Purpose/Usage

Propecia is indicated for the treatment of men with male pattern hair loss (androgenetic alopecia) to increase hair growth and prevent further hair loss. Propecia is not indicated for use in women or children. Propecia is not effective in postmenopausal women with androgenetic alopecia. Propecia is a new, effective treatment to help prevent further hair loss in men. Unlike previous treatments it is available in a convenient tablet form that is taken once daily.

Male pattern hair loss is a common condition in which men experience thinning of the hair on the scalp. Often this results in a receding hairline and/or balding on the top of the head. These changes typically begin gradually in men in their 20s.

Doctors refer to this type of hair loss as androgenetic alopecia. Researchers in this area believe male pattern hair loss is due to heredity and is dependent on a hormone called dihydrotestosterone (DHT). DHT contributes to a shortening of the growth phase and a thinning of the hair. Men with male pattern baldness have increased levels of DHT in their scalps.

Propecia lowers the levels of a hormone called dihydrotestosterone (DHT) in the scalp and serum by blocking 5 alpha-reductase, an important enzyme involved in regulating the hair follicle. Results of clinical studies: For 12 months, doctors studied over 1800 men aged 18 to 41 with mild to moderate amounts of ongoing hair loss. All men, whether receiving propecia or placebo (a tablet containing no medication) were given a medicated shampoo. Of these men, approximately 1200 with hair loss at the top of the head were studied for an additional 12 months.

In general, men who took propecia maintained or increased the number of visible scalp hairs and noticed improvement in their hair in the first year, with the effect maintained in the second year. Hair counts in men who did not take PROPECIA continued to decrease. This study is now in its fourth year and results will be updated in the near future. 86% of men treated with propecia had no further hair loss, compared to 42% in the placebo treated group (based on any decrease in vertex hair count from baseline at month 12). 48% of men had improved hair growth compared with 7% of men receiving placebo. These results were based on detailed hair counts, photographic assessment by an expert panel of dermatologists, investigator assessment and patient self-assessment questionnaires. In one study, patients were questioned on the growth of body hair. Propecia did not appear to affect hair in places other than the scalp.

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Drug Uses

Cialis is used for treating erectile dysfunction in men (eg, impotence) and other conditions as determined by your doctor.

Benefits:

• Works for up to 36 hours;


• Recommended time to take before sex is 30 minutes to 12 hours;


• Cialis has few side effects and lasts longer in the body to increase spontaneity than either Levitra or Viagra;


• 66% clients prefer Cialis to Viagra.

How Taken

Take Cialis exactly as your doctor prescribes. For most men, the recommended starting Cialis dose is 10 mg. It should be taken no more than once a day.


Drug Class and Mechanism

Cialis is a phosphodiesterase type 5 inhibitor and it works by helping the blood flow into the penis to achieve and maintain an erection during sexual stimulation.


Missed Dose

If you miss a dose of Cialis , take it as soon as you remember. Continue to use it as directed by your doctor.


Storage

Store Cialis at room temperature between 59 and 86 degrees F (15 and 30 degrees C).

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Propecia's effects in detail:

• Propecia (and other products containing finasteride) causes a rise in testosterone levels, because testosterone that would normally be converted into DHT remains testosterone. Continual high levels of testosterone in the body could possibly have negative side effects.


• Artificially low levels of DHT in the body could cause some unwanted conditions. DHT is an antagonist of estrogen. Men’s bodies also produce the female hormone estrogen in the adrenal glands, although this is just one-tenth of the estrogen that premenopausal women produce in their ovaries. By reducing DHT with drugs, a man’s protection from the effects of estrogen may also be reduced. This could result in gynecomastia.


• Even though both finasteride and dutasteride were developed to combat benign prostatic hyperplasia by reducing DHT in prostate tissue, some scientists question the wisdom of using these 5-alpha reductase inhibitors in younger men who have no problem with their prostates. A research chemist, Patrick Arnold, says “Evidence is mounting that the existence of a high estrogen/androgen ratio – a condition common in older men – is highly correlated with the development of benign prostatic hyperplasia. However, in apparent contradiction, individuals with 5-alpha-reductase deficiency (and thus a similar hormonal profile to users of DHT inhibitors) do not experience BPH.

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In the event that your physician determines that you have some level of erectile dysfunction and that Cialis could help, be aware of the possible side effects you may experience, some more common than others:

• The most commonly reported side effects from Cialis are headache, congestion, upset stomach, muscle ache, back pain and flushing.


• In rare cases, men have experienced sudden decreases or changes in vision after using Cialis.


• Also on rare occasions, men taking Cialis have reported a condition known as priapism (an erection lasting more than four hours). This condition requires immediate medical attention.