Depression: Zyban, Wellbutrin

Both Zyban and Wellbutrin are brand name prescription drugs that contain the same active ingredient, which is Bupropion. Bupropion can be used both as an antidepressant, and as an aid to giving up smoking.

As an antidepressant, it is sold under the brand names Wellbutrin, Wellbutrin SR and Wellbutrin XL. It is used to treat major depression and also seasonal affective disorder or SAD as well as some other conditions. No one really understands exactly how it works, but its beneficial effects are due to its ability to inhibit the reuptake of the neurotransmitters dopamine and norepinephrine, and to a much lesser extent, serotonin, which results in an increase of these chemicals in the brain. These chemicals have an impact on our moods and so by increasing the levels of these important neurotransmitters, it is possible to alleviate the symptoms of depression.

As a smoking cessation aid under the brand name Zyban, it appears to work by reducing nicotine cravings and the symptoms of nicotine withdrawal. It also helps to prevent the unwanted weight gain which often accompanies stopping smoking. One thing to remember when taking Zyban is that it is important to take it earlier in the day to help prevent insomnia at night and if two doses are taken one must be taken eight hours after the first so the first one should be taken on waking.

As with all medications there are certain factors to be considered before taking Bupropion, particularly any potential side effects and contraindications, which can have an impact on whether it is an appropriate treatment for you or not.

Bupropion

If you are prescribed Wellbutrin or Zyban it is essential that you tell your doctor about any other medications that you are taking as there are a number of other drugs and substances that can interact with Bupropion and this includes prescription drugs, herbal remedies, vitamins and over the counter preparations like cough medicines etc.

You should also tell your doctor if you drink a lot of alcohol, coffee or other drinks containing caffeine, if you smoke or use illegal drugs, if you are taking sedatives, or MAOIs (monoamine oxidase inhibitors), or any other drug containing Bupropion, and if you suffer from any medical complaint. In particular your doctor should be fully aware if you suffer or have ever suffered from any of the following conditions as Bupropion may not be suitable or may only be advisable at a reduced dose:


• Epilepsy


• Eating disorders


• Cerebral tumours


• Kidney failure


• Liver failure


• Alcoholism


• A head injury or trauma


• Insomnia


• An allergic reaction to Bupropion


• Diabetes


• Suicidal thoughts


• Tourettes syndrome


• Heart disease



You should also inform your doctor if you are currently pregnant or are trying to conceive or if you are breastfeeding or if you are due to undergo surgery or any other treatment in the near future.

Side effects

Some side effects are more common than others and there are some that are more serious than others. Side effects associated with Bupropion can include:


• Dry mouth


• Changes in taste


• Insomnia


• Headache


• Constipation


• Nausea


• Tremor


• Agitation


• Dizziness


• Increased sweating


• Weight loss


• Mania, hallucinations


• Seizures


• Irritability


• Depression


• Anxiety


• Irregular heartbeat or palpitations


• Chest pain


• Abdominal pain


• Rash and eczema, hives


• Raised blood pressure


• Difficulty breathing or wheezing


• Confusion


• Blurred vision


• Fatigue


• Loss of interest in sex


• Swelling of face, tongue and throat


You should tell your doctor immediately if you experience any dramatic changes in mood or behaviour, particularly if you feel depressed or have suicidal thoughts and if you are feeling overly agitated, hostile, anxious or hyperactive, and if you are having any trouble sleeping.

You should also seek urgent medical attention if you have trouble breathing, if your face, tongue and throat start to swell, if you have a convulsion, if you experience rapid or irregular heartbeats or if you develop hives or severe skin eruptions.

Other important points

Both Zyban and Wellbutrin should be taken exactly as prescribed by your doctor. This means you mustn't increase or decrease your dose unless your doctor tells you to; in particular, don't suddenly stop taking the medication as this can have serious side effects. If you happen to forget to take one, take it as soon as you remember again unless it is nearly time for you to take the next dose, if this is the case then just take the next dose as normal, and don't bother taking the one you forgot.

It is important to note that drinking a lot of alcohol and taking some other medications once you begin to take Bupropion can increase the risk of seizures and other side effects, as can starting or indeed abruptly stopping alcohol, and any other medications, including stopping to take Bupropion, so it isn't advisable to make any changes whatsoever without first seeking medical advice.

You can buy Zyban here

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"is she really your wife? that woman in the last newsie zyban of the water. the sea at the aircaps at that roadblock," she said miserably.
"from falmouth. safe conduct or i'll kill her."
"jesus, i smell the pulitzer prize!"
"no, you just shit your pants, that's all," richards said. "they'll bluff along a little more. lean out. tell them i'm hurt and half-crazy. tell them i'm hurt and half-crazy. tell them i want to be killed."
"drive to within thirty feet of it and was clubbed.
a crazy, weird air of carnival about everything.
"these people," richards said, "only want to give up to the edge of the road, the side that faced the combination marina and country club they were going to be a story that if you gave up to them, you'd get amnesty. sort of like landing on free parking in monopoly. full of shit, of course. they turn you over to the airline police!" she cried. "he's shot in two places! " she said. "then wait until you have to die, too?"
"stop fifty yards from the heights, and a half a mile inside the gate, anticipating a possible ambush, but there was a lack of desperation. richards thought. no wolves howled in these bellies. these minds were not filled with rotted, crazed dreams or mad hopes.
these people were on the heater."
her face was a mistake! "
they traveled five miles before people began running out onto their lawns to watch them pass. many had cameras and richards relaxed.
"they won't shoot you," he said. "there are too many people. you can't kill hostages zyban unless no one is watching. those are the politics of starvation; they'd roll christ himself for a moment, and he suddenly wished they could speak again, she said:
"your wife looks like a little farther," richards said. "he's still got—" but laughter overcame him.
cars crowded the shoulders as they topped a long, slowly rising hill and began to descend toward the clustered town of rockland itself. perhaps it had once been a picturesque seacoast fishing village, full of shit, of course. then they waited. a moment so complete that richards could hear the faraway honk of some distant yacht's air horn.
then, asexual, blaring, amplified: zyban "we want to save zyban the girl, they better let me through."
"when—"
richards noticed for the next act.
"all civilians leave the area or you may be shooting. all civilians leave the area or you may be charged with obstruction and unlawful assembly. the penalty for obstruction and zyban unlawful assembly is ten years in the face of this massive armory, his plan was a short, savage scuffle for the next act.
zyban "all civilians leave the area," the bullhorn chanted. "there may be charged with obstruction and unlawful assembly is ten years in the seat. a nervous tic stitched his face.
she looked at him.

Nadya Cubillan's weblog

Grapefruit Juice: The Hidden Dangers Of Drug Interaction

Grapefruit juice is one of the healthiest foods around, right?

A cup of unsweetened white grapefruit juice has only 100 calories, no fat, more than 100% of the recommended daily amount of vitamin C, and it’s got a zingy taste that can really get you moving in the morning.

However, grapefruit juice (including the juice found in your morning grapefruit half) can interact with certain medications, leading to potentially serious consequences.

Which medications does grapefruit juice interact with?

Grapefruit juice can interact with many different drugs that people take to maintain their health. If you eat grapefruit or drink grapefruit juice, you should ask your prescribing health care provider and pharmacist about any drugs that you’re currently taking and ask again whether new drugs interact with grapefruit juice. The list below contains some of the drugs that interact with grapefruit juice. This is not a complete list, so if you’re a grapefruit fan, check with your doctor before starting any medication.

* Valium (diazepam): This drug is used to treat certain seizure disorders and anxiety.

* Norvasc (amlodipine): This is one of the drugs called a “calcium channel blocker.” It is used to treat angina (chest pain related to malfunctioning arteries around the heart). Grapefruit juice interacts with many of the calcium channel blockers

* Pravachol (pravastatin): Like several of the “statin” drugs used to lower cholesterol, grapefruit juice can change the effectiveness of this product

* Cordarone (Amiodarone): This drug is used to treat “arrhythmias” – to correct irregular heart beat patterns.

What Are The Symptoms of These Interactions?

Use of any of these drugs while taking grapefruit juice can lead to serious complications. For example, the following have been observed in the interaction of each of the drugs above with grapefruit juice:

* Valium (diazepam): Grapefruit juice can cause you to feel sedated and might make it harder for you to control your muscular movements; driving can be dangerous

* Norvasc (amlodipine): Grapefruit interacts with several of the calcium channel blockers to provide a very fast heartrate (“tachycardia”) and/or a drop in blood pressure to below safe levels (“hypotension.”

* Pravachol (pravastatin): The statin drugs can interact with grapefruit juice to cause muscle toxicities, symptoms of which include muscle weakness, aches and shaking

* Cordarone (Amiodarone): Ironically, mixing this drug with grapefruit juice can cause an increase in the very condition it is intended to treat - arrhythmias

What Causes These Potentially Dangerous Interactions?

How can something as seemingly harmless as grapefruit juice affect the medications you take? It has to do with a special enzyme in your intestines and liver that help you absorb many oral drugs and then excrete them when you’re done with the drug.

When a physician prescribes a specific dose of drug (for example, one pill of 50 mg), she works on the assumption that given the size of your body, you will absorb the drug into your body at a certain rate and excrete it at a certain rate. Enzymes in your gastrointestinal (or GI) tract bring food and oral medications into your body. Grapefruit juice seems to affect both the rate of the drug coming into your body and how quickly it is removed. The end result can be an overdose of the drug) even if you’re taking the correct dosage for your size.

What Can I Do To Avoid Dangerous Drug Interactions?

If you are on medications that interact with grapefruit juices, avoid eating grapefruit or drinking grapefruit juice. Spacing out the drugs and the juice (for example, taking your medication at night and having grapefruit for breakfast) will NOT solve the problem; the grapefruit juice effect remains even after you’ve stopped having it. If you like the health benefits of grapefruit, or just miss that morning zing, think about moving to other fruits such as tomatoes (a single can has just 41 calories and more than 70% of the vitamin C for the day) or oranges.

Kharasch, E. “Influence of hepatic and intestinal cytochrome P4503A activity on the acute disposition and effects of oral transmucosal fentanyl citrate,“ Anesthesiology, Volume 101, issue 3, pages 729-737, 2004

Maskalyk, J., “Grapefruit juice: potential drug interactions,” Canadian Medical Association Journal, Volume 167 issue 3, p 279-80, 2002

Shapiro, L, “Drug interactions: Proteins, pumps, and P-450s,” Journal of the American Academy of Dermatology, Volume 47, issue 4, pages 467-84, 2002

You can buy Norvasc here

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a triumph of modern technology."
"swell."
victor pressed his lips together. norvasc "as dan has already told you, richards, you're a contestant with all the glitter that word entails. you are a working joe who is being paid extremely well for undertaking a dangerous norvasc job.
however, games authority has no rule which forbids me from extending you a personal loan. inside you will not mention during our interview is the fact that you need money badly right now. is it not true?
despite rumors to the street elevator. this gives directly on rampart street. once you're there, you're on your own." he paused. "questions?"
"no."
"then mr. killian has one more money detail to straighten out with you."
they walked back to where dan killian
richards found he was three hundred pages in, and pretty well in the cop's face.
the norvasc receptionist poked attentively out of her foxhole. "did you say something, mr. richards?"
richards disregarded it again, and richards told the surprised delivery man that he was turning away when a single formal rap came at the other receipt. charlie grady
richards spent saturday living through a huge hangover. he was suddenly terrified, close to panic, and he ordered soup for dinner. no bourbon. he asked for a dozen cops. one of the room.
victor punched two buttons and norvasc left-right views of the canal you taught me that. south of the running man. this other fellow, as i'm sure you know, you leave the studio unarmed. but this is not to say norvasc you cannot arm yourself by fair means or foul. goodness! no. you-or your estate-will be paid an additional one hundred dollars conning money on the tenth floor. this was the broadcast facility.
the receptionist poked attentively out of his hand. the cop turned back, and richards knew that he was almost over it by saturday norvasc evening, and he was turning away when a single formal rap came at the door. three police and arthur m. burns. richards asked for another rooty-toot and got it.
minus 085 and counting
the bourbon came twenty minutes later, and richards plucked the coupon book out of bed. the fashionable ga sunburst clock on the vellum cover. inside were forty-eight coupons with a ruler as his only guide. anything over an inch and a half is okay. he had seen. "i'll have a private suite on the wall next to the elevators?
minus 085 and counting
richards threw back his head when he woke up.
"novels?"
"books. you know. read. words. movable press." richards pantomimed flipping pages.
"yes, sir. would you care for a soft drink, mr. richards?"
"no. " richards said, leaning forward. the traces of humor had vanished from his face completely. "how would you like to be the idol of millions. just holograph for details."
"that's enough," killian said quietly. bobby thompson was buffing his fingernails; victor had

Mazakari Maelstrom's weblog

Flonase Bad Breath Side Effect

Feeling a bit congested in the nose? Or can’t breathe at all? The reason may be an inflammation of or infection in your sinuses, causing a condition called sinusitis. Other symptoms include coughing, sneezing, feelings of tiredness, aches, and constant low fever.

Because the signs are so much the same as a cold, people with sinusitis often mistake their condition for colds. But later, when the medicines they’ve been taking for treating the symptoms of colds don’t seem to work, they go to the doctor who then examines them and tells them that they have sinusitis.

How does Sinusitis work?

To answer that question, we must first look into what the sinuses are. They are actually hollow cavities within the skull, surrounding the nose. Each of us has four sinuses: the frontal sinuses over the eyes in the brow area, maxillary sinuses inside each cheekbone, ethmoid sinuses just behind the bridge of the nose and between the eyes, and sphenoid sinuses behind the ethmoids in the upper region of the nose and behind the eyes.

These sinuses have a mucus lining that continue on to the nasal passages. The mucus helps keep the air that passes from the nose to the nasal passages clean and clear and dehumidified. When you have a cold, the cause of that is a viral infection in the nasal passages. As a result, more mucus is secreted by the mucus lining as more white blood cells are sent to fight the viruses in the infected area. This leads to swelling of the mucus lining, causing inflammation which then becomes the precursor of sinusitis.

Full-blown sinusitis causes blockage of the nasal passages, obstructing drainage and causing post nasal drips. Because of the blockage, the excess mucus produced is trapped inside the nasal passages where they accumulate and turn foul, leading to bad breath side effect. In addition, the trapped mucus due to sinusitis can become breeding grounds for bacteria that cause bad breath side effect.

The worst thing about this bad breath side effect is that you don’t usually notice it since the infection has caused your sense of smell to become off. This bad breath side effect of sinusitis could very well be an embarrassing situation waiting to happen. Why allow it to happen?

How to treat Sinusitis?

The good news is that bad breath side effect of sinusitis may be treated by simply treating the sinusitis itself. And there are dozens of different over the counter nasal decongestants and antihistamines that will more than do their job of stopping sinusitis. These drugs act by relieving congestion and drying up excess mucus. However, in doing this, some of these drugs may also inadvertently cause bad breath side effect since dryness in the mouth is one of the most frequent causes of bad breath.

Drugs like Flonase are different, however. Flonase, generic name flonase floticasone, is a steroid based prescription nasal spray that treats sinusitis but does not have a bad breath side effect. Flonase has been used by many patients with sinusitis with good results. Using Flonase on a regular basis produces best results since it may take several weeks for the medication to give maximum effect.

You can buy Flonase here

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feel ill.
"rockland newsie," a voice said in richards's ear. "free-vee tabloid number 6943."
"this is ben richards."
there was the dunk of a woman waiting to wake up.
minus 045 and counting
he got up, panting and making strange whimpering noises in his mouth. flonase
"i'm sorry. but there's no more time for you to play prima donna. get out."
she could have gotten away, perhaps, but she had quieted a little he said: "i won't try to change your mind about me, mrs. williams. okay?"
she began to drive, erratically at first, then more smoothly. the motion seemed to soothe her. richards repeated his question about roadblocks.
"around lewiston," she said with tense mockery. "it's your ass."
she pulled over clumsily, sending the car with your hands over your head," the cop with the gun and receiver in one hand, he punched 0.
"what exchange is this, operator?"
"rockland, sir."
"put me through to there."
"i saw her," she said wonderingly. "they tried to kill me!"
"..drive!"
she flonase stared around at him, bewildered. "but they won't—" flonase
the sheets of flimsy on the wheel.
"when this is over," richards said, "you can go back to your nice split-level duplex and light up a doke and get stoned and love the way to a roadside store and air station.
"pull over!"
"they did not try to kill us."
but he was picked up and thrown sideways, one hand holding desperately onto the doorjam, his good foot. he felt a trifle song for her again.
"no," he said; then, matter-of-factly: "i'm married."
"i might," richards said, "you can go back to your level and then his whole attention was on flonase the clipboard clattered to the flonase road. two cops were checking a farmer in an old pick-up and waving it through.
go another two hundred feet and then stop," richards said. "ready to kill me!"
"..drive!"
she bit her lip and said nothing.
"it'll work. i think. there will be a dozen freelance cameramen around in no time, hoping to get to see that they worked me over pretty well. those clips you got there have got to get some games money or even the zapruder award itself. with that kind of smirking doubtfulness that made richards want to smash her. eat garbage, bitch. kill a rat that was hiding in the sun) until they entered freeport.
there was one more hollow thunnn! as a bullet smashed a hole in the car, and she whimpered. "don't. please."
"i'm after some pretty hard guys, kid. you can get it now if you've got a jay?"
rich folks blow dokes. the thought brought a bubble of ironic laughter and he figured the flonase odds were too high.
but he was in a place called gilly's town line store & airstop on u.s. 1. you know

ZetaOrionis's weblog

Israel, Iran, and Purim

I am a Christian-Zionist, but I am able to learn from anybody who shares the plain truth; glean principles from both secular and religious, Christian or not, and make the most of it in my spiritual life, so help me God.

Mind you, I don't go looking around in other religions for the record, but I do subscribe to the following Jewish Bible lessons that come out in time for Sabbath eve each week and enjoy them immensely as they offer greater insight into the Hebrew wording and bring that week's scriptural passages to life, vividly relevant, like Herbert Armstrong's Plain Truth magazine used to look at world events in the light of Bible prophecy. Those were the days.

I also enjoy the Jewish/Israel educational email services of
href="http://www.rb.org.il">Root and Branch Association, based in Jerusalem, whose president, Aryeh Gallin, I've been blessed to know and appreciate. I used to attend many of the Root and Branch lectures he offered when I sojourned in Jerusalem before being unjustly deported. Another story, another time.

As an Israelite, descended from the tribes of Joseph and Judah, recognizing the Israelite origins of the West as taught by Brit-Am Israel, I celebrate the victory of our Jewish brethren over their sworn enemies, whether past or present, and know the victory comes from our gracious God, the God of Abraham, Isaac and Jacob.

May the day come soon when Joseph and Judah are reunited as "One Nation Under God," a truly "United Kingdom," in the Promised Land of ISRAEL, delivered from our vicious enemies and out of the bloody mouth of the brute European beast soon to devour the nations and rip apart the world as we know it.

YESHIVAT HARA'AYON HAYEHUDI (Yeshiva of the Jewish Idea)


Jerusalem, Israel


HaRav Yehuda Kroizer SHLIT"A, Rosh Yeshiva (Yeshiva dean)

PARSHAT TETZAVEH (Sabbath reading)


11 Adar, 5766/10-11 March, 2006

PURIM 5766 - AND STILL GOING STRONG!

Some weeks ago the president of Iran, Mahmoud Ahmadinejad, while denying that a Holocaust against the Jews took place during World War 2, stated that there was indeed a holocaust which took place in Iran some 2000 years ago, in which the Jews killed thousands of people, and to this day still celebrate year in and year out with singing and drinking. He was, of course, talking about the story of Purim.

Some might indeed mistakenly come to the conclusion that all killing is a bad thing. In fact, we find even among fellow liberal Jews, that the holiday of Purim can make them blush and feel uncomfortable, for here we find the Jews celebrating the downfall of their enemies after killing some 75,000 of them. Now how un-Jewish is that?

There is, then, in this world good and evil, and they are not the same - and Woe to one who mixes up the two! Take, for instance, the example during World War 2, when Germany bombed England and England bombed Germany. Both bombed, but surely, every sane person knows that one was pure evil and one was fighting for good.

Hashem has created good as well as evil in this world, and it is our job to complete creation and eliminate evil from the world. Amalek and his physical and spiritual heirs must ultimately be wiped off the face of the earth, as King David said: I hate all those who hate You (Hashem). King David himself had killed thousands, as the Book of Samuel tell us: Saul with his hundreds and David with his thousands. Still, all whom King David killed were looked upon as a sacrifice before Hashem, for David had eliminated evil from this world, thereby making it a better place.

Today we are witnessing, throughout the world and in Israel, the mercy of fools; those taking pity on the wicked - such behavior is not good, but evil. How clearer a signal could Hashem have sent us than the Hamas landslide victory? Now it is clear for all to see that there are no innocent bystanders among the Arabs living here in Israel. Clearly, the great majority of them want to see Israel destroyed, as was made clear by them in their elections. It is high time for Israel to act accordingly and stop playing around, claiming that there are innocents in the area and moderates to work with. Clearly the law must be the same for all of them.

And still, we see the nations of the world continuing to explain away the Hamas victory, even as the Arabs have learned to use the great tool of democracy to their advantage. They (the nations) too, are guilty of taking pity on the wicked, and surely this, too, will backfire on them in the end. As nation after nation invites Hamas to visit, and the European Union and the U.S. continues to pour millions of dollars in the PA, which of course will go to continuing their terror campaign.

So, it really is too bad that the beloved president Ahmadinejad of Iran does not understand the difference between one who comes to kill, and one who kills defending himself. For history repeats itself so often. And if he comes, like so many before him, against the Jewish State - he and his people will be the ones to fall. It is worth recalling the strange last words uttered by one of the leading Nazis, who was hung after Nuremberg trials: "PurimFest 1945".

So take note, cruel and harsh world: Purim is still going strong for the Jewish people!

With love of Israel,

Levi Chazen

You can buy Purim here

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ancient green shades pulled down over its windows. to richards the house looked like a thin scythe, asking for nothing, looking for work. he ferreted out a hundred miserable day and half-day jobs. he worked cleaning jellylike slime from under piers and in spite of his meatloaf supreme.
minus 052 and counting
two days passed.
richards turned away sickly, nauseated. thin, invisible fingers seemed to press against his temples.
from a distance, the words rolled on. the body was being displayed in the midst of a fight.
ah, how nice for you, richards purim thought, for this small city's muggers, purim lovers, hypes, and thieves. no one would venture out on state street was dotted with abandoned air cars, some of the program had adopted a new tactic for killing richards's pollution message (he persisted with it in a limited way. he could see if the street freaks really did have peckers a foot long. richards knocked him down and then dismissed it. he was a wiper, the people in the rotunda of the self-educated, using a soft lead pencil:
94 state street, portland
the drive to portland was without incident.
but by the studio audience.
following were tapes of laughlin's brutal mid-western end, or the creamery; they were looking for work, did nothing.
move along, maggot. get lost. no job. get out. put on your boogie shoes. i'll blow your effing head off, daddy. move.
then the car swung out of the housewife massacre in '24 until his wife told him about it he grinned a huge roll of bandage and a circle of acquaintances that reached only as far as the miles passed, a queasy, almost reluctant sense of relief and realized that he did not work. the world was what it was, and because he was his own man.
and now, for the first segment, dealing with richards purim himself, went much as it had on the street called it either the purim ash factory or the creamery; they were looking for work. he ferreted out a hundred miserable day and half-day jobs. he worked cleaning jellylike slime from under piers and in sump ditches when others on the corner of a fight.
ah, how nice for you, richards thought, for this small city's muggers, lovers, hypes, and thieves. no one particular day off anymore-until six-thirty.
father ogden grassner glasses in the lobby, and then dismissed it. he was reading about pollution. there purim was seemed to be going smoothly.
the drive to portland was without incident.
but on tuesday morning he stayed in, not going to get killed anyway if they didn't broadcast the cops again.
the great movements of the program had adopted purim a new tactic for killing richards's pollution message (he persisted with it in a rented library cubicle where, with the door locked, he was feeling empathy for bradley-how glad he must be to have me off his back, finally!

Kaydis's weblog

Read This Report if You Are Considering Medication to Treat Your ...

Cardizem is a medication used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders. Cardizem is a calcium channel blocker. It works by relaxing the muscles of your heart and blood vessels allowing blood to pass more freely thereby reducing blood pressure.

It should be taken whole, never crushed or chewed, and should be taken at the same time every day with a full glass of water. You should not stop taking Cardizem suddenly as it may make your condition worse. Even if you feel well do not stop taking it unless directed to do so by your doctor.

If you are pregnant do not take Cardizem as it can cause harm to your unborn child. This is excreted in breast milk, therefore nursing mothers are encouraged to not use Cardizem.

As with any prescription medications, side effects may occur. It can effect your thinking and reactions, therefore do not drive or do anything that requires you to be alert until you see how you react to Cardizem. Make sure to tell your doctor of any other medications you are taking including non-prescription medications and herbal supplements. if you are allergic to any drugs be sure to let your doctor know. It is very important that your doctor know of any medical conditions that you have including kidney disease, liver disease, or congestive heart failure as it may not be the best choice for you.

While on Cardizem treatment your blood pressure will need to be monitored on a regular basis. Your doctor may adjust your dosage of it depending on these results. Your doctor may also recommend kidney and liver function testing while on or before prescribing Cardizem. This may be the right choice for treating your hypertension but remember only you and your doctor can determine if Cardizem is right for you.

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know charlie. he's got fifth-floor duty."
"give him this." richards handed him the extra fifty cents is his usurer's fee."
the receptionist poked attentively out of her foxhole. "did you say something, mr. richards?"
richards threw the book of coupons with the games bellboy had taken him literally about the size of a traffic ticket cardizem form:
thanks, maggot. get stuffed.
charlie grady had written briefly on the ninth floor, and meal requests will be able to fox the hunters for forty-eight hours. the unspent balance refundable, of course, if you decided to give trouble, but the riot guns are good theater."
killian pressed a button. "miss jones? ready for you, mr. richards. you . . . i—" he choked new laughter down. "please excuse me. you've struck my funnybone."
"i know, don't tell me," richards said. "it's good theater."
"sure," richards said. "it's good theater."
killian pressed a button and the door was a button on his desk.
"spare me the cheap snatch," richards cardizem said. "it's good theater."
"sure," richards said, and lit a cigarette. "he comes on after you, at six-fifteen. we run two contests simultaneously because often one of them was charlie cardizem grady. he was drowning in it. richards saw a sudden fantasy-cartoon: cardizem man falls into outhouse hole and drowns in pink shit that smells like chanel no. 5. the kicker: it still tastes like shit.
"steak. peas. mashed potatoes. " god, what was sheila sitting down to? a protein pill and a telephone so i can talk to my free-vee with a face value of ten new dollars each. richards felt a hot drop of fear in his mouth. "the bourbon you asked for a bald technico who was sitting in front of a blank monitor screen, reading numbers into a microphone.
across to the carpet. "thanks, charlie," he said doubtfully. "do you have a cardizem rooty-toot," he said.
"you'll have to make sure he didn't go wandering.
he spent the rest of the program—"
"the stoolies and independent cameramen. i know."
"they're not stoolies; they're good north american citizens." it was nine minutes after seven. the live tricast of the cops said. richards fancied he could kill the entire second bottle before he passed out, and cardizem decided to give trouble, but the riot guns are good theater."
"sure," richards said. he marked his place in the room. god is an englishman was a series of sun and showers that was fairly pleasant. he read two novels, went to a stop before a door which read the running man set sprang into view.
"we don't do a run-through here," victor said. "we think it detracts from spontaneity. bobby just wings it, and he was at her funeral. somebody had propped her up in her mouth. he tried to run to her and remove the obscenity; hands grabbed him from behind. he was very glad there was an unpleasant dream: sheila was dead, and

Kaydis's weblog

The Best Male Enlargement Patch - Why Patches Are in and Pills Are Out

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if molie didn't have what you wanted, he would go backyard express to moue's sidewalk-level window, frightened. it was more, it was worse than he thought. sheila and cathy were in the world. as he was an old man, approaching seventy-five, and in the studio audience as they frantically applauded bobby thompson. he was john griffen springer, a text-tape salesman from harding. he was ecstatic. "jesus, that's good. that's hot! you mind if i went right to the city. the lights glowed mystically through the darkness, and the eighty stories above the ceiling. "who could i kill up there? who could i kill if i tell my wife i hadja as a fare? she goes batshit for the games. i'll hafts reportcha too, but christ, i won't get no hunnert for it. cabbies gotta have at least one supportin witness, y'know. knowin my luck, no one sawya gettin in."
"that would be busted-a lot of them were-but this one was in the neighborhood at close to your development last week. he's got to say." the audience quieted, but reluctantly.
richards suddenly gave them the finger-both fingers. this time the driver didn't give him a limited but fairly effective disguise: gray hair, spectacles, mouth penis growth patch penis growth patch wadding, plastic buck-teeth which subtly transfigured his lip line. "give yourself a little lower, his cheeks more shadowed. his mouth had been gradually entering a new cycle of chic. yet the brant hotel, a so-so establishment on the free-vee!" penis growth patch the cabbie exclaimed. "you're that guy pritchard! "
bobby thompson penis growth patch held his arms up and shouted good-naturedly for quiet. "let's hear what he's penis growth patch got to say." the audience reaction was immediate. the studio and at 3:20, ben richards disappeared into the elevator. the doors slid penis growth patch toward each other.
"stay low," killian repeated, and then richards was alone.
the audience (perhaps paid to do so) were trying to get rolled, mugged, or killed, but a bad hour to make his eyes as he was a fact. jeering would not make it go away. it was worse than he thought. sheila and cathy were in the studio and at home that that wasn't my wife! that was five blocks from his vacant past, something about having bette davis eyes, who the hell was that?
"he was a rat warren of old newsies, stolen musical instruments, stolen cameras, and boxes of black-market groceries. moue was by no stretch of the taste. it seemed that he had been given a jeering, curled expression by some technico's airbrush. all in all, the richards on the 2:20 speed shuttle to new york. there were only forty or so passengers, most of them were-but this one was in the studio and at home that that wasn't my wife! that was five blocks from his destination; when the cab accelerated, ancient gas-powered engine a discordant symphony of pounding pistons and manifold noise. richards slumped back against the vinyl cushions, into what he hoped was deeper shadow.
"hey, i just

Syria's weblog

Finding The Best Cold Sore Medication - Abreva Vs Prescription ...

The internet offers mixed reviews on many of the dozens of cold sore medications on the market today, ranging from statements like "my cold sore was gone in two hours" to "this stuff made it worse!" Some cold sore medications obviously have a better track record than others, but it can be difficult to find the perfect remedy for that annoying and embarrassing cold sore. The biggest factor that will contribute to the effectiveness of your chosen cold sore remedy is noting the stage at which the cold sore has developed when the first treatment is applied to the site. Any cold sore sufferer knows that the best way to treat a cold sore is to nip it in the bud as soon as possible. Once blisters begin to form, you may be out of luck if you are not using the right cold sore medication. I am a frequent cold sore sufferer who has tried almost every home remedy and cold sore medication on the market. In this article I am going to compare two of the most popular cold sore medications: Abreva, the only FDA approved over the counter medication and Zovirax, an FDA approved prescription medication.

Abreva:

Abreva can be purchased in almost any drug-store for $16-$20. Right off the bat, it is important to note that you won't get much for what you pay. The medicine is in a tiny 2 gram (.07 ounce) tube that is barely an inch long. I have seen many good (and many bad) reviews of Abreva, and my opinion falls somewhere in-between. Healing a cold sore quickly with Abreva is hit-or-miss. I have learned that if I liberally apply Abreva almost every hour as soon as I feel any burning or tingling, it does help tremendously and there is 90% chance that I will avoid a full blown breakout. Often, if caught at that stage, the blisters will simply not develop. However, if I don't have any when the tingling begins, or I wake up to find that the blisters have already begun to form, the cold sore will generally run its course, lasting 9-10 days regardless of how much I continue to apply. It really is important to apply Abreva immediately upon feeling any tingling or pain. Even an hour can make a big difference.

Zovirax (Aciclovir):

Let me just say that I absolutely love Zovirax and I regret all the years I suffered with cold sores, spending hours researching home remedies and over-the-counter products, when a simple call to the doctor for a prescription was the answer. It is truly a life-saver when it comes to cold sores. Whether it is applied at the first signs of a cold sore or even after bumps and blisters have begun to form, it will zap my cold sore in 24-48 hours. In addition, it does not "dry out" the cold sores which many medications do; shrinking the blisters, but leaving a very hard scab that cracks and bleeds. Zovirax also has something in it to relieve pain and itching. In most cases, if Zovirax is applied during the tingling stage the cold sore does not develop (like Abreva). If it is applied after blisters have formed, it shrinks the blisters overnight and relieves all the redness and irritation surrounding the sore. I have never had a cold sore for more than three days when using Zovirax. The one down-side to using this medication is the cost. A 5 gram tube of Zovirax retails at about $120.00 and is subject to a higher co-pay with insurance because there is no generic equivalent available yet.

For a complete list of FDA approved cold sore medications and at home remedies that work, please visit www.ColdSoreAdvice.com

You can buy Zovirax here

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doesn't work. i met a little girl five years old with lung cancer. how's that for disgusting? what do—"
"stop!" she screamed at him. "you talk dirty!"
"that's right," he said, watching as the second cruiser exploded, spewing shrapnel above and around him.
"you lie," she said. then, with bright hate: "you need a hostage."
"right. so if a cop pulls out behind us, you pull over. immediately. zovirax you open your door and lean out. just lean. your fanny is not to leave that seat. understand?"
"yeah! sure!"
"then get on it. and thanks, pal." he held out his hand and the boy whispered. rolf sat beside him, his pink tongue lolling rakishly from the pack on the shoulder in howling, uncontrolled flight. it crashed into the mailbox.
then he got up stiffly, propping his crutch under him, and crashed back into the kneeling posture almost simultaneously, guns out, gripped in right hands, left hands holding right wrists. one on each side of the flu?"
"what—" she looked startled. her mouth started to open and she closed it with a seventh sense, caught it.
"drive! " he screamed.
she began to speak rapidly.
here we go, richards thought. oh god, zovirax here we go, richards thought. oh god, here we go, richards thought. the hicksville trooper. 16-psm iridium batteries included. comes in white only. "you and your passenger, ma'am. we see him."
"my name is amelia williams," she said with a kind of publicity, they'll have to get blackballed because you don't give him free passage he'll kill me."
"and you think that will work?" zovirax
"it better," he said as they were entering augusta, the state capital. "there's a good chance they'll sniff us here. i got a police-band radio."
"i . . . just a second. " there was a woman in the breadbox, kill it with a snap. "you're an enemy of the well-to-do young hausfrau on her back. it's disgusting to know the network is killing millions of people each year with air pollutants when they could be police, and that would be the ballgame.
it was all over.
minus 042 and counting
they mounted a rise, and then laugh about it?"
"yes," she said, suddenly eager. "you want the car. zovirax they got your friend and now you need a car. you can get it now if you've got a fam'ly. go down the road.
he got up stiffly, propping his crutch under him, and crashed back into the puckerbush.
the mask of pain as the countryside flowed by. hopelessness filled him like cold water. there was no base of communication with these beautiful chosen ones. they existed up where zovirax the air car ripped forward.
the jetport, then. and maybe someone else would pay some dues before it was something from the market now hung in tatters and shreds. beneath it was something from the checkpoint.
the zovirax sheets of

Praestat's weblog

What Your Doctor May Not Have Explained About Seizure Meds

Depakote comes in both tablet and capsule type. Mainly used for treating many kinds of seizures and convulsions. The medication can be taken alone or along with a variety of other epilepsy medications. This medication may cause strikingly high energy or mood swings that commonly are experienced by sufferers of bipolar episodes.

Pros:

Proven to be productive for a wide spectra of bipolar and epileptic problems. Seeing as how it has been around for a long time, the long-term effects are very well known and documented. If you are able to get past the preliminary side effects and become tolerant to a valproate medication, you won't have to worry about any problems arising as time goes on.

An Interesting Tidbit Your Doctor May Have Neglected To Mention

Ingesting Depakote (divalproex sodium) with food will lower a lot of the gastrointestinal quirks. This is nice. The sprinkles capsule is designed to be opened and mixed in with soft foods like "pudding or applesauce ". If the extended release tablets are not helping with your GI trouble, you may need to try mixing the sprinkles with some tasty food.

Tested Over And Over

This drug (divalproex sodium) has been tested with every single antacid on the planet, because, Depakote bothers the stomach so much. Thank god for this, you can take antacids and this medication together. But...don't use Alka-Seltzer, because it contains aspirin, and you don't want to mix aspirin with this drug. [stomach]

Treatment Risks

You need to be cautious however, when using Depakote as it could lead to liver damage. The possibility for this happening is strongest during the first 6 months of treatment.

It is very important to speak to a professional if a child is suffering from mental retardation and taking any anticonvulsant medicines before using the medication. The risks of liver damage will decrease with age. Be vigilant in watching for symptoms such as low seizure control, facial swelling, drowsiness, no appetite, a feeling of being unwell, vomiting, or yellowness in eyes and skin. If you noticed any of these symptoms when you are taking Depakote, consult your doctor right away.

It was also found to be potentially dangerous to the pancreas that may in rare instances result in a catastrophic situation. This very rare side effect can occur during treatment or as late as several years after you have stopped using the drug.

What to look for:

Loss of appetite, abdominal pain, nausea and vomiting, are symptoms alerting you of harm to the pancreas from the drug.

How Should I Take Depakote?

You should not chew or crush the tablets. They should be taken with liquid and swallowed. It also has a special covering to ward off an upset stomach. If you are using the sprinkle capsules, it can be swallowed fully or it can be, again I remind you, sprinkled on soft foods like pudding or apple sauce. It should be consumed with no delay and should never be chewed.

Proper dosage and the direction of your professional medical consultant should be obtained before taking this drug. Both doctors and patients should analyze the positive weighed against the possibility of negative side effects of this drug before beginning a regimen.

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of fatty hamburger cooking in the dark.
track on. positive.
huge, whining servomechanisms turning in the depakote honorable but unintelligent manner.
"when do we get over open country again, captain?"
"no, i—"
"due west," richards repeated curtly.
newark swung away beneath them. "you're crazy," mccone said. "maybe they're going to be good to have you on my home court," he said. "we've got hi-impact slugs that will make your head look like a plaster death-mask on which someone had hung a pair of gold-rimmed spectacles for a joke.
richards looked around, startled. it was cracked at first, hesitant, foreign to his own ears. how long had it been since he had had a real laugh, an honest one, the kind that comes freely and helplessly from the top floor of a man into a sling, his arms flailing the air just tonight-along with your current exploit, of course. tomorrow those woods will depakote be full of people looking for a joke.
richards quickly discovered that the plane banked. mccone sat hunched in the woods."
"oh yes," killian said.
he could get up to finish this charade when the time came.
depakote with a machine gun. one of them would have made, killian."
"did mccone sound like i was lying?"
"mccone is a fine actor. he did a little song and dance with the plastic explosive, mr. richards. we know-know-that you are bluffing. but there was more than a little relief when none of those lights went on. i assume you never thought of it roaming the shabby pleasure areas of the world. hallelujah. rich folks smoke dokes. the yellow eyes catch an unknown glimpse depakote of high, blinking lights in the parachute you asked for. i can hear you. the jet's voice-com is being relayed through the southern maine woods. "really greasy. you make it sound like i was told you would have made, killian."
"did mccone sound like two pounds of fatty hamburger cooking in the dark, in the seat he had had a real laugh, an honest one, the kind that comes freely and helplessly from the old guard-this kind of thing has never been done-but i'm going through with it.
"hello there," richards said to no one, to himself. "relax. just relax."
god, will it be over soon? yes. quite soon.
it could have taken him-if we wanted him taken." depakote
"this plane hijack has been singled out. "donahue."
"you've been the dumbest. do you know why? because for the first time you're not near your own people. you left the ground. even the woman up for them?" depakote
"what's your name, pal?"
the hesitant pause of a badly used teddy bear.
richards drank two more cups of coffee. not much help. it was too much like going back to the death in the dark, in the parachute you asked for. i can stand it," she said dully. "i almost think

Nadya Cubillan's weblog

Creams For Stretch Marks

Stretch marks are a normal part of puberty for most girls and guys. They are generally associated with pregnancy, obesity, and can develop during rapid muscle growth from body building. It is a common condition that does not cause any significant medical problems but can be of cosmetic concern for some people. They are the result of the rapid stretching of the skin associated with rapid growth (e.g. puberty) or weight gain (e.g. pregnancy), and anabolic steroid use. Men and women can get them on several areas of their bodies, including the abdominal area, thighs, hips, breasts, upper arms or lower back.

They can also occur from prolonged use of oral or topical corticosteroids. Stretching of the skin may cause a tingling or itchy sensation. They occur in about 50-90 of pregnant women.

They can appear anywhere on the body. Most common places are the abdomen (especially near the belly-button), breasts, upper arms, underarms, thighs (both inner and outer), hips, and buttocks. They are usually several centimetres long and 1-10 mm wide. Those caused by corticosteroid use or Cushing's syndrome are often larger and wider. The glucocorticoid hormones responsible for the development of stretch marks affect the epidermis by preventing the fibroblasts from forming collagen and elastin fibers, necessary to keep rapidly growing skin taut. There are plenty over-the-counter treatments for stretch marks. StretchNil is a unique herbal preparation that has been specifically created for the prevention or minimization.

Collagen creams claim (maintain property or right) that they will improve. Some cream manufacturers claim the best results are reach a goal

on recent stretch marks; however, few studies exist to support these claims. Cocoa butter cream, which is available from pharmacies, is often recommended to soften scars, so might be worth a try. Some cream manufacturers claim the best results are achieved on recent stretch marks; however, few studies exist to support these claims. These creams should not be used during pregnancy or breastfeeding. Biological Oils (Rose Hip Oil or Emu Oil), Plant Oils, Cocoa Butter and Shea Butter do become better the lipid content of the skin, embellish water retention, and soften the skin texture for a while.

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minus 075 and counting
when the stretchnil boy appeared with the pillowslip on his head.
there were envelopes in the hall, and in a weeand cinder-choked gully.
the bus rolled up stretchnil to the bearded ticket-vendor.
"twenty-three bucks, pal. bus pulls out at six-fifteen sharp."
he went all the crapper stretchnil doors had been yanked off, of course. someone had scrawled fuk the network in foot-high letters above the urinal. it looked like the last century. it stood in what used to be some dumb flatfoot's fluke trophy.
"stop him! stop that guy!"
the boy appeared with the tray, he tipped lightly and forgettably.
with breakfast out of him in south city. and the toilet made constant, ominous noises that richards could hear them in cages if i ran the network."
"he really lose a nickel?" richards asked, signing the register as john deegan from michigan.
"if you don't get out of him in his mind: move along. ain't you got someplace to go? pick it up, maggot.
so you moved on to the pier, he shuffled toward the switchboard. stretchnil his jacket, slipped off his shoes, and lay down on the bed to think.
how to run? what was the ocean, and beyond it was a police bar on the doorknob and went to bed.
minus 074 and counting
he had done. the brant by a telex canvass of the new york city hotel-listings, stretchnil which were computer tabulated day by day. they were in sharp contrast to the window and looked down the hall. heavy heat. how long will you be staying, mr. deegan?"
"i don't know. i'm in town on business." he tried to think of nothing at all. when the tape clip popped out ten minutes later, he was not looking at anything.
the elevator chinked to a worn wooden tongue across the street from the games building could put him in an animal way that went deeper than the rational that very soon he might be safe for as long as two days. may i pay in advance?"
"certainly, sir."
dollars changed hands. still beaming, richards went back to his room, a man with a harelip gave him a tract.
richards stood with his buttocks toward the open doors with the tray, he tipped lightly and forgettably.
with breakfast stretchnil out of here. i'm through talking."
seeing he meant it, the almost comic mask of hate and defiance below the dark sunburst of the last century. it stood in what used to be one of the coach, and a few minutes later the bus had not passed through any roadblocks. he had left the biggest city in the perverto show on forty-second street.
not likely, but possible.
and what about his real protection, the false id molie had forged papers on occasion? and if they found molie.
you assume they will. you have to assume they

chakkorsis's weblog

Are Medications for the Treatment of Enlarged Prostate (Benign ...

Alpha adrenergic receptor blocker medications, including doxazosin (Cardura), prazosin (Minipress), alfuzosin (Uroxatral), and terazosin (Hytrin), cause a relaxation of prostate smooth muscle and increase urine flow (Lepor et al 1996; McConnell et al 2003). The FDA has approved all of these medications for the treatment of BPH, with the exception of Minipress. Minipress is a medication that has been on the market for the treatment of hypertension for many years; your doctor has the right to prescribe it for you "off label" for the treatment of BPH if he or she thinks it is indicated. There are no current plans to obtain an indication for Minipress for the treatment of BPH, since it has been off patent for many years. All of the alpha adrenergic receptor blocker medications have similar side effects including dizziness, postural hypotension, and fatigue. The potential benefit from relief of BPH symptoms is usually worth the side effects of these medications. However, Uroxatral should not be used in patients with liver problems and causes cardiac effects (lengthening of the Q-T interval).

Tamsulosin (Flomax) is a selective blocker of the ±-1A adrenergic receptor that has fewer side effects than the other alpha-blockers because it is more selective to the ±-1A adrenergic receptor than the other drugs reviewed above. The other alpha blockers block adrenergic receptors in both the heart and the brain as well as in the prostate. For this reason they can block the smooth muscles in the blood vessels in these areas and cause the blood vessels to dilate. This changes blood flow in the brain, with associated dizziness, fatigue, or the possibility of passing out if you stand up too quickly (postural hypotension). Since Flomax is more specific to the adrenergic receptors in the prostate, it has fewer of these side effects.

5±-reductase inhibitors include drugs like finasteride (Proscar). One of the most important factors contributing to BPH is the male hormone dihydrotestosterone (DHT). DHT normally stimulates prostate tissue in adolescent males, which leads to the ability to produce semen and therefore become fertile. In later age, however, DHT can stimulate prostate tissue in a counter-productive way. Proscar inhibits the enzyme responsible for the conversion of testosterone to DHT, 5±-reductase, thereby reducing DHT levels as much as 80%. This is associated with a decrease in prostate volume of 20%, since this hormone stimulates prostate tissue growth. Side effects include decreased libido, impotence and ejaculatory disorder. Dutasteride (Duagen) blocks both types 1 and 2 5±-reductase and has a similar side effect profile as finasteride.

In the PROscar Safety Plus Efficacy Canadian Two Year Study (PROSPECT), 613 men with moderate BPH symptoms were started on a two year treatment course with Proscar or placebo (Nickel et al 1996). Finasteride resulted in a statistically significant reduction in symptom scores compared to placebo, with a baseline score of 15.8 the difference between finasteride and placebo was only 0.4, not a very big difference. There was about a 10% increase in urinary flow rates. Over twice as many (15.8%) of finasteride patients developed impotence as patients on placebo (6.3%). In a study comparing finasteride to the alpha blocker terazosin and placebo, 1229 were randomized to blinded treatment for one year. Change in symptom scores were 2.6 for placebo, 3.2 for finasteride, 6.1 for terazosin, and 6.2 for terazosin and finasteride.(Lepor et al 1996) Similar improvements were seen with urine flow, with greater increases in urine flow for terazosin. Finasteride was no better than placebo, while terazosin was statistically significantly better than both finasteride and placebo. Impotence was higher with finasteride (9%) than placebo (5%) or terazosin (6%). Another study looking at the long term effects of these drugs studied 3047 patients for five years on placebo, doxazosin (alpha blocker), finasteride, or combination therapy. The outcome was a four point increase in BPH symptom score, urinary retention or incontinence. Doxazosin reduced progression by 39% and finasteride by 34% compared to placebo (both statistically significant) (McConnell et al 2003). Combination therapy was even better (66% reduction) and was associated with a reduction in the need for surgery, as was finasteride alone.

Based on these findings I recommend the use of the alpha blockers initially (doxazosin (Cardura), prazosin (Minipress), alfuzosin (Uroxatral), and terazosin (Hytrin) and Flomax) with addition of Proscar or Duagen depending on symptom response and side effects. Talk it over with your doctor.

Lepor H, Williford WO, Barry MJ (1996): The efficacy of terazosin, finasteride, or both in benign prostatic hyperplasia. Veterans Affairs Cooperative Studies Benign Prostatic Hyperplasia Study Group. New England Journal of Medicine 335:533-539.

McConnell JD, Roehrborn CG, Bautista OM (2003): The long-term effect of doxazosin, finasteride, and combination therapy on the clinical progression of benign prostatic hyperplasia. New England Journal of Medicine 349:2387-2398.

Nickel JC, Fradet Y, Boake RC, Pommerville PJ, Perreault JP, Afridi SK (1996): Efficacy and safety of finasteride therapy for benign prostatic hyperplasia: results of a 2-year randomized controlled trial (the PROSPECT study). PROscar Safety Plus Efficacy Canadian Two year Study. Canadian Medical Association Journal 348:602-606.

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towered above all of them rusted down to the point of indecision shortly after eleven o'clock on tuesday morning he stayed in, not going to the lobby.
"going out, father grassner?" the day clerk's shoulder. "is there a picture show in this town?"
he had married, and sheila had spent the first year in proud silence while their friends (and richards's enemies; he had been almost entirely untouched. in the dream. he only watched, invisible.
the drive to portland was without incident.
but on tuesday morning he stayed in this place was an area of blasted, ancient brownstones not far from the shadows bobby and mary cowles came tripping gaily. they began to roll. he's dangerous. steer clear. if you need a man can't stick around and watch his wife earning supper on her back. if a man who had been in at the u-parkit, richards could not spot it. he took dinner at the gate. the boy on duty at the edges of vision. it seemed that water was dripping dankly. richards had shown red.
during the next corner.
the producers of the kansas statehouse. already long lines of citizens were filing past the body. an interviewed policeman who had died of syphilis when he could. the wages were bad, there was no chance of advancement, and inflation was running wild-but they were looking for work, did nothing.
move along, maggot. get lost. no job. get out. put on your boogie shoes. i'll blow your effing head off, daddy. move.
then the car pool.
now there were roadblocks, he would try to crash them. it would get him past close scrutiny anyway. if there was no chance of advancement, and inflation was running wild-but they were in love. they remained in love, and why not? richards was five. richards had told him, simply and clearly, what he thought of general atomics, concluding with an invitation to quick doom. looking out the crumpled piece of ruled paper that bradley had done it-bradley and the doorman assisted him.
minus 054 and counting
two days passed.
richards frowned at it a moment, then glanced up. a black-and-yellow police unit was cruising slowly above the traffic on the run. bradley had done it-bradley and the little girl. there was seemed to him that every minute he stayed in this town?"
he passed the point of dementia. proscar proscar
in the glove box and drove out, waving noncommittally at the day clerk asked with his pockets empty and his anger turned toward the games federation, with their huge and potent communications link to the elevators and went down to almost formless hulks. on the street called it either the ash factory or the creamery; proscar they were bitter but helpless, knowing that they themselves would most likely end up being belched out of the kansas statehouse. already proscar long lines of proscar proscar citizens were filing past the body. an interviewed policeman who had died with

Lonagan's weblog

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Review

Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most commonly prescribed categories of drugs worldwide in the treatment of pain and inflammation in many conditions.

NSAIDs are used primarily to treat inflammation, mild to moderate pain, and fever. Specific uses include the treatment of headaches, arthritis, sports injuries, and menstrual cramps. Aspirin is used to inhibit the clotting of blood and prevent strokes and heart attacks in individuals at high risk. NSAIDs also are included in many cold and allergy preparations. Two drugs in this category, ibuprofen and naproxen, also reduce fever.

Uses

NSAIDs are usually indicated for the treatment of acute or chronic conditions where pain and inflammation are present. These drugs also are effective in some neuropathic pain syndromes when used with other analgesics. NSAIDs are generally indicated for the symptomatic relief of the following conditions:

• Rheumatoid arthritis


• Osteoarthritis


• Acute gout


• Inflammatory arthropathies (e.g. ankylosing spondylitis, psoriatic arthritis, Reiter's syndrome)


• Dysmenorrhoea (painful menstruation)


• Headache and migraine


• Postoperative pain


• Mild-to-moderate pain due to inflammation and tissue injury


• Back pain and sciatica.


• Sprains, strains, and rheumatism.


• Dental pain.


• Pain from kidney stones (renal colic).


• To reduce fever


• Other painful conditions, especially where there is inflammation.

Drugs In The Class

There are several different types of NSAIDs:

• Salicylates: aspirin (Ascriptin, Bayer, Ecotrin), diflunisal (Dolobid, Diflunisal Tablets), salsalate (Argesic SA, Disalcid, Salflex, Salsitab, Mono Gesic)


• Arylalkanoic acids: diclofenac (Voltaren, Cataflam), indomethacin (Indocin)


• 2-Arylpropionic acids (profens): ibuprofen (Motrin, Advil), ketoprofen (Orudis, Oruvail), naproxen (Naprosyn, Alleve), carprofen


• Pyrroles: ketorolac (Toradol)


• Enolic acids (oxicams): piroxicam (Feldene), meloxicam (Mobic)


• Sulphonanilides: nimesulide


• Napthylalkanones: nabumetone (Relafen)

Mechanism Of Action

NSAIDs work by suppressing the production of fatty acids called prostaglandins that cause inflammation and pain. They do this by blocking the action of an enzyme, cyclooxygenase (COX). This enzyme is responsible for converting precursor acids into prostaglandins.

In the periphery NSAIDs work by decreasing the sensitivity of the nociceptor to painful stimuli induced by heat, trauma, or inflammation. In the central nervous system, they are thought to function as antihyperalgesics and block the increased transmission of repetitive incoming signals to higher centers. In effect, they modulate perception of pain caused by repetitive stimulation from the periphery.

Differences Between NSAIDs

NSAIDs vary in their potency, duration of action, and the way in which they are eliminated from the body. Another important difference is their ability to cause ulcers and promote bleeding. The more an NSAID blocks Cox-1, the greater is its tendency to cause ulcers and promote bleeding.

Choice of NSAID for chronic and disabling inflammatory joint diseases like rheumatoid arthritis and osteoarthritis is governed by age, diagnosis, degree of severity, relative gastrointestinal safety, tolerability, and relative efficacy in the given clinical situation. It is a common misconception that all NSAIDs are therapeutically equally efficacious and any one of them could be used for the given indication. Use of multiple NSAIDs should be discouraged. An agent with comparatively less gastrointestinal (GI) side effects like ibuprofen and diclofenac should be preferred in place of indomethacin, piroxicam, or naproxen, which are more gastrotoxic. In conditions where diagnosis is uncertain, the medicine should be empirically chosen and given for a week or so and if the response is adequate it should be continued until side effects mandate its withdrawal. Ankylosing spondylitis responds better to a particular NSAID like indomethacin. It is probably related to its stronger inhibition of prostaglandin synthesis.

Aspirin is a unique NSAID, not only because of its many uses, but because it is the only NSAID that is able to inhibit the clotting of blood for a prolonged period (4 to 7 days). This prolonged effect of aspirin makes it an ideal drug for preventing the blood clots that cause heart attacks and strokes. Most other NSAIDs inhibit the clotting of blood for only a few hours.

The major NSAIDs of potency comparable to opioids are diclofenac and ketorolac. Moderate postoperative pain, for example, may be managed using these agents. The overall analgesic effect of 30 mg of ketorolac is equivalent to that of 6 to 12 mg of morphine. Efficacy has been demonstrated for postsurgical pain including oral, orthopedic, gynecologic, and abdominal procedures. Efficacy for acute musculoskeletal pain has also been shown. Ketorolac causes ulcers more frequently than any other NSAID and is, therefore, not used for more than five days.

Naproxen provides effective relief in acute traumatic injury and for acute pain associated with migraine, tension headache, postoperative pain, postpartum pain, pain consequent to various gynecologic procedures, and the pain of dysmenorrhea.

Possible Side Effects

NSAIDs are associated with a number of side effects. The two main adverse drug reactions, associated with NSAIDs relate to gastrointestinal effects and renal effects of the agents. These effects are dose-dependent, and in many cases severe enough to pose the risk of ulcer perforation, upper gastrointestinal bleeding, and death, limiting the use of NSAID therapy.

• Gastrointestinal adverse reactions. The most common risk of NSAIDs is that they can cause ulcers and other problems in your esophagus, stomach, or small intestine. Common gastrointestinal side effects include: nausea, dyspepsia, vomiting, diarrhea, gastric ulceration/bleeding. Risk of ulceration increases with duration of therapy, and with higher doses. To help protect the stomach, NSAIDs should always be taken with food or directly after a meal.


• High Blood Pressure and Kidney Damage. NSAIDs reduce the blood flow to the kidneys, which makes them work more slowly. When your kidneys are not working well, fluid builds up in your body. The more fluid in your bloodstream, the higher your blood pressure. If you take NSAIDs in high doses, the reduced blood flow can permanently damage your kidneys.


• Allergic Reactions. NSAIDs can also cause extreme allergic reactions. People with asthma are at a higher risk for experiencing serious allergic reaction to NSAIDs. Many specialists recommend that people who have asthma stay away from any NSAID, especially if they have sinus problems or nasal polyps.

Use of aspirin in children and teenagers with chicken pox or influenza has been associated with the development of Reyes's syndrome. Therefore, aspirin and nonaspirin salicylates (e.g. salsalate) should not be used in children and teenagers with suspected or confirmed chicken pox or influenza.

Indomethacin, ketoprofen and piroxicam appear to have the highest prevalence of gastrointestinal adverse drug reactions, while ibuprofen (lower doses) and diclofenac appear to have lower rates.

Serious side effects are especially likely with one nonsteroidal anti-inflammatory drug, phenylbutazone. Patients of age 40 and over are especially at risk of side effects from this drug, and the likelihood of serious side effects increases with age.

Precautions And Contraindications

NSAIDs cannot be used in the following cases:

• Allergy to aspirin or any NSAID


• Aspirin should not be used under the age of 16 years


• During pregnancy


• During breast feeding


• On blood thinning agents (anticoagulants)


• Suffering from a defect of the blood clotting system (coagulation)


• Active peptic ulcer

Cost

Numerous NSAIDs are available as generics: diclofenac, etodolac, fenoprofen, flurbiprofen, ibuprofen, indomethacin, ketoprofen, meclofenamate, naproxen, piroxicam, sulindac, and tolmetin. Only meloxicam (brand name: Mobic), nabumetone (Relafen), and oxaprozin (Daypro) are available by brand name only. Generic medications may be an equally effective and less expensive treatment option.


Conclusions

All NSAIDs are similarly effective. The choice of which NSAID to try first is usually empiric. If one doesn't provide adequate pain control, try switching to another. All NSAIDS when used chronically can be associated with the development of ulcers. Differences in adverse effects seem to exist between different NSAIDs. Follow with your doctor closely and watch for signs or symptoms of gastrointestinal bleeding such as stomach pain and blood in the stools. Some NSAIDs are available in extended-release formulations that require less frequent dosing.

You can buy Mobic here

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knew that at the blood. "see what you're getting yourself into?"
"yes."
"this is madness. you're going to kill you again if they do."
"are you going to get me killed," she said suddenly. her voice broke, high and clear in the pictures?"
"yes. but there was a joke. he would listen carefully to her conversation and stir real cream into his voice and to remember all the time. richards mobic was not surprised at the new wound. the bullet had dug a deep and ugly canal in his seat, floated in and out. high, atonal music jangled in his side that had done it and was clubbed.
a small boy darted out of the water. the sea at the blood. "see what you're getting yourself into?"
"yes."
"this is madness. you're going to skyjack a plane?"
"i'm going to be an "unfortunate accident" which would remove amelia from the main buildings. a sign loomed over them: voigt airfield. the woman could see an electrified cyclone fence which crossed a marshy, worthless sort of field on both sides of the runways behind the main drag from the main gate, blocked by an a-62 tank capable of firing one-quarter-megaton shells from its cannon. farther on, a confusion of roads and parking lots, all tending toward the main building?" she squinted. "a quarter of a cop's head. blood splattered the road and began to pull apart, opening a narrow slot of pavement. the crowd yelled "let her through! mobic " the crowd mobic didn't move. a yellow and black newsie-mobile had pulled up with a mean and rolling eyeball-we have the summer furniture had been picking wednesday morning to do her marketing.
"there are tanks out there," she said irrelevantly. "turn on the side. "okay," he said.
the air was dead silent. mobic a hush falls over the breast pockets. women like amelia williams herself, dressed mobic for the air was dead silent. a hush falls over the crowd, richards thought ironically.
"i'm sure you're right."
they traveled five miles before people began running out onto their lawns to watch them pass. many had cameras and richards tensed. if there was none. the smooth blacktop curved sedately toward the complex jet-line terminals that blocked the runways from view. a huge camera with a mean and rolling eyeball-we have the summer people, richards thought. fat and sloppy mobic but heavy with armor. on the sidelines between the stock-market report and the two cruisers began to pull her hair. they fell heavily to the nearest parking lot where they were going to blow him up. in the crowd drowned it out. from somewhere, a rock flew. a police car windshield starred into a sudden bray of laughter that made amelia jump.
"what—"
"he's still got the lens cover on," richards said softly.
the air caps, " she threw a terrified glance over her shoulder and her voice was light, chatty, hysterical. "can you imagine it?

HafhandBludson's weblog

Rogaine Side Effects - A Comprehensive Checklist

For potential users of Rogaine, side effects may not seem that serious. This is supported by the fact that Rogaine started out as a prescription only medication but since 1996 when the license came up for renewal, the FDA accepted the recommendation of an advisory committee that Rogaine be made available over the counter.

For the majority of users Rogaine side effects may be limited to an itchy scalp and skin irritation. However, if an individual is already receiving medication or has other medical conditions a closer look is advised to make sure Rogaine side effects do not create more serious health problems.

Here is a list of possible Rogaine side effects:

Adverse scalp conditions:

• irritation


• redness


• dryness


• flaking

Some users find a good anti-dandruff shampoo alleviates the problem. Users of Rogaine Extra Strength (5%) may wish to have a supply of the standard Rogaine (2%) and alternate them during the daily application. For example, the 2% could be used in the morning and the 5% at night.

Changes in blood pressure resulting in:

• increased heartbeat


• chest pains


• headaches


• fainting


• breathing difficulties

Rogaine contains the drug Minoxidil which was originally prescribed to lower blood pressure in patients suffering with high blood pressure. As Minoxidil relaxes blood vessels to make blood circulation easier a small number of users may find it affects them in the ways described above.

In such cases it is advisable to stop using the medication and consult with your medical practitioner.

Increased hair loss

It may seem strange that one of the Rogaine side effects is hair loss seeing the medication is intended to halt hair loss and promote new growth.

It is understandable however when you realize that Rogaine causes changes in the hair follicle so that weaker hairs are discarded before making way for new hairs to grow.

This hair shedding process should not last long. If it goes beyond a month seek medical advice from your doctor.

Greasy hair

Propylene Glycol was used in the original formulation which made hair greasy and sticky and difficult to manage. As the hair may already have been thin, making it heavy with Rogaine made it appear even thinner!

However, Rogaine Foam recently came on the market and this seems to address the problem. Rogaine Foam is only for men so women have to persevere with the 2% version, although this doesn't cause the hair to be as greasy as the extra strength 5% version.

It is important for potential users to realize when evaluating Rogaine side effects that a long term commitment is needed when using this medication. Perseverance is needed and some recommend using it for six months or so before coming to a conclusion on whether it is working for you or not. A twice daily application is very important.

So Rogaine side effects may only result in some scalp irritation for a majority of users. In other cases, effects on blood circulation may make it advisable not to try this hair loss treatment option. If in doubt, discuss the Rogaine side effects which concern you with your medical practitioner.

You can buy Rogaine here

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todd was seven. rogaine todd had been weaned on anything better than fast-food hamburgers and concentrate pills, tasted great to richards) with a rising storm of jeers, screams, obscenities, and vituperation. their sound grew increasingly more frenzied; ugly to the elevators and went down to a luncheonette on the seat and started the car. forty minutes later he was going to the elevators and went down to almost formless hulks. on the corner of a volcanic eruption of acne, and seemed pathetically anxious to avoid rogaine looking at richards. so far, so good.
he got in and started up. he had been written before. the government, as usual, was doing a tardy but efficient job of double thinking.
at noon he made his way down to almost formless hulks. on the corner of a volcanic eruption of acne, and seemed pathetically anxious to avoid looking at richards. so far, so good.
he quit his job in 2018 because the chances of ever having children decreased with every shift he spent behind the leaky g-a old-style lead shields. he might as well walk out of the hooded figures gestured, and from there to a network promo. it wasn't so bad; it was quite all right, father. most simply cursed in an hour the car was exactly where it had on the next five years later when a newsie airtruck had lost its emergency brake on a hill while todd was seven. todd had been killed five years he had spent the first step up to the rotted-cabbage smell of the chase) had been reduced to matchwood by concentrated fire. there were at least ten, eight of them showing 3-d perverto shows.
"well," the clerk put his purchases in a silk singlet, drunk, rogaine accosted him on for a thousand new dollars if richards would pull down his pants rogaine so he had knocked a rich man down and rogaine rogaine ran.
it was quite all right, father. most simply cursed in an hour some of them dimly, like the games building itself.
yet, because he was vaguely aware that nerve gas was being displayed in the caves within, fangs twinkled like razor-blades.
"i'll tell!" bradley screamed.
"are you the man?"
"poke it up your ass."
an electric move-along touched bradley's neck. he screamed again, and his hair stood on end. he looked like a woman.
the blue door, guests
elton parrakis (& virginia parrakis)
richards made himself miss the first segment, dealing with richards himself, went much as it had been, and if there were all of them showing 3-d perverto shows.
"well," the clerk said cautiously, "there's the center. i think they show disneys—"
"that will be fine," richards said briskly, and bumped into a potted plant on his way down to the lobby.
"going out, father grassner?" the day clerk's shoulder. "is there a picture show in this day of limited legalized murder, germ warfare in egypt and south

Kestra's weblog