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Tell you doctor before taking Viagra Gold if you have heart problems, have high or low blood pressure, have liver or kidney problems, have a physical deformity of the penis or if you are taking another medicine to treat impotence. Notice that Viagra Gold should not be taken by women.



Contraindications

Do not take Viagra Gold if you take any medications which contain nitrates. It could cause heart attack or stroke. Viagra Gold should not be taken by children and women.



Possible side effect

The most common side effect are: diarrhea, flushing, headache, indigestion, stuffy or runny nose. Inform your doctor if you have such side effects as: allergic reactions like skin rash, swelling of the face, lips, or tongue, breathing problems, changes in hearing and vision, chest pain, irregular heartbeat, painful erection or which lasts more than 4 hours.



Drug interaction

You should not take Viagra Gold in the same time with such medications as: cisapride, methscopolamine nitrate, nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, nitroprusside, other sildenafil products certain drugs for high blood pressure, certain drugs for the treatment of HIV infection or AIDS, certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole, cimetidine, erythromycin, rifampin.



Missed dose

Pay attention to the dose if you wan to get a desired effect



Overdose

Do not exceed the recommended dose. In case of overdose contact your doctor immediately.



Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not allow children to take the medicine.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

Antibiotics

Antibiotics is one of most prescribed group of medications. Antibiotics are antibacterial (antimicrobial agents) that kills bacteria(bactericidal) or stop the growth of the bacteria(bacteriostatic action).

Antibiotics are used to treat bacterial infections and are not indicated for the viral infections. Currently there is a big variety of antibiotics available. All the antibiotics are divided into two main groups according to the action mechanism:

  • Antibiotics with bactericidal action(penicillins, cephalosporins, aminoglycoside)
  • Antibacterial with bacteriostatic action(macrolides, tetracyclines)

Penicillins and cephalospororins are the most prescribed group of antibiotics. They belong to half-synthetic beta lactam antibiotics. These antibiotics work by inhibiting the enzymes responsible for the production of peptidoglycan. Peptidoglycan is a biopolimer that is a main structural component of the bacterial cell wall. The blockage of peptidoglycan synthesis leads to the lysis of the microorganisms.

Another group of preparations are aminoglycosides. However, these antibiotics are prescribed in rare cases. The most of aminoglycosides possesses nephrotoxicity, ototoxicity and cab cause neuromuscular blockage. Bactericidal action of aminoglycosides is related to the interfering with the synthesis of proteins on the ribisomes in the microbial cells. When aminoglycosides are used with penicillins and cephalosporins the sinergism against gram-positive and gram-negative microorganisms is observed.

Among all bacteriostatic antibiotics macrolides and tetracyclines are the most indicated groups. Therapeutic effect of macrolides is associated with inhibiting the synthesis of proteins on the ribosomes in the microbial cell. As usual macrolides exert bacteriostatic action, however in high amounts are able to exert bactericidal action on some microorganisms. Besides antibacterial action, some macrolides possesses immunomodulatory and anti-inflammatory action.

Another group of bacteriostatic antibiotics are used less frequently as many microorganisms became resistant to the this type of antibiotics. Bacteriostatic effect of the tetracyclines is associated with inhibiting the synthesis of proteins. Tetracycline are indicated in clamydia infections, rickettsial disease, some zoonosis, severe acne.

Antibiotics are indicated and used only in the cases of the bacteria is sensitive to the antibiotics. There some specific tests like antibiogram that will help to determine the right antibiotic and corresponding dose.