erectile dysfunction and depression

Erectile Dysfunction and Depression: Often Coexist but Can be Overcome

Depression and erectile dysfunction are widespread conditions nowadays. Moreover, they often coexist. A patient then faces a doubled formidable problem which seems to be hard for overcoming. But one shouldn’t fall into desperation, there is a way out.

Depression – a Modern-Day Scourge

According to the study by Jinghui Wang, Xiaohang Wu et al. (BMJ Open. 2017), the prevalence of depression and depressive symptoms amongst outpatients in different specialties was in a range of between 17 and 50%. Their presence is more widespread in developing countries than in developed ones. Along with anxiety disorders depression is one of the most dominant mental illnesses. It may lead to disability, worsening of personal and social relationship. When it coexists with other diseases, it may complicate the treatment process.

The most common psychical manifestations and physical symptoms of the condition include:

  • persistent sadness
  • impaired self-esteem
  • hopelessness
  • pessimistic outlook
  • no desire to do everyday activities
  • appetite changes
  • apathy
  • problems with falling asleep and/or sleeping
  • fatigue

Depression should be diagnosed by psychotherapists. There are no reliable medical tests (like blood testing or X-rays) which can precisely indicate its presence. There are two widely accepted ways of combating depression: using medications and  talk therapy. However, some pharmaceuticals may lead to ED or worsen it, so be careful in choosing the right remedy.

Erectile Dysfunction (ED) and Its Causes

The erect penile organ has always been a symbol of sexual prowess, so any problems with achieving and/or maintaining an erection may be perceived as a personal tragedy.

Erectile dysfunction is a multidimensional disorder which may have different causes (organic, psychogenic, and mixed). Organic causes, in their turn, are divided into endocrine and nonendocrine (Faysal A. Yafi et al., Nat Rev Dis Primers, 2017). Nonendocrine ones are the most common, they include abnormalities of blood flow, medical treatment, and physical damage caused by surgery. Endocrine causes are associated with decreased testosterone levels; however, the exact mechanisms have not been completely revealed.

depression and ed

It should be borne in mind that ED might be a predictor of cardiovascular events. That’s why it is important to conduct a completed diagnosis once a patient notices first warning symptoms.

An interesting tidbit: too frequent watching of adult entertainment videos (pornography) may cause symptoms of ED when it comes to real sex with a partner. Studies have shown that some males over 40 need to watch more and more extreme videos with time to achieve successful erection. Along with this, they experience erection troubles with their partners. Thankfully, the problem can be easily eliminated, a man just needs to refuse to watch porn for several weeks in order to put the normal sexual performance back the way it was meant to be.

Correlation Between ED and Depression

Males suffering from erectile dysfunction often feel anger, sadness, lowered self-esteem, etc. If the condition is left untreated (or treatment doesn’t provide desired help), depression may develop. Vice versa, a depressive disorder may develop first, and ED accompanies it some time after. This may be associated with declining in testosterone production caused by the so-called “bad stress” (while “good stress” boosts synthesis of “T hormone”). According to estimates by some researchers, about 13-20% of men with ED also have anxiety or depression.

Read a closely related topic by Canadian Health Care Mall specialists: Viagra and Antidepressant-Associated Erection Problems

How to Deal with these Problems Simultaneously?

The most important thing is that antidepressants may worsen erection problems. It has been proven that anti-depression pharmaceuticals are often a cause of impotence or its deterioration.

treat depression and ed

There are two possible scenarios.

  • The first one: a male had depression and was prescribed antidepressants which led to ED. Probable solutions: (1) cancel antidepressants’ administration under a doctor’s guidance, apply for a psychotherapy or use another alternative method of therapy; (2) continue therapy with antidepressants in the same or decreased dosages and receive an anti-ED treatment like Viagra (less preferred option), cancel their intake if possible or switch to another medicine for treating depression (preferable options). Selective serotonin reuptake inhibitors are a group of antidepressants that are linked to sexual problems.
  • The second one: a man developed erection disorder. Amidst it, a depressive condition appeared. In this case, prescription of meds for treating depression might lead to exacerbation of ED. The solution is to treat impotence ASAP and consult a sexologist or psychotherapist.

Remember: both depression and ED are treatable. If you encounter one of these problems or both, don’t despair. There are many options that can help you with both mental issues and ED.

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How to Take Levitra: 3 Useful Recommendations

Levitra is a drug for treating impotence in men. This is one of the most proven and effective sexual enhancers that can overcome the problem of impotence from the very first dose. The original version of the drug was developed by German specialists, but nowadays generic versions of Levitra (Canadian, Indian) are produced by many pharmaceutical companies.

Often it is not enough to just take a drug, if you want it to act properly, you should follow some rules. Males who suffer from ED may wonder: how to take Levitra to achieve maximum possible effectiveness?

Why Might You Prefer Levitra?

The most popular ED medication in the world is Viagra. It is known as a preeminent brand, so its sales are still high despite the existence of many competitors on the market. Cialis is probably the most known competitor of the “blue pill” which acts remarkably longer than Viagra. Its duration of effect is 36 hours, while Viagra feature only 4-6 hours. Well, Levitra acts for 4-5 hours. But nevertheless it has decent popularity (especially in some European countries). We believe that there are two reasons for this.

  • The first one: Levitra is more efficient in patients suffering from diabetes mellitus which often coexists with impotence because it is one of causative factors of sexual weakness (due to diabetes-caused deterioration of the blood circulation).
  • The second reason: Levitra might be effective in males who haven’t experience proper effect. According to some reviews, patients have tried different ED meds and herbal supplies but only Levitra brought the expected effect.
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How to Take Levitra Tablet: Must-Know Tips

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  1. It is recommended to take Levitra swallowing the pill down with water. Using other fluids isn’t advised because it is not clearly known how they may interact with the pill’s covering and internal ingredients. There are no reports about dangerous interactions, for example, with milk, but better follow instructions. (Recently we analyzed how to take Viagra: with water or milk.)Moreover, scientists have proven than grapefruit juice may lead to unsafe interactions, as this fruit contains a substance which inhibits an enzyme ensuring proper removal of toxins and pharmaceutical substances from the body. As a result, a concentration of vardenafil in the blood may become iffy.
  2. The medication can be taken with food (while you eat), but don’t combine it with high-fat or heavy meal, as this may slow down absorption of the drug, and the onset of effect will be observed later than expected (the medicament usually starts to act 25-60 minutes after ingestion). Levitra works best when taken on an empty stomach, which has been confirmed by patients’ reviews.
  3. Wait about an hour before having sex. If you take Levitra, it may be better to plan your sex in advance, as the peak concentration of vardenafil (the key active substance), and, subsequently, the maximum effectiveness is shown 1-2 hours after using. Then the efficiency of the medical remedy begins to decrease, slowly but surely.

Safety Precautions

  • If you take any medications, herbal/dietary supplements, let your doctor know about that. The medication may dangerously interact with some other drugs (for instance, nitrates, erythromycin, ketoconazole) and supplies (like L-Arginine). Better safe than sorry. Healthcare professionals also recommend to avoid St John’s Wort, a natural remedy for depressions, if a patient takes Levitra or other PDE5 inhibitors.
  • Discuss your medical history (anamnesis) with a healthcare professional. While general conditions like cold, flu, mild gastritis etc. usually don’t matter, cardiovascular diseases may be factors that prevent Levitra administering. For instance, it is contraindicated to take the tablet if you’ve recently had stroke or another cardiovascular event. The same goes for situations when a patient and/or someone from his family has a history of degenerative ophthalmic diseases.
  • The maximally allowed dosage of Levitra is 1 pill per day. Don’t take more than 2 pills within a 24-hour period, this may be associated with elevated odds of side effects occurrence.
  • Don’t combine the medicament with other drugs from the family of PDE5 inhibitors (Cialis, Levitra, Stendra, etc.). Chances to receive a boosted (synergetic) effect are improbable, but the risk of side effects definitely increases.
  • It is desirable to avoid alcohol or at least minimize its consumption when you are treated with the pill. Alcoholic drinks in huge quantities tend to decrease Levitra effectiveness, moreover, the cumulative action of ethyl alcohol and vardenafil may lead to arterial pressure drop resulting in headaches, weakness and even reluctance to have sex. Several glasses of whiskey in combination with Levitra can cause the opposite effect, not the one that you’ve expected.

Last but not least, you may use Levitra over a long period of time. This pharmaceutical product is not addictive, so prolonged usage pose no danger to your health (in terms of addictiveness). Some males may build up a tolerance to the medication, but such incidents are really rare.

Diabetes-Induced Erectile Dysfunction: Prevention and Treatment

Erectile dysfunction is a common problem for male persons with diabetes. However, it is neither inevitable and nor untreatable. If you are faced with this condition or are at risk, our article may be useful for you. Read preventing and treating strategies below.

The Essence of Diabetes and Its Consequences for the Body

Diabetes mellitus (DM) stands for a class of metabolic disorders manifested by elevated glucose rates in the bloodstream.

There are two types of diabetes:

  • type 1 diabetes,
  • type 2 diabetes.

According to the World Health Organization, the majority of people with diabetes suffer from type 2 diabetes, which, according to representatives of this specialized UN agency, is largely the result of overweight and physical inertia.

There is also gestational diabetes, but in this article its consideration is irrelevant, since this form is found only in women.

If left untreated, both types of DM may cause severe complications.

Common symptoms of diabetes include:

  • excessive thirst and hunger;
  • frequent urination;
  • constant drowsiness or fatigue;
  • dry skin, itching;
  • gradual deterioration of vision, up to diabetic retinopathy, which causes blindness;
  • deterioration of the regeneration function;
  • impairment of other organs and systems.

How Is Erectile Dysfunction Linked to Diabetes?

In the process of erection emergence and maintenance, the condition of both the vegetative nervous system and blood vessels (their patency and elasticity) plays an important role. These two systems can be deteriorated by diabetes.

According to findings obtained by Rozhivanov RV, Suntsov YI. (2005), Nisen HO, Larsen A, Lindström BL et al. (1993), erectile dysfunction is the most common sexual disorder in men with diabetes. Unfortunately, sexual impotence occurs in ≥50% of men suffering from this disease (Thorve VS, Kshirsagar AD, Vyawahare NS et al., 2011, Indian AISSMS College of Pharmacy). At the same time, the risk of ED in diabetes patients is 3 times higher than in healthy population.

ED and diabetes

One of the main causative factors in the development of diabetes-induced erectile dysfunction is neuropathy. This term refers to the nervous system disorders associated with the impairment of small blood vessels. Back in 1980, scientists proved at the morphological level damage to autonomic nerve fibers in the tissues of the cavernous bodies, which developed in men as a result of diabetes.

Thus, diabetes leads to a decrease in the nervous sensitivity of the penis and the deterioration of blood circulation in it. As a result, it becomes harder for a man to achieve erection and maintain it for a proper time period, which falls under the diagnosis of erectile dysfunction. The more severe stage of diabetes, the more severe disorders of the reproductive system.

How to Prevent/Treat Diabetes-Induced ED?

If a man suffers from type 1 diabetes, which seems to be a gene disease, he should know that this condition cannot be cured, but it can be treated preventing possible complications such as impotence. It is necessary to periodically go to the doctor for check-ups and adjust the treatment, if necessary.

Type 2 diabetes is also incurable, however, it can go into remission. Life with diabetes can be fulfilling. Moreover, this illness and consequently, possible sexual dysfunction can be prevented. The main methods of preventing diabetes include dietary correction, weight control, sports (or at least regular walking), as well as a routine physical examination in case of risk factors. These factors include age over 45, diabetes in relatives, excess weight, low physical activity, elevated glucose levels during examination, high blood pressure, problems with cholesterol levels.

If a man with diabetes experiences developing ED, he should properly treat diabetes and take action to combat erectile dysfunction (from special exercises for the pelvic area to medical treatment). PDE5 inhibitors, such as Viagra and Cialis, are first-line drugs for the effective treatment of impotence. They have a symptomatic effect and act precisely when needed. These drugs selectively inhibit PDE-5 enzyme (which suppresses the natural processes of erection), without having a direct effect on the smooth muscle cells of the penis.

Once again we draw your attention to the fact that diabetes cannot be neglected, because if it seriously damages the mechanisms of erectile function, and the consequences can be almost irreparable. According to doctors, the ineffectiveness of the PDE5i group of drugs was observed in patients with severe impotence and the most severe course of diabetes with long decompensation periods.

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Natural Alternatives to Viagra – Do They Really Work?

Viagra, a well-known medicine for treating erectile dysfunction (ED), has already helped a great number of men in their struggle for improving their sexual performance. However, there are male persons who prefer natural supplements (natural Viagra alternatives) to chemically synthetized drugs. Today the pharmaceutical market offers a great variety of herbal remedies. Are they really effective in eliminating ED symptoms? Below we will provide reviews of the most popular alternatives to “blue pills”.

What Makes Some Males Opt for Natural Supplements?

As Canadian Viagra is contraindicated to those ED patients who have recently come through a stroke or heart attack, they start searching for herbal remedies. In addition, Viagra can interact with other medicines taken by a man, which also provides grounds for looking for its natural counterparts. The third reason for resorting to herbal ED remedies is some men’s negative attitude to chemical medication resulting in giving preference to natural ones.

When considering natural alternatives to Viagra one should be aware of the fact that prior to being granted a license for sales, prescription drugs must undergo rigorous testing. This requirement does not apply to over-the-counter remedies, which casts doubt on safety and effectiveness of some of them.

Ginkgo Biloba (Maidenhair tree)

The unique properties of this plant are associated with a large number of elements that make up its chemical composition. Its uniqueness lies in the fact that some substances useful to humans can be found only in this ancient plant. To date, scientists have recognized the healing properties of only leaves. Various flavonoids, bioflavonoids, nonakosane, sterols, different aminos, essential oils, a complex of vitamins, a complex of macro-elements and microelements and many other biologically active substances have been isolated in the chemical composition of the leaves of the plant.

Ginkgo has been used in folk Chinese medicine as a plant stimulating blood flow in the penile area contributing to a better erection.

Causion. Ginkgo biloba, which has anticoagulant properties, is contraindicated to men with circulatory system disorders, and seizure or stroke history, as well as to those who are currently taking aspirin or other anticoagulant medications. Ginkgo may also react with some drugs, in particular, antidepressant medications. Therefore, before taking this natural remedy, a man needs to consult his health care provider.

Asian Red Ginseng

This powerful plant, also called panax ginseng, is considered to be a kind of Chinese Viagra. The Chinese have been using it for about five thousand years as a natural remedy. The plant is popular with athletes who take different Ginseng-containing food supplements to enhance their performance legally. Stimulating the nervous system Ginseng increases energy and strength. This action was proved by research findings. One of them, published in the press, referred to a clinical trial in the course of which 45 male persons took the plant and reported their health condition. According to them, they experienced reduced stress levels, enhanced sexual desire and more effective & firm erections.

Patients suffering from diabetes should take ginseng with caution, as the plant may lead to blood glucose content decrease.

Peruvian Maca

Maca is an adaptogenic remedy that naturally speeds up metabolism and stimulates energy production. It helps to lose weight, but it’s worth understanding that the remedy will not help burn fat if you just lie on the couch. The root of the plant will help burn fats and turn them into energy that you need to use by increasing your physical activity. By the way, reducing excess weight will also positively affect sexual function.

According to research findings, maca can boost sexual desire, enhance fertility by increasing seminal volume, sperm quantity, and sperm motility. In addition, the root can help depressed individuals enhance sexual function.

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T. Zenico et al. (2009) performed a double-blind study including 50 male persons experiencing mild ED. 25 men took maca root (2,400 mg), while the others were given a placebo. After 3 months, the first group of participants reported substantially increased erectile function compared to their placebo counterparts. The researchers draw a conclusion that maca-containing supplements have a small but tangible effect on sexual function in mild ED patients.


Using high levels of L-arginine amino acid is considered a commonly accepted method of ED treatment. This amino acid can be found in a number of food products. It owes its efficacy to the ability to affect blood vessels passing through tissues in the penile area. However, in case of a heart disease history this Viagra alternative should be avoided or taken after a doctor’s approval, as it can widen blood vessels in the whole circulatory system.

Caution. Viagra and L-arginine should not be combined, as it can lead to a sharp decrease in blood pressure.


If a man has many medical conditions, it is more difficult to fight erectile dysfunction. Taking pomegranates will help to experience many additional health advantages. Besides, you will not face any side effects or interaction with other remedies. Juice consumption is the most common way of taking this Viagra alternative. Although there are no scientific proves of the efficiency of this fruit, it will definitely not damage your health.

According to the research held by J. Rajfer in 2008, pomegranate juice is rich in antioxidants, which contribute to maintaining nitric oxide levels. This in turn leads to increased erection.

Caution. If you take Viagra, it is best to stay away from pomegranate juice. It can make the effect of sildenafil (the main component of Viagra) less predictable.


This drug is gaining popularity very fast due to the fact that it is a completely natural remedy, whose effect is almost identic to Viagra. The only one disadvantage that consumers face is that American doctors are not eager to prescribe this supplement. The access to it is rather limited. Of course, you may purchase thus drug over-the-counter, but side effects, especially in case of overdosing, may occur. Taking this herb, which is considered a powerful stimulant, is like taking a huge dose of caffeine. That is why uncontrolled consuming can cause headache, panic and jitter. Besides, men who have problems with heart are not recommended to take it because this supplement increases blood pressure.

There was study held by Lahey Clinical Center for Sexual Function, where men with ED aged from 40 to 80 participated. They had to take Yohimbine three times a day. The dose increased gradually: from 5.4 mg at first intake to 10.8 mg at third one. More than a half of men who participated in that research experienced positive results. The study’s confirmation was formal testing and checking penile tumescence and rigidity of the penis. Participants did not face any side effects or other discomfort.

How to Buy Yohimbe online:

One of safe products based on yohimbine is Yohimbe-1200*. It improves both male and female libido. If you take it according to the instructions, the risk of side effects is very low.

Tongkat Ali

Its second name is eurycoma longifolia. In Asia, it is called Malaysian ginseng. This therapeutic herb originates from Malaysian rain forests. Traditional medicine promotes using this medication very much. It is appreciated by its ability to increase libido in a healthy way as well as to avert various sexual medical condition, which appear because of ageing. Placebo-based study held in 2012 showed that those participants who took tongkat ali daily experienced dramatic improvement of their erectile function.


This is a mushroom extract, which has Chinese and Tibet origin. It is famous for boosting the testosterone rate and increasing the flow of blood, which consequently positively influences sexual activity. According to the expert from University College London’s Medical School Dr John Briffa, one of the substance’s component is a type of sugar called fucose. It prevents ageing process & encourages the increasing of blood circulation in sexual organs.

With the help of the study conducted on rats researches have concluded that there is a connection between the dose and effectiveness of the drug. The bigger dose provides better results.

Besides, the power of Cordyceps as supporter and enhancer of testicular function has been proved. Moreover, scientists have discovered that Cordyceps can increase the level of testosterone in the body, which positively affects sexual function.

We can compare Cordyceps with some superfood, which has only positive impact on our body. It has a number of advantages: there are no difficulties to get it, this substance is easily digestible, moreover it is very efficient in maintaining your sexual fitness. However, you will have to wait till its efficiency is achieved.

Complex Natural Supplements

Powerful plant components are often combined in a single supplement. One of the well-known examples is Yagara** (natural Viagra). It contains several powerful plant components that affect the body multilaterally by increasing sexual desire and erectile function. In particular, this supplement includes:

Tribulus Terrestris;

Mucuna Pruriens;

Lata Karanja and other ayurvedic plant extracts.

This drug is useful for both sexes. Women in case of decreased libido can also use this herbal Viagra, as its components have a positive effect on the female body.

Do Viagra Alternatives Really Work?

Definitely, natural alternatives to Viagra work. As you could see above, many of them are science-backed.

However, they have a drawback: their effect is not immediate. Natural supplements show their useful effect gradually. To get the maximum effect, you need to take a natural supplement for a few weeks. However, the first improvements will be visible within a few days of supplementation.


If you want to increase the libido & enhance the sexual function naturally, you can choose any natural supplement. But if you want a very fast effect in half an hour you should choose Viagra tablets.

In addition, you should follow a balanced diet and lead a healthy lifestyle, in particular do some exercises on a daily basis. Proper diet will fit any Viagra form you take.

Taking “natural Viagra substitutes” as well as herbal remedies in case of suffering from erectile dysfunctions of any severity will be efficient and safe if you consult a licensed specialist before starting treatment.

It is worth remembering that a man should not try to deal with his problem alone. His beloved one has to ensure care, love and attention. In this way, a man will be able to cope with his problem whatever Viagra alternative he chooses.


How to Talk about Erectile Dysfunction with your Partner


Men and women are two topics ancient as the world is. So many things make them live together, love each other and believe they will be together till the end of the ages. But there are so many troubles met during this life which may destroy the family’s love, peace and harmony. One of such stumbling blocks is erectile dysfunction. It happens suddenly and destroys the regular, habitual way of living.

What should the couple do in such a way? Women are sometimes so intolerance to such problems because they do not have a pretty good idea how they should behave themselves.


The main idea of this article is how to talk about the erectile dysfunction with your partner because it may hurt and embarrass him. Only the realization of the erectile dysfunction emergence may make them panic, disappointed and frustrated simultaneously.

Wives should become partners not screws with this question!

 First of all you should yourself grapple with this question. You are to know as much as possible to have a clue about what you are going to talk and what you should say to him to support and find the way out. Nowadays there are so much information in the Internet medical journals, blogs, news websites. It is up to you to become an expert in this sphere, of course, it is not so pleasant but you are together to solve this problem.

The second tip is to find the right moment to speak about this occasion. In no circumstances you shouldn’t talk about it directly after the failure. It kills him because he is so ashamed in such a way you hurt him more. You may and should wait for a moment to speak to him being sure he is under a good emotional and physical condition to discuss it.

The third advice is your support. You may yourself help him to overcome this disorder because if you drop him up, he may become depressed and put his hands off. But you should arm yourself with patience. Time, energy and efforts you will need to cope with this problem. But try to realize his disorder is not a consequence of your female unattractive but a physiological process and nothing more. Attempt to find those words not full of regret but of understanding and realization. You should furnish him proofs to make him believe in you and yourself.

The next step is to allow him to understand you have his back and nothing will be changed this situation. Maybe you will suggest him undergoing the medical screening to get to know the exact reason of erectile dysfunction.

The provocative agents are proved to be high cholesterol, high blood pressure, diabetes, heart diseases and testosterone level. Faster you will treat the reason quicker you will overcome sexual problems. It is very important to be attentive to your health, one disease may provoke the other. The main problem is that people do not consult the doctor as it is necessary and recommended. You should persuade him to will be helpful.

The fifth step concerns the fact that erectile dysfunction may be caused by overweight as well. You may suggest him going to the gym together to lose weight and become stronger. Only your participation may become essential in case of this disorder. It will help you to draw your family together.

As you understand you should break for sex for some time but find new occupation which help you to drift together. You may speak more about memories, events you have lived through together, you may go to the cinema to watch and discuss the film further. You should become honest and encouraging with each other to build new sincere contact among you.

But there are cases when erectile dysfunction is caused by psychological factors in such a case it is better to attend the counselor to know more and get rid of this problems.


And together with all other actions you may suggest him taking Viagra to improve the sexual life. If you are shy and ashamed to buy it in the ordinary drug store you may order them via the Internet. You may get acquainted with such drugs as Sildenafil, Cialis, Levitra and Viagra Force. These drugs serve to prolong the sexual life besides you may buy them without doctor’s prescription. Canadian Health&Care Mall provides its patients with the web drug stores where they may purchase these drugs not to be embarrassed.


If you decide you may achieve the result by your own efforts, try it. Wives should explain husbands they are not alone, you are a couple, you are together and you will cope the problem appearing in the family.

You should realize erectile dysfunction is a natural process of aging but you may control it or fight with it due to the medical technologies gifted to us.


Cialis Summary of Product Characteristics

General Information

Cialis is a preparation the main component of which is tadalafil referred to cyclic guanosine monophosphate. The influence of tadalafil on phosphodiesterase is insignificant that’s why Cialis doesn’t have any damage effect on cardiovascular system, liver function, skeletal muscles and other organs.

Mechanism of Action of CIALIS

Tadalafil doesn’t change qualitative sperm characteristics, testosterone level, follicle-stimulating and intestinal cell-stimulating hormone in blood. The effect of Generic Cialis may appear only together with sexual stimulation. The beginning of therapeutic effect comes after fifteen minutes after a pill intake. The preparation anastasis lasts during thirty six hours after oral administration.

This preparation may be ordered via Canadian Health&Care Mall and moreover Canadian Health Care recommends this preparation for people suffering from erectile dysfunction.

Active component of Cialis is able to absorb quickly in the organism after oral administration.

The plasma concentration peak of tadalafil may be achieved after two hours after intake. Bioaccessibility and the absorption speed do not depend on food intake. Almost ninety four per cent of tadalafil accumulates with serum protein.

It is a known fact that Cialis should be taken by people with erectile dysfunction. Sometimes men are so ashamed to buy Cialis in ordinary canadian pharmacies that they try to find the way out.

Canadian Health and Care Pharmacy recommends them to order them via online drugstore including Canadian Health and Care Mall. It is well-known pharmaceutical company with its own main aims namely to provide the customers with outstanding service, drugs of high quality and low prices.

How to use?

As to speak about instruction for use the drugs should be orally administered but after the doctor’s prescription. Only the doctor may select for you necessary preparation to be taken for getting rid of your health problems. It is better to take one pill before meal.

It is very important to follow strictly the doctor prescription and do not take pills unbridledly.

Side Effects

As any medical preparation Generic Cialis has its own advantages and side effects.

Side effects may vary from light to severe ones. People on this medication may have headache or dyspeptic syndrome.

Besides there are the register cases of backache, hyperemia of face, nasal blocking, myodynia, ophthalmalgia, conjunctival hyperemia, dizziness, Quincke’s edema and all these effects may be observed while tadalafil intake.


It is dangerous to take Cialis by people with hypersensitivity to tadalafil, who take organic nitrates. Tadalafil should not be prescribed to women and children under eighteen years of age.

It is not recommended to take Cialis by people with cardiovascular disorders, which do not let you come into sex intercourse, people after myocardial infraction, apoplectic seizures, people with cardiac insufficiency of the second type, unstable angina, uncontrolled cardiac arrhythmia and arterial hypotension.

Where to buy Cialis online?

Be attentive while reading the instruction for use and order Cialis from

In this case you may ask any question rising using the special service on its website.

Everything you need is to fill up your shopping cart and pay for bill. It is very comfortable because the parcel will be delivered to you after some time.

Generic Cialis may be useful in case if will follow the recommendations and take them as it should be.

Check out the website of Health Care Mall and you will understand it is the most convenient way to order drugs.

Kamagra as an Alternative to Viagra

What is Kamagra?

The active ingredient of Kamagra is sildenafil*, the same main component is used in Viagra. Kamagra as a medical preparation is known for its effectiveness. Kamagra may be ordered via Canadian Health&Care Mall at considerably attractive price.

*Read the Full article about Sildenafil Citrate.

Kamagra is the first preparation of new group of medical preparations which helps to stimulate the potency increase widening blood vessels and helps to achieve the erection.

Kamagra Side Effects

As to speak about the specific features of Kamagra it should not be taken by people with allergic reactions to sildenafil**(The link coming soon). The instruction for use should be read attentively not to mix up the preparations with which Kamagra should not be taken together. If you are sick with angina for example you should be sure the preparation for angina treatment won’t decrease the erection.

Before you begin taking Kamagra you should consult the doctor or My Canadian Pharmacy support to be sure this preparation is suitable for you.

Kamagra is a medical preparation the main goal of which is to stimulates the erection before the sexual intercourse immediately. One more point should be mentioned before taking Kamagra you should visit your personal doctor to clear out all your possible contra indications for example kidney diseases*** or disorders of cardiovascular system.

Of course, there are side effects but the same we may say about any other medical preparation but these side effects are not so severe in comparison with other preparations for erectile dysfunction treatment. Headache or dizziness are not so uncomfortable in comparison with visual impairment for example.

***Basic Information about Kidney Diseses from WebMD.

Different forms of Kamagra

Kamagra is released in the form of tablets and jelly. You may decide by yourself in what form you prefer to use this preparation. It is the only preparation in form of jelly which is very convenient for usage.

My Canadian Health Care Mall Help Desk

If you order Kamagra from Canadian Health and Care Mall you may ask all your questions on its official website on Contact Us page. The support group is working twenty four hours per day and is ready to answer all your questions at any time of day or night.

Canadian Health and Care Pharmacy is ready to present you Kamagra at attractive price especially if you order Kamagra via the Internet. It is the main advantage of ordering drugs via the Internet nowadays.

Kamagra is not only effective preparation but harmless as well. It is proven for use that Kamagra may be taken by people with erectile dysfunction but you should be attentive while taking this preparation. If you have the individual hypersensitivity to sildenafil you should select another preparation to be taken for erectile stimulation.

How to Buy Kamagra from Online Pharmacy

Kamagra is the way out from the situation when you need to be able to enjoy the sexual life completely. If you decide Kamagra is suitable for you you should check out the website of Canadian Health&Care Mall and make the order. For this purpose realisation you should click on Kamagra and take it into your shopping cart. After this procedure you should pay for the order and wait for the parcel. Besides you may trace all the way of your parcel with the help of special function on the official website of this web drug store.

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Levitra at Low Price

What is Levitra

Generic Levitra is an effective preparation to treat erectile dysfunction and sexual vigor increase. This preparation stimulates the blood flow and in such a way increases the sexual vigor.


The main component of Levitra is vardenafil. Canadian Levitra as a preparation arrests such a enzyme known as phosphodiesterase. Levitra makes the elution of nitrogen oxide. Such a preparation may be ordered via Canadian Health&Care Mall, a pharmaceutical company known for its drugs shipped internationally and low prices. Everything you need is to make an order and wait for the parcel.

Everything you need to know

Levitra should be taken as a preventive measure of erectile dysfunction after the doctor’s prescription. But if you do not want to buy Levitra in ordinary drug stores you may order via Canadian Health and care Pharmacy like


As any other preparation Levitra has its advantages and disadvantages. As to speak about advantages it is first of all the effective preparation for erectile dysfunction treatment but as to mention disadvantages there are the considerable part of side effects.

Levitra Side Effects

The list is not so severe in comparison with other drugs for erectile dysfunction treatment. Side effects include headache, dizziness, rhinitis, heart rhythm disorder, inversive visual impairment, hypersensitivity reaction. Of course it seems to be not so severe but you should take these side ef Levitra, effective preparation, erectile dysfunction, sexual vigorfects into consideration.


There are the following counter indications. People with hypersensetivity to vardenafil should not take this preparation that’s why it is better to consult the doctor before Levitra intake. Canadian Health Care recommends the sufferers not to be in a hurry while choosing the medical preparation. This preparation should be taken attentively if you have compromised liver function, kidney failure, blood disease such as leukaemia, sicle-cell disease and myeloma, arterial hypotonia, pigmented retinitis, cerebrovascular accident and myocardial infraction.

It is very important to take drugs as it is written in a prescription list because the overdose of this medication may provoke the increase in side effects and the situation may become more serious as it may be imagined first of all.


It is a known fact that men are so ashamed to realize the idea that they have such a problem as erectile dysfunction. In such a way women should become a partner fro them to overcome this disorder. Really speaking it is rather difficult to live with such a health problem but you shouldn’t put your hands off. Only your diligence and insistence may help to get rid of such a disorder.

Health Care implicates the medical screening undergoing twice per year not to be involved into health troubles. Levitra is a good method to stimulate the sexual vigor before the sexual intercourse. As to speak about Levitra it is rather cheaper to order drugs via the Internet, it may help to save money, time and energy. Moreover you may read the testimonials there to become sure the preparation is an effective one and compare what effect the preparation may have upon different people because it is obvious so many men so many specific features. It is up to you to choose what kind of drugs buy and how you may buy it whether to purchase as you get used to it or order it via Canadian Health&Care Mall.