Heart muscles require uninterrupted and sufficient supply of blood to pump blood. The coronary arteries which run along the surface of the heart, pick up oxygen-rich blood from the aorta and furnish the heart. In coronary heart disease, a combination of calcium, fatty material, proteins and inflammatory cells deposit along the inner walls of the coronary arteries. This leads to the formation of plaques. They differ in size. They are soft and spongy on the inside and hard on the outside.
Formation of plaques within the coronary arteries makes them narrow. This hinders smooth flow of blood through them and the heart does not receive adequate oxygenated blood. As a result, the heart muscle cells starve for oxygen and soon they start dying. This damage is permanent and can’t be reversed. The slowing of blood flow may cause angina or chest pain. If the plaques totally block a coronary artery, it may lead to a heart attack or a fatal rhythm disturbance (sudden cardiac arrest). Coronary heart disease is a major cause of disability and death.
A human heart is four-chambered that is it consists of four separate compartments: an atrium/auricle and ventricle on the right and an atrium/auricle and a ventricle on the left side of the heart.
Veins collect de-oxygenated or carbon-dioxide-rich blood coming from all the body parts and pour it into the right atrium. This blood then flows into the right ventricle, from where it is pumped to the lungs for purification. After purification, the oxygen-rich blood enters the left atrium. From there it flows into the left ventricle and is pumped at high pressure into the arteries. The entire process makes one heartbeat.
The pumping action of heart requires great energy in order to pump blood to each and every cell of the body. The heart muscles need to contract with great energy to keep the blood flowing throughout the body and for that, they must receive plenty of oxygen and nutrient supply coming via the coronary arteries. These arteries are usually quite flexible, elastic and strong.
There are 3 major coronary arteries, each one of them supplying different regions of the heart. The right coronary artery provides oxygenated blood to the right ventricle of the heart and a lower portion of the left ventricle. The left coronary artery supplies the left side of the heart. It is divided into LAD and LCX. The left anterior descending (LAD) branch furnishes the front part of the heart and the left circumflex (LCX) branch furnishes the left lateral and back side of the heart.
In children, the inner lining of the coronary arteries is very smooth and allows easy flow of blood. As a person ages, the cholesterol and calcium contents form plaque deposits along the inner walls of these arteries, making them thicker and less elastic.
As blood hits the plaques during each heartbeat, they may crack open. This promotes blood clotting. Blood clots may further decrease the blood flow, causing severe chest pain (angina), or complete blockage of the artery.
Coronary heart disease causes and symptoms
Coronary heart disease causes
Coronary heart disease can occur due to any problem with the coronary arteries which prevents the heart from getting sufficient oxygen- and nutrient-rich blood. Several factors speed up the deposition of fat and calcium along the inner lining of coronary arteries. This makes them thicker and less elastic. This is known as atherosclerosis and is the most common cause of coronary heart disease.
Atherosclerosis or narrowing of the coronary arteries obstructs and slows down the flow of blood supplying the heart muscles. This makes the heart muscles deficient in oxygen and nutrients. Lack of adequate blood is called ischemia, so coronary heart disease is sometimes called as ischemic heart disease.
There are several risk factors which are related to the cause of coronary heart disease. The following are the most common:
Inheritance or heredity: Coronary heart disease runs in the family.
Use of tobacco: This includes chewing tobacco and smoking any form of tobacco such as, cigarettes, cigars, pipes, etc.
High blood cholesterol: Variations in normal levels of cholesterol in the blood that is, high levels of low-density lipoprotein (LDL), the bad cholesterol, and low levels of high-density lipoprotein (HDL), the good cholesterol.
Hypertension or high blood pressure
Lack of regular exercise
Type A personality characterized by impatience, aggressiveness, competitiveness, etc.
Coronary heart disease symptoms
The common symptoms of coronary heart disease include:
Angina pectoris which is a condition in which chest pain arises due to exertion. It may be relieved by rest.
Shortness of breath on exertion
Pain in jaw, back or arms, especially on left side of the body, either during exertion or rest.
Palpitations which include irregular, rapid or strong heartbeats due to exertion, agitation or illness.
Light-headedness, dizziness, or fainting
Weakness on exertion or at rest
Arrhythmia or irregular heartbeat
The most devastating symptom of coronary heart disease is sudden and unexpected cardiac arrest. Cardiac arrest takes place when the heart stops beating, suddenly and without any warning.
Cardiac arrest usually occurs in people who have had suffered from heart attacks, but it may occur as the first symptom of coronary heart disease.
Most people display some symptoms or discomfort.
Symptoms generally occur while doing some activity or exercise. This is because the coronary arteries are blocked and fail in meeting the increased demand for nutrients and oxygen by the heart muscles.
When to seek medical care?
Inform your healthcare provider if you notice any of the following symptoms, which suggest angina (chest pain):
Chest pain, fullness, pressure or a feeling of indigestion after physical exertion, which may not be relieved by rest
Pain in shoulder or arm involving left, right, or both sides during physical or mentally stressful activity
Pain in jaw which is unexplained by another cause like, a sore tooth
Shortness of breath after exertion or walking uphill
Fainting spell which lasts for a few seconds to a few minutes. It happens when the brain doesn’t get sufficient oxygen.
unexplained vomiting, nausea or, sweating
Dizziness or light-headedness
The most important factor is time. Each year thousands of people die because they ignore these symptoms and do not seek medical attention on quickly. This may prove to be the difference between life and death.
The most common symptoms of heart attack are as follows:
Continuous or prolonged chest pain, chest pressure, or a feeling of heartburn
Pain in shoulder or arm (left or right) or abdomen. It doesn’t go away on it’s own.
Shortness of breath after minimal activity or while resting
Unexplained, excessive sweating, nausea, or vomiting
Recurrent chest pain or uneasiness at rest
Exams and tests
The symptoms of coronary heart disease are uncertain which means they can be caused due to many different conditions. During diagnosis, your healthcare provider will ask you questions about your symptoms, the medications you take, your general health and specific medical problems and, your medical and surgical history. He will also do a physical examination, blood test, an ECG or electrocardiogram, lab tests and imaging tests like X-ray or CT scan.
Blood tests are done to check your blood cells, the chemical composition of your blood, etc. to predict a heart attack.
ECG is a painless test which is done to determine the electrical activity of the heart. The test gives clues about the underlying cause of cardiac symptoms.
Chest X-ray can show abnormal changes in the size or shape of the heart.
If you are diagnosed to have angina symptoms or your healthcare provider infer that you have a coronary heart disease, you may have an exercise (treadmill) stress test. In this test, ECG tracings are measured before, during and, after stressing the heart by exercise. The accuracy of this test is 60-70%.
If a blockage is found in the coronary arteries then, you may undergo a nuclear (radionuclide) stress test. This test uses a radioactive tracer to identify the quantity of blood flowing into different parts of the heart muscles. This test is expensive but it’s quite successful.
More exams and tests
Echocardiography is based on SONAR (SOund Navigation And Ranging) technique. It uses sound waves to create an image of the heart as it beats. The movements of the ventricular walls are compared when at rest and stress. The heart can be stressed either by exercise on a treadmill or by administration of a drug. The motion of the walls drops during stress if the coronary artery supplying that part of the heart is severely blocked.
Electron beam CT scan
Electron beam CT scan is a non-invasive method and does not require introduction of instruments into the body. It measures the amount of calcium deposited in the plaques of coronary arteries. It can detect blockages of only 10-20% of an artery, which may not be visible in other tests.
Coronary angiography by cardiac catheterization is the best way to estimate coronary heart disease. It is an invasive test as it requires a long, thin plastic tube (catheter) to be threaded into the opening of your coronary arteries from a blood vessel in either your groin or your arm. It is the only test that helps a cardiologist know whether to treat you with a by-pass surgery, stent placement, a less-invasive technique like, angioplasty or just medications.
Medical Treatment: Medications
Treatment for coronary artery disease aims towards balancing blood supply to the heart with heart oxygen demand and preventing further damage. Following are the medications which are effective in the treatment of the disease and should only be taken on a doctor’s prescription:
Aspirin: Aspirin is a blood thinner. It reduces the possibility of clot formation in the coronary artery and thereby, prevents a heart attack. The common side effects of aspirin are ulcers and bleeding problems.
Beta-blockers: They help in reducing the heart’s demand for oxygen by decreasing the heart rate and blood pressure.
Nitroglycerin: It reduces the heart’s oxygen demand and also increases the oxygen supply by dilating the coronary arteries. This is how it brings relief from chest pain.
Calcium channel blockers: They improve blood flow in the coronary arteries by causing dilation in them. They also lower blood pressure and slow heart rate.
ACE inhibitors: Angiotensin-converting enzyme or ACE inhibitors work by dilating blood vessels, increasing blood flow. They are very useful in people with diabetes and those with weakened heart muscles.
Statins: These drugs work by reducing the amount of cholesterol and other fats in the blood. This lowers the chance of plaque formation in the lining of the blood vessels and thus, reduces the progression of coronary heart disease. They prevent repeat heart attacks.
Medical Treatment: Invasive Procedures
When medical treatment is not enough for the worsening symptoms of angina, you may need an invasive procedure to clear the blocked artery. These procedures are complicated and are performed by a cardiologist.
Coronary heart disease (CHD) is a disease in which a waxy substance called plaque build up in the interior portion of the coronary arteries. These arteries deliver oxygen-loaded blood to your heart muscle. When plaque builds up in the arteries, the condition is called atherosclerosis. The build-up of plaque occurs over many years.Over time, plaque can thicken or rupture. Hardened plaque narrows the coronary arteries and reduces the flow of oxygen-loaded blood to the heart.
If the plaque ruptures, a blood clot can form on its surface. A large blood clot can mainly or completely block blood circulation through a coronary artery. Over time, ruptured plaque also hardens and narrows the coronary arteries.If the flow of oxygen-rich blood to your heart muscle is reduced or blocked, heart attack or an angina can occur.
Angina is chest pain or distress. It may experience like squeezing and pressure in your chest. The pain also can take place in your shoulders, arms, neck, jaw, or back. Angina pain may even feel like indigestion.
A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle is cut off. If blood flow is not restored quickly, the section of heart muscle begins to expire. Without immediate treatment, a heart attack can lead to severe health problems or death.
Over time, Coronary Heart Disease CHD can weaken the heart muscle and lead to arrhythmias and heart attack. Heart failure is a condition in which your heart can’t supply an adequate amount of blood to meet your body’s needs. Arrhythmia is an inconvenience with the rate or rhythm of the heartbeat.
Home remedies for coronary heart disease
Garlic: Several studies have found garlic to be beneficial for the condition like coronary heart disease, high cholesterol and, high blood pressure. Garlic improves circulation and has antithrombotic and antiplatelet aggregatory effects.
Eat one or two freshly crushed garlic cloves daily. If you find the taste too strong, drink a glass of milk after eating the garlic.
Turmeric: Turmeric can help prevent atherosclerosis. Turmeric has an active ingredient called curcumin that helps maintain heart health by reducing cholesterol oxidation, plaque build-up and clot formation.
Use turmeric regularly in your cooking.
You can also boil one teaspoon of turmeric powder in one cup of water or milk. Drink it once or twice daily for several weeks to a few months.
Alfalfa has been found to be beneficial in preventing cardiovascular problems as it helps reduce cholesterol levels and plaque build-up.
Alfalfa tea or juice extracted from its leaves is so good to drink it for few times a day for a few months.
Arjuna: Arjuna is an important Ayurvedic herb for heart conditions. It is known as a natural cardio-tonic and cardiac restorative. The herb strengthens the cardiac muscle, decrease arterial congestion.
Add one-half teaspoon of Arjuna tree bark powder and a little honey to a glass of lukewarm water. Drink this two times daily for a few months.
Conclusion: you can follow the tips for the natural treatment of coronary heart disease and in the case of emergency you can call your doctor immediately.
If you are ready to stop smoking, the good news is that many options are available to help you. Using medications to quit smoking can significantly improve the chances of your success.
This guide is for smokers who want to quit smoking and do not want to smoke even in future. It doesn’t matter how much you have smoked or how long you have been smoking, how many times you have tried stopping and returned to smoking, this information sheet can help you guide the right way to quit. This information sheet will provide you complete information about the best medication that can help you stop smoking.
The medications can help relieve withdrawal symptoms and fight cravings. With the help of anti-smoking drugs, you will be less likely to relapse, and your chances of quitting will increase. One of the reasons quitting smoking is tough that tobacco products are composed of an additive agent called nicotine. Medications help you get rid of nicotine withdrawal symptoms in your quitting process. The symptoms of nicotine withdrawal that a smoker may experience include anger, irritability, depressed mood, headache, anger, frustration, restlessness, cravings for cigarette smoke, trouble sleeping, problem concentrating, etc.
Champix for smoking cessation
The pharmacological treatments to stop smoking have been proven effective. Ideally, the medications must be used along with smoking cessation support to increase the success rate. Champix is one of the medications, which is clinically approved for those 18 years of age and older. The anti-smoking drug is available on prescription and is widely used by smokers all over the world. It is available in pill form to help an individual get rid of smoking. Champix is composed of Varenicline as the active ingredient. It is a pill that you need take once a day. The active ingredient of the medication acts by blocking the areas of the brain that are affected by nicotine. One needs to start the treatment about 7 to 10 days before your quit date. Initially, your health care provider will ask you to take a smaller dose for a few days then may increase your dose. The treatment must be continued for 12 weeks. If you become successful in quitting at 12 weeks, you can continue the treatment for an additional 12 weeks as a maintenance therapy.
Many people around the world have quit successfully with the anti-smoking drug. However, some may have experienced unwanted effects with this medication such as nausea, vivid, and vomiting, etc. The side effects associated with the medication are not the severe ones; they usually disappear after some time. But if you have any kind of renal impairment, talk to a healthcare specialist before taking the medication. People using Varenicline should be aware that the medication may also cause you to have suicidal thoughts, agitation, and depression. Individuals using this medication are also advised to not involve in driving or operating heavy machinery until they how this medicine will affect them.
Important information about Varenicline (Champix)
Do not take Champix if you have a serious allergic reaction to it. A skin reaction can happen and can harm you. Stop taking the medication and get the medical attention right away if you develop trouble breathing, rash, peeling of the skin, blisters in your mouth or swelling of the face, throat or neck.
HCG, also known as Human chorionic gonadotropin is an injection to enhance the fertility of a woman’s ovary. It is also given to men who are suffering from a lower sperm count. If you are prescribed with HCG, then you can buy it online and treat infertility issues by taking it according to the advised dosage regularly.
HCG Injection Online
People are always looking for the cheap and easy way to do things. But when you purchase a hormone that you need to inject directly into your body, you may not want to make your decisions about where to buy HCG shots solely on price. There are other factors too, that you need to consider while buying an HCG injection.
HCG injection is a pharmaceutical medication that legally requires a medical prescription to be dispensed. Human Chorionic Gonadotropin is produced in the body of a woman to prepare the body for pregnancy. The shots are given to patients who need to treat their fertility issues. The injection helps with hormone optimization and a perfect option for patients who are suffering from endocrine disorders.
Buy HCG shots online in the USA
For anyone in the USA who is looking to buy HCG online, there are a few precautionary measures that one must take into consideration to ensure that you are purchasing the genuine and original drug. Make sure that you are good medical grade injections. Since HCG only stays good for about 25 to 30 days once mixed, therefore the medicine should be shipped in its powder form. One will need to mix the HCG at home.
Always look for the website if it is secure and safe. Always ensure that the specific site of your choice has working contact numbers, email, and fax. Moreover, check whether they are shipping your order from the correct origin of country. Check if the online pharmacy you are ordering from follows secure payment processes and has less negative reviews online. There used to be several drug stores that met the criteria given above. However, there is a one trusted online drugstore that has all the qualities given above and is named as premiumrxdrugs.com. This online drug store is set up to help you through the whole process and is one of the best online drugstores.
The correct way to use HCG
HCG Is given in the form of injection which is infused into the muscle. Once you are prescribed with HCG dose, you can either take it in your physician’s place under his/her guidance or inject at home. However, you must always ask your physician to train you before starting the treatment with HCG shots. Also, make sure that you are getting the right amount of dosage that is mentioned by your physician on your prescription paper. Strictly avoid using the injection if you have any doubts or are confused about how to use it. After, using don’t forget to dispose of used syringes and needles. Make sure that you visit your physician’s clinic for regular check-ups while you are the HCG medication. Regular checkups help your physician to understand your condition so that he/she will be able to decide whether to continue the dose or alter it. Don’t worry if you miss a dose and continue with the next dose. But informing your physician about the missed dose is a must. Avoid injecting it more than the prescribed amount.
Tenvir EM is an anti-viral medication, especially discovered for the treatment of patients who are suffering from human immunodeficiency virus (HIV). It is a combination drug which includes two antiretroviral agents, namely Tenofovir disoproxil fumarate and Emtricitabine.
How the combination drug works?
The combination medicine comes in the form of a tablet. This antiviral tablet works by inhibiting the action of the viral-specific enzyme reverse transcriptase, which is required by the virus to reproduce. The medication is helpful in preventing the multiplication of HIV in the patient’s body, thereby stopping HIV from producing new viruses. Patients who have been using this combination drug should be aware of the fact that these tablets do not cure HIV or AIDS but only used to slow down the reproduction process of HIV within the patient’s body. The drug is also effective in preventing or spreading of this infection to others.
Tenvir EM dosage
A treatment plan for HIV requires at least three different antiviral agents to fight against the virus. Tenvir EM contains two different medicines so will always need to be taken along with a with another anti-retroviral agent to reduce slow down the progression of the disease. Your healthcare specialist will provide you with a complete treatment plan including dosages.
Before beginning treatment with the antiretroviral drug, make sure that your health care provider is aware of a health condition called hepatitis B, nay renal impairment, or any bone abnormalities. A patient who is prescribed this drug must take this medicine daily for as long as advised by your health specialist. Also, do not stop the treatment yourself without discussing with your healthcare provider.
For most people, for slowing down the process of replication of HIV in the body, a single pill is taken orally with a glass of water, at the same time daily before or after consuming food. Since this antiviral medication is said to cause renal insufficiency with a creatinine clearance of 30 to 49ml/min should only consume one tablet every 48 hours. Patients with a creatinine clearance of less than 30 ml/min should avoid taking Tenvir EM at all. One can discuss with his/her health care specialist for more information.
If you are looking to buy Tenvir EM to slow down the replication of the virus in the body, then buying from an online pharmacy is a great way to save a considerable amount of money. One can buy Tenvir EM online at an affordable rate from premiumrxdrugs.com. Here, the combination drug comes in the package of 30, 60, and 90 tablets. Each tablet delivers 300 mg of Tenofovir disoproxil fumarate and 200 mg of Emtricitabine in HIV patient’s body. Store the tablets at room temperature and avoid using it if the seal on bottle is broken or missing.
Side effects associated with Tenvir EM
Most commonly reported side effects of Tenvir Tenofovir and Emtricitabine include nausea, dizziness, trouble sleeping, abnormal dreams, fatigue, depression, constipation, and stomach pain. Lactic acidosis is a more serious and a less common side effect of this antiviral medicine. Lactic acidosis occurs when there is excess lactic acid in a patient’s blood due to living damage, which results in liver failure or renal failure.
Tenvir EM Should not be given to patients who are lactose tolerant or allergic to any of the ingredients of the medication. Furthermore, a patient should disclose if he/she has conditions like obesity, a history of kidney problems, hepatitis or alcohol abuse to make sure the correct dose adjustment is made to your treatment regimen. A patient is instructed to follow his/her health specialist’s direction carefully while taking medicine.
Sildenafil citrate 100mg is a prescription drug used for the treatment of erectile dysfunction or ED, a sexual condition that means you can’t get or keep an erection. The medication falls into the category of pharmaceutical agents known as phosphodiesterase (PDE) inhibitors. It exerts its mode of action by increasing the blood to the nerves that surround the penis. The pharmaceutical agents have been sold under various brand names including
.Use only the brand of the medicine that your health specialist prescribed. Different medicine brands may not work the same way for your condition.
Dosing schedule for men
The dose of Sildenafil citrate will be different for different patients. You must follow your health care provider’s advice or the directions given on the label of the medicine. The guide includes only the average doses of this ED drug. If you find your dosing schedule is different, please do not change it unless your health specialist tells you to do so. Always listen to your health specialist while undergoing any medical treatment. The amount of the ED medicine that needs to be taken always depends on the strength of the medicine, as well as the number of doses that you consume every day. Moreover, the amount of medicine also depends on an individual’s medical condition for which you have been prescribed the medicine.
Most men start the treatment by taking one tablet of 50 mg. Your treatment will depend on how you react to this dose, your health specialist may then adjust your dose down to 25 mg or can increase up to 100 mg to achieve complete results.
To treat erectile dysfunction:
In adults, up to 65 years of age- The recommended dose of Sildenafil citrate is 50 mg once a day, one hour before initiating sexual intercourse. As an alternative, one can also take medicine 30 minutes to 4 hours before sexual activity. If there is a requirement, your health specialist may adjust your dose.
In adults over 65 years of age- 25 mg is a regular recommended dose. It must be taken once a day one hour before sexual intercourse. Your health specialist can make dose adjustments according to the patient’s condition. Its use in children is not recommended; therefore it should not be given to kids to treat ED.
An individual taking ED tablet can either take it with food or without food, but it is known to work faster on an empty stomach. Otherwise, the medication takes a long time to start its mode of action if you take it just before consuming or after eating food. Swallow the tablet with a glass of water. Make sure that you do not take the tablet more than once in 24 hours. It will be best to avoid alcohol consumption if you are going to take the medicine. Alcohol consumption can reduce the ability to get or maintain an erection.
Erectile dysfunction (ED) is a sexual condition that many men will end up suffering at some point in their lives. If you are amongst those, then you must aware of the fact that ED may be a sign of a more serious health condition such as a heart problem or diabetes mellitus and these health complications warrants a visit to your healthcare specialist. Especially in younger men, something very simple triggers the condition. Sedentary lifestyle habits such as smoking cigarettes, excessive drinking, and stress, all these have been known to trigger sexual dysfunction. Clinical experts have tackled the issue and have come up with some effective pharmaceutical drugs such as sildenafil citrate, tadalafil, and vardenafil to treat ED. While there are many herbal remedies that a man can use to reduce ED symptoms. If you want to prevent this sexual disability or your condition is not too severe, you can use the home remedies that are mentioned below. With these natural ways to treat your erection issue, you can easily apply them at home. These are may time consuming but are very effective in gaining a harder erection that is enough for sexual intercourse. It is now time to find out some best home remedies for ED.
True home remedies for ED
If you have decided to treat your ED symptoms with natural ways, it is important to understand how an erection is achieved in the first place. Once your brain is stimulated, it sends signals to the nerves that surround the penis and is vital for maintaining a penile erection if these nerves are not working in a proper manner then achieving and maintaining an erection is a difficult task. On the other hand, if these nerves are stimulated, blood flows into the shaft, causing the penis to become hard and erect.
Here are some natural ways that can help repair and restore your nervous system
Exercise can reduce some of the ED symptoms by reducing stress. Regular physical activity helps you lose weight and increases blood flow throughout the body. You can also play sports to relieve stress and to train endurance. It is an effective remedy for ED. Sports such as swimming and jogging are a good choice for people with erection problems.
Keep your body hydrated by drinking plenty of water. Dehydration can severely affect the body functions and can cause many health complications including ED. Therefore, it is necessary to drink eight glasses of water to provide enough water in the body, to circulate essential nutrients to each and every part of the body.
Involve in sexual activity- Having sexual intercourse regularly will help you keep reduces stress from your life by keeping your mind relaxed. This will allow you to get sexually stimulated and help correct erection issues.
The next easy and effective remedy for ED is figs. This fruit contains calcium, manganese, iron, chlorine, potassium, sodium, phosphorous, vitamin A, B1, and B2. Figs help to enhance sexual ability by stimulating the nerves in the penis, making it harder and erect enough for sexual activity.
Sildenafil citrate is a pharmaceutical medication used to treat erectile dysfunction (ED). It is categorized under the group for medicines called phosphodiesterase 5 (PDE5) inhibitors. The medicine that comes under this category prevent an enzyme called phosphodiesterase type 5 from working too quickly, In men, the penis is one of the areas where this enzyme works.
ED and Sildenafil Citrate
Erectile dysfunction or ED is a sexual disability where the penis does not get erect or hard enough when a man is sexually aroused. In this condition, a man is not able to erection and if he achieves, he is unable to maintain it to perform a sexual act. When a man is sexually stimulated, the normal response of the body is that the blood flow increases in the body, including the penis (men reproductive organ) to produce an erection. Sildenafil helps to maintain an erection after the penis is stroked. If you are not sexually aroused, the medication will not work to cause an erection.
Usage information for Sildenafil
The medication is available as tablets. Use it exactly as directed by your healthcare provider. You are not allowed to take more tablets or taking more often than your health specialist ordered. In case of excess consumption, the chance of adverse effects increases. However, the medication always comes with special patient’s instructions. After buying the drug, what you all need to do is read the directions carefully before taking it and as well as each time you get a refill of your medicine. You may consume the tablet before or after eating food.
While deciding to use the medication, the risk and benefits must be considered. This is a decision you and your health specialist will make. For this erectile dysfunction drug, the following should be considered:
Inform your clinical expert if you have ever had an allergic reaction to this drug or any of its ingredients. You must also tell your health specialist if you have any other types of allergies, such as dyes, animals, foods, or preservatives.
The pharmaceutical agent should never be used in children. Moreover, appropriate studies performed to date have not demonstrated any health complications that would limit the use of this ED drug in the elderly patients. However, older patients are more likely to develop age-related health issues such as hepatic impairment, renal problems, or heart issues. This may require caution and a dose adjustment for patients receiving Sildenafil citrate 100mg . Erectile dysfunction is a sexual condition that many men will end up suffering at some point in their lives.
Using other medications like atazanavir, darunavir, amprenavir, indinavir, cobicistat, isosorbide dinitrate, indinavir, boceprevir etc. are not recommended along with Sildenafil citrate. Your healthcare provider may decide not to treat you with this medication or change some of the other drugs you take. you can buy Kamagra 100mg contains Sildenafil Citrate online from premiumrxdrugs.com at the low price
Lifestyle changes are important to improve your cholesterol level. To bring your numbers down, lose excess weight, eat healthy foods and increase your physical activity. If you smoke, stop smoking.
Eat heart-healthy foods
What you eat has a straight impact on your cholesterol level.
Choose healthier fats –Saturated fat and trans fat elevate your total cholesterol and LDL cholesterol. The most widespread sources of saturated fat in the diet are processed meat, red meat, and dairy products that are not fat-free. Monounsaturated fat — found in canola and olive and oils — is a healthier option. Almond, pecans, Avocados, and walnuts are other sources of healthy fat.
Avoid trans fats –Trans fats, which are often found in margarines and commercially snack cakes, crackers and baked cookies, are particularly bad for your cholesterol levels. Not just trans fats raise your total LDL (“bad cholesterol”), but they also lower your HDL (“good cholesterol”).
Select whole grains –Various nutrients found in whole grains support heart health. Choose whole-grain pasta, whole-wheat bread, whole-wheat flour and brown rice. Oat bran and oatmeal are other healthy choices.
Stock up on fruits and vegetables –Fruits and vegetables are loaded in dietary fibers, which can help lower cholesterol. Snack on seasonal fruits. Experiment with vegetable-based casseroles, soups and stir-fries.
Eat heart-healthy fish –Some types of fish — such as tuna, cod and halibut — have less total fat, saturated fat and cholesterol than do meat and poultry. Mackerel, salmon and herring are loaded in omega-3 fatty acids, which help in support of heart health.
Lose extra pounds
Excess weight contributes to elevated cholesterol. Losing 5 to 10 pounds can help lower entire cholesterol levels initially. Start by taking a direct look at your eating habits and daily routine. Consider your challenges to weight loss — and ways to overcome them. Set long-term, sustainable goals.
Normal exercise can help improve your cholesterol levels. Do up to 20 to 60 minutes of exercise every day. Take a quick daily walk. Ride your bicycle. Swim laps. To maintain your motivation, keep it fun. Some exercise is much better than no exercise.
If you smoke, stop. Cigarette smoking enhances the risk of heart disease, lung cancer because it damages your blood vessels and speeds up the accumulation of plaque within arteries.
The similar heart-healthy way of life changes that can lower your cholesterol can help prevent you from having high cholesterol in the initial place. To control high cholesterol, you can:
Eat a low-salt diet that includes lots of vegetable, fruit and whole grains
Limit the amount of animal fats and use high-quality of fats in moderation
drop extra pounds of excessive weight and maintain a healthy weight
Quit smoking. Do not smoke
Exercise on most days of the week for at least 20 minutes
If you are an alcoholic Drink alcohol in moderation.
The control of high blood pressure involves 2 major options, modification in everyday life and medication.
Lifestyle Modifications to deal with High Blood Pressure
Plan for a healthy weight range for your height and body type. Your health care specialist can help out you to calculate a healthy target weight.
Even a minute amount of weight loss can make a most important difference in lowering or preventing high blood pressure.
You must burn extra calories than you take in to lose weight.
Crash or fad diets are not helpful and may be dangerous.
Some weight loss medications also carry foremost risks and may even raise blood pressure, and great concern is advised in using these drugs. Please enquire your health care specialist or pharmacist for help in deciding if a weight loss medication is suitable for your situation or not.
Exercise or Increase Physical Activity:
Physical activity reduces full amount of cholesterol and bad cholesterol (low density lipoprotein) and raises the good cholesterol (high density lipoprotein).
Do 30 minutes of physical activity on most days of the week.
Physical activity includes many daily activities such as raking the lawn cleaning the house, and walking. Other likely sources of activity can include using the stairs instead of an escalator or elevator, walking for everyday jobs instead of driving a car, and participating in a sport or social activity such dancing.
You can also reduce high blood pressure with normal home remedies:
Lemon helps to maintain blood vessels soft and flexible and by removing any inflexibility, high blood pressure will be reduced. In addition, you can help lower your chance of heart failure by consuming lemon juice on a regular basis, due to its vitamin C content. Vitamin C is an antioxidant that helps to deactivate the destructive effects of free radicals. Basically, drink a cup of warm water with the juice from half a lemon added to it each morning on an empty stomach. For best result, do not add salt or sugar.
2. Watermelon Seeds
Watermelon seeds full of a compound known as cucurbocitrin, which helps diluting the blood capillaries. At the same time, it also helps recover in kidney’s functioning. This in turn reduces blood pressure levels and also helps a lot with arthritis. Watermelon can help lower blood pressure due to its vasodilatory effect.
Grind equal quantities of dried watermelon seeds and poppy seeds. Take 1 teaspoon of this mixture in the morning on an empty stomach and once more in the evening.
Quite a lot of studies have established blood pressure lowering effects of garlic. Both uncooked and cooked garlic help control high blood pressure and at the same time decrease cholesterol levels. Garlic helps relax blood vessels by exciting the production of nitric oxide and hydrogen sulphide.
Eat one or two crushed garlic cloves daily. You can basically crush them with your own hands. Crushing garlic cloves creates hydrogen sulphide, a compound that promotes high-quality blood flow, removes gas and reduces the pressure on the heart. If you do not like eating uncooked garlic or if it causes a very strong burning sensation, then take it along with a glass of milk.
4. Coconut Water
People with high blood pressure must keep their self well hydrated. It is an excellent idea to drink eight to 10 glasses of water daily. Coconut water is particularly useful for lowering blood pressure. Coconut water, being rich in potassium, magnesium and vitamin C can help reduce systolic blood pressure. Also with coconut water, you can also use coconut oil when cooking.