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Vardenafil vs. Sildenafil
We recently read about some research published in The Journal of Sexual Medicine.
They recently
did a big trial of PDE5 inhibitors used to treat patients with erectile
dysfunction (ED), that are designed to minimize personal bias toward either
Vardenafil or
Sildenafil.
The study was a randomized, double-blind, crossover, head-to-head
clinical trial that compared Vardenafil and Sildenafil treatment in
men with Erectile Dysfunction and diabetes, hypertension, and/or hyperlipidemia.
The results showed that Vardenafil achieved less
superiority over Sildenafil for several efficient measures in
Erectile Dysfunction, of
Vardenafil to
Sildenafil as measured by various
opinions of patient
satisfaction and patient preference.
A total of 1,057 men participated in erectile dysfunction study, which involved
treatment using each drug for four weeks, with a one-week washout
period in between.
Patients were asked:
"Overall, which medication do you prefer for your erectile
dysfunction?" along with 11 other
preference questions relating to their erectile dysfunction treatment. Additional
efficacy assessments using established scales were also used in
analysis.
Data showed that 38.9% preferred Vardenafil compared to 34.5%
Sildenafil (26.6% had no preference).
Vardenafil was significantly superior to
Sildenafil in terms of
erectile function, intercourse satisfaction and overall
satisfaction. There were also a much higher percentage of
positive responses for Vardenafil with regards to erection hardness
for penetration, maintenance of erection, maintenance until
completion, and erection confidence. (All important items of
business).
There are currently three PDE5 inhibitors available to treat ED:
Sildenafil,
Tadalafil and
Vardenafil, all of which have previously demonstrated efficacy
and tolerability in a range of patient populations for erectile
dysfunction, according to
researchers.
Data from head-to-head clinical trials, like this one, are scarce.
However, results from studies such as this should help researchers to
see what differences Sildenafil, Vardenafil, and Tadalafil may carry and to
select the most appropriate for individual patients for their
erectile dysfunction.
Adapted from materials provided by Blackwell Publishing Ltd., via
EurekAlert!, a service of AAAS

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10 Myths/Facts on Blood Pressure
Myth: 120/80 is normal blood pressure.
Fact: No longer. A good reading is
now defined as less than 120/80.
Myth: If I had high blood pressure,
I would feel bad.
Fact: High blood pressure often has
no symptoms.
Myth: Diet doesn’t work.
Fact: A heart-healthy diet can be
even more effective than drugs for controlling high blood pressure. And
a healthy diet will also lower your risk of diabetes, stroke, heart
attack, and cancer.
Myth: Cholesterol is more important
that blood pressure.
Fact: Even though you may have a
high cholesterol level, if your ratio of HDL (“good” cholesterol) to LDL
(“bad” cholesterol) is good, you don’t have a high risk of stroke.
However, high blood pressure continuously stresses your circulatory
system.
Myth: You should measure your blood
pressure daily.
Fact: Once a week is fine.
Myth: If I reduce stress and cut
caffeine, I won’t develop high blood pressure.
Fact: Caffeine only seems to raise
blood pressure temporarily, and stress reduction doesn’t seem to prevent
hypertension.
Myth: A bad headache could mean
you’re about to have a stroke.
Fact: Most doctors agree the two
aren’t related.
Myth: If I lower my blood pressure
into the normal range, I can quit taking my meds.
Fact: Continuing to take your
medication is essential in keeping your blood pressure in check.
Myth: My blood pressure’s close, so
a few points don’t matter.
Fact: Numbers count. An increase of
20 points in your systolic pressure (top number) or 10 points in
diastolic pressure (bottom number) doubles your risk of heart attack or
stroke.

Fact: Every two minutes, an American
dies from a health complication related to high blood pressure.
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Vardenafil
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Ejaculation
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Alzheimer's Detection •
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Skin Rejuvenation-Retin-A
Red Wine -
Lung Cancer •
Videos
Herpes
STDS
AIDS
HIV
Herpes
Support Groups
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(1884)
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Articles. In
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news we hope you find helpful and informational. At XLPharmacy we
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Featured Articles - Premature Ejaculation - Genetic Perhaps? |
The result of a recent study
by the Utrecht University found that the speed of ejaculation in men
is genetically determined.
89 Dutch men with premature ejaculation were recently studied. The
study also useda control group of 92 men. For a month the female
partners used a stopwatch at home to measure the time until
ejaculation each time they had intercourse. Remember this study was
based on men who have always ejaculated prematurely from their first
sexual contact and since. It was not based on men who started
suffering from this later on in life.
SEROTONIN?
What has Serotonin deficiency got to do with it? In men who suffer
from premature ejaculation, serotonin appeared to be less active
between the nerves in the section of the brain that controls
ejaculation. Among other things, this substance is linked to sexual
activity and appetite. It is a serotonin that transfers a signal
from one neuron to another. Due to the low activity of serotonin,
this signal transfer does not occur properly in men with the primary
form of premature ejaculation.
GENES Is it possible that Genes
could cause a problem?
A gene which had already been discovered, namely 5-HTTLPR, appeared
to be responsible for the amount and activity of serotonin, which
means that it controls the rapidity of ejaculation. Three types of
the gene exist: LL, SL and SS. The study showed that the LL type
causes a more rapid ejaculation. On average, men with LL ejaculate
twice as quickly as men with SS, and also almost twice as quickly as
men with SL. The researchers are currently also looking for other
genes that are involved in ejaculation.
SO IT'S NOT IN MY HEAD?
As long ago as 1998, researcher Marcel Waldinger predicted that both
the rapidity with which men ejaculate and the primary form of
premature ejaculation were genetically determined. This theory
contradicts the idea, which has been common for years, that the
primary form of premature ejaculation is a psychological disorder.
The results of this research confirmed the genetic theory and may
contribute to possible gene therapy against premature ejaculation.’
Journal reference: Adapted from materials provided by Utrecht
University, via AlphaGalileo.
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Featured Articles - Isoloating Key HIV
Proteins |
News Reel - Just
In:
Here we ran across a very important study done by the
University of Michigan. Scientists have provided the most detailed
picture yet of a key HIV accessory protein that foils the body's
normal immune response. The team is searching for new drugs that may
someday allow infected people to be cured and no longer need today's
AIDS drugs for a lifetime.
The picture shows on
the left, a normal, uninfected cell with green-stained MHC-I protein
on the cell surface. On the right side of picture is an HIV infected
cell -- most of the MHC-I builds up inside, keeping the cell from
telling the immune system that it harbors a virus.
In people infected with HIV (human immunodeficiency virus), the
virus that causes AIDS, there's an unsolved problem with current
anti-viral drugs. Though life-saving, they cannot root the virus out
of the body. Infected cells are able to live on, undetected by the
immune system, and provide the machinery for the virus to reproduce
and spread.
The idea is that people have to be on the existing drugs, and when
they're not, the virus rebounds. If scientists could develop drugs
that seek out and eradicate the remaining factories for the virus,
then maybe they could eradicate the disease in the person.
Research details
The new research details the complex actions of a protein, HIV-1 Nef,
that is known to keep immune system cells from doing their normal
jobs of detecting and killing infected cells.
The Michigan team show how Nef disables two key immune system
players inside an infected cell. These are molecules called major
histocompatability complex 1 proteins (MHC-1) that present HIV
antigens to the immune system, and CD4, the cell-surface receptor
that normally locks onto a virus and allows it to enter the cell.
Think of MHC-1 in comparison to motion detectors on a house, which
send the first signal to a monitoring station if an invader breaks
in. The Michigan scientists say that the immune system, especially
the cytotoxic T lymphocytes, are like the monitors who get the
signal that there's a foreign invader inside the cell, and send out
police cars, (the 'police' are toxic chemicals produced by T
lymphocyte cells, which kill the cell that harbors the invader).
By in effect pushing the MHC-I proteins into an infected cell's
"trash bin" so they fail to alert the T lymphocytes, Nef's actions
allow active virus to hide undetected and reproduce. Also, once a
cell has been infected, Nef destroys CD4. The result is that this
encourages new virus to spread to uninfected cells.
Nef's activities are variable and complex. But the research team's
findings suggest that the many pathways involved may end in a final
common step. That could make it possible to find a drug that could
block several Nef functions.
Implications
The Michigan lab is now screening drug candidates to find promising
Nef inhibitors. Such drugs, which are at least 10 years away from
use in people, would supplement, not replace, existing anti-viral
drugs given to HIV-infected people. The new drugs would target the
reservoirs where the virus hides.
In developing countries, the new drugs could have a huge impact.
Today, children born with HIV infection start taking the existing
anti-HIV drugs at birth. It's very hard to continue costly
treatments for a lifetime. But if children could be cured within a
few years, global HIV treatment efforts could spread their dollars
further and be much more successful, she says.
Adapted from materials provided by University of Michigan Health
System.

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Featured
Videos - Herpes, STDS, AIDS, HIV Informational Videos |
1. How To Understand signs and symptoms of herpes (Video)
2. How To Get Tested for STDS (Video)
3. How AIDS affects your body (Video)
4. How to Prevent the transmission of HIV (Video)
5. How To Test for HIV and AIDS Basics -Fast and Easy HIV
Testing (Video)

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Medicare / Senior News - Alzheimer's Detection |
Alzheimer's Detection Breakthrough -

The thought amazes us yet to think that a simple blood test could detect whether a person might develop
Alzheimer's disease. The test is within sight and could eventually help
scientists in their quest toward reversing the disease's onset in
those likely to develop the debilitating neurological condition.
Building on a study that started 20 years ago with an elderly
population in Northern Manhattan at risk or in various stages of
developing Alzheimer's disease, the Columbia research group has
yielded ground-breaking findings that could change the way the
disease is treated or someday prevent it. These findings suggest
that by looking at the blood doctors may be able to detect a
person's predisposition to developing the dementia-inducing disease
that robs a person of their memory and ability carry out tasks
essential to life.
Adapted from materials provided by Columbia University Medical
Center.
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Articles
of the Month -
Aging and Skin Rejuvination - Retin A |
Who doesn't want better looking skin. A couple of our staffers spent
years in the sun, and now have the age spots that go with it.
The rest of us just get to here their daily wails of exclamation. We
thought a story on skin rejuvenation was appropriate this month, to
remind those sun gods and goddesses what they have been doing to
their future skin all summer long.
Skin rejuvenation is an increasingly popular subject for
researchers, dermatologists, and patients. The advent of numerous
methods and techniques for treating fine lines and wrinkles like
using Retin-A has
brought facial rejuvenation into the mainstream.
In 2007 alone over 11.7 million cosmetic procedures were performed
in the United States , and four of the top five nonsurgical
procedures are targeted at restoring the skin’s youthful appearance.
There is an increasing awareness of products like Retin-A. Given the
huge demand for treating wrinkles and aging skin many products and
technologies are marketed to prospective patients, some which are
based in science, and others which are not.
The Sun
Skin that is protected from the sun (for example the skin on our
bottom) does not suffer from many of the problems we associate with
“old skin”. Age spots or enlarged pores are not found typically on
inner-thighs. Why? No sun exposure. With the passage of time we do
see a loss of adipose, the fatty tissue in our skin, but this is not
what usually concerns patients seeking skin rejuvenation. They are
concerned with sun-damaged skin.
The skin is made up of an extra-cellular matrix
(collagen-elastin-glycosaminoglycans). Collagen is the skin’s major
building-block, elastin gives it its flexibility (“elastic”). The
sun damages these proteins by triggering our skin’s DNA to act in
abnormal ways. The sun’s damaging rays tell our skin’s DNA to
produce degraded collagen and elastin proteins. These degraded cells
are less elastic and have a less-youthful appearance than cells
which are not exposed to the sun.
Free radicals are an important factor in skin aging. They are caused
by sun exposure. Free radicals are reactive atoms that do damage to
our collagen and cause inflammation. They are negatively charged
oxygen molecules.
All oxygen-breathing organisms create free radicals and our bodies
have a natural defense against them. We produce SODs (superoxide
dismutase) to neutralize these free radicals. However over time,
after years of cumulative sun exposure, we do damage to our body’s
natural ability to fend off these free radicals. In essence “our
shields are down”, we are unable to prevent the damage to our skin.
Methods of Rejuvenation
 
Topical - Like
Retin-A
Chemical Peels
Microdermabrasion
Lasers
Radio-Frequency
Intense Pulsed Light
Injectable Fillers - Botox
Surgery
It is very hard for a lay person to know which treatment is ideal
for them. Retin-A is quite popular, but the best thing for anyone who is considering skin
rejuvenation to do is to seek out an expert in skin, for example a
cosmetic dermatologist, for a consultation. Don’t be afraid to get
multiple consultations with different physicians. What you want is
someone with access to a variety of treatment options at their
disposal. If you see someone who only has one option for skin
rejuvenation, they are going to steer you towards the device or
option they have. It is always good to spend a little time with
several providers, and then make a choice. Never rush into a
decision. A little patience, research, and consultation will help
you get the results you want.
It is vital to understand the science behind these procedures and
products before making any decision on skin rejuvenation.
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Articles
of the Month -
Red Wine and Lung Cancer |
Red
Wine - Drop in Lung Cancer Risk
A study published in the October issue of Cancer Epidemiology,
Biomarkers and Prevention, found that moderate consumption of red
wine lowered the risk of lung cancer in men. “An antioxidant
compound in red wine may be protective of lung cancer, particularly
among smokers,” said Chun Chao, Ph.D., a research scientist at
Kaiser Permanente Department of Research and Evaluation in Pasadena,
California.
The study collected information on over 84,000 men aged 45 to 69
years old in California’s health care system. Scientists measured
the effects of beer, white wine, red wine and liquor on the risk of
developing lung cancer. Factors such as race, education, body mass
index, and smoking history were also considered.
The researchers found that for every glass of red wine consumed each
month, the risk of developing lung cancer dropped by two percent.
The biggest reduction was seen in smokers who drank one or two
glasses of red wine daily. Their risk was reduced by 60 percent.
Beer, white wine and liquor had no measureable effect. “Red wine is
known to contain high levels of antioxidants,” said Chao. “Red wine
is known to contain high levels of antioxidants. There is a compound
called resveratrol that is very rich in red wine because it is
derived from the grape skin. This compound has shown significant
health benefits in preclinical studies.”
Researchers warn that their findings shouldn’t encourage heavy
drinking and also noted that even smokers who drank red wine had a
higher risk of lung cancer than non-smokers.

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Questions, Answers & Special Notes XLPharmacy
- This month: Exercise |
Special Notes:
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I'm guilty. I have been a sun worshiper all my life. Now
I am fighting age spots and sun damaged skin into my fifties.
What looked good when I was young, doesn't look good now that I'm
getting older. Thanks for putting out the warning to young
people today. I am using Retin-A now, though it's only been a
few weeks. Thanks for providing the Canadian Pharmacy
links to buy it for less then the US stores. It helps the
pocket book a lot. - June R., Prescott, AZ
Thanks for displaying the video links on HIV and AIDS. - Paul T.,
San Diego, CA
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