Sildenafil | Shim Clinic, MEN'S CLINIC SINGAPORE™

Sildenafil | Shim Clinic, MEN'S CLINIC SINGAPORE™: Male impotence, sexual/erectile dysfunction (ED) symptoms, treatment, drugs/medication clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

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Table of Contents

• Erectile Dysfunction (ED) (Sexual Dysfunction / Impotence)
• Erectile Dysfunction Treatment (Impotence Treatment)

• Sildenafil (Viagra®)
• Vardenafil (Levitra®)
• Tadalafil (Cialis®)

Erectile dysfunction may be assessed with the international index of erectile function (IIEF-5) a.k.a. sexual health inventory for men (SHIM), and an erectile dysfunction diagnosis made:

The IIEF-5 questionnaire^a

Over the past six months:
1	How do you rate your confidence that you could get and keep an erection?	Very low	Low	Moderate	High	Very high
		1	2	3	4	5
2	When you had erections with sexual stimulation, how often were your erections hard enough for penetration?	Almost never/never	A few times (much less than half the time)	Sometimes (about half the time)	Most times (much more than half the time)	Almost always/always
		1	2	3	4	5
3	During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?	Almost never/never	A few times (much less than half the time)	Sometimes (about half the time)	Most times (much more than half the time)	Almost always/always
		1	2	3	4	5
4	During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?	Extremely difficult	Very difficult	Difficult	Slightly difficult	Not difficult
		1	2	3	4	5
5	When you attempted sexual intercourse, how often was it satisfactory for you?	Almost never/never	A few times (much less than half the time)	Sometimes (about half the time)	Most times (much more than half the time)	Almost always/always
		1	2	3	4	5

^aThe IIEF-5 score is the sum of the ordinal responses to the five items; thus, the score can range from 5 to 25.
ED severity: severe (5-7), moderate (8-11), mild to moderate (12-16), mild (17-21), and no ED (22-25)

Men's health issues:

• Erectile dysfunction (ED)
• Premature ejaculation (PE)
• Andropause
• Androgenic alopecia
• STD (Sexually transmitted disease)

• Sildenafil - Wikipedia, the free encyclopedia
• Sildenafil: Definition from Answers.com
• Sildenafil - definition of Sildenafil in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia.
• RC Rosen, JC Cappelleri, MD Smith, J Lipsky and BM Pena. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction International Journal of Impotence Research (1999) 11, 319-326

PDE5 inhibitors, ---------- and ----------, reverse multidrug resistance by inhibiting the efflux function of MRP7 (ABCC10) transporter
Fri, 11 May 2012 04:00:00 +0100 | Cancer Science
SummaryPhosphodiesterase type 5 (PDE5) inhibitors are widely used in the treatment of male erectile dysfunction and in improving the breathing efficiency in pulmonary hypertension. Recently, several groups have evaluated the ability of PDE5 inhibitors for their anticancer activities. Previously, we have shown that ----------, ---------- and --------- could reverse P�glycoprotein (P�gp, ABCB1)�mediated multidrug resistance (MDR). In the present study, we determined whether these PDE5 inhibitors have the potential to reverse multidrug resistance protein 7 (MRP7, ABCC10)�mediated MDR. We found that ---------- and ---------- dose�dependently enhanced the sensitivity of MRP7�transfected HEK293 cells to paclitaxel, docetaxel and vinblastine, while --------- had only minimal effect. A...

Revatio (----------) film-coated tablets and solution for injection - Revised SPC
Thu, 03 May 2012 04:00:00 +0100 | NeLM - SPC Changes
Source: eMC (electronic Medicines Compendium) Area: Other Library Updates > SPC Changes There have been significant updates to the SPC:   4.4 Special warnings and precautions for use   Addition of the warning: Vaso occlusive crises in patients with sickle cell anaemia ---------- should not be used in patients with pulmonary hypertension secondary to sickle cell anaemia. In a clinical study events of vaso-occlusive crises requiring hospitalisation were reported more commonly by patients receiving Revatio than those receiving placebo leading to the premature termination of this study.     Please refer to SPC link below for full information on all changes. (Source: NeLM - SPC Changes)

New UK drive to seize counterfeit drugs
Wed, 02 May 2012 04:00:00 +0100 | OnMedica Latest News
MHRA seizes £25million of fake medicine in past five yearsRelated items from OnMedicaFake prescription-only drugs seized in major raid 8.5 million doses of fake and unlicensed ------ seized Fake medicines seized in global raidOnline pharmacies counterfeit drugs warningFormer RCP president calls for drugs law rethink (Source: OnMedica Latest News)

---------- Helps 'Unload' Heart in Patients With Aortic StenosisSildenafil Helps 'Unload' Heart in Patients With Aortic Stenosis
Tue, 01 May 2012 04:00:58 +0100 | Medscape Cardiology Headlines
A single dose of ---------- improves pulmonary and systemic hemodynamics in very ill patients with aortic stenosis, a new 20-patient trial indicates. Reuters Health Information (Source: Medscape Cardiology Headlines)

Monthly News Round Up - April 2012
Mon, 30 Apr 2012 23:04:24 +0100 | Drugs.com - Pharma News
Stendra: Another Option for Erectile Dysfunction is Approved Joining the ranks of ------ (silenafil), ------ (---------), and ------- (----------), another phosphodiesterase type 5 (PDE5) inhibitor for erectile dysfunction (ED) by the brand name... (Source: Drugs.com - Pharma News)

Porn panic!
Mon, 30 Apr 2012 14:42:00 +0100 | Guardian Unlimited Science
Fear over online pornography is leading anti-porn campaigners into irrational, knee-jerk responses. Are we hurtling toward a future where the only thing left to masturbate to is the Daily Mail?Breasts were invented in 1994, as part of an early online advertising campaign for ------. Since then their popularity has exploded, and now breasts - or 'boobs' as our drug-addled youth have taken to calling them - inhabit almost every corner of the interwebs. But breasts are dangerous: they can lead to suffocation or blindness. Are there too many breasts on the internet, and what disturbing effects can breasts have on young children?As an infant, I was exposed to breasts almost every single day. Thirty years later, breasts have taken over my life. Not a day goes by without some stray breast seeping...

Porn panic! | Martin Robbins | The Lay Scientist
Mon, 30 Apr 2012 14:42:00 +0100 | Guardian Unlimited Science
Fear over online pornography is leading anti-porn campaigners into irrational, knee-jerk responses. Are we hurtling toward a future where the only thing left to masturbate to is the Daily Mail?Breasts were invented in 1994, as part of an early online advertising campaign for ------. Since then their popularity has exploded, and now breasts - or 'boobs' as our drug-addled youth have taken to calling them - inhabit almost every corner of the interwebs. But breasts are dangerous: they can lead to suffocation or blindness. Are there too many breasts on the internet, and what disturbing effects can breasts have on young children?As an infant, I was exposed to breasts almost every single day. Thirty years later, breasts have taken over my life. Not a day goes by without some stray breast seeping...

---------- improves diabetic cardiomyopathy
Mon, 30 Apr 2012 04:00:00 +0100 | Modern Medicine
NEW YORK (Reuters Health) - Better known as a treatment for erectile dysfunction, the phosphodiesterase 5A inhibitor ---------- also improves diabetic cardiomyopathy, researchers from Italy report. (Source: Modern Medicine)

Vivus ------ rival Stendra receives FDA approval
Sun, 29 Apr 2012 23:00:00 +0100 | Pharmaceutical Technology
Vivus’ erectile dysfunction (ED) drug Stendra has received approval from the US Food and Drug Administration, providing competition to ED drugs such as Pfizer’s ------. (Source: Pharmaceutical Technology)

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