Today online pharmacy shopping is one of the most demanded online spheres. It is because online pharmacy can be called “problem free” shopping comparing to offline drugstores.

You can ask why we need online pharmacy when there are so many pharmacy stores next to your house. But there are many pros with online pharmacy shopping.

First of all you do not need any medical prescription to buy something from online pharmacy. It does not matter, do you have a head ache or some sexual problems or you want to lose your weight… you can find any kind of pills in the online pharmacy store. So, now you can save hundred dollars on doctors visiting to get some prescription.

Also you can save much more money with online pharmacy because all prices in the online stores are at least twice cheaper than in your local pharmacy stores. If you do not trust us, just visit your local pharmacy and compare their prices to our online pharmacy prices. Now you can pay only for the pills itself, no extra cost added when you buy with online pharmacy. All your favorite pharmacy brands at discount prices in one online pharmacy store.

One more great advantage that you can get with online pharmacy shopping – is confidentiality!!! Many people prefer not to tell about their health problems to their friend, relatives, neighbors… but when you visit local pharmacy to get some medicines you can meet some friends… but when you order with online pharmacy you’ll get the package and nobody will know what is inside: Viagra, other pills that prevent erectile dysfunction, some medicine that helps to lose weight, some medicine for your hemorrhoids…

Our online pharmacy store offers any kind of products, such as health, beauty, wellness, personal care and pharmacy products. Online pharmacy also gives you an opportunity to enjoy your favorite brands and special medicine even when you abroad and can not find special medicine in the local stores. Just visit our online pharmacy store and in a few days or less you’ll get medicine that you need. 

Online pharmacy shopping is very easy because we offer different payment and delivery methods to our clients. One more online pharmacy shopping advantage is its working time; our online pharmacy always opened 24/7.

The only thing that you should always remember buying from online pharmacy is that you have to read medical descriptions carefully to make sure that this or that medicine is exactly what you need. You can check some other customers’ reviews about drugs and about companies that produce these or that drugs, so you can choose the best one. It should be mentioned that our online pharmacy store cooperate only with reliable suppliers, so all our medicines are high quality only.

How can take Viagra, how to buy Sildenafil (Viagra) online?

 

 

Sildenafil (Viagra)

Viagra was a major breakthrough for patients and doctors living with and managing erectile dysfunction, but it does not suit or help everyone with erection problems. When there is sexual stimulation, be that by touch, or sight, or smell, or whatever turns a man on, this is perceived by a certain area in the brain and then a cascade of chemical 'messengers' is sent out, which leads to the blood vessels supplying the penis opening up. One of these messengers is called 'cyclic GMP', and it is broken down by an enzyme called 'phosphodiesterase'. The medications such as Viagra, Levitra or Cialis work by blocking this phosphodiesterase and thus leading to an increased period where the blood vessels will be dilated. The way the drug works is very important for men regarding how it is used. It is only effective when there is sexual stimulation! The drug will not be successful if there is no stimulation, i.e. a man takes the medication and then awaits an erection before attempting any sort of sexual contact Many men claim that Viagra has failed for them because they have either taken it at too lower a dose, or not often enough, or they have taken it without any sexual stimulation.

At present Viagra is taken orally (by mouth) and, because of the relatively slow digestive process, it may be an hour or two before the drug produces its effects - certainly an issue in planning for sex. It affects not just the penis, but potentially could affect other parts of the body. As with most drugs, not everyone will benefit, although Viagra has been found to produce firmer, more frequent and longer lasting erections in the majority of men who have taken it Doses are 25,50 and 100 mg, taken 1 hour before sexual foreplay, and its effect lasts for 2-3 hours. Oral therapy is now prescribed in over 90% people with ED, and studies are showing that 70% of these achieve satisfaction. In one study of couples, where 87% of the men rated Viagra as 'somewhat satisfactory to very satisfactory', nearly 30% of their partners considered the treatment 'unsatisfactory', mostly because of their own lack of sexual interest

We get many questions about this drug. Some of its attributes are listed in the box.

All the junk email I get on my email account tells me that I can buy stuff from the USA that will work straight away. Is there an immediate-acting tablet?

At present, no there is not. Tablets that are taken under the tongue, or potentially in the future by nasal spray, will get into the bloodstream and act faster than tablets that are taken by mouth and swallowed, which need to be absorbed into your bloodstream to work.

All of the tablets that are presently licensed and indeed will be licensed in the near future require you to be sexually stimulated to work. The gap phase between taking a tablet and an erection developing would therefore be valuable for you and your partner to engage in the sort of foreplay that makes you both ready to enjoy making love.

Viagra sounds the perfect solution to my problems, which have affected my relationship with my new partner. How often can I use Viagra?

The recommended frequency of taking tablets is not more than once every 24 hours. There is no restriction on how many times a week you could use Viagra, but if you are getting it on the NHS, most GPs will limit their prescribing to one tablet per week as this is the recommendation in Schedule 11. You might find that, after using Viagra successfully to help you get an erection, your erections can also be better the following day. This could be a direct effect of the drug, but could also be due to the tissues in your penis being enlivened by getting a good supply of oxygenated blood in them.

I like to go out to dinner with my wife on Friday nights and have a Chinese meal. Can I take Viagra after a large meal? Would this be safe or sensible?

Taking Viagra after a large meal will slow the absorption of Viagra. What this means is that you may find that the Viagra does not work at all for you, or that it works much slower than it would have done had you taken it on an empty stomach, or after a light meal. In other words, it is safe in that it will have no harmful effects, but it is not sensible!

I am keen to get my love life as good as it was before we had kids, but do not want to go mad, as I have a demanding job. What dose of Viagra will I need?

The effect of Viagra does seem to improve the higher the dosage taken. The maximum dose is 100 mg. You might find that the dose of Viagra you need is dependent on other factors present at the time of intercourse, such as tiredness and stress. If you are unhappy with the first dose you are prescribed, visit your doctor again to discuss whether you could try a higher one.

I have seen the effect of Viagra on my husband, but do not feel stimulated myself. Could I try one of his Viagra tablets. Could women benefit from Viagra as well?

During foreplay and intercourse there are some very similar processes happening in women to those in men, so in theory Viagra could help to enhance sexual response, but so far there have been few studies of women while taking the drug. Women might feel that this shows a very particular gender bias in the testing of such drugs, but at the moment it is not licensed for women!

Viagra appears to improve the blood supply to the whole genital area. With sexual stimulation, this will lead to blood flowing into your clitoris and vulva and potentially make your vagina more slippery (better lubricated). This allows some women to enjoy sexual activity more; however, the majority of women with desire or libido problems don't appear to be helped. Further research in this area is going on and new results become available all the time. If you are interested in the treatment of Viagra in women, discuss this with your doctor or nurse.

There have been other reports of successful pregnancies in women taking Viagra, who were previously unable to have babies. Viagra may cause the lining of the womb to thicken from better nourishment from the bloodstream.

I am not well off, but should like to try Viagra to see if it will help our relationship. Will I have to pay for a private prescription?

Yes, if you don't conform to Schedule 11. A private prescription means that you will have to pay for the cost of the drug, plus whatever sort of percentage increase the pharmacy will put on the medication. Prices charged by retail pharmacies can vary greatly and it would be worthwhile asking your doctor if they know where the cheapest pharmacy is, or ringing round yourself, including the big retail chains. The prescription from the doctor won't cost you anything - the cost for the chemist lies in getting the drug privately rather than on the NHS.

I have a spinal cord injury and I am experiencing difficulty in achieving and maintaining an erection because of the effects of my injury. Will Viagra help improve my erections?

Viagra has been reported as being well tolerated and is effective in 45-60% of men suffering from spinal cord injury (SCI). As long as you are not taking any nitrates, there is no reason why you cannot take Viagra, but discuss treatment options with your GP. The side effects of taking Viagra are the same as for men who don't have a SCI (see section below). You may find that the results from Viagra are not as good as other treatments, such as injection therapy, for improving your erections, but this will dependant on your SCI.

Since having a spinal cord injury, I have had poor erections and Viagra didn't help improve them. Are there any other medications that will help?

Don't despair - there are other drugs available to treat ED such as Cialis, Levitra, Uprima (discussed in the following sections), MUSE, injections and vacuum therapy devices.

I had a car accident, which damaged my back and I'm now in a wheelchair. Could Viagra help me?

Yes. There have been a few studies of Viagra in people with nerve damage. In people with spinal cord injury, the majority had improved erections and preferred Viagra to 'placebo' (where there was no active-ingredient tablet taken). In a study of people with MS, Viagra improved the erection and side effects were mild to moderate. They felt that sex life was considerably better. So, yes, in your case, you should try consulting your GP, who may well prescribe it for you, and see if it improves your sex life.

I am 25 and have MS. I've read in the MS magazine about Viagra for men's impotence recently. Could that help me sexually?

There has been an enormous amount of publicity about Viagra in recent months, and the ways in which it may transform men's sex lives. Fortunately for many men with erection problems, caused by nervous system damage in MS, it may indeed offer some help.

Essentially Viagra acts on blood supply problems in MS and other similar conditions, by helping the penis to fill with blood. Even where nervous system damage is substantial and where erections are very difficult to obtain and sustain, Viagra might be able to help. As many men with MS are younger than those in which side effects with Viagra have happened, there should be fewer problems amongst your age group.

Note that, because of the cost of the drug, and the anticipated large demand for it, the Department of Health has been extremely circumspect about those for whom it can be prescribed via the NHS (see question in Chapter 5 on Schedule 11). However, MS is now one of the designated medical conditions - but there may still be local variations in supply, in addition to clinical reasons for its non-prescription.

Always get advice from your doctor and do not buy it on the internet. Viagra is a very safe and effective treatment, provided that you are guided medically - do not experiment without a medical opinion.

I had heart by-pass surgery 18 months ago. Can I take Viagra?

If this operation was successful and you now have no chest pain, then there is no reason for you not to be having sex, or be treated for any sexual dysfunction. If, however, you are still having chest pain, particularly at rest, then this needs to be sorted out before you embark on any physical activity, including having sex. If you are taking nitrates, you must not take Viagra.

Can I take Viagra? I had a stroke a year ago and worry that I might have another, which is not good for my self-confidence with my girlfriend.

The answer to this question is yes, in the vast majority of cases. Strokes can be either due to bleeding into the brain or to the brain not getting enough blood flow because of a blockage in the arteries. Viagra will open up the arteries flowing to the brain, and this results in some men getting a mild headache and a feeling of fullness in the head, following a Viagra tablet You will need to discuss the safety issue with your GP, but there is no reason why you should not try having sex again after having had a stroke.

I am on tablets for my depression. Could Viagra actually help my depression as well as my sex life?

Depression and sexual dysfunction can be very much a 'chicken and egg' situation because some ED problems could actually cause anxiety and depression, but, in long-standing depression, Viagra is successful in helping people have intercourse. We have discussed psychological problems in Chapter 2.

There is increasing evidence that men who are on anti-depressive treatment, when treated with Viagra, can, in some cases, decrease the amount of antidepressant therapy that they are taking.

If you are on medication called SSRIs (selective serotonin reuptake inhibitors), you should get better erections with Viagra.

I have had diabetes for the past 15 years (I'm 39) and rind it very difficult to make love to my wife nowadays because I cant sustain an erection. Would Viagra help me?

It could well do. In one study, Viagra helped over 50% of men with diabetes and ED. The effects did not seem to be affected by age, or how long they had had ED or diabetes. Although the response to Viagra was somewhat less than that seen in other groups, people with diabetes do often have many other problems, such as vascular disease or diabetic neuropathy.

The majority of side effects (see next section) seen with Viagra (e.g. headache, feeling of acidity, congestion in your nose) are not severe and don't last long, so these should not prevent you from trying Viagra.

I have had a kidney transplant and am on medication. Can I take Viagra?

Yes you can. There is no reason why the drugs normally taken after a transplant operation will interact with Viagra. (The only drug that you cannot take with Viagra is the class of drugs called nitrates, which are given to people for their heart pain.)

I had cancer some months ago, which left me rather incapacitated -1 now have trouble having sex with my partner. Would Viagra help me?

You do not say what your disability is, but there are various choices open to you. Tablets would still be your first choice: Viagra, Levitra or Cialis, or Uprima (see the following main sections), depending on what medication you are currently taking. However, you could also try other treatments such as injections, MUSE or a vacuum device (see Chapters 8 and 9), if drugs like Viagra do not work for you.

I've had an operation on my prostate and other treatment for cancer. My doctor was very negative about me having Viagra. Was he right to be so?

We know that men who have undergone surgery or radiotherapy for prostate cancer have taken Viagra successfully. Although the best response was seen in men with less severe ED, over half with complete ED were pleased with the effect Viagra had. So you doctor may well be over-pessimistic about it.

 

 

 

In recent years, the growth of Internet business has bought shopping to the doorstep. You no longer have to venture out of the house to shop. A click of the mouse can get you what you want. Online pharmacies, too, have proved to be a godsend for those who find it embarrassing to buy impotence and weight loss drugs from their neighbourhood chemist shop.

1. What to do if Viagra is still not helped you?

Yes, this too can happen. As we have said, unfortunately, doctors do not possess a panacea - a cure for all diseases.
But never despair. "Viagra" is just one of many drugs that are effective against erectile dysfunction. Why do not you turn to sex therapist? We think it's not a bad idea in your case.

Buy Viagra Online
Viagra is one of the most widely purchased drugs on the Internet and thanks to the advance of online pharmacies and chemists it is possible to buy branded Viagra at cut prices. You can purchase branded Viagra and other ED medication using secure online ordering systems while enjoying absolute discretion throughout the ordering and delivery process. Some people find it embarrassing to buy Viagra from their chemist or even to request it from their doctor and trusted, reliable online websites can prevent this embarrassment from preventing patients from receiving the medication that they need.

Passion and relationships are one of the things that will last throughout your life. However, some men have problems with these types of situations and need a little bit of help. Erectile dysfunction drugs such as Viagra are used by a wide number of men who need help with that area. Unfortunately, the economy has caused many men to have additional problems in getting their prescriptions reimbursed by their insurance companies for drugs like Viagra. Many insurance companies are considering these prescriptions as optional and are saying that you do not really need them. For many men, Viagra is necessary. Despite what your insurance company says, there is hope. You can still find out how to buy Viagra online.

Buying products and services online has developed into really common thing currently the ones find it easy to shop relaxing in the comfort of their homes. Patio furniture from books to music to clothes and gadgets is being traded on-line. It is far from surprising then that even drugs like Viagra and Cialis found their way onto the net where individuals have set online shops selling them. Earlier there has been many security concerns to buy and selling via the internet, in these days the majority of the fears have been discovered to remain misplaced and sound measures are usually now being taken up ensure that your transaction facts are not stolen. For the people being affected by any sexual problem for instance erection dysfunction or impotence, going to a chemist and requesting Viagra may be very embarrassing indeed. They have a relatively better option to day which enable it to buy Viagra online which an incredibly safe and sound method.

The active ingredient in Viagra, a synthetic chemical known as sidenafil citrate, was originally designed as a blood pressure medication, then it was discovered that it could assist men who suffered from erectile dysfunction. Viagra's job is to thwart an enzyme made in the body called GCMP specific phosphodiesterase type 5 (PDE5). Viagra can still have some bad side effects. Scientists have now discovered that a single bite from the Brazilian wandering spider, also called the Phoneutria nigriventer, armed spider, or banana spider, can produce the side-effect of creating a long-lasting erection in victims, for up to 4 hours. Teams from Medical College Georgia discovered that 'erection-challenged rats'were given a much needed boost from the spider's venom. A side-effect that has also been observed in bitten humans. However before you make a purchase of a Brazilian wandering spider to place at your bedside; it's worth nothing other side effects such as severe pain, difficulty breathing, then possible death. On a much happier and safer note, in 2007a Berkshire allotment-holder accidentally discovered that winter-flowering heather produced the same effect as Viagra. The request for the must-have plant became so high that nurseries and garden centres found it difficult to keep pace with demand. A representative for Wyevale Garden Centres, which has 106 British branches, said: "At first, it was just a trickle of inquiries, but now stores are virtually being besieged each weekend. We have had men buying dozens of the plants and, at one store in Croydon, there were men old enough to know better fighting over the last remaining trays." "The effect was almost immediate. I had to stay in my potting shed for an hour or so before I could decently walk down the street," said Michael Ford, 55 year-old furniture restorer, after drinking a winter-heather infusion. He likes to experiment with drinks made from a variety of plants. "It's amazing. My husband has never shown any interest in gardening before, but now he's out there night and day fussing over his heathers. Frankly, I preferred it when he left the garden to me and wasn't so frisky," said one woman. Botanist Alan Bennell said: "This first surfaced when East European chemists reported finding a Viagra-type chemical in the floral tissues of winter-flowering heaths." The benefit of the winter-flowering heather is well-known by the Botanic Gardens in Edinburgh, well known for their expertise in heathers.

Men all over the world face some or the other sexual problems, at least once in their life time. Usually these sexual problem are temporary in nature, but at times it is possible that because of some or the reason, you suffer from the problem for a prolonged period of time. Some of the sexual problems include erectile dysfunction or impotence, ejaculation problems and problems related to sex drive or libido. These sexual problems can often create problems and hindrances in their day to day life. Men often start drifting away from their sex life, which can also result in a divorce. When a man starts drifting away from his sex life or avoids any sexual encounters with his partner, it also affects the partner's self confidence. This can ultimately lead to conflicts between the partners or at times even a divorce.

Sildenafil Citrate also sold as Viagra is considered to be the advanced oral therapy for the treatment of the erectile dysfunction. The reason behind the name of the Sildenafil Citrate is that Viagra is considered to be the citrate salt of t he Sildenafil which is considered to be the selective inhibitor of the cGMP. That is why most of the physicians recommend buying Sildenafil Citrate over Viagra. To buy Sildenafil Citrate is also not a small deal. You have to check the composition of the tablets so that it can be used in the treatment of ED in an effective manner. There is also cheap Sildenafil Citrate available in the market. But it is recommended to check the whole composition before consuming these cheap tablets also. The best thing about the Sildenafil Citrate is that it can show the results just in 30 minutes, and that too depends upon the dosage. Some of the advantages are: 1.It helps the men who are suffering from ED to have the erection in harder manner. Not only this, it also helps in the long time erections during the intercourse of the sexual activity 2.The best thing about the Sildenafil Citrate is that it has got the proven record for satisfaction and safety. It not only works for the people who are suffering from ED but also help those people who are suffering from large health related problems. There are some precautions also which have to be taken before starting the consumption of the Sildenafil Citrate. Some of the precautions are: 1.If you are already consuming the Sildenafil Citrate, then don't try to consume the Sildenafil Citrate because if done so then your blood pressure can be dropped down. 2.If a person is already suffering from the problem of high or low blood pressure, kidney problems or the heart disease then he must be cautious while consuming Sildenafil Citrate tablets. Caverta is the product of the Ranbaxy of Sildenafil Citrate which is very much helpful in the treatment of the impotence nowadays. This product can also be very much effective and an alternate of Viagra.

Viagra, we all are very much aware of the pleasures this medication provide for those facing extreme failures in attaining erection that is required for the act of making love. The medication secured popularity as blue pills worldwide, and the effects of the drug are simply sensational. Various forms of the molecular formula is available that works for the betterment of the couples by bringing back the lost rejuvenation.

Without question, the most popular pill prescribed for male impotence is Viagra. In the US alone, this pill has helped over 15 million men who suffer from impotence as it is proven to be very effective in most cases. It is a simple fact, Viagra is the most prescribed medicine treating erectile dysfunction in America!

Erectile dysfunction (ED) is brought on by many things. A number of guys refer to regular stress on the job as well as on relationships as the main explanations why they have difficulty getting an erection. Others are struggling with medical conditions that primarily affect their own health and their performance. Using medicines to combat the condition or ease the pain which comes along with it can possibly play a role in erectile dysfunction. Medicines, including generic Cialis and generic Viagra, are typically prescribed by doctors to treat this problem. People who buy generic Cialis as well as other such medicines can easily do so from local pharmacies.

Recently, Hugh Hefner talked about what Viagra had done for his love life. Hefner, founder of Playboy Magazine, is engaged to Crystal Harris (a 24-year old British model), calling the drug "God's little helper." Now, we all know this anti impotence medication got a five-year head start on its competitors, namely Cialis (tadalafil) and Vardenafil. But is the blue pill really the best choice when it comes to treating erectile dysfunction (ED)? Let's look at the drug profiles to find out!

Bayer have released a new dissolvable erectile dysfunction tablet called Levitra ODT (Orodispersible). This is a new type of pill that melts in your mouth to treat  male impotence which was introduced in the UK.


Bayers researchers are hoping it will help men who feel too embarrassed to seek help for erectile dysfunction, as it can be taken quickly at the patient's discretion. Called Levitra orodispersible, it is manufactured by Bayer. "It is hoped the advantages of the new product and its discreet packaging will reduce the numbers of patients purchasing counterfeit pills online," said Marc van Unen of Bayer.

It is estimated by the UK Health Centre that 80% of all erectile dysfunctions (ED) originate from physical health conditions, such as high blood pressure and diabetes. Generally, people with such health problems are advised to refrain from Viagra and similar drugs as they can aggravate these conditions further. However, Vardenafil HCl or Levitra is effective in treating ED problems even of patients suffering from high BP or diabetes. Nowadays, one can easily and conveniently buy Levitra online.

Byline: DR. MIRIAM STOPPARD

I know, from the many letters I receive on the subject, that living with erectile dysfunction is difficult for men and their partners.


It can make sex impossible - or just awkward and embarrassing.

Powerful drugs such as Viagra have been an enormous help for many of the UK's estimated 2.3 million men with difficulties but, because the effects only last four to six hours, users often complain it takes the spontaneity out of sex.

However a less well-known, but I think more useful, drug called Cialis has helped ease this problem as it has the power to last for up to 36 hours.

As a result, sex can be more relaxed and doesn't have to be pre-planned.

A fresh approach...

Although Cialis is not brand new - I first wrote about it more than five years ago - it has only just been licensed as a once-a-day tablet.

Men can now take the pill as part of their morning routine and then forget about it, just like a woman taking her contraceptive pill.

I think this is a huge step forward, as research shows not having to pop a pill in a premeditated way makes men feel sexually normal again, rather than like a furtive teenager.

The same research found that three-quarters of men with erection problems hated having to schedule sex. And nearly 80 per cent thought sex after taking shorter-lasting impotence treatments was less exciting.

Another factor that impresses me about Cialis is that it could help beat erectile dysfunction in more than half of men who have nerve damage caused by diabetes - a common trigger for erection problems - according to one study.

In my mind, these two facts give Cialis a distinct advantage over Viagra, or indeed Levitra (a similar drug which lasts for around five hours), and put it in a class of its own.

What's the cause?

Most men will experience erection problems at some point in their life due to anxiety, tiredness or too much alcohol.

But, if the occasional problem starts happening more often, it could be the sign of an underlying health condition. To get a strong erection, you need good blood vessels and nerves to the penis.

Conditions such as diabetes and cardiovascular disease can have a physical effect while emotional or psychological issues are also a trigger.

Problems at work or money worries can have an impact on performance and sexual confidence can be very difficult to get back once it is lost.

Who will benefit from taking Cialis daily?

Men who want to enjoy sex at least once a week - without having to timetable it - will benefit. Although Cialis works for up to 36 hours, this doesn't mean a man has an erection for this long - it only works when he is sexually stimulated.

Taking the pill daily means never having to worry about the effect wearing off too quickly, so sex can be spur of the moment.

Is it safe for me?

If you suffer from hypertension (high blood pressure), heart conditions, bleeding disorders, liver problems or peptic ulcers, or have had a stroke, any sexual performance drugs could cause serious side effects so you must not take them without advice from your GP.

As with Viagra, men taking heart medicines containing nitrates in any form shouldn't take Cialis, to avoid a potentially dangerous drop in blood pressure.

Nitrates include the heart medicine nitroglycerine - GTN - and the long-acting nitrates used to treat angina.

Cialis is generally well-tolerated but side effects can include headache and indigestion. Less common are facial flushing, stuffy nose, muscle aches, dizziness and backache, all generally mild to moderate and short-lived.

Should I buy Cialis on the internet?

Some men are tempted to buy drugs such as Cialis or Viagra on the internet, but this is effectively gambling with your life.

Not only are such tablets often fake, or contaminated with toxins, but unprescribed erectile dysfunction drugs can have had adverse medical reactions such as heart attacks.

Taking a powerful drug without a medical check-up is asking for trouble.

Why you must get it checked If you develop erection problems, you must overcome any embarrassment and get them checked out by a doctor - it could just save your life.

Erectile dysfunction can be an early warning for diabetes or heart disease, as these conditions affect circulation, reducing blood flow to the penis. Left untreated, you're putting yourself at risk from a heart attack or stroke.

WORKING TOGETHER

If your partner is having erection problems, being patient and loving is vital.

Here are a few supportive tips to help him overcome the problem...

TAKE THE PRESSURE OFF

It's extremely important to take the stress out of sex.

Your man will be feeling very anxious if he's struggling to maintain an erection, so forget about penetration and stick to kissing, massaging and stroking each other.

Just enjoy each other's bodies.

REASSURE HIM

He's likely to be terrified about being unable to perform so let him know how much you love him and that it's no big deal and something you can tackle together.

PICK YOUR MOMENT CAREFULLY

The first important step when tackling impotence is to make sure your man isn't over-tired.

Tiredness can kill an erection so, if you know he's had an exhausting day, wait until a calmer moment such as at the weekend.

ENCOURAGE HIM TO LAY OFF BOOZE

Alcohol may increase sexual desire but it reduces the capacity to gain and maintain an erection.

TIME IT RIGHT

Many men find they can get an erection in the morning when it's impossible at night, so grab him before the alarm goes off.

TRY A NEW POSITION

The tried-and-tested missionary position can be quite tiring for a man. Lying side by side or spooning, with the man behind, is far less work leaving him free to concentrate on enjoying the moment.

GIVE IT TIME

No two men will respond in the same way to medication so you have to be patient. It may take several attempts before he can get an adequate erection. Take your time - and enjoy trying.

Additional research: CAROLINE JONES

LIKE many men suffering from erectile dysfunction, Steven didn't tellanyone about his problem. The 44-year-old financial lawyer was too embarrassed.

After months of making excuses to his wife, he decided to take action. Butinstead of going to see his doctor, he turned to the internet.


'I felt ashamed,' says Steven. 'I know I should have gone to see the doctor butI couldn't even admit to my wife what was happening, let alone tell a man Ihardly knew.' He found an internet pharmacy that sold Viagra withoutprescription. 'The testimonials seemed convincing.' Steven paid around [pounds sterling]20 withhis credit card, and a few days later 16 tablets arrived by post; thedistinctive blue pills were sealed in blister packs labelled '100mg sildenafilcitrate', the active ingredient in Viagra.

There was no box or information leaflet.

Steven took one an hour before bed, as advised by the website. 'It wasincredible. I was able to resume a normal life with my wife,' he says. 'Ofcourse, I didn't tell her about the tablets. I placed a second order for morepills straight away.' However, with the second batch he immediately noticedsomething different. 'Within half an hour of taking one tablet I had athrobbing headache and my face went bright red. There was also the desiredeffect, but I felt so awful I had to sit in the bathroom until the headachesubsided about an hour later and then went to bed.

'I couldn't understand why it had this effectthe tablets looked identical to the last ones, and the blister packs were thesame. A few days later, I tried again and had a similar experience.

This time I also felt nauseous.' Steven finally admitted everything to hiswife, who persuaded him to see his GP.

'From my reaction, the doctor said it was likely I'd bought counterfeit drugswith a much higher dose of active ingredient than was safe,' says Steven.Symptoms of a Viagra overdose include chest pain, nausea, irregular heartbeatand feeling light-headed or fainting.

His GP said other patients had described similar problems. Steven was thenprescribed a drug similar to Viagra and was advised on ways to reduce stress (apossible cause of erectile dysfunction).

'I feel like an idiot now,' says Steven. 'I put my health at risk because I wastoo embarrassed to seek help.' Steven's experience is far from unusual. Theglobal trade in counterfeit medicines is worth [pounds sterling]10billion a yearand while drugs for impotency and hair loss are popular targets, fake statins,blood-clotting drugs and even cancer medicines are also being pushed on to anunsuspecting public and healthcare professionals.

Criminal gangs are now so sophisticated that they buy the same packagingequipment as drug companies and even attend trade fairs, explains EricNoehrenberg, of the International Federation of Pharmaceutical

Federation of Pharmaceutical Manufacturers and Associations.

'It makes it difficult, if not impossible, to tell true products from fakes,except through extensive chemical tests,' he says. 'Britain is a lucrativemarket for counterfeiters. Sometimes people take medication and it doesn'twork.

Nobody thinks to ask what was actually in their pills and whether they weregenuine. But if you are unlucky, you will get serious health effects.'

COUNTERFEIT medications tested by the Medicines and Healthcare ProductsRegulatory Agency (MHRA) have found traces of brick dust and rat poison, saysMick Deats, head of enforcement for the drugs watchdog.

'Some contain no active ingredients at all; others have much higher doses thanis safe. This is a major health risk.' Until now, it's the Third World that hasreally suffered from drug counterfeiting. Half the malaria medicines in use inAfrica, for instance, are thought to be fakes. But over the past two years, theproblem has become endemic in Europe, too; in 2005 there were half a millionsingle doses of fake medicines discovered in Europelast year that figure shot up to 2.5million.

Only last month, a Hertfordshire businessman was jailed for four-and-ahalfyears for his role in a multi-million pound trade in fake Viagra.

AshishHalai, with his fellow conspirator Gary Haywoodwho is awaiting sentencinghad smuggled the pills into the UK from China, India and Pakistan, thendistributed them to customers via the internet.

Undercover officers filmed Haywood trying to sell fake drugsincluding Cialis, a drug for impotency, and Propecia, for male patternbaldness.

He claimed he was a pharmacist and international sales manager for Viagramanufacturer Pfizer and had got the drugs 'on the cheap'.

Haywood had paid as little as 25p each for a tablet, and charged up to [pounds sterling]20.When officers visited his home in Barwell, Leicester, they discovered boxes ofcounterfeit pills worth around [pounds sterling]1.5million. The investigationled to another 12 convictions in America, with [pounds sterling]13 million of counterfeit pillsseized in Miami.

However, experts believe this is the tip of the iceberg. The World HealthOrganisation (WHO) now estimates that up to 50 per cent of drugs bought onlineare fakes.

Yet the problem is not confined to the internet, says Jim Thompson, chairman ofthe pressure group the European Alliance for Access to Safe Medicines.

Halai and Haywood had also managed to get some of the counterfeit products onto chemist shelves; 10 per cent of all prescription medications globally arecounterfeits, says the WHO, and this figure is set to grow..

'There is no doubt that fakes have entered the legitimate supply chain,' saysMr Thompson. Counterfeits can often contain some active ingredients.

However, some may have more than the recommended dose, which puts people atrisk of overdosing.

'Counterfeiters don't necessarily want to harm patientsif someone dies or become ill, it raises suspicion and they don't want to getcaught.

So the drugs simply may not workwhich is also risky for the patient.' On three separate occasions between 2005and 2006, the MHRA found fake versions of the cholesterol-lowering drug Lipitorbeing sold, unwittingly, by pharmacists.

The counterfeits were so sophisticated they carried forged security codes onthe packs, impossible to distinguish from the genuine article. But they werefound to contain an unlicensed statin. To identify the fakes, Pfizer, thelegitimate manufacturer of Lipitor, was forced to recall 120,000 packs of itsdrug. This summer, drugs manufacturers had to order a recall of three drugs,Plavix (to prevent blood clotting), Casodex (to treat prostate cancer) andZyprexa (an anti-psychotic) after fakes were unwittingly handed out bypharmacists.

Mr Thompson believes it's impossible to gauge the true scale of the problem.Between 1995 and 2005, the MHRA tested around 25,000 packs of medicines,randomly sampled from pharmacy shelvesless than 0.001 per cent of prescriptions handed out over that period.

'We simply don't know how many fakes there are out there,' says Mr Thompson.'No one is even looking.' Criminals get into the legitimate supply chain bytaking advantage of the fragmented way drugs are traded across the EuropeanUnion.

People can buy and sell medicines like any other commodity, says Julian Mountfor Pfizer Pharmaceuticals Worldwide. 'The same rules that govern the tradingof soft drinks and jeans apply to pharmaceuticals. It's a free-for-all atpresent and not safe for the supply of medicines.' European law allows licensedtraders to buy and sell medicines freely. This means that once a medicine hasleft the manufacturer's gates, it can be sold onand repackagedany number of times before it reaches a pharmacist. DRUGS in the UK are moreexpensive than in other European countries; dealers can make a profit by buyingcheaply in Greece, for example, then selling the drugs to UK pharmacists.

Because patient information leaflets must match the native language of thecountry where the drug is sold, it is permissible for the product to berepackaged by third parties.

This provides a way for counterfeiters to enter the legitimate supply chain.

Pharmacists don't realise they are buying fakes. As David Pruce, of the RoyalPharmaceutical Society of Great Britain, explains: 'They are victims, too. Inmany casesincluding the Lipitor casefakes have been sold to them by reputable wholesalers, who had unwittinglybought batches of counterfeits.' The profits are huge and the risks are 'verysmall compared with trafficking narcotics', says Mr Noehrenberg. 'With theexpansion of the EU, the threat is only increasing.' Mr Thompson says it is aproblem both the MHRA and the Government need to address. 'They have no controlover what is going on and they won't even admit it's their system that's atfault.' However, Mick Deats, of the MHRA, believes the systemall traders are licensed by the MHRAis safe, and that reports of counterfeits being sold to pharmacists and the NHSare greatly exaggerated.

'There have only been nine known occasions that counterfeits have ended up onpharmacy shelves, and in just four of those cases a licensed wholesaler wasinvolved.' Of course, the real need is to tackle the problem of fake drugs atsource.

Seven illegal factories in China were closed as a result of the Viagra scam.

However, the general view is that the manufacture of medicines is poorlyregulated in countries such as China and India where fake drugs oftenoriginate.

As Mr Deats explains: 'We can only pass on information to regulators in othercountries and hope they act on it.' Victor Chen, the Chinese-based manufacturerwho supplied Gary Haywood with drugs, is still at large.

'Neither we nor our counterparts in China have any idea where he is,' says MrDeats. 'There would be nothing stopping him from setting up shop under a newidentity.' And plying his wares on even more unsuspecting consumers.

Picture: WWW.IMAGESOURCE.COM posed

HOW TO PROTECT YOURSELF

SO WHAT can you do to protect yourself against fake medication?

JIM THOMPSON of the European Alliance For Access To Safe Medicine suggests thefollowing ...

BUYING drugs via the internet is a huge risk and all the experts agree itshould be avoided.

AS for drugs obtained from a pharmacy, vigilance is the key. When you get a newprescription of your medication, check if there is anything unusual about it.It's worth keeping an empty box to compare each new batch to.

IF the packaging is different or if you notice a change in the way the medicinelooks or tastes, if it seems to work differently or there are unusualside-effects, speak to your pharmacist.

COUNTERFEITS can often contain some active ingredientssome may contain far more than the recommended dose, putting patients at riskof overdosing. 'As a patient, you have the right to insist that you receive theexact same drug from the same manufacturer and dealer every time,' says MrThompson. 'Your pharmacist should be able to guarantee this.'