Erectile dysfunction drug.

With the death toll rising rapidly in the battle between the Liberian Government and rebels for control of Monrovia, the African press is cause of erectile dysfunction
with the pace of efforts to bring an end to the conflict.

“To the impotence com discredit, Africa has reacted to the crisis with the customary speed of a snail,” South Africa’s Business Day comments.

“Instead of finding solutions, our leaders are bogged down in issues of process.

“In the Liberia case, Africa should be exhorting the leaders of west Africa to use their influences and leverage to prevent further violence by controlling their borders and not allowing the flow of weapons into the country.”

Impotence

Senegal’s Le Soleil agrees. “It is as if the international community, but also the African community, were admitting their impotence and waiting for chaos in Liberia before they act,” it laments.

Taylor wants to stay to the bitter end Fraternite Matin, Ivory Coast

It might appear difficult to interfere in a country’s internal affairs, the paper reasons, “but between that and remaining passive observers of this tragedy, there are steps which could and should have been taken.”

But Nigeria’s Guardian is unhappy about that country’s continued male impotence
in Liberian affairs.

“Two steps taken recently indicate unequivocally that Nigeria is once again spearheading a formula herbal impotence costly initiative supposedly to bring peace to war-ravaged Liberia,” it writes.

“The earlier intervention from 1990 to 1997,” it reminds readers, “was a fiasco that resulted in huge losses in human and material terms.

“Nigeria should explore other ways in conjunction with Ecowas and other interested parties to bring peace to Liberia. Nigeria’s human and material sacrifices are enough already”, the paper says.

Taylor’s refuge

The Guardian is incensed by President Olusegun Obasanjo’s offer of asylum in Nigeria to beleaguered Liberian President Charles Taylor.

“Nigeria already has enough international problems to grapple with,” the paper says. “These should not be compounded by providing a roof for Taylor.”

Fraternite Matin in the Ivory Coast is also no fan of President Taylor.

What Africa needs is not endless aid but respect Monitor, Uganda

“Taylor wants to stay to the bitter end. In spite of the war which is raging in Monrovia. In spite of the hospitality offered him by Obasanjo,” it says.

“The old warrior is clinging on, leaving behind him a field of ruins,” the paper says, adding that the alternative impotence treatment for the Liberian economy and people matter little to him: President Taylor wants to “cling on to power at any cost”.

Cri du coeur

Further afield, Uganda’s Monitor is not inclined to dwell on African shortcomings.

“What Africa needs is not endless aid, but respect,” the paper says, “and an end to US- and European-sponsored conflicts that have ruined our various economies.”

The conflicts in Liberia, Sierra Leone and Angola have “all been sponsored and nurtured by these so-called democrats”.

“The oil struggles in Sudan and in the Horn of Africa are all foreign-sponsored. We want all these conflicts ended.”

BBC Monitoring, based in Caversham in southern England, selects and translates information from radio, television, press, news agencies and the internet from 150 countries in more than 70 languages.

With those simple steps, you will be ready to take your pick from thousands of powerful medicines.

Treatments for acne, cancer, impotence and heart disease. Drugs that are generally only available with a prescription.

However, the advent of the internet and its hundreds if not thousands of e-pharmacies means that is no longer always the case.

While the internet is home to many legitimate pharmacies, it is also home to a growing number of pharmacies that operate illegally selling drugs to anyone willing to pay for them.

Some of the drugs on offer Abolon, an anabolic steroid Clozapine, an antipsychotic Evista for osteoporosis Hyzaar for high blood pressure Prozac for depression Ritalin for hyperactivity Tamoxifen for breast cancer Viagra for impotence

A quick internet search unearths countless sites offering unlimited supplies of drugs without a prescription.

They ask only for credit card details and for customers to wait “between 10 and 21 days”.

Some even provide customers with an A to Z of the hundreds of medicines on offer.

These range from Abolon, an anabolic steroid, to Zyprexa for schizophrenia.

A growing market

A survey by the UK’s National Audit Office earlier this year suggested as many as 600,000 Britons have bought prescription medicines over the internet.

In the United States, an estimated one million people buy their medication in this way.

There are no accurate figures on how many people buy these medicines over the net without a prescription.

But with more sites appearing every week, it would be fair to suspect that it is a growing market.

Doctors are becoming prescription erectile dysfunction concerned.

“There are potentially very serious risks of getting medication over the internet,” says Dr George Rae of the British Medical Association.

“All drugs have potential side-effects. There is also serious problems if you take medication on top of anything else.

“Buying medicines over the internet also means there is no assurance about quality. It is inherently dangerous.”

This week, the mother of a 24-year-old man who killed himself after buying drugs online urged the British government to tackle the problem.

At one point, Liam Brackell was receiving 300 treating impotence tablets in the post every day. By the time of his death, he had tried 23 different types of prescription drugs.

International crackdown

Governments and impotence medicine
agencies are trying to shut down rogue e-pharmacies. However, they appear to be fighting a losing battle.

In the UK, anyone found guilty of selling such drugs can face an unlimited fine and up to two years in prison.

You do not need a prescription to by (sic) our products e-pharmacy

To date, there have been just three successful prosecutions against people running UK-based e-pharmacies, which did not operate within the law.

The UK’s Medicines and Healthcare products Regulatory Agency has managed to have seven websites shut down over the past few years.

However, it receives between 10 and 15 reports of unlawful operators every month and websites start up as quickly as they close.

Customs and Excise officials can seize controlled medicines that are sent through the post without proper impotence system therapy vacuum.

They can also seize medicines that are not described accurately.

“If we do find them, we seize them,” says a spokeswoman. “But they are among thousands of packages coming through everyday.”

The problem is an international one and governments have started to work together to try to tackle it.

“Other countries are also concerned about the risk to public health,” says a spokesman from the UK’s Department of Health.

“We work closely with other regulatory authorities in the EU and the US.”

Industry concern

The pharmaceutical industry says it is concerned but powerless.

“These are prescription medicines and they are prescription medicines for a reason,” says a spokeswoman for the Association of the British Pharmaceutical Industry.

People should not be taking these medicines without medical advice ABPI spokeswoman

“People should not be taking these medicines without medical advice,” she says.

“We are working with the regulatory authorities and we are happy to do anything we can to help. But really there isn’t very much we can do.”

The fact remains, the internet and e-pharmacies are to a large extent a law onto themselves.

Websites that operate in countries with tight rules can be shut down.

However, others are more than happy to base themselves elsewhere, in countries without such laws.

One website informs potential customers that they do not need a prescription because they ship from countries where they are not required under the law.

The logistics suggest that even a concerted international effort will ultimately fail.

“This is not just about the UK. It is international. It is worldwide,” says Dr Rae.

“Bringing this under control may be difficult if not impossible”

He suggests that educating patients could be one way of tackling the issue.

“We need to get the message across that this is potentially very dangerous. We need to educate patients.

“The implications of buying medicines over the internet are potentially profound.”

Known in the southern state of Andhra Pradesh as fish medicine, the cure is used by hundreds of thousands of patients every year.

In recent years, the medicine has gained tremendous popularity.

About half a million people visit Hyderabad every June to consume the medicine which is taken with live fish.

'Herbal medicine'

An official of the IMA, CL Venkat Rao, told journalists that the association will issue legal notices to the state and central government for their failure to verify the scientific basis and the contents of the medicine.

He said the Andhra Pradesh High Court had last year asked the government to find out the contents of the medicine but so far nothing had been done.

Fish medicine is highly sought after in India

The IMA has decided to take court action because it says the family in Hyderabad which owns the medicine is preparing to administer it again this year - starting on 8 June.

Bathini Harinath Goud, the caffeine impotence of the Hyderabad-based family, says the formula of the “herbal medicine” was given to his great grand father Veeranna Goud by a sage in the Himalayas in 1854.

He says that since then the family has been impotence meds
the medicine to people free of charge.

The family say they cannot reveal the formula, because if they do so, the medicine will lose its efficacy and others will commercially exploit it.

Impotence

But the IMA says tests at a private laboratory in Hyderabad last year revealed that it had steroids, heavy metals, mercury and other erectile dysfunction conditions
which could be harmful to asthma patients.

Dr Rao says the presence of these steroids and heavy metals can harm kidneys, cause impotence and lead to intestinal and bone marrow damage in addition to other diseases.

The IMA said that in some cases, it can aggravate the medical condition of asthma patients.

Legal notices will be issued to the Andhra Pradesh government, Dr Rao said, in addition to the heads of police, water supply and the central ministry of health and family welfare.

The IMA says the action is necessary to stop what it terms “government patronage” of the event.

It has questioned the rationale of the government spending nearly $2.3m on the event every year, providing food, water and other help for the tens of thousands of people who come to be treated.

However, the Goud family dismissed the claims by the IMA.

“Doctors keep saying such things against us. We are not worried about what they are saying,” a family statement said.

The Prostate Cancer Charity asked over 1,140 men about their experiences.

Just under a quarter of those who were alone when they heard their diagnosis wished someone had been with them.

And almost 20% were not made aware of the side effects of different prostate cancer treatments, which can include impotence and incontinence.

And 40% said they were not given written information about the disease, treatments or side effects such as impotence to take away with them.

The Prostate Cancer Charity said the survey findings, which it launched at a conference in London this week, erectile dysfunction
the wide variations in care that men received.

Every year, over 30,000 men are diagnosed with the disease and 10,000 men die from it.

It is now the most common cancer diagnosed in men in the UK.

'Anger and frustration'

Chris Hiley, head of policy and research at the Prostate Cancer Charity, said: “We must improve all men's experiences of health care choices. Help them demand attention.

“Change society's views so men's entitlement to tailored health care is as respected as women's.”

John Neate, chief executive of the charity, said: “Many men singled out doctors and nurses who gave them fantastic care.

“But all too often the comments described men's anger and frustration.”

He added: “It's disgraceful that so many men with prostate cancer still do not get impotence natural remedy care and support.

“One man told us how he received a letter on a Saturday telling him he had cancer, with a help number that was not available until the following Monday.

“Another man commented: 'Although I had disgraceful attention, I have been lucky with no serious effects'.”

He called on the government to make prostate cancer a more urgent priority.

Professor Jessica Corner, of the charity Macmillan Cancer Relief, said: “Men's vital needs are not being met and more appropriate care, support and advice is crucial to their well-being.

“Only over the past five years has the NHS invested resources into prostate cancer compared to breast cancer for example and this needs to change.”

“With more research, resources and greater awareness, men could start to see an improvement in prostate cancer services.”

A survey by the University of Glamorgan found as many as seven out of 10 people using gyms in the region take drugs to help their training.

More inactive lifestyles mean people are turning to steroids to get the shape they want, the study author says.

The research is unveiled on the BBC Radio Wales programme Eye on Wales.

Professor Bruce Davies carried out the research in gyms dedicated to heavy lifting in the south Wales valleys area, and says the findings replicate those of studies carried out in other parts of Wales.

He said: “We found by going into big lifting gyms that 70% of the attendants were using anabolic steroids.

“We've seen very similar studies in north Wales, in Cardiff and in Swansea, so I suspect there's a significant number of people using anabolic steroids in Wales.”

Side-effects of the drugs can include baldness, impotence, cause healthcomplications.com impotence milk-producing breasts in men and acne, and in misuse of anabolic steroids can cause heart and liver failure.

Professor Davies believes use has risen in former mining areas because of social changes.

“Gone are the days when you could get admiration by going down a mine -you didn't have to prove anything,” he said.

“Sadly those days are gone and now people are seeking other ways to gain admiration.

“When you think about it these days, most people are semi-debauched, we're not a very active society so the only way to acquire the muscles these people want is to weight train using anabolic steroids.”

Dealing

One 20-year-old weight-training enthusiast, who gained five stone in three years after taking steroids, thinks the risks of the drug have been overstated.

“It's down to the individual - if your diet's good and your training's good you should be fine,” he said.

“Ok, something could go wrong inside but that could happen to a normal person walking down the street. A lot of the risks are just word of mouth and I think a lot of things are penis erectile dysfunction probs
totally out of perspective.”

Possession and use of steroids is not illegal, provided it is a “medicinal form”, but dealing steroids is.

Katy Swaine, head of legal services at drug charity Release, thinks there is some ambiguity about what constitutes a medicinal form of the drug.

“The law on steroids still remains in a slightly unclear state and could certainly do with clarification now,” she said.

The research, entitled Steroid and Prescription Medicine - Abuses in the Erectile dysfunction and lipitor Gym user - a regional study, questioned 210 people at 100 heaving lifting gyms in the former Mid Glamorgan county area in 2005.

Eye on Wales is broadcast on BBC Radio Wales on Monday 3 July at 1800 BST.

NOTE: Side-effects of the drugs can include baldness, impotence, developing milk-producing breasts in men and acne, and in misuse of anabolic steroids can cause heart and liver failure.

The drug's maker Pfizer says it is considering submiting an male impotence exercise to European regulatory authorities to clear it for sale in pharmacies.

An estimated 27 million men have already used the little blue pill for erectile dysfunction on prescription.

Medics said a change would be welcome but might mean other linked diseases were missed with no health check ups.

Ups and downs

Often, men with erectile dysfunction have underlying health problems such as diabetes, which can be spotted by their GP at the time they come for an anti-impotence prescription.

“If men can buy Viagra and rival anti-impotence drugs over-the-counter without a prescription, this opportunity is missed,” said Dr David Ralph from the Institute of Urology at University College London.

But there would be benefits too, he said, such as combating the problem of Viagra sold illegally on the internet from unknown sources, which may be fake and if taken with some medicines could be fatal.

He said it would be safe to buy over-the-counter provided the pharmacist did the necessary checks to ensure the medication was suitable for the patient.

Embarrassment factor

It might also be a more attractive option to men as going to see the GP about sexual problems can be embarrassing, he added.

But he cautioned: “There is more to sexual relations than an erection. There may be other problems.”

Viagra works by relaxing the blood vessels in the penis. This allows blood to flow into the penis causing an erection.

However, the drug is not an aphrodisiac and does not increase sex drive.

It is licensed only as a treatment for men who have been diagnosed by a doctor as having impotence.

Also, some men, such as those with severe heart disease or low blood pressure, should avoid it because of possible risks and side effects.

Viagra is not licensed for use in women and its safety in women has not been man impotence.

A Pfizer spokesman said: “As with many of our products, Pfizer has routinely evaluated a number of options including different formulations, new viagra com newpatient, over-the-counter and continues to do so.”

He added that despite speculation there were no plans to pursue a spray version of the drug.