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Drug Uses

” is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men.

How Taken

Take ” exactly as your doctor prescribes. Cialis comes in different doses (5 mg, 10 mg, and 20 mg). For most men, the recommended starting Cialis dose is 10 mg. Cialis should be taken no more than once a day. Your doctor will prescribe the dose that is right for you.


” can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines such as nitrates and alpha-blockers, and recreational drugs that contain nitrates called “poppers”. A sudden drop in your blood pressure could cause you to become dizzy, faint, or have a heart attack or stroke.
Until you are certain how you are affected by Cialis, use caution when driving or operating heavy machinery. Cialis contains some lactose and should not be taken by patients who are lactose intolerant. Also, during treatment you should avoid grapefruit juice. Taking Cialis with grapefruit juice can increase your chances of experiencing undesirable side effects. If you are taking medications with nitrates or nitric oxide, have uncontrolled blood pressure (high or low), or if you have a history of stroke or heart attack DO NOT take Cialis.

Missed Dose

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Possible Side Effects

The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor if you get a side effect that bothers you or one that will not go away.


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


In cases of overdose, standard supportive measures should be adopted as required. Hemodialysis contributes negligibly to Cialis elimination.

More Information

Do not change your dose of Cialis without talking to your doctor. Your doctor may lower your dose or raise your dose, depending on how your body reacts to Cialis.
Do not drink alcohol to excess when taking Cialis (for example, 5 glasses of wine or 5 shots of whiskey). When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.


This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

Buy cialis — no more erectile dysfunction

Buy cialis – no more erectile dysfunction

One of the things that seems to happen to people when they become famous, is a sense they are somehow better than us in everything. We put them up on a pedestal and “worship” them. If worship is too strong a word for you, then we want to see them as role models. They become our heroes. Yet this can be a problem. Some who achieve fame because they are excellent at one thing may be less than perfect in most of the other things they do. Let’s take the thorny question of homosexuality as an example. Ricky Martin has just formally admitted what was an fairly open secret – that he’s a fortunate homosexual man. Although this has made minor headlines, most people have ignored it. This is interesting given two contrasting examples. Elton John and George Michael came out years ago and continue to sell around the world. Yet Adam Lambert has had almost all his recent TV appearances cancelled because he was seen to kiss a man. Incidentally, this has not prevented his sales from continuing at a high rate. His single “Whataya Want From Me” has sold more than half-a-million downloads and his album is platinum in various countries around the world. This creates a dilemma for artists and their marketers. If someone appears to be creating sales based on a heterosexual fan base with women swooning over their hero, what happens when the man comes out of the closet? In practical terms, the answer is probably nothing changes. Fans buy the music. The fantasy is something the fans add on later.

Not entirely changing the subject, the latest gossip about Roger Clemens comes from country music star, Mindy McCready. Apparently, they have been having sex for years, perhaps even starting when she was only fifteen. This is entirely consistent with his image as “The Rocket”. As an all-time, record-breaking MLB pitcher, fans expected him to rack up the strikeouts and outperform off the field. Like Tiger Woods, the stories about his adulteries have only added to the mystique. However, his image was tarnished first by allegations of steroid abuse, and then by stories he was actually suffering from erectile dysfunction. The two are actually connected because men on steroids often do fail in bed. Whether the naked sex video that is due for release soon will confirm sexual failure is not yet known.

In reality, there’s no reason for athletes to be better than anyone else. We should only expect them to be good at throwing, jumping, kicking or whatever their sport requires. Except there are reasons, not connected with erectile dysfunction, why male sporting celebrities may be munching on erectile dysfunction drugs like ” during their training sessions. Because these drugs dilate arteries, more oxygen-rich blood is carried to the muscles while exercising. This helps to build up strength and stamina. Their performance on the field improves. For those who prefer to build up muscles using steroids, the cialis also helps to restore erections. When you have a wife and multiple partners, you need these drugs to keep you going. Except, it seems Roger Clemens needed a lot of patient handling. Perhaps he was better at being a sugar daddy. Handing out presents and money keeps your partners happy. Although this would not explain McCready’s loyalty. She has money in her own right.

Depression Symptoms – Healthy Medical Direction

The signs of depression range from very mild to severe. Sadness and loss of interest in things you once enjoyed are two common symptoms of clinical depression. There are several different types of depressive disorders that have unique symptoms.

Types of Depression

The four main types of depression are typical, atypical, chronic, and manic depression. Clinical and manic depression are the types most often treated. Manic depression is also known as bipolar disorder, a condition characterized by dramatic mood swings. The symptoms and treatments received vary depending on the type of depression diagnosed.

Seasonal affective disorder, or SAD, postpartum depression, also known as PPD, and psychotic depression are also depressive disorders. SAD occurs in the winter and is thought to be caused by reductions in sunlight exposure, while postpartum depression occurs after giving birth to a child. PPD can be very severe. Psychotic depression is recognized by hallucinations and other delusions.


The symptoms for depression include feeling sad, loss of appetite or eating more than usual, and changes in sleeping patterns. In clinical depression and bipolar disorder, these symptoms can be lifelong and may cause disruptions in everyday life. The symptoms must be present for longer than two weeks and must not be related to other factors, such as alcohol abuse, or life events for a formal diagnosis of depression.

Manic depression symptoms are a little different than those described for other depressive disorders. Bipolar disorder is generally distinguished from other disorders because emotions range from elation to extreme sadness very quickly, often within a matter of hours.


Seeking treatment for depression is the first step toward controlling symptoms. Some disorders, including PPD, require only short term treatment. Other disorders may require treatment for a lifetime, such as manic depression. It is important to learn to recognize the signs of depression if you or a family member are experiencing sadness or a loss of interest. The symptoms of depression can be very mild.

Each type of depression can also lead to suicidal thoughts. If you or your loved one think or talk about suicide, seek help immediately. Both mental health specialists and traditional physicians can provide medications for depressive disorders. You may be referred to a mental health professional for an official diagnosis before being given prescription medications. Medications can include anti-anxiety medicines as well as anti-depressants or anti-psychotics. Therapy may be recommended along with medications to treat depression symptoms.

Alcohol and Drug Abuse: Receive Help Here.

of the most difficult decisions we ever make is to stay in a relationship,
which has gone downhill. Is it our fault? I can make it better. Can I
fix it? Is my spouse right? These are all examples of self-talk that can
occur as you’re thinking about your situation. Try not to make hasty decisions
until you are calmer and, thus, more logical. Avoid being hard on yourself,
as you did nothing on purpose.
For generations we have watched movies and listened to songs about fantasy.
Many are about very unrealistic relationships that are adolescent at best.
Yet, this is what we learn. This information about being together forever
or always being happy is injected into our brains. The brain does not
know if this is accurate information or not. It simply takes it in. We
use this measuring stick when we find a “significant other”
and begin to bond. Of course, we are on our best behavior for the first
year or two of the relationship and sometimes longer. Well, guess what?
So is the other person. Usually there are roses and movies and dinners
and polite conversations and impressive dreams. All this is fine, exciting
and wonderful!!!!!!!!!!!!! However, it doesn’t continue this way. When
the guard is let down and there is security(?) in the relationship, the
real person steps forward. Then you see the disagreements, the temper,
the possessiveness, the jealousy – in general, you see the “warts.”
When there is drinking or drug use this reveals itself because the person’s
guard is down and because, if you are seeing a serious problem, it has
progressed. One of the common responses I get in my office is, “He
didn’t drink much when I met him.” If you are the typical human being
on this planet, you probably didn’t obtain accurate information on alcohol
and/or drug abuse as you grew up. You probably learned inaccurate information.
We are mislead by statements such as; “He’s got a wooden leg and
can really hold his liquor.” Another is “He (or she) drives
home and isn’t affected. They do not have a problem.” Another is;
‘Well, pot is not really addicting. At least we don’t drink like fishes
like our parents or like Bill.” In all of these cases, signals of
chemical abuse or dependence are evident to someone trained in chemical
Most of us have seen unruly drinkers or drug users or abusers or addicts
and haven’t even noticed them. So don’t blame yourself. Simply make a
decision to let a good therapist coach you.
When a “healthy” person dates a problem drinker or drug user
they know what to do instinctively. They know/sense that this problem
is serious and they decide early on in the relationship to challenge the
person. At this point a stable and secure person will set boundaries,
“If you drink like that again, I have to find us a counselor and
we will go.”
However, if you are a needy person for some reason and have unmet needs
for closeness, you may find it difficult to set boundaries because you
may be rejected or you may feel rejected if the person gets angry. Well,
guess what? You can only please yourself. Do this and you’re pleased.
This will raise your self-esteem. However, give it time. More than likely,
you have time. Try to obtain a good counselor who is state licensed in
this area (drug and alcohol abuse, relationships or marriages) and set
an appointment. If your spouse will not go, you go. You deserve an objective
viewpoint, support, encouragement, reality-based feedback, a more effective
belief system and an education on chemical dependence.
You’ve heard the saying; “You can’t love another until you love yourself.”
Well it’s true. You have to have your independence and enjoy life as an
individual, have interests of your own, enjoy others’ company and have
hobbies or job or career that are separate from your partner. Otherwise,
you are dependent on him or her for these things and will eventually feel
unfulfilled and resent the other person for not making you happy – an
impossible task. Again, don’t beat yourself up for not being a relationship
guru. I don’t know any. I think there may be some around but they don’t
talk or preach about it. Love is not being self-absorbed so you can’t
or won’t help. Love is waiting at the Mall when the spouse is shopping
without complaining too much or building resentment. Love is being willing
to circle back to the store and get the bread that you forgot and not
making a decision to lie and say you forgot. Love is being clear-headed
in the morning and being reasonably agreeable. Love is being less judgmental
and not blaming the spouse or family for petty things. Love is negotiating
and agreeing to “win-win” situations and working toward this
without selling out on personal beliefs and building a resentment. Love
is sticking in there when there is a crisis. Love is being able to yield
and not have to always be in control.
Remember that you are loveable mainly because you have love from self.
Don’t play God and hate yourself. Learn to be positive and love yourself
more and more and others will be attracted to you. This takes time so
be very gentle with you.

Peter A. Butkins, LMT

Here are some ways to change your belief system. These are affirmations
that may work for you. You can say them (or one of them) daily.
a. I now believe that I can take care of myself better and better and
let go of fear and anger today.
b. I will use the help available to me to heal.
c. I don’t have to do this alone.

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Cosmetic Dentist in Denton, TX

Years ago, aesthetic improvements in dentistry often meant multiple appointments and invasive procedures. But thanks to advances in cosmetic dentistry, dental professionals these days are able to help patients achieve spectacular results in a far less painful and time-consuming fashion. At Lillian Miller Dental, we’re pleased to offer our valued Denton, TX patients a variety of cosmetic solutions to suit their aesthetic needs.

Improving Your Smile

Whether you’re looking to fix a single crooked tooth or desire more extensive cosmetic work, the dedicated team at Lillian Miller Dental is at your service to provide cost-effective cosmetic dental treatments. When you visit our practice, you’ll benefit from our individualized, attentive approach to cosmetic dentistry. And because we want you to be comfortable with your course of treatment, we’ll take the time to address your concerns before we get started.

With convenient appointment scheduling and a friendly office staff, Lillian Miller Dental is the place to go in Denton, TX for cosmetic dentistry services. For more information or to schedule a consultation, call us today.

Denton, TX Dental Veneers | Lillian Miller Dental

What are Veneers?

One of the most popular and effective developments in cosmetic dentistry, veneers are thin, custom made casings that cover the front side of your teeth. Veneers are used to correct uneven teeth, worn enamel, discoloration, chipped teeth and irregular spacing, and can last over 20 years. In some cases, veneers can serve a restorative purpose and can protect a damaged tooth from further harm.

What Does the Procedure Involve?

After a thorough examination of your teeth, which may include X-rays and taking impressions of your teeth, your dentist will remove a thin layer of enamel from your teeth. Then he or she will create an impression and send it off to a laboratory to create the veneer. While the mold is being created, your dentist may provide you with temporary veneers. Finally, the veneer’s size and color are given one last adjustment before they are cemented to your tooth on your second visit.

What Are the Advantages of Veneers?

Veneers can give your teeth a more natural, aesthetically pleasing appearance and are stain resistant and soft on gums. In some cases, veneers can serve a restorative purpose and can protect a damaged tooth from further harm.

Types of Veneers

  • Porcelain
  • Resin Composite
  • Lumineers

Since porcelain veneers are more resistant to stains and chipping, they are generally more expensive. Lumineers are a particularly popular type of porcelain veneers that do not require your teeth to be shaved and can even be placed over crown or bridgework. A custom-made set of Lumineers can be installed in 2-3 visits and is proven to last over 20 years.

Will My Insurance Cover Veneers?

As this procedure is elective and primarily cosmetic, most dental insurers will not cover veneers. Talk to your dentist about the financing options available.

The information in the article is not intended to substitute for the counsel and expertise of a medical professional. We encourage you to discuss any decisions about treatment or care with your dentist.