Mexican Pharmacy

Online Mexico Medicine

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Mexican Cialis Pharmacy
Discount Mexican medicine can now be purchase online. If you want to save money on prescription and non prescription medicine, you should shop online from Mexico. Online Mexican pharmacies can sell you brand and cheap generic medicine. Also enjoy the ease of a website in English and en English speaking mexican pharmacy staff. The quality of the medicine is up to par with other pharmacies. If you wish to test the quality of medicine from Mexico, purchase just a small quantity of pills first and later, when satisfied, do more shopping. But do not order medicine online from within the U.S. and do not import medicine into the U.S. without first determining if legal. We do not know whether it is legal or not. Please, if you do not know, do not use this website.

Phony Viagra, Cialis Pills Seized by French Customs Officials
Men using Viagra, Cialis and other impotence drugs should be sure to get these from a trusted source. That’s because the market - especially the internet, is awash in phony impotence drugs. In a market worth over $3 million and for the millions of men suffering from erectile dysfunction, the boom of fake Erectile Dysfunction (ED) medications is cause for concern. Another cache of fake medications was recently seized when French customs officials intercepted a shipment of 224,000 counterfeit Viagra and Cialis pills worth 2.4 million euros—$3.5 million—the Budget Ministry said Monday. Copies of the drugs were found on December 18th during a search at the French capital’s main air hub at Roissy, in a freight cargo on its way to Brazil from India. “Branded Powergra and Erectalis, each box contained, in fact, four tablets in the characteristic shape and color of Viagra or Cialis pills,” Budget Minister Eric Werth’s office, which in charge of customs, said. “The companies Pfizer and Eli Lilly, which respectively own the Viagra and Cialis brands, quickly confirmed the counterfeit nature of these products and the 224,000 pills were seized,” Werth’s office added. Last July, Chinese police seized over a ton of phony drugs including at least 18,000 fake Viagra tablets. Over 30 people were detained on suspicion of either making or selling the drugs. Police in the eastern province of Zhejiang raided the gang making counterfeit Viagra and selling the tablets to 12 countries, including the United States and Holland. In Guangdong, police arrested 12 people and seized one ton of fake drugs, two production lines, and large quantities of raw materials for making “sildenafil citrate,” the scientific name for Viagra. Late last year, Ashish Halai and his group bought counterfeit drugs from Chinese suppliers and sold them to customers who thought they were buying Viagra and Propecia. Their network stretched from Britain to Hong Kong, Dubai, the Bahamas, and the US—to name a few—in Britain’s largest drug counterfeiting case. The fake pills were produced in secret factories in China and Pakistan and smuggled to the US and Europe. Halai and his wife, a pharmacist, ran a legitimate pharmacy for years. When the business was sold, he continued to use the name to sell herbal weight-loss aids. In 2002 he started to deal in counterfeit Viagra, selling via email. He made a deal to supply a Mexican company based in the Bahamas and developed a network of contacts to help him smuggle into Great Britain and ship to the Bahamas. Packages, many of which were shipped with companies such as DHL, were marked as containing vitamin supplements for dogs to avoid detection. The case dates back to 2003 and 2004, when counterfeit batches of the impotence drugs were seized while being smuggled into Heathrow and Stansted airports. Samples revealed the medicines contained about 90 per cent of the active pharmaceutical ingredients found in genuine tablets. Most of the fake pills were sold via the Internet; some were sold as prescription medicines. In 2003, the US Food and Drug Administration seized 8,000 packages of Viagra in Miami. In July 2003, Britain’s Medicines and Healthcare Products Regulatory Agency officers seized over 120,000 fake Viagra tablets.
Sex After Prostate Surgery
For men having prostate cancer surgery, one of the biggest fears is that they will be left impotent. Unfortunately, the research that might help address that question is likely only to confuse. A notable study in 2005 showed that a year after surgery, 97 percent of patients were able to achieve an erection adequate for intercourse. But last month, researchers from George Washington University and New York University reviewed interim data from their own study showing that fewer than half of the men who had surgery felt their sex lives had returned to normal within a year. So which of the studies is right? Surprisingly, they both are. The results depend on several crucial variables — the type of patient studied, sex life before surgery and, most important, the definitions doctors use to define potency. Of the 219,000 men a year who receive diagnoses of prostate cancer, nearly half undergo surgical removal of the gland, according to the National Cancer Institute. Most top surgeons report that an overwhelming majority of their patients can achieve erections “adequate for intercourse” after the operation. (Candidates for surgery often shop on the Internet for the surgeons who post the best scores.) Under that definition, a man who had regular sex after surgery, a man who managed to have sex only once and a man who struggled mightily each time he had sex would all be considered success stories. “That definition is misleading,” said Dr. Jason D. Engel, director of the urologic robotic surgery program at the George Washington University Hospital. “It doesn’t mean it was good intercourse, and it doesn’t even mean your penis was hard. That man is going to say, ‘I’m impotent.’ But in the surgeon’s eyes, that man had an erection adequate for intercourse.” The better question for men is whether they can have sex when they want to, with or without drugs like Viagra. In a recent series of patients, Dr. Engel found that after a year 47 percent of men who had robotic prostatectomy were able to have regular sex. Although he could cite statistics to give men a more hopeful view, he said that did not help the patient. “I know what a patient wants to know, and I know what he’s scared about,” he said. “I think I have a lot happier patients, because they know the reality.” The reality is that whether a man is able to have sex after prostate surgery depends as much on the man as it does on the surgeon. How good was his sex life before cancer? Does he have a supportive partner? Did he need to use an erection drug before surgery? Dr. Ash Tewari, director of robotic prostatectomy at New York-Presbyterian/Weill Cornell Medical Center and a co-author of the study in The Journal of Urology, said the 97 percent potency data in the report was from a “select” group. “It’s a very crude definition, I totally agree,” said Dr. Tewari, who will perform about 600 procedures this year, one of the most prolific totals in the nation. If a patient has good sexual function without erection-enhancing drugs before surgery, Dr. Tewari tells him that he has about an 85 percent chance of regaining an erection firm enough for intercourse, although he may need erection drugs and it may take up to 18 months for his function to return. This all depends on whether the cancer is early, away from nerves and contained. “The patient should not forget why they are getting this treatment,” Dr. Tewari said. “Keeping that focus in mind, can we do something to get sexual function back? Yes, but it depends on the cards we are dealing.” Men who are older or who used erection drugs before surgery have a more difficult recovery. After surgery, patients undergo penile rehabilitation, which involves regular use of the drugs, even if the man is not having sex. The goal is to increase blood flow that will bathe damaged tissue and promote healing. After surgery, many patients will always need drugs, injections or other treatments to have sex, said Dr. Andrew McCullough, director of the Sexual Health and Male Infertility and Microsurgery Programs at N.Y.U. “Less than 5 percent of patients are as good as they were before surgery,” he said. “The one thing you’re going to be facing, regardless of what people tell you, is erectile dysfunction. But the good news is that it is eminently treatable. If you accept the fact that you’re going to have it, and you address it early on, you shouldn’t skip a beat.” One obvious change for a man after surgery is that he no longer ejaculates fluid. Many men also complain that the quality of their orgasms changes. In 2004, Dr. McCullough presented an abstract to the American Urological Association that asked 230 consecutive patients before surgery to rate orgasm quality. Two years after surgery, they were asked again, and 53 percent who had good or very good orgasms before surgery said the quality had declined. Some men complain that their penis is smaller after surgery. The data are mixed, but it appears less of an issue with robotic surgery. The results may be explained by different methods of measuring penile length at different medical institutions. Then there are those fortunate men who also have quick recoveries and resume normal sex lives. One of them is Gerald Anthony of Freeport on Long Island, a 59-year-old retired New York City police officer who had prostate cancer surgery with Dr. Tewari in December. Already, Mr. Anthony said, his sexual ability is as good as it was before, and he does not require medication, though he agrees that orgasm is different now. “I’m still happy,” he said. “I hear a little trumpet section, but I don’t hear the whole orchestra.” His case also illustrates something that does not turn up in many of the medical studies. “Having a beautiful wife — that also helps,” said Mr. Anthony, who has been married for 19 years. “My wife is better than any Viagra.”
Mexico pharmacies targeted
Several states have direct links to Canadian pharmacies to ensure their citizens have access to less expensive prescription drugs. Yet no state has such formal ties through Web sites or state-sponsored programs to pharmacies in Mexico. But residents of Arizona and other Southwestern states routinely visit border towns such as Los Algodones near Yuma to buy prescription drugs at large pharmacies catering to tourists. Now, Gov. Janet Napolitano and her counterparts on both sides of the U.S.-Mexican border have floated an idea that would scrutinize the safety of prescription drugs sold in Mexican border towns. They want to create a cross-border testing and inspection program to ensure drug safety. Napolitano has initiated talks with Bush administration officials on what it would take to launch such a pilot program with cooperation on both sides of the border. Some consider it a long shot. Food and Drug Administration inspectors already are stretched thin. The state agency that oversees pharmacies in Arizona already is stretched thin. And the proposal first floated at last fall's Border Governors Conference is short on details such as funding and regulations needed to turn the idea into a reality. Still, Napolitano's representatives are hopeful that the Southwest can create a level of cooperation similar to programs that other states have with Canadian pharmacies. "We know that people do this, and we know it is not illegal to purchase for personal use," said Jeanine L'Ecuyer, Napolitano's spokeswoman. "The issue is, is it safe?" State standards The governors' proposal urges both the United States and Mexico governments to work with states and local authorities on each side of the border on a program that would promote "testing and inspection of quality of prescription drugs." The program also calls for bolstering the authority of state agencies to establish standards for pharmacies and drug manufacturers to ensure consumer safety. The resolution endorsed by governors of Arizona, California, New Mexico and Texas gives no timeline on when such a program may be adopted or who will pay for it. Other states have sponsored programs that allow their residents to purchase prescription drugs from Canada. Perhaps the most well-known program is Minnesota's RxConnect, an initiative launched nearly four years ago that provides residents phone and Internet links to Canadian pharmacies. The state-sponsored program has been popular with Minnesotans who want access to prescription drugs sold in Canada, where government price controls generally keep drug prices lower than in the United States. Under Minnesota's program, the state provides consumers with phone and Internet links to Canadian pharmacies. The state dispatches pharmacists to inspect and review participating Canadian pharmacies once each 12 to 18 months. The inspections verify that the Canadian pharmacies have the appropriate controls and procedures in place to ensure consumer safety, said Brian Osberg, assistant commissioner of health care for the Minnesota Department of Human Services. "It is a valuable site for people who want to buy brand medications from Canada," Osberg said. Despite the program's initial popularity, factors such Medicare's prescription drug program and a strong Canadian dollar have curtailed the program's use in recent months, Osberg said. The Minnesota plan initially processed about 1,000 orders per month. Now, the plan has about 150 orders per month. 'Like shoe stores' Some groups are wary of establishing a formal program that monitors the safety of drugs sold in Mexico. Such a program could be costly. "I think it is real risky," said Marvin Shepherd, a University of Texas professor who has studied Mexico's drug importation from Mexico. Shepherd cited a World Health Organization report that indicated 10 percent of prescription drugs sold in Mexico are counterfeit. Those drugs sold in pharmacies may have the incorrect potency or even the wrong active ingredient, Shepherd said. "I don't know how you would inspect these pharmacies," Shepherd said. "They are not licensed. They are like shoe stores." Dr. Lyle Bootman, dean of the University of Arizona's College of Pharmacy, agreed it would be difficult for U.S. Food and Drug Administration inspectors and Arizona regulators to police pharmacies in Mexico. "That would be a great challenge," Bootman said of the Border Governors Conference plan. "The FDA doesn't even receive enough funds for normal safety." The Arizona State Board of Pharmacy has just five inspectors responsible for scrutinizing the state's 1,200 pharmacies each year. With the state facing a budget deficit of $1 billion or more, the board of pharmacy's executive director doesn't expect money will be available to pay for more inspectors. "We'd be interested in doing this if it was funded," said Hal Wand, executive director of Arizona's pharmacy board. Consumer demand Despite the warnings from researchers and the pharmaceutical industry, consumers who travel to Arizona border towns to purchase prescription drugs are wary of changing the system. Peoria resident Lou Edmonds said he began purchasing prescription drugs in Los Algodones a few months ago after receiving dental surgery there. He said the prescription drugs all have been properly sealed, and he is not concerned about the safety or potency of the drugs. Plus, the drugs are much less expensive. He cited asthma medication that cost $50 here sold for $12 at a Mexico pharmacy. "If people were really being hurt by this stuff, we would have heard a lot more about that," said Edmonds, adding that he doesn't favor U.S. inspections. Others see the value in ratcheting up standards for prescription drugs sold in Mexico, but they warn that may make the drugs more expensive. Mike Hagerman arranges bus trips to Mexico for about 500 people each year through his Phoenix-based Synergy Tours. He advises customers who are traveling to Mexico for prescription drugs to stick to the larger pharmacies and check expiration dates. "It's just buyer beware," Hagerman said. "We have never had a complaint about somebody getting the wrong medication." Arizonans such as Edmonds like the system the way it is. "It would turn into such a bureaucratic nightmare that it would screw the whole thing up," Edmonds said. "It is really easy right now."
MEXICO'S HEALTH SYSTEM CAN BE A BOON TO FOREIGNERS
With his bad heart, bum knee and hemorrhage-prone blood, Aubrey Righton knows a thing or three about the way of all flesh. And as a 19-year resident of Mexico, the retired trucker also knows a good deal about his adopted land. So the 78-year-old Righton and his wife, Mary Ellen, have melded that knowledge to keep themselves as healthy as possible. And for the past decade, they have been enthusiastic patrons of Mexico's vast but tottering social security hospital system that offers health care to all at low costs. "They don't have to accommodate you, but they do," said Righton, who holds dual Canadian and Mexican citizenship. With health insurance a growing crisis north of the border, officials here expect many retirees like the Rightons - and future North American retirees from the Baby Boom generation - to flock to the Mexican social security system. "This is a bargain," said Salvador Orozco, the surgeon who runs a hospital in Guadalajara. But it's a bargain fraught with problems. Like its counterparts in the U.S., Mexico's social security system faces a serious financial squeeze. The system's hospitals are aging and under-equipped, its medical staffs almost hopelessly overworked, its pharmacies often short of medicines. Still, more than 1,400 foreign retirees have joined the Mexican Social Security Institute. For a premium of $270 a year, they have access to a network of outpatient clinics, full-service hospitals and pharmacies where care and medicine are provided at no extra charge. "It's wonderful," said Mary Ellen Righton, 81, an U.S. citizen who spent two weeks in a Guadalajara social security hospital several years ago after suffering a fall. "The care is just great. And of course your medicine, your hospital and everything is free." For now, the number of elderly foreigners using the system is an almost imperceptible sliver of the estimated 60,000 retirees in Jalisco state, which includes Guadalajara and the retiree havens that line the shore of Lake Chapala. The retirees in the system make up an even smaller percentage of the more than 1.4 million Mexicans who use the public hospitals and clinics in Jalisco. Those numbers illustrate the system's problems. "The system is saturated, that's the reality of it," said Juan Jose Gonzalez, the spokesman for the Mexican Social Security Institute regional office in Guadalajara. The overload is all too evident at the social security institute Hospital No. 89 in Guadalajara, a well-worn facility where most American and other foreign retirees in the area go for major medical care. With just 226 beds, the 40-year-old hospital serves a potential clientele of 420,000 people fed by 60 clinics in Guadalajara and nearby towns and villages. The hospital's emergency room receives 5,300 patients a month, many of them eventually admitted for extended care. But with beds short, and three or four people to a room, patients often spend a night or two on gurneys in the corridors of the emergency room. "This is our reality," surgeon-administrator Orozco said as he toured the emergency room while doctors and nurses scrambled to tend to more than 40 patients. "We do what we can," Orozco said, "but we ask that the patients do what they can. Especially those who stay for a long time." Perhaps not surprisingly, even many Mexicans insured by the social security system avoid its clinics and hospitals if they can afford to. Paying for private care is preferable, they say, to the long waits and often harried staff at the system's facilities. Many foreign retirees say they prefer to pay for private care, keeping their social security insurance as an emergency backup should something go seriously wrong. "The care is pretty good," said Jerry Eubanks, 77, a retired banker from Florida who credits the social security hospital with saving his life after a burst ulcer. "But it ain't fast." Orozco and other public doctors point out that older foreigners present special problems that create a burden disproportionate to their numbers. But they emphasize that they're dedicated to serving foreigners as well as they do anyone else. "There is a difference in the cultures, obviously," he said. "The foreigner who comes here has to adjust to this culture. And that can be a problem, both for the foreigner and for us." Many of the retirees suffer from diabetes, hypertension and heart disease - the costliest diseases treated in the Mexican system, according to a Pan American Health Organization study. And many retirees, even those who have been in Mexico for decades, speak limited Spanish. "Pain is the same in Spanish, English or French," Leticia Valles, a floor nurse at the No. 89 hospital, said with a grinning shrug. "But language is the biggest problem we have." Still, though most nurses speak only Spanish, many of the Mexican public doctors speak a smattering of English and some are fluent. Many foreign patients bring a Spanish-speaking employee or friend to the hospital, Orozco said. Despite their limited Spanish, Aubrey and Mary Ellen Righton have developed a warm relationship with their regular doctor, who has been seeing them monthly for the past six years at a social security system clinic in Chapala, a small town on the lakeshore favored by many retirees. On their most recent visit, the doctor quizzed the Rightons in passable English about any particular problems they've had in the past month, checked their blood pressures and heartbeats, listened attentively to their medical complaints. Aubrey Righton told the doctor that his new artificial knee probably would be approved by social security authorities and he hoped for surgery soon. They briefly discussed his problem with hemorrhaging - caused by blood-thinning medicines used to control his heart condition - which landed him in the No. 89 hospital for weeks earlier this year after he couldn't stop bleeding from a dental procedure. Satisfied that things were going well, the doctor wrote the couple prescriptions for their multiple medications, which they filled at the pharmacy on the clinic's second floor. Then the Rightons went home to get on with their lives, which include golf, gardening and parties in a gated country club outside Chapala. "You're part of an extended family here," Aubrey Righton said. His wife nodded, adding, "I don't plan on ever leaving."
Online Pharmacy eDrugstore.MD
Giant online pharmacy once again shows an increase in sales that indicates more and more people are trusting it to provide the highest quality of products and services. There have been reports recently of counterfeit drugs being sold on the Internet and even making their way into some reputable pharmacies. This has caused some people to reconsider buying their prescriptions online even though it is usually cheaper then getting the same prescriptions filled at a local pharmacy. However, there is one online pharmacy, eDrugstore.MD that has established such a good reputation among consumers that its sales continue to rise. Customers that use the services of eDrugstore.MD have a 90% satisfaction rate when it comes to the services they get. They know that all prescriptions offered are FDA approved and that the pharmacists and physicians associated with the company are all licensed in the United States. People don’t have to worry about getting counterfeit drugs from this firm and they know it. eDrugstore.MD has been in business since 2002 and has also set the standard in the industry when it comes to providing the lowest prices on prescriptions. Customers can find everything they need at the pharmacy’s website from medications such as Tramadol for pain relief to Zyban to help quit smoking. The can also get Nexium for gastro-intestinal problems and Xenical to assist in weight loss. The best selling products continue to be Viagra and other medications to fight erectile dysfunction. In other words, customers of eDrugstore.MD can get virtually all of their health needs met. There are free prescription consultations available and this pharmacy’s window is never closed. Customers can order prescriptions filled 24 hours a day, 7 days a week. In addition to the already low prices available on prescriptions customers are entitled to another $20.00 discount on their next refill and every refill thereafter. These discounts and the variety of reasonably priced shipping options available make eDrugstore.MD a smart place to shop. It is easy to register to receive the pharmacy’s services. Customers can go to the website and fill out a short medical questionnaire that will be reviewed by one of the staff physicians. Then once a prescription is submitted it will be verified and the order will be processed. The medications are usually shipped out within 12 to 24 hours of the order being received. No physical exam is necessary if customers have had one recently and consider themselves healthy. Medications can be ordered from the convenience of the home or office and shipped right to the customer’s door. Next day delivery is even available. There is no better online pharmacy serving the United States and Canada and there are customers all over that can attest to this fact. A visit to the website will allow customers to see all of the products that are available at eDrugstore.MD and choose the ones they want to order. They can also easily compare the prices to what they would pay at their neighborhood pharmacy or at other online pharmacies so they know exactly how much they are saving. Good health is of vital importance, but there is no need to pay more to maintain it then is necessary.
Online Pharmacy eDrugstore.MD reports boom in sales of Viagra, Cialis and Levitra
Erectile dysfunction (ED) is no longer a closeted condition. Thanks to widespread media attention and education, those suffering from ED can finally obtain help via pharmaceutical products to resume normal sexual lifestyles. Consequently, the prescription medications Viagra, Cialis and Levitra are enjoying an amazing upswing in their collective popularity. eDrugstore.MD, the Internet’s leading online pharmacy, can attest to the public’s interest in medications to combat and overcome the symptoms of ED. In the past few months, their sales of Viagra, Cialis and Levitra have literally exploded. “Though the sudden interest in Viagra, Cialis and Levitra is not entirely surprising, it did open our eyes a bit,” notes Ron Collins, eDrugstore.MD representative. “When any prescription drug literally flies off the shelves, it’s a strong indication that it’s serving the public in a very important way. We’re happy to be a part of this revolution.” Viagra, Cialis and Levitra (manufactured by Pfizer, Eli Lilly/ICOS, and Bayer/GlaxoSmithKline, respectively) each work on similar premises and are known as PDE5 inhibitors. By enabling the blood vessels that supply the male genitals with blood to effectively relax, the medications allow men to obtain and maintain arousal for several hours. As with all medications, the ED medications are not for every person, but when taken as prescribed by otherwise healthy individuals, the pills have been known to be extremely effective. “Intimacy is a huge factor among Viagra, Cialis and Levitra users,” explains Collins when discussing why consumers are clamoring for the products. “But it’s not just about sexual relationships – it’s about being close to one’s partner. These medications help to restore the romance for couples whose closeness has been negatively affected by ED.” Especially popular among the Baby Buster and Baby Boomer generations, Viagra, Cialis and Levitra are available at the lowest prices allowed at eDrugstore.MD. Customers can securely and privately purchase the FDA-approved products which are then shipped in unmarked packages to their homes. “Our commitment is to the safety of our buyers,” avers Collins. “That’s why we only offer only genuine Viagra, Cialis and Levitra.” Collins continues, “With so many counterfeit pharmaceuticals sold in cyberspace, it can be tough for adults to know where to turn to obtain ‘the real deal.’ That’s the reason that eDrugstore.MD has served over 500,000 Americans alone during its five years in business. Consumers constantly thank us for allowing them to comfortably, confidentially receive the ED prescriptions they need.” For new customers, eDrugstore.MD has a special $20 off on all future refills ordered through their online pharmacy refill page. Additionally, they provide free medical consultations upon request. eDrugstore.MD opened its virtual doors in 2002 and has since filled over a half-million prescriptions. For more information about the company and its FDA-approved product line.
New website being launched that focuses on patient needs
Nova Scotians looking for access to quality medical information, medical coaching, or existing prescription drug renewals may soon find help is just a click away on their computer. Nova Scotia’s co-operatives and credit unions, in partnership with several Nova Scotia doctors, are preparing to launch a new web-based medical support clinic – Connecting People for Health Co-operative Ltd. – the first of its kind in Canada to focus specifically on patient needs. The idea for the online clinic has developed over the past five years as wait times, emergency room closures and doctor shortages have increased. Access to the clinic is on a subscription basis through the use of high speed Internet. Through the clinic, subscribers will have access to medical officials online for questions and supports; online prescription renewals; pre-approved medical library; test results; medical supplies and more. In addition, shares in the initiative to individuals under the Community Economic Development Investment Fund (CEDIF) program can be purchased for $5,000 until mid-February.
US FDA approves once-daily use of erectile dysfunction drug Cialis
The US Food and Drug Administration (FDA) have approved the once daily use of Cialis, a flagship erectile dysfunction drug made by Eli Lilly and Company.
FDA OKs Once-Daily Cialis
Men taking the erectile dysfunction drug Cialis may now take a low dose of the drug on a daily basis. The FDA has approved once-daily use of Cialis in a dose of 5 milligrams or a new 2.5-milligram dose for the treatment of erectile dysfunction (ED). Once-daily Cialis "may be most appropriate for men with ED who anticipate more frequent sexual activity (e.g. twice weekly)," states a news release from Eli Lilly and Company, which makes Cialis. "For other men, Cialis taken as needed -- the previously approved dosing regimen -- may be most appropriate," the drug company notes. The FDA approved the once-daily Cialis dosing plan on based three studies in which 2.5-milligram or 5-milligram daily doses of Cialis trumped a placebo pill. In those studies, men took Cialis every day without regard to the timing of their sexual activity. The FDA first approved Cialis in 2003 in doses of 5 milligrams, 10 milligrams, and 20 milligrams.
FDA Approves Cialis(R) (tadalafil) For Once Daily Use For The Treatment Of Erectile Dysfunction
Eli Lilly and Company (NYSE: LLY) announced that the U.S. Food and Drug Administration (FDA) has approved Cialis(R) (tadalafil)(1) for once daily use (2.5 mg and 5 mg), an oral medication taken once per day to treat erectile dysfunction (ED). When Cialis for once daily use is taken daily, men can attempt sexual activity at anytime between doses. Currently available in parts of Europe, this low-dose daily treatment option of Cialis may be most appropriate for men with ED who anticipate more frequent sexual activity (e.g. twice weekly). For other men, Cialis taken as needed - the previously approved dosing regimen - may be most appropriate. In clinical trials, when taken without restrictions on the timing of sexual activity, Cialis for once daily use improved erectile function over the course of therapy. "ED can be a chronic condition like diabetes or high blood pressure," said Ridwan Shabsigh, M.D., Director of the Division of Urology at Maimonides Medical Center in New York. "As a urologist, I know couples like to have choices and will appreciate the availability of Cialis for once daily use." Cialis for use as needed transformed the U.S. ED market when it was approved in 2003 as the first and only PDE5 inhibitor clinically proven to provide sustained efficacy for up to 36 hours. Cialis for once daily use provides a new option for men who may be looking for a dosing option that can be taken without regard to timing of sexual activity. In consultation with their physician, patients now have the freedom to choose the dosing regimen that is appropriate for them. "We strive to provide patients with solutions that fit their needs and Cialis for once daily use delivers on this promise," said Shawn Heffern, Cialis U.S. Director of Brand Marketing at Lilly. "Now, patients have two options - some may prefer the up to 36 hours of efficacy provided by Cialis for use as needed while others may want the unique benefit provided by this daily dosing option." Additionally, Lilly's wholesale pricing for Cialis for once daily use will be comparable to Cialis for use as needed such that patients who currently use two or more pills per week of Cialis for use as needed should not experience higher treatment costs with Cialis for once daily use. The FDA's approval of Cialis for once daily use was based upon the evaluation of the comprehensive data package for the daily dosing option. The data include results from three phase III randomized, double-blind, placebo- controlled studies. Men with ED who participated in these clinical studies and who took tadalafil 2.5 mg and 5 mg once daily without regard to their timing of sexual activity experienced improved erectile function compared with those taking placebo.(2) Cialis 5 mg, 10 mg and 20 mg have been approved in the United States for as-needed treatment of ED since November 2003. The most commonly reported adverse events were headache, indigestion, back pain, muscle aches, nasal congestion, flushing and pain in limb. Most adverse events reported with tadalafil were transient and generally mild or moderate. About ED ED is defined as the consistent inability to attain and maintain an erection sufficient for sexual intercourse. Experts believe that 80 percent to 90 percent of ED cases are related to a physical or medical condition, such as diabetes, cardiovascular diseases, and prostate cancer treatment, while 10 percent to 20 percent are predominantly due to psychological causes.(3,4) In many cases, however, both psychological and physical factors contribute to the condition.(5) About Cialisz Cialis(R) (tadalafil) is approved for the treatment of erectile dysfunction on an as-needed basis or in a daily regimen. The recommended starting dose of Cialis for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity. The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. As part of a daily regimen, Cialis may be taken as 2.5 mg or increased to 5 mg, based on individual efficacy and tolerability. Important Safety Information for Cialis Cialis is available by prescription only and is not for everyone. Men should discuss their medical conditions and all medications with their doctors to ensure Cialis is right for them and that they are healthy enough for sexual activity. Men taking nitrates, often used for chest pain, should not take Cialis. Such a combination could cause a sudden, unsafe drop in blood pressure. Cialis for once daily use provides continuous plasma tadalafil levels which should be considered when evaluating the potential for interactions with certain medications (e.g., nitrates, alpha-blockers, anti- hypertensives and potent inhibitors of CYP3A4) and with substantial amounts of alcohol. The most common side effects with Cialis were headache, upset stomach, delayed backache or muscle ache. As with any ED tablet, in the rare event of priapism (an erection lasting more than four hours), men should seek immediate medical attention to avoid long-term injury. In rare instances, men taking prescription ED tablets (including Cialis) reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It's not possible to determine if these events are related directly to the ED tablets or to other factors. If a man has a sudden decrease or loss of vision or hearing, he should stop taking any ED tablet and seek medical attention right away. Cialis does not protect a man or his partner from sexually transmitted diseases, including HIV. Men should not drink alcohol in excess with Cialis. Individual results may vary. Cialis has not been studied for multiple attempts per dose. Individual results may vary. Cialis has not been studied for multiple attempts per dose. For full patient information and/or full prescribing information, visit http://www.cialis.com. About Eli Lilly and Company Lilly, a leading innovation-driven corporation, is developing a growing portfolio of first-in-class and best-in-class pharmaceutical products by applying the latest research from its own world-wide laboratories and from collaborations with eminent scientific organizations. Headquartered in Indianapolis, Ind., Lilly provides answers - through medicines and information - for some of the world's most urgent medical needs. Additional information about Lilly is available at http://www.lilly.com. P-LLY Certain of the matters discussed herein with respect to clinical studies and Lilly's products may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements are based on current expectations, estimates and projections about the industry, management beliefs and certain assumptions made by management. Investors are cautioned that matters subject to forward- looking statements involve risks and uncertainties, including economic, competitive, governmental, technological and other factors discussed in the respective filings with the Securities and Exchange Commission, which may affect the business and prospects of Lilly. More specifically, there can be no assurance that this product will achieve commercial success or that competing products will not pre-empt any market opportunity that might exist for the product. References (1) Cialis is a registered trademark of Eli Lilly. (2) Cialis prescribing information, updated January 2008. (3) Shabsigh, R. (2002). Back To Great Sex: Overcome ED and Reclaim Lost Intimacy. New York: Kensington. (4) Erectile Dysfunction, http://kidney.niddk.nih.gov/kudiseases/pubs/impotence. Data accessed 09/28/07. (5) Lue, Tom F. Erectile Dysfunction. N Engl J Med 2000; 342: 1802-1813. Eli Lilly and Company http://www.lilly.com
New Study Shows LEVITRA Successfully Treats Erectile Dysfunction (ED) In Men With Dyslipidemia, Including High Cholesterol
Results of the first prospective trial specifically designed to evaluate erectile function in erectile dysfunction (ED) patients with dyslipidemia show that LEVITRA(R) (vardenafil HCl), used in treating ED, significantly improves the ability of men with ED and dyslipidemia to achieve and maintain an erection for successful sexual intercourse. These data were presented at the Sexual Medicine Society of North America (SMSNA) Fall Meeting held in Chicago, IL. The double-blind, placebo-controlled study is the first study to measure the safety and efficacy of a PDE 5 inhibitor in a cohort of men who all had ED and dyslipidemia. Results from the study of 395 men show that LEVITRA significantly increased rates of penetration (as measured by SEP2 scores) and the ability to maintain an erection (as measured by SEP3 scores) compared to placebo. "ED is associated with high cholesterol, yet many physicians are not treating ED, a life-changing condition," said Dr. Martin Miner, Clinical Associate Professor of Family Medicine at Brown University's Warren Alpert School of Medicine. "This study provides further support that LEVITRA can successfully treat ED, even in men with a serious common condition like high cholesterol." Nearly 70 percent of the estimated 30 million men in the United States who have ED also have other common conditions such as dyslipidemia (including high cholesterol), hypertension, or diabetes, which may lead to erectile dysfunction. Previous studies have demonstrated the efficacy and safety of LEVITRA in men with ED who also have high blood pressure or diabetes. About the Study In the double-blind, placebo-controlled study, 395 men ages 18 to 64 that had ED and dyslipidemia were randomized to treatment with LEVITRA or placebo for 12 weeks. Men treated with LEVITRA had statistically significant and clinically relevant improvements in SEP2 scores (a rating system that measures penetration) and SEP3 scores (a rating system that measures maintenance of erection) versus placebo (79.1% and 66.7%, respectively, for LEVITRA, vs. 51.9% and 33.8%, respectively, for placebo). IIEF-EF (International Index of Erectile Function) scores also were significantly higher for the LEVITRA group compared to the placebo group. These scores are evaluated based on a patient questionnaire and their daily diary response to specific questions about sexual performance. LEVITRA was well tolerated. Treatment-emergent adverse effects (occurring in = 5% of patients) included headaches (9% for LEVITRA, 1% for placebo) and upper respiratory tract infections (5% for LEVITRA, 3% for placebo). Background: Erectile dysfunction Erectile dysfunction (ED) is the consistent or recurrent inability of a man to attain and/or maintain a penile erection sufficient for sexual performance. ED can be a total inability to achieve an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. It is estimated that some degree of ED affects up to 30 million men in the United States. Some of the most common treatments for ED include adjustments to lifestyle and better control of concomitant medical conditions as well as the use of oral medications or other forms of therapy. Treating related health conditions or reducing stress may help maintain erectile function. About LEVITRA LEVITRA (vardenafil HCl) is a prescription medicine that is indicated to treat erectile dysfunction (ED). Consistent with the effects of PDE5 inhibition, administration of LEVITRA with nitrates and nitric oxide donors is contraindicated. Caution is advised when PDE5 inhibitors, including LEVITRA, are used concomitantly with stable alpha-blocker therapy, because of the potential for lowering blood pressure. LEVITRA is not recommended for patients with uncontrolled hypertension (>170/110 mmHg). In men for whom sexual activity is not recommended because of their underlying cardiovascular status, any treatment for erectile dysfunction, including LEVITRA, generally should not be used. In patients taking certain CYP3A4 inhibitors (eg, ritonavir, indinavir, saquinavir, atazanavir, ketoconazole, itraconazole, erythromycin, and clarithromycin), lower doses of LEVITRA are recommended, and time between doses of LEVITRA may need to be extended. See prescribing information for LEVITRA for dosing guidance. In clinical trials, the most commonly reported adverse events with LEVITRA were headache, flushing, and rhinitis. Adverse events were generally transient. Nonarteritic anterior ischemic optic neuropathy (NAION) has been reported rarely postmarketing in temporal relationship with the use of PDE5 inhibitors, including LEVITRA. Sudden loss of hearing, sometimes with tinnitus and dizziness, also has been reported rarely in temporal association with the use of PDE5 inhibitors, including LEVITRA. It is not possible to determine if these events are related to PDE5 inhibitors or to other factors. Physicians should advise patients to stop use of PDE5 inhibitors, including LEVITRA, and seek prompt medical attention in the event of sudden loss of vision or hearing. The recommended starting dose of LEVITRA is 10 mg. Titrate up to 20 mg or down to 5 mg based on efficacy and side effects. The maximum recommended dosing frequency is once daily. LEVITRA is available in 2.5-mg, 5-mg, 10-mg and 20-mg tablets. For Prescribing Information please visit http://www.levitra.com. About GlaxoSmithKline GlaxoSmithKline - one of the world's leading research-based pharmaceutical and healthcare companies - is committed to improving the quality of human life by enabling people to do more, feel better and live longer. For company information, visit GlaxoSmithKline at http://www.gsk.com. About Schering-Plough Schering-Plough is an innovation-driven, science-centered global health care company. Through its own biopharmaceutical research and collaborations with partners, Schering-Plough creates therapies that help save and improve lives around the world. The company applies its research-and-development platform to human prescription and consumer products as well as to animal health products. Schering-Plough's vision is to "To Earn Trust, Every Day" with the doctors, patients, customers and other stakeholders served by its approximately 50,000 people around the world. The company is based in Kenilworth, N.J., and its Web site is http://www.schering-plough.com. SCHERING-PLOUGH DISCLOSURE NOTICE: The information in this press release contains certain "forward-looking" statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements related to the potential market for LEVITRA. Forward-looking statements relate to expectations or forecasts of future events. Schering-Plough does not assume the obligation to update any forward-looking statement. Many factors could cause actual results to differ materially from Schering-Plough's forward- looking statements, including market forces, economic factors, product availability, patent and other intellectual property protection, current and future branded, generic or over-the-counter competition, the regulatory process, and any developments following regulatory approval, among other uncertainties. For further details about these and other factors that may impact the forward-looking statements, see Schering-Plough's Securities and Exchange Commission filings, including Part II, Item 1A, "Risk Factors" in Schering-Plough's third quarter 2007 10-Q. Schering-Plough http://www.schering-plough.com

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MEXICO'S HEALTH SYSTEM CAN BE A BOON TO FOREIGNERS
With his bad heart, bum knee and hemorrhage-prone blood, Aubrey Righton knows a thing or three about the way of all flesh. And as a 19-year resident of Mexico, the retired trucker also knows a good deal about his adopted land. So the 78-year-old Righton and his wife, Mary Ellen, have melded that knowledge to keep themselves as healthy as possible. And for the past decade, they have been enthusiastic patrons of Mexico's vast but tottering social security hospital system that offers health care to all at low costs. "They don't have to accommodate you, but they do," said Righton, who holds dual Canadian and Mexican citizenship. With health insurance a growing crisis north of the border, officials here expect many retirees like the Rightons - and future North American retirees from the Baby Boom generation - to flock to the Mexican social security system. "This is a bargain," said Salvador Orozco, the surgeon who runs a hospital in Guadalajara. But it's a bargain fraught with problems. Like its counterparts in the U.S., Mexico's social security system faces a serious financial squeeze. The system's hospitals are aging and under-equipped, its medical staffs almost hopelessly overworked, its pharmacies often short of medicines. Still, more than 1,400 foreign retirees have joined the Mexican Social Security Institute. For a premium of $270 a year, they have access to a network of outpatient clinics, full-service hospitals and pharmacies where care and medicine are provided at no extra charge. "It's wonderful," said Mary Ellen Righton, 81, an U.S. citizen who spent two weeks in a Guadalajara social security hospital several years ago after suffering a fall. "The care is just great. And of course your medicine, your hospital and everything is free." For now, the number of elderly foreigners using the system is an almost imperceptible sliver of the estimated 60,000 retirees in Jalisco state, which includes Guadalajara and the retiree havens that line the shore of Lake Chapala. The retirees in the system make up an even smaller percentage of the more than 1.4 million Mexicans who use the public hospitals and clinics in Jalisco. Those numbers illustrate the system's problems. "The system is saturated, that's the reality of it," said Juan Jose Gonzalez, the spokesman for the Mexican Social Security Institute regional office in Guadalajara. The overload is all too evident at the social security institute Hospital No. 89 in Guadalajara, a well-worn facility where most American and other foreign retirees in the area go for major medical care. With just 226 beds, the 40-year-old hospital serves a potential clientele of 420,000 people fed by 60 clinics in Guadalajara and nearby towns and villages. The hospital's emergency room receives 5,300 patients a month, many of them eventually admitted for extended care. But with beds short, and three or four people to a room, patients often spend a night or two on gurneys in the corridors of the emergency room. "This is our reality," surgeon-administrator Orozco said as he toured the emergency room while doctors and nurses scrambled to tend to more than 40 patients. "We do what we can," Orozco said, "but we ask that the patients do what they can. Especially those who stay for a long time." Perhaps not surprisingly, even many Mexicans insured by the social security system avoid its clinics and hospitals if they can afford to. Paying for private care is preferable, they say, to the long waits and often harried staff at the system's facilities. Many foreign retirees say they prefer to pay for private care, keeping their social security insurance as an emergency backup should something go seriously wrong. "The care is pretty good," said Jerry Eubanks, 77, a retired banker from Florida who credits the social security hospital with saving his life after a burst ulcer. "But it ain't fast." Orozco and other public doctors point out that older foreigners present special problems that create a burden disproportionate to their numbers. But they emphasize that they're dedicated to serving foreigners as well as they do anyone else. "There is a difference in the cultures, obviously," he said. "The foreigner who comes here has to adjust to this culture. And that can be a problem, both for the foreigner and for us." Many of the retirees suffer from diabetes, hypertension and heart disease - the costliest diseases treated in the Mexican system, according to a Pan American Health Organization study. And many retirees, even those who have been in Mexico for decades, speak limited Spanish. "Pain is the same in Spanish, English or French," Leticia Valles, a floor nurse at the No. 89 hospital, said with a grinning shrug. "But language is the biggest problem we have." Still, though most nurses speak only Spanish, many of the Mexican public doctors speak a smattering of English and some are fluent. Many foreign patients bring a Spanish-speaking employee or friend to the hospital, Orozco said. Despite their limited Spanish, Aubrey and Mary Ellen Righton have developed a warm relationship with their regular doctor, who has been seeing them monthly for the past six years at a social security system clinic in Chapala, a small town on the lakeshore favored by many retirees. On their most recent visit, the doctor quizzed the Rightons in passable English about any particular problems they've had in the past month, checked their blood pressures and heartbeats, listened attentively to their medical complaints. Aubrey Righton told the doctor that his new artificial knee probably would be approved by social security authorities and he hoped for surgery soon. They briefly discussed his problem with hemorrhaging - caused by blood-thinning medicines used to control his heart condition - which landed him in the No. 89 hospital for weeks earlier this year after he couldn't stop bleeding from a dental procedure. Satisfied that things were going well, the doctor wrote the couple prescriptions for their multiple medications, which they filled at the pharmacy on the clinic's second floor. Then the Rightons went home to get on with their lives, which include golf, gardening and parties in a gated country club outside Chapala. "You're part of an extended family here," Aubrey Righton said. His wife nodded, adding, "I don't plan on ever leaving."

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Online pharmacy wins German court battle
Celesio AG's Dutch discount pharmacy DocMorris won a court battle in its long-running bid to sell prescription medication by mail-order in Germany. The federal court of justice in the southwestern German city of Karlsruhe overturned a lower court's ruling that restricted such sales to over-the-counter medicines. An appeals court in Berlin must now hear the case again to determine whether DocMorris, a seven-year-old company that says it is Europe's biggest internet seller of medications, upholds German safety standards for pharmaceuticals. The judges noted that the German health ministry had determined in a June 2005 report that the Dutch system was comparable to the German one. 'The (Berlin) court should rule using those findings,' the federal tribunal said. Although orders can be made online, they must be accompanied by original prescriptions sent to DocMorris by post. Because it is based in the Netherlands, DocMorris is not bound by Germany's fixed minimum price system for medicine and thus poses a threat to its homegrown competitors. The vast majority of its customers are German. About 90 pct of orders placed with DocMorris are for medicine requiring a prescription. The company expects to post 200 mln eur in sales this year. The European Court of Justice in 2003 ruled that German restrictions on over-the-counter drug sales by internet and mail order were unjustified, since it was possible for customers to get adequate advice and information. But it upheld a German law prohibiting such sales of prescription drugs in a lawsuit filed against DocMorris. The court pointed to the possible abuse or incorrect use of prescription drugs, given the limited level of control over sales on the internet. It added that the labelling of a drug in a language other than German could have harmful consequences to German residents who do not speak that language. DocMorris opened its first bricks-and-mortar pharmacies in Germany last year.

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