharmaceuticals. A 2010 report by the AARP says that around 75% of prescriptions in the U.S. are generic, and that in 2009 the costs of most popular name-brand drugs increased by more than 8%, despite the fact that U.S. consumer prices on average that year actually dropped by about 0.5%.

From 2004 to 2010, overall inflation was 13.3%, yet the cost of non-generic drugs increased by 41.5% over that same time period.

These increases hit older Americans particularly hard. Many Medicare recipients are instructed to use name-brand drugs, yet choose generics to avoid reaching the “donut hole” in Medicare drug coverage. Once medication costs surpass $2,830 in a year, the recipient must foot the entire bill for medications until costs reach $4,550.

From 1998 to 2006, Viagra’s wholesale price went up by 36.4%, followed by an additional 78.1% price hike from 2006 to 2010. And with the court ruling against Teva Pharmaceuticals, price relief may be slow in arriving.

For those interested in getting a great price on ED drugs like Viagra, online facilitators like AccessRX.com provide competitive prices along with the discretion and privacy that many consumers want.

AccessRx is a USA corporation founded in 1998. Since, we have become one of the top online providers in FDA-approved, brand-name medications. We specializes in providing our over 500,000 customers with relevant product and condition information created by our professional editorial staff which includes our team of medical writers, medical practitioners and health educators. AccessRx Staff on Facebook

Mary Hiers – AccessRx Medical Writer

Mary Hiers is a full-time writer with a background in engineering and print journalism as well as writing about a wide variety of health care topics. She lives in Tennessee and is the author of two works of fiction. Mary earned her bachelor’s and master’s degrees from the University of Tennessee and the University of Tennessee Space Institute. Mary Hiers on Google+

Lisa Furgison – AccessRx Medical Writer

As a journalist Lisa enjoys writing about a variety of topics. Over the course of the last ten years she has been involved in television news as well as print and online publications. Medical news has always been a favorite for this native New Yorker because she gets to stay on top of the latest developments in a rapidly changing field. Lisa Furgison on Google+

AccessRx Reviews

Buy Viagra Online from AccessRX.com

Viagra is an FDA-approved medication used to treat erectile dysfunction problems in men. After being introduced in 1998, Viagra became the most popular treatment for erectile dysfunction issues. Viagra is a fast-acting medication that can last up to four hours. It works well for men at any age, regardless of how long the patient has been having issues getting and maintaining an erection.

Why buy Viagra from AccessRX?

� Low prices. We sell prescription medications at low prices. A free medical consultation is included with every prescription.

� Total privacy. Your information is always kept strictly confidential.

� Convenience. You won�t need to wait in long lines at the pharmacy, because your medications will be delivered directly to your door.

� Authenticity. We only sell authentic Viagra, manufactured by Pfizer, Inc. at a plant in the United States of America.

� Professional Advice. A physician licensed in the United States evaluates every order. A United States licensed pharmacist will dispense your medication and send it directly to your door.

How Viagra treats erectile dysfunction problems

Viagra interferes with the production of a hormone called PDE5. It relaxes the blood vessels surrounding the penis to allow increased blood flow during sexual arousal. When using Viagra, men can easily get and maintain a hard erection after being sexually stimulated. You will only get an erection after becoming sexually aroused and the erection will go away on its own. Even if you have been having erectile dysfunction problems for a long time, Viagra will start working right away.

Why Viagra is a popular treatment for erectile dysfunction problems

Viagra can start working within 15 minutes. It�s a popular treatment for ED issues because it has been scientifically proven to help approximately 80% of men experiencing sexual difficulty. It was the first FDA-approved treatment for erectile dysfunction problems and it has a long history of success. Clinical trials from around the world have shown that Viagra is an effective treatment for erectile dysfunction issues. Each dose lasts up to four hours and some men can get multiple erections from a single dose. Typically, Viagra is covered by most health insurance plans.

How to take Viagra

Viagra works best if it�s taken approximately one hour before sexual activity. To get an erection, you will need to be sexually stimulated. Doctors usually recommend taking 50 mg once per day, but the dosage can be decreased to 25 mg or increased to 100 mg if needed. Do not take more than one dose every 24 hours. Viagra cannot be taken at the same time as other medications used to treat male erectile dysfunction problems. You should not take Viagra with a high-fat meal, because it can reduce the effectiveness of the medication. Viagra does not protect you from sexually transmitted diseases.

Viagra side effects

Any side effects from taking Viagra are usually minor. Typical side effects include headache, stomach upset, vision problems, dizziness, light sensitivity, flushed skin, and rashes. Rare but serious side effects include hearing problems, temporary blindness, and an erection that won�t go away. If you have one of these side effects after taking Viagra, seek medical attention.

Viagra precautions

Before you start taking Viagra, see your doctor to discuss your medical history. Let your doctor know if you have high blood pressure, kidney damage, liver damage, sickle cell anemia, cancer, bleeding disorders, myeloma, or if your penis has anatomical deformities. If you are buying Viagra through AccessRX, be sure to include all your medical information on the consultation form. If you aren�t sure if it�s safe for you to take Viagra, make an appointment with your doctor.

Viagra contraindications

You cannot take Viagra if you take nitric oxide donor medications like nitroglycerin, isosorbide, dinitrate, or nitroprusside. Before taking Viagra, tell your doctor about all your prescription and non-prescription medications. If you are currently taking quinidine, cimetidine, antifungals, niacin, erythromycin, high blood pressure medications, or medication used to treat an HIV infection, do not start taking Viagra.

See your doctor to discuss your erectile dysfunction treatment options.

A warning about counterfeit Viagra Since Viagra is so popular, there are many counterfeit versions sold illegally online. Use caution when buying Viagra online, especially if the website is offering a generic version of Viagra or medications with large discounts. These medications can be ineffective and can sometimes be dangerous. At AccessRX, you�re guaranteed to receive genuine Viagra made in the United States of America by Pfizer. A United States licensed pharmacist dispenses all medications sold by AccessRX.

Buying Viagra Pills from AccessRx Fast, Easy and Secure

If you are ready to buy Viagra online at AccessRx, choose your dosage and quantity and add your items to your cart by clicking Buy Viagra. The prescribing doctor might recommend a different dosage. If that�s the case, you will be notified via email.

You will need to answer several questions about your health and medical history. Be sure to list all your prescription and non-prescription medications. A doctor will review your answers to make sure it�s safe for you to take Viagra. Once approved, you will be notified via email. A United State licensed pharmacist will fill your order and send it directly to you door. The packaging is always discrete to ensure your privacy. You will only be charged for your order when you have been approved by one of our physicians.

NOTE: If you are refilling your Viagra prescription, simply click the �Reorder� button to receive a discount.

Shipping: All medications are shipped via UPS or the United States Postal Service.

You can choose from several options including next day, 2-day, and 3-day shipping service.

Erectile Dysfunction Inventory

Status: IN STOCK at all our pharmacies.

Orders placed before 4PM Eastern Standard Time are usually shipped the same day.

To learn more about Viagra, see the following link: http://www.viagra.com

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Important Patient Information

SILDENAFIL (ERECTILE DYSFUNCTION) – ORAL (sil-DEN-a-fil) COMMON BRAND NAME(S): Viagra

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

USES: Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

HOW TO USE: Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily. A high-fat meal may delay how quickly the drug begins to work. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Tell your doctor if your condition does not improve.

SIDE EFFECTS: Dizziness, headache, flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision, or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: severe dizziness, fainting, chest/jaw/left arm pain, nausea. Rarely, sudden decreased vision in one or both eyes (NAION) may occur. This effect may or may not be caused by sildenafil. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems (“crowded disk”), high blood pressure, if you are over 50, or if you smoke. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure, a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie’s disease), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION), bleeding disorders, active stomach ulcers. This drug may make you dizzy or cause vision problems. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This brand of the drug is usually not used in women. During pregnancy, sildenafil should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval. A product that may interact with this drug is: riociguat. Sildenafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called “poppers” containing amyl or butyl nitrite. If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure. Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), rifampin, among others. Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

OVERDOSE: If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection.

MISSED DOSE: Not applicable.

STORAGE: Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. or local waste disposal company for more details about how to safely discard your product.

This product information is intended for United States residents only. Before prescribing, please refer to the patient information. You can view the document and also download it on your computer. You may also consider printing out a copy for yourself.

• View US Prescribing Information – PDF Version

To view the PDF document, you need Adobe Acrobat Reader which you can download for free here .

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