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Proviron, all you need to know!!

Mesterolone is an orally active, 1-methylated DHT. Like Masteron, but then actually delivered in an oral fashion. DHT is the conversion product of testosterone at the 5-alpha-reductase enzyme, the result being a hormone that is 3 to 4 times as androgenic and is structurally incapable of forming estrogen. One would imagine then that mesterolone would be a perfect drug to enhance strength and add small but completely lean gains to the frame. Unfortunately there is a control mechanism for DHT in the human body. When levels get too high, the 3alpha hydroxysteroid dehydrogenase enzyme converts it to a mostly inactive compound known as 3-alpha (5-alpha-androstan-3alpha,17beta-diol), a prohormone if you will. It can equally convert back to DHT by way of the same enzyme when low levels of DHT are detected. But it means that unless one uses ridiculously high amounts, most of what is administered is quite useless at the height of the androgen receptor in muscle tissue and thus mesterolone is not particularly suited, if at all, to promote muscle hypertrophy.

Proviron has four distinct uses in the world of bodybuilding. The first being the result of its structure. It is 5-alpha reduced and not capable of forming estrogen, yet it nonetheless has a much higher affinity for the aromatase enzyme (which converts testosterone to estrogen) than testosterone does. That means in administering it with testosterone or another aromatizable compound, it prevents estrogen build-up because it binds to the aromatase enzyme very strongly, thereby preventing these steroids from interacting with it and forming estrogen. So Mesterolone use has the extreme benefit of reducing estrogenic side-effects and water retention noted with other steroids, and as such still help to provide mostly lean gains. Its also been suggested that it may actually downgrade the actual estrogen receptor making it doubly effective at reducing circulating estrogen levels.

The second use is in enhancing the potency of testosterone. Testosterone in the body at normal physiological levels is mostly inactive. As much as 97 or 98 percent of testosterone in that amount is bound to sex hormone binding globulin (SHBG) and albumin, two proteins. In such a form testosterone is mostly inactive. But as with the aromatase enzyme, DHT has a higher affinity for these proteins than testosterone does, so when administered simultaneously the mesterolone will attach to the SHBG and albumin, leaving larger amounts of free testosterone to mediate anabolic activities such as protein synthesis. Another way in which it helps to increase gains. Its also another part of the equation that makes it ineffective on its own, as binding to these proteins too, would render it a non-issue at the androgen receptor.

Thirdly, mesterolone is added in pre-contest phases to increase a distinct hardness and muscle density. Probably due to its reduction in circulating estrogen, perhaps due to the downregulating of the estrogen receptor in muscle tissue, it decreases the total water build-up of the body giving its user a much leaner look, and a visual effect of possessing "harder" muscles with more cuts and striations. Proviron is often used as a last-minute secret by a lot of bodybuilders and both actors and models have used it time and again to deliver top shape day in day out, when needed. Like the other methylated DHT compound, drostanolone, mesterolone is particularly potent in achieving this feat.

Lastly Proviron is used during a cycle of certain hormones such as nandrolone, with a distinct lack of androgenic nature, or perhaps 5-alpha reduced hormones that don't have the same affinities as DHT does. Such compounds, thinking of trenbolone, nandrolone and such in particular, have been known to decrease libido. Limiting the athlete to perform sexually being the logical result. DHT plays a key role in this process and is therefore administered in conjunction with such steroids to ease or relieve this annoying side-effect. Proviron is also commonly prescribed by doctors to people with low levels of testosterone, or patients with chronic impotence. Its not perceived as a powerful anabolic, but it gets the job done equally well if not better than other anabolic steroids making it a favorite in medical practices due to its lower chance of abuse.

Mesterolone is generally well liked nonetheless as it delivers very few side-effects in men. In high doses it can cause some virilization symptoms in women. But because of the high level of deactivation and pre-destination in the system (albumin, SHBG, 3bHSD, aromatase) quite a lot of it, if not all simply never reaches the androgen receptor where it would cause anabolic effects, but also side-effects. So its relatively safe. Doses between 25 and 250 mg per day are used with no adverse effects. 50 mg per day is usually sufficient to be effective in each of the four cases we mentioned up above, so going higher really isn't necessary. Unlike what some suggest or believe,
I will post an abstract to refute these next statements at the bottom of the page
Its not advised that Proviron be used when not used in conjunction with another steroid, as it too is quite suppressive of natural testosterone, leading to all sorts of future complications upon discontinuation. Ranging from loss of libido or erectile dysfunction all the way up to infertility. One would not be aware of such dangers because Proviron fulfills most of the functions of normal levels of testosterone.

Stacking and Use:
Mesterolone is an oral alkylated steroid. If used primarily as an anti-aromatase drug, using it throughout a longer cycle (10-12 weeks) of injectables may elevate liver values a little bit, though much, much less than one would expect with a 17-alpha-alkylated steroid. Eventhough instead of inhibiting gains, mesterolone may actually contribute to gains. So that's a bit of a shame. Its not quite as toxic since its not alkylated in the same fashion, but at the 1 position, which reduces hepatic breakdown, but not like 17-alpha alkylation. The reason for the change of position I assume, is because alkylating at the 17-alpha position has been shown to reduce affinity for sex hormone binding proteins. This would in turn decrease its ability to free testosterone. Nonetheless the delivery rate is quite good. Its taken daily in 50-100 mg doses.
The best thing to stack it with is testosterone of course. Its most easily bound to SHBG and albumin, and deactivated for up to 98%. Since the DHT can compete for these structures with higher affinity it would naturally lead to a higher yield of whatever testosterone product you stacked it with. Since DHT levels are notably higher now there is also more stimulation of the androgen receptor causing more strength gains, and because of its affinity for aromatase the overall estrogen level decreases as well. This has as a result that gains are leaner, and once again the overall testosterone yield is increased as less I converted at the aromatase enzyme.
It's of course used in other stacks with products such as methandrostenolone, boldenone and nandrolone to reduce estrogenic activity and increase muscle hardness. The addition of proviron makes boldenone a dead lock for a cutting stack and for some may even make it possible to use nandrolone while cutting, although the use of Winstrol or a receptor antagonist in conjunction is wishful as well. The benefit of adding it to a nandrolone stack is that it may also help you reduce the decrease in libido suffered from nandrolone, since the latter is mostly deactivated by 5-alpha reductase, an enzyme that makes other hormones more androgenic.
Proviron is an anti-aromatase, so obviously anti-estrogens would be futile and redundant. Blood pressure medication for those prone to hypertension may be wise, as this DHT can increase the blood pressure.

Abstract refuting that Proviron is not highly suppressive
Here is the study I was referring to. Only 85 men out of 250 showed any suppression. Proviron did not shut down the HPTA in any of the subjects and that was at 150mg for 1 year. I would say its pretty safe and has very little effect on one's HPTA
This study shows no effect on normal LH and FSH with 100-150mg/ d mesterolone, and decrease of FSH/LH that were elevated.Proviron doesn't substitute Clomid as hpta therapy, but doesn't get in the way, either.The effect of mesterolone on sperm count, on serum follicle stimulating hormone, luteinizing hormone, plasma testosterone and outcome in idiopathic oligospermic men.
Varma TR, Patel RH.
Department of Obstetrics & Gynaecology, St. George's Hospital Medical School London, U.K.
Two hundred fifty subfertile men with idiopathic oligospermia (count less than 20 million/ml) were treated with mesterolone (100-150 mg/day) for 12 months. Seminal analysis were assayed 3 times and serum follicle stimulating hormone (FSH) luteinizing hormone (LH) and plasma testosterone were assayed once before treatment and repeated at 3, 6, 9 and 12 months after the initiation of treatment. One hundred ten patients (44%) had normal serum FSH, LH and plasma testosterone, 85 patients (34%) had low serum FSH, LH and low plasma testosterone. One hundred seventy-five patients (70%) had moderate oligospermia (count 5 to less than 20 million/ml) and 75 patients (30%) had severe oligospermia (count less than 5 million/ml). Seventy-five moderately oligospermic patients showed significant improvement in the sperm density, total sperm count and motility following mesterolone therapy whereas only 12% showed improvement in the severe oligospermic group. Mesterolone had no depressing effect on low or normal serum FSH and LH levels but had depressing effect on 25% if the levels were elevated. There was no significant adverse effect on testosterone levels or on liver function. One hundred fifteen (46%) pregnancies resulted following the treatment, 9 of 115 (7.8%) aborted and 2 (1.7%) had ectopic pregnancy. Mesterolone was found to be more useful in patients with a sperm count ranging between 5 and 20 million/ml. Those with severe oligospermia (count less than 5 million) do not seem to benefit from this therapy.
PMID: 2892728 [PubMed - indexed for MEDLINE]
One more...Effect of non aromatizable androgens on LHRH and TRH responses in primary testicular failure.
Spitz IM, Margalioth EJ, Yeger Y, Livshin Y, Zylber-Haran E, Shilo S.
We have assessed the gonadotropin, TSH and PRL responses to the non aromatizable androgens, mesterolone and fluoxymestrone, in 27 patients with primary testicular failure. All patients were given a bolus of LHRH (100 micrograms) and TRH (200 micrograms) at zero time. Nine subjects received a further bolus of TRH at 30 mins. The latter were then given mesterolone 150 mg daily for 6 weeks. The remaining subjects received fluoxymesterone 5 mg daily for 4 weeks and 10 mg daily for 2 weeks. On the last day of the androgen administration, the subjects were re-challenged with LHRH and TRH according to the identical protocol. When compared to controls, the patients had normal circulating levels of testosterone, estradiol, PRL and thyroid hormones. However, basal LH, FSH and TSH levels, as well as gonadotropin responses to LHRH and TSH and PRL responses to TRH, were increased.
Mesterolone administration produced no changes in steroids, thyroid hormones, gonadotropins nor PRL.

There was, however, a reduction in the integrated and incremental TSH secretion after TRH.Fluoxymesterone administration was accompanied by a reduction in thyroid binding globulin (with associated decreases in t3 and increases in t3 resin uptake). The free T4 index was unaltered, which implies that thyroid function was unchanged.
In addition, during fluoxymesterone administration, there was a reduction in testosterone, gonadotropins and LH response to LHRH.
Basal TSH did not vary, but there was a reduction in the peak and integrated TSH response to TRH. PRL levels were unaltered during fluoxymesterone treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Nolva vs. Clomid for PCT
It seems like everyday questions concerning PCT pop up, and weather one should use either Clomid or nolva or a combo of both. I hope that this article written by BigCat may help to clear up some misconceptions.

While practically similar compounds in structure, few people ever really consider Clomid and nolva to be similar. Its not just a common myth in steroid circles, but even in the medical community. This misconception originates from their completely different uses. Nolvadex is most commonly used for the treatment of breast cancer in women, while Clomid is generally considered a fertility aid. In bodybuilding circles, from day one, Clomid has generally been used as post-cycle therapy and Nolvadex as an anti-estrogen.

But as I intend to demonstrate this is in essence the same. I believe the myth to have originated because nolva is clearly a more powerful anti-estrogen, and the people selling Clomid needed another angle to sell the stuff, so it was mostly used as a post-cycle aid. But few users really understand how Clomid (and also Nolvadex, logically) works to bring back natural testosterone in the body after the conclusion of a cycle of androgenic anabolic steroids. After a cycle is over, the level of androgens in the body drop drastically. The body compensates with an overproduction of estrogen to keep steroid levels up. Estrogen as well inhibits the production of natural testosterone, and in the period between the return of natural testosterone and the end of a cycle, a lot of mass is lost. So its in everybody's best interest to bring back natural test as soon as humanly possible. Clomid and Nolvadex will reduce the post-cycle estrogen, so that a steroid deficiency is constated and the hypothalamus is stimulated to regenerate natural testosterone production in the body. That's basically how the mechanism works, nothing more, nothing less.

Both compounds are structurally alike, classified as triphenylethylenes. Nolvadex is clearly the stronger component of the two as it can achieve better results in decreasing overall estrogen with 20-40 mg a day, than Clomid can in doses of 100-150 mg a day. A noteworthy difference. Triphenylethylenes are very mild estrogens that do not exert a lot, if any activity at the estrogen receptor, but are still highly attracted to it. As such they will occupy the receptor and keep it from binding estrogens. This means they do not actively work to reduce estrogen in the body like Proviron, Viratase or arimidex would (by competing for the aromatase enzyme), but that it blocks the receptor so that any estrogen in the body is basically inert, because it has no receptor to bind to.

This has advantages and disadvantages. The disadvantage is that when use is discontinued, the estrogen level is still the same and new problems will develop much sooner. The advantage is that it works much faster and has results sooner than with an aromatase blocker like Proviron or arimidex. Therefor, when problems such as gynocomastia occur during a cycle of steroids one will usually start 20 mg/day of nolva or 100 mg/day of Clomid straight away, in conjunction with some Proviron or arimidex. The proviron or arimidex will actively reduce estrogen while the Clomid or Nolvadex will solve your ongoing problem straight away. This way, when use is discontinued there is no immediate rebound.

So which one should you use? Well personally, I'd have to say Nolvadex. Both as an on-cycle anti-estrogen and a post-cycle therapy. As an anti-estrogen its simply much stronger, demonstrated by the fact that better results are obtained with 20-40 mg than with 100-150 mg of Clomid. For post-cycle, this plays a key role as well. It deactivates rebound estrogen much faster and more effective. But most importantly, Nolvadex has a direct influence on bringing back natural testosterone, where as Clomid may actually have a slight negative influence. The reason being that tamoxifen (as in Nolvadex) seems to increase the responsiveness of LH (luteinizing hormone) to GnRH (gonadtropin releasing hormone), whereas Clomid seems to decrease the responsiveness a bit1.

Another noteworthy fact about Nolvadex is that it acts more potently as an estrogen in the liver. As you remember, I mentioned that clomiphene and tamoxifen are basically weak estrogens. Well, tamoxifen is apparently still quite potent in the liver. This offers us the positive benefits of this hormone in the liver, while avoiding its negative effects elsewhere in the body. As such Nolvadex can have a very positive impact on negative cholesterol levels2 in the body, and therefore too should be considered a better choice than Clomid. It will not solve the problem of bad cholesterol levels during Steroid use, but will help to contain the problem to a larger degree.

Another reason why I promote the use of Nolvadex over Clomid post-cycle (as if being 3-4 times stronger and having more of a direct effect on restoring natural test wasn't enough) is because it's a lot safer. Not just because it improves lipid profiles, but also because it simply doesn't have the intrinsic side-effects that Clomid has. Clomid causes more acne for sure, but that's mainly because you need to use a 3-4 times higher dose. But Clomid seems to also affect the eyesight. Long-term Clomid therapy causes irreversible changes in eyesight3 in users. Irreversible. For me that alone is reason enough to prefer Nolvadex.

Lastly, one should be aware that use of these compounds can reduce the gains made on steroids. Nolvadex more so than Clomid, simply because it is stronger. Estrogen is responsible for a number of anabolic factors such as increasing growth hormone output, upgrading the androgen receptor and improving glucose utilization. This is why aromatizing steroids like testosterone are still best suited for maximum muscle gain. When reducing the estrogen levels, we therefore reduce the potential gains being made. For this reason one may opt to try Clomid during a cycle instead of Nolvadex. Although I would imagine that the problem that needed solved would be of more concern, in which case nolva remains the weapon of choice. It's a plain fact that there is a high correlation between gains and side-effects. Either you go for maximum gains and tolerate the side-effects, or you reduce the side-effects, and with it the gains. That's life, nothing is free.

Stacking and Use:

If problems of Gynocomastia or other estrogen related symptoms tend to pop up during a cycle the use of 20-30 mg of Nolvadex or 100 mg of Clomid daily should easily contain the problem, and be used until a few days after the problem subsides. For best results and the least amount of problems upon cessation it is best stacked with proviron (50 mg) or arimidex (0.5 mg) for this duration as well. Its not advised that these products be ran concomitantly with the steroid for the entire duration of the stack, as this will reduce your gains. Instead cease the usage of anti-estrogens once the problem is contained, and should the problem resurface, simply recommence the use of the products in the same manner as described above.

Once a cycle of steroids is concluded one should always initiate a post-cycle therapy to help bring back natural testosterone as soon as possible. This will help you to retain the mass you gained. How this is done depends highly on the type of steroid used. If only orals were used, therapy should start immediately, even the last day of the stack. If short-acting esters or water-based injectables were used, therapy should commence within 4-7 days after last injection, and if long-acting esters were used then it should commence 1.5 to 2 weeks after the last injection was given. The length of the therapy will vary as well, from 3-5 weeks. The longer acting the product was, the longer therapy should be continued to make sure all suppressive factors are cleared before use of Clomid/Nolvadex is discontinued.

The questions you will hear from athletes over and over is if they can get legal steroids clomid and nolvadex, is it possible?well I say yes you just have to look.
For best results, it is best stacked with HCG (Human Chorionic gonadotrophin), which functions as an LH analog and can help bring testicle size back up. HCG use starts the last week of a cycle, and on from there every 5-6 days (usually 1500-3000 IU) and discontinued 1.5 to weeks prior to the cessation of Nolvadex/clomid. The reason being that HCG itself is also suppressive of natural testosterone and should be out of the body before therapy is over, or it will inhibit natural testicle function. But I can not stress enough that HCG possibly plays a more important role in post-cycle therapy than clomid/Nolvadex. For Clomid and Nolvadex, doses are usually tapered down. Its best to start with 40-50 mg of Nolvadex or 150 mg of Clomid for the first week or the first two weeks, and then finish the program with 20-25 mg of Nolvadex or 100 mg of Clomid for an additional two weeks.

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Celebrex
   Celebrex is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Celebrex works by reducing substances that cause inflammation, pain, and fever in the body. Celebrex is used to reduce pain, inflammation, and stiffness caused by osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. Celebrex is also used to reduce the number of adenomatous colorectal polyps in familial adenomatous polyposis (FAP), to treat acute pain, and to treat pain associated with menstruation. Before taking Celebrex, tell your doctor if you:     - smoke     - drink alcohol     - have an ulcer or bleeding in the stomach     - have liver disease     - have kidney disease     - have coronary artery disease (CAD)     - have arteriosclerotic disease (hardening of the arteries, clogged or blocked arteries)     - have asthma     - have congestive heart failure     - have fluid retention     - have heart disease     - have high blood pressure     - have a coagulation (bleeding) disorder or are taking an anticoagulant (blood thinner) such as warfarin (Coumadin);     - are taking a steroid medicine such as prednisone (Deltasone and others), methylprednisolone (Medrol and others), prednisolone (Prelone, Pediapred, and others), and others There are no restrictions on food, beverages, or activity while taking Celebrex unless otherwise directed by your doctor. Notify your doctor immediately if you develop abdominal pain, tenderness, or discomfort; nausea; bloody vomit; bloody, black, or tarry stools; unexplained weight gain; swelling or water retention; fatigue or lethargy; a skin rash; itching; yellowing of the skin or eyes;"flu-like" symptoms; or unusual bruising or bleeding. These symptoms could be early signs of dangerous side effects. serious side effects: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); less serious side effects:     - flatulence or diarrhea     - dizziness     - headache     - insomnia. Before taking Celebrex, tell your doctor if you are taking any of the following drugs:     - aspirin or another salicylate (form of aspirin) such as salsalate (Disalcid), choline salicylate-magnesium salicylate (Trilisate, Tricosal, others), and magnesium salicylate (Doan's, Bayer Select Backache Formula, others);     - an over-the-counter cough, cold, allergy, or pain medicine that contains aspirin, ibuprofen, naproxen, or ketoprofen     - a diuretic (water pill) such as furosemide (Lasix), hydrochlorothiazide (HydroDiuril, others), chlorothiazide (Diuril, others), chlorthalidone (Hygroton, Thalitone), and others     - an angiotensin-converting-enzyme inhibitor (ACE inhibitor) such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), quinapril (Accupril), and others;     - a steroid medicine such as prednisone (Deltasone and others), methylprednisolone (Medrol and others), prednisolone (Prelone, Pediapred, and others), and others     - an anticoagulant (blood thinner) such as warfarin (Coumadin)     - lithium (Eskalith, Lithobid, others)     - fluconazole (Diflucan) Celebrex is used to: Relieve the signs and symptoms of osteoarthritis and rheumatoid arthritis in adults.


Viagra
Sildenafil citrate, sold under the names Viagra. Viagra pills are blue and diamond-shaped with the words "Pfizer" on one side and "VGR xx" (with xx representing 25, 50 or 100, the dose of that pill in milligrams) on the other. Its primary competitors on the market are tadalafil (Cialis), and vardenafil (Levitra). As with all prescription drugs, proper dosage is at the discretion of a licensed medical doctor. The dose of sildenafil is 25 mg to 100 mg taken once per day between 30 minutes to 4 hours before sexual intercourse. It is usually recommended to start with a dosage of 50 mg and then lower or raise the dosage as appropriate. The drug is sold in three dosages (25, 50, and 100 mg). Contraindications include: When taking nitric oxide donors, organic nitrites and nitrates, such as glyceryl trinitrate, sodium nitroprusside, amyl nitrite ("poppers") In men for whom sexual intercourse is inadvisable due to cardiovascular risk factors Severe hepatic impairment (decreased liver function) Severe impairment in renal function Hypotension (low blood pressure) Recent stroke or heart attack Hereditary degenerative retinal disorders (including genetic disorders of retinal phosphodiesterases) Amongst sildenafil's serious adverse effects are: priapism, severe hypotension, myocardial infarction, ventricular arrhythmias, sudden death, stroke and increased intraocular pressure. Common side effects include sneezing, headache, flushing, dyspepsia, prolonged erections, palpitations and photophobia. Visual changes including blurring of vision and a curious bluish tinge have also been reported. Care should be exercised by patients who are also taking Protease inhibitors for the treatment of HIV. Protease inhibitors inhibit the metabolism of sildenafil, effectively multiplying the plasma levels of sildenafil, increasing the incidence and severity of side-effects. It is recommended that patients using protease inhibitors limit their use of sildenafil to no more than one 25-mg dose every 48 hours. Some Viagra users have complained of blurriness and loss of peripheral vision. A small number of men have lost eyesight in one eye some time after taking Viagra, Cialis, or Levitra. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow is blocked to the optic nerve. We do not know at this time if Viagra, Cialis, or Levitra causes NAION. NAION also happens in men who do not take these medicines. People who have a higher chance for NAION include those who: have heart disease over 50 years old have diabetes have high blood pressure have high cholesterol smoke have certain eye problems


Xenical
Brand name for orlistat, Xenical is a wonder drug for people suffering with obesity and fat related syndromes. A potent member of Lipase inhibitor group of drugs, Xenical helps reduce unwanted weight and also maintain the sliced weight from rising up the scales again. Xenical stops the human digestive system from digesting and absorbing certain fat taken through food. This, however, nullifies the chances of calories settling down on the body. Xenical can show results only when it is taken in with controlled and fat free diet. The most beneficial part of Xenical is that it doesn't stop working after it has reduced the weight. It is equally active in maintaining the lowered weight and thus protects the body from getting affected with other obesity related syndromes. Although much safer from other weight reducing drugs available in the market, Xenical has many side effects. So it is in the interest of the users to take this drug regularly on time for the best results. Xenical Warnings The effectiveness and dosage of Xenical may vary from person to person depending on the health conditions. Let your doctor know if you are allergic to any Lipase Inhibitor or Xenical in particular. Also don't forget to mention if you are already suffering from any of the following diseases: High Blood Sugar; Chronic mal-absorption syndrome; Gallbladder problems; Kidney stones; Anorexia; Bulimia. Enlisted in FDA pregnancy category B, Xenical is not expected to cause any severe damage to growing foetus. This drug has not yet been studied on pregnant women, but cause reduction in the amount of vitamins absorbed by our body through food. It is not known whether Xenical passes into mother's breast milk or not. However, women should always consult a doctor before taking up Xenical during pregnancy or breast-feeding stage. Xenical have not been tested on children and older adults so far. Doctors are, however, not suspecting any harmful effects of this drug on children and aged individuals. Xenical may not work at its best with all other OTC or prescribed drugs. So it is recommended to tell your doctor before hand if you are taking any of the following drugs before taking up Xenical: Neoral; Sandimmune; Coumadin; Lipitor; Baycol; Lescol; Mevacor; Pravachol; Zocor. Xenical Side Effects Intake of Xenical is followed by the appearance of a host of side effects. Although side effects disappear within 2 to 3 days of usage, it is always safer to consult a doctor immediately after the side effects start surfacing. The serious side effects of Xenical include breath trouble, closed throat, swollen lips, tongue, or face etc. Side effects like fever, body ache, cough, headache, running nose, sneezing, sore throat gas formation with loose motion, oily stool discharge, orange or brown colored oil in your stool are very common and less harmful. . . Among the uncommon side effects of Xenical, blood in urine, hearing difficulty, urination problem, dental problem, sudden tension, change in menstrual cycle, rectal pain and uneasiness are notable. Xenical Overdose So far no cases of Xenical overdose with fatal consequences have been reported. However, prevention is always better than cure. Avoid taking double dose and rush to a doctor immediately after you realize that you have taken a double dose. This is more important as nothing is known about the normal symptoms of Xenical overdose. Missed dose of Xenical may not be much harmful. Take the missed dose within one hour after a meal. And if you don't remember within 1 hour just skip the last dose and go for the next scheduled one. Be very careful not to take a double dose. Xenical Usage Guidelines Rely on your doctor for the best usage guidelines. Normally Xenical is taken in with a full glass of water. Xenical is taken within one hour of the main meal. Make sure not to include more than 30% of fat in your meal. As Xenical may reduce vitamin absorption power of the body, be very careful and particular about taking vitamin supplements prescribed by the drug. Store Xenical at room temperature for best results.


Solcoseryl
Solcoseryl Jelly: Skin and mucous tunic regenerating action. Indications: burns, ulcers and venous insufficiency. Solcoseryl® Jelly:Suitable for wet wounds. Apply Solcoseryl® Jelly 2-3 times a day until fresh skin tissue has formed. Improves metabolism and accelerates the regeneration of the tissue in cases of surface ulcers. Contains: Free of protein extract of cattle blood. To date no side effects have been observed. After application of Solcoseryl® Jelly an unpleasant stinging may occur for a short time. Solcoseryl® Ointment: Suitable for dry wounds. Continue with Solcoseryl® Ointment to obtain complete epithlisation. Solcoseryl ointment: Solkoseril is an extract of the cattle blood, but is free of protein. This product improves the metabolism and accelerates of the regeneration of the tissue in cases of surface ulcers caused by oxygen deprivation, gangrene, bedsores, burns, radiation ulcers, and skin grafts. Recommended dosage: In cases of bedsores apply gel until a scab emerges and then use ointment until the new skin surface appears. For burns use either gel or ointment. Normal course of treatment depends on the body's healing process, but usually lasts from 4 to 8 weeks. Use of the gel may irritate or burn the skin, but these side effects do not require interruption of therapy.


Roaccutane
How does it work? Roaccutane capsules contain the active ingredient isotretinoin. (NB. Isotretinoin capsules are also available without a brand name, ie as the generic medicine.) Isotretinoin belongs to a group of medicines known as retinoids, which are derivatives of vitamin A. Isotretinoin taken by mouth works by reducing the production of the skin's natural oil (sebum). Acne occurs due to an excessive production of sebum from over-active sebaceous glands in the skin. The sebum blocks the sebaceous glands, which prevents the oil from flowing freely out and causes an accumulation of sebum under the skin. The bacteria associated with acne thrive in these conditions. They feed on the sebum, and produce waste products and fatty acids that irritate the sebaceous glands, making them inflamed and causing spots. Isotretinoin decreases the size and activity of the sebaceous glands in the skin, which reduces the amount of sebum that is produced. This stops the glands becoming blocked, and means bacteria are less likely to thrive. It also reduces the inflammation in the skin. Isotretinoin can have serious side effects and its use must be supervised by a dermatologist. It is reserved for the treatment of severe acne (such as nodular or conglobate acne or acne at risk of permanent scarring) that has not improved with standard treatment involving oral antibiotics and topical medicines. Your acne may worsen at the start of treatment, but this usually subsides within 7 to 10 days of continued treatment. In most cases, complete or near-complete clearing of acne is achieved with a 12 to 16 week course of treatment, and you are likely to remain free of acne for a long time. Repeat courses are not normally recommended, unless a definite relapse is seen after treatment is stopped. Repeat courses should not be started until at least eight weeks after stopping treatment, as your acne may still improve in this time. What is it used for? Severe acne that has not responded to standard treatment with oral antibiotics and topical medicines. Warning! Isotretinoin causes major birth defects (serious malformations of a developing foetus) if taken during pregnancy. For this reason your doctor will not prescribe the treatment to women who could get pregnant, unless the following criteria are met: At least one, but preferably two (for example the pill and condoms), effective methods of contraception must be used at all times to prevent pregnancy. Contraception must start at least four weeks before starting treatment, be used at all times during treatment and for at least four weeks after stopping treatment, even if you don't have a period. Your doctor cannot prescribe isotretinoin until you have been using effective contraception for at least a month and have had a negative pregnancy test. Your doctor is only allowed to prescribe 30 days supply of isotretinoin at a time. You will need to have a follow-up visit every month, at which you will have to have a negative pregnancy test before a new prescription can be issued. Five weeks after stopping treatment you should have a final pregnancy test to make sure you have not fallen pregnant. If you think there is a chance you could be pregnant, either during treatment, or in the first month after stopping treatment, you must consult your doctor immediately. There is no evidence to suggest that children fathered by men who are taking isotretinoin will be affected by the medicine, but men should remember not to give this medicine to anyone, particularly females. You should never give this medicine to another person and you should return any unused medicine to your pharmacist at the end of treatment. People taking this medicine must not donate blood during treatment, and for at least four weeks after stopping treatment. This is due to the potential risk of the medicine to an unborn child if the blood transfusion was received by a pregnant woman. This medicine may cause depression, anxiety, mood changes, psychotic symptoms and rarely suicide attempts. For this reason, if you start to feel depressed, or experience any other mood changes during treatment, it is important to talk to your doctor. You should avoid exposing your skin to intense sunlight or UV light while taking this medicine. You should use a sunscreen of at least SPF 15 when necessary. Isotretinoin is likely to make your skin and lips very dry, so it is recommended that you use a moisturiser and lip balm from the start of treatment. You should avoid waxing any part of your body while taking isotretinoin, and for at least six months after stopping treatment, as this could cause stripping of the top layer of skin. Chemical dermabrasion and cutaneous laser treatment should also be avoided during treatment with isotretinoin and for five to six months after stopping treatment, as this could cause scarring. Isotretinoin can make your eyes dry. This can be relieved with artificial tear drops. Ask your doctor or pharmacist for advice. If you wear contact lenses you may find that they become uncomfortable during treatment and you have to wear glasses instead. Decreased night vision may also occur during treatment and after treatment has been stopped, and can occur suddenly. For this reason you are advised to be cautious when driving or operating any vehicle at night. If you experience any visual difficulties, inform your doctor so that your vision can be monitored. It may sometimes be necessary to stop treatment. You will need to have a blood test to monitor your liver function before you start treatment with this medicine, one month after starting and then at further three-monthly intervals. The amount of lipids (fats such as cholesterol) in your blood should also be monitored before treatment, one month after starting treatment and at three-monthly intervals. If your blood level of triglycerides becomes too high, your isotretinoin dose may need to be reduced and you may have to go on a low fat diet. If your triglycerides cannot be controlled, you may have to stop treatment with isotretinoin. This medicine may increase your blood sugar level. People with diabetes may need to monitor their blood sugar more frequently during treatment with this medicine. Ask your doctor for advice. If you experience severe bloody diarrhoea during treatment with this medicine you should stop taking it and consult your doctor immediately. This medicine is not recommended for children under 12 years of age. Use with caution in Women who could get pregnant History of depression Decreased kidney function Alcoholism Diabetes Obesity Lipid metabolism disorders Not to be used in Pregnancy Breastfeeding Woman who could get pregnant, unless the criteria described in warnings above are met Acne that has developed before reaching puberty (prepubertal acne) Decreased liver function High levels of fats A condition resulting from the excessive consumption of vitamin A (hypervitaminosis A) People taking tetracycline-type antibiotics Peanut or soya allergy (Roaccutane capsules contain arachis oil and soya oil) Rare hereditary problems of fructose intolerance (Roaccutane capsules contain fructose) This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately. Pregnancy and Breastfeeding Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine. Isotretinoin MUST NOT be used during pregnancy as it causes major birth defects and serious malformations of the foetus. Women who could get pregnant will only be prescribed this medicine if all the criteria listed in warnings above are met. At least one and preferably two effective methods of contraception must be used to prevent pregnancy for at least one month before starting treatment, during treatment and for at least one month after finishing treatment. If you think you could be pregnant at any point during treatment or in the month after stopping treatment you must consult your doctor immediately. This medicine must not be used by breastfeeding mothers, as it passes into breast milk and could have adverse effects on the nursing infant. Seek medical advice from your doctor. Label warnings Follow the printed instructions you have been given with this medication. Take this medication with or after food.


Tempalgin
Indications: Mild to moderate pain of variable origin: headache; migrene; toothache; neuralgia; neuritis; plexitis; lumbalgia; myalgia and myositis; trauma; postsurgery interventions and dental procedures; dysmenorrhoea; burning; premedication in the dental practice. Dosage and administration: In adults, Tempalgin is used orally in dose of 1 - 2 tablets 3 - 4 times daily. In children over 10 years, the drug is administered in dose of 1 tablet 2 - 3 times daily. The treatment course duration should not exceed 5 to 7 days. Contraindications: Hypersensitivity to tempidon, metamizole and other pyrazolone drugs; acute hepatic porphyria and inborn deficiency of glucose-6-phosphate dehydrogenase; aplastic anemia, leucopenia and agranulocytosis; severe kidney and liver diseases; pregnancy; children younger than of 10 years. Special warnings and precautions: The drug is used cautiously in patients suffering from liver or kidney diseases. After more prolonged treatment with Tempalgin regular checks of blood count are necessary. In patients suffering from bronchial asthma, pollinosis, Quincke's edema, chronic airway infections or showing hypersensitivity to analgesic and nonsteroidal anti-inflammatory agents, as well as to other drugs or foods, there is a risk of allergic reactions and asthmatic attacks. During lactation the drug should be avoided, because both active ingredients are eliminated in the breast milk. Tempidon decreases the attention concentration and slows the reflexes. Because of this it should be used cautiously in car drivers and in people working with machines. Drug interactions: Because of the inhibition of hepatic enzyme systems metabolising drugs, Metamizole effect is potentiated by tricyclic antidepressants (psychophorin, amitriptyline), oral contraceptive agents, and allopurinol. Due to this its biotransformation is slower, and the toxicity is greater. Barbiturates and phenylbutazone are liver enzyme inductors, and they decrease the strength and duration of the metamizole pharmacodynamic effect. Metamizole lowers the plasma cyclosporin levels. Chloramphenicol increases the myelotoxic action of metamizole (additive effect). Alcohol augments the action of both components. Tempidon potentiates the activity of the hypnotic agents, general anesthetics, and narcotic and nonnarcotic analgesics. Adverse reactions: Itching, skin rash, urticaria, Stevens-Johnson's syndrome, Layell's syndrome, angioedema, vasomotor disturbances; asthmatic attack, allergic shock; nausea, vomiting, abdominal pain and discomfort, ulcers and bleeding in rare cases. In susceptible patients, agranulocytosis, leucopenia, aplastic anemia, retention of water and electrolytes are possible.


Analgin
Analgin tablets are used for the treatment of pains of different origin and variable intensity: toothache, headache, arthralgia, neuralgia, myositis, mild to moderate visceral pain, high fever, not responding to other drugs. Analgin is used with increased caution in patients with a history for hypersensitivity to foods and drugs (particularly to analgesic and nonsteroidal antiinflammatory agents) and also in patients suffering from bronchial asthma, Quincke's edema, chronic pulmonary infections. In patients with hypotension and unstable blood pressure, Analgin should not be used parentarally. If Analgin application is quite necessary, the blood pressure and the heart rate should be monitored. In cases of prolonged Analgin treatment, regular blood count checks are necessary (differential count of the white blood cells). The high Analgin doses can influence unfavourably the active attention. Because of this in these cases driving and working with machines are not advised. Analgin potentiates the analgesic and antipyretic action of the nonsteroidal antiinflammatory drugs. The Analgin effects are potentiated by the tricyclic antidepressants, oral contraceptive agents, allopurinol, alcohol. Analgin decreases the activity of the coumarin anticoagulants and plasma levels of cyclosporin. The enzyme inductors (barbiturates, glutethimide, phenylbutazone) attenuate the Analgin effects. Analgin potentiates the effects of the drugs possessing CNS depressant activity. Concurrent administration with chlorpromazine is related with a risk of severe hypothermia. Analgin can be used in combination with buscolysin, atropin, codein.


Stimol
STIMOL (citrulline malate) - oral solution in sachets Composition of the medicine: Active ingredient: one sachet contains 50 % citrulline malate solution 2,0 g; Excipients: purified water, natural sangria orange flavor, NaOH (for pH adjustment). Pharmaceutical form. Oral solution. Pharmacotherapeutic group. Metabolism corrector to treat asthenia. The product belongs to amino acids. Stimol utilizes lactate, ammonium, stimulates energy release, brings the cell to another energetic level. Indications:     Symptomatic treatment of functional asthenia : physical asthenia; mental asthenia; post-infectious asthenia: postoperative asthenia; asthenia during pregnancy; senile asthenia, asthenia of endocrinology origin (diabetic); sportsmen's asthenia (muscle pain relief after the intensive training); asthenia and vegetative syndrome by vegetal and vascular dystonia hypotonic type; alcohol withdrawal syndrome; sexual asthenia. Administrate in case of the following symptoms of asthenia: general weakness, emotional lability, chronic tiredness, low capacity for work, drowse. It is recommended to administrate Stimol in case of muscular pain and cramps, resulting from the accumulation of lactate after the heavy training. This product is recommended for the period of convalescence. Contra-indications: Hypersensitivity to any of the component of the product. Stomach and duodenal ulcer. Warnings: One sachet contains about 30 mg (1,3 mmol) of sodium to make pH solution 3,3. It must be taken into the account for patients with a salt free diet. Interactions with other drugs: Not observed. Methods of administration and dosage: Children over 6 years: 1 sachet 2 times per day. Adult and elderly people: 1 sachet 3 times per day. Recommended duration of treatment - 4 weeks. Stimol should be taken during meals. The content of sachet should be diluted up to 100 ml by water or sweetened beverages. Side effects: Several cases of discomfort in epigastrium without cancellation of administration. Point out to your physician every undesirable effect. Shelf-life: 3 years. Do not administrate after expiry date indicated on the box. Storage conditions: Store at room temperature ( + 15-25°C), keep away from reach of children. Packing: 18 sachets in aluminum and polyethylene paper in carton box. Delivery conditions: Without prescription.