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And as we all know pineapple juice retards the breakdown of PED5 drugs. These chemicals inhibit key drug metabolizingenzymes, such as cytochrome P450 3A4 (CYP3A4). CYP3A4 is a metabolizing enzyme for almost 50% of drugs, and is found in the liver and small intestinal epithelial cells. So...

Also don’t be quick to go for an implant based on ultrasonography. Angiography of the Internal iliac to the internal pudendal artery is the gold standard; combined with angioplasty it is 75-80% effective in males where PDE5 no longer works. Essentially they are utilizing the technology used to...

Tadalafil is also used to treat pulmonary hypertension (PAH) under the trade name Adcirca. In this manner the usual starting dose is 40mg daily, and titrated up to 60mg (20 mg TID) depending on the response. You really have to be conscious of the nitrate interaction, or you’ll be found...

“I smoke cigarettes. I know i need to quit. I just had a stress test and everything is normal so no known heart problems” Exercise stress tests are at best 70% predictive. Nuc stress a little better. You have no idea how much occult CAD is out there. It remains the #1 cause of death for both...