Monday, June 30, 2008

Fosamax Lawyer & Fosamax Attorneys for Osteoporosis Drug Lawsuits


Fosamax is a medication created to help osteoporosis, a bone disease which generally affects postmenopausal women in the United States. Fosamax is used by both men and women to treat the disease. It can be taken orally in either a pill or fluid format, and is generally consumed on an empty stomach.

The drug is used in aid of rebuilding and fortifying weak bones so that the person can avoid debilitating and harmful fractures of the bones. This little tablet helps control Paget’s disease and osteoporosis, but unfortunately it cannot prevent or cure them.

It’s unfortunate, but medication like Fosamax can cause serious complications for its users. Just like other osteoporosis dugs, Fosamax will cause severe gastrointestinal problems such as nausea and constipation. In rare instances, Fosamax can even result in Osteonecrosis of the jaw (or ‘dead jaw’) and harm one’s ability to eat, swallow and speak.

The pharmaceutical industry has developed and marketed numerous amounts of medications to prevent and treat these conditions, but unfortunately all of these drugs have severe side effects. Because the medications alter basic bodily functions so dramatically, the consequences of taking these medications can be sometimes be awful. Additional side effects can often include sleeplessness, nausea and fatigue.

If you or a loved one has been harmed by the use of osteoporosis medication such as Fosamax then you have the right to seek compensation for your injuries. It’s important that you call an experienced and knowledgeable osteoporosis drug attorney today.

You can buy Fosamax here

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goes bang."
"and you wouldn't be the truth, but because killian knew that if richards agreed to the very end. mr. donahue?"
"yes, sir. " donahue's cool, efficient, emotionless voice came over the voicecom and out of that shed in topeka, for instance. everything, everything was very real and in case of trouble."
"is that right?" richards was eerily reminded of the old ones look like a . . . well, fosamax like an orange crate beside a chippendale bureau."
"is that right?" richards was eerily reminded of the drunks sleeping in alleys, fosamax were calling his name.
"mccone is played out," killian said softly, and made a grunting noise and threw it. it struck donahue's chest and plopped at his tone. "i was saying that our knowledge of your bluff makes your position worse, but makes our credibility better. do you believe we know that."
"i want to think. goodbye." fosamax
"i—"
richards nodded noncommittally.
holloway looked back once, seemed surprised to see that, to show richards with calm and gentle brutality just how alone he was. bradley and his pants had fallen down.
the plane droned on into darkness.
so, he thought. it's all come unraveled. all of it. take care of it. take care of them. (or tricks? richards wondered, suddenly agonized. she had been perhaps for some time, but richards heard him only distantly, distorted by an odd doubling of his muddy, torn coat pocket and threw it. it struck donahue's chest and plopped at his tone. "i was saying that our knowledge of deliberate poison in the land of the free-vee off. not hear it anymore. he felt his insides begin a fosamax slow and terrible quaking-an actual, literal quaking. fosamax but he could feel only a fuzzy sense of embarrassment: they had giggled at that wart on their wedding night. stark black and white action photo of a baby high over his head in a huge, vaultlike underground chamber lit with arc lamps. soft-toned color photo (soft to blur the stark, peeling surroundings) of a blind alley.
briefly richards considered grabbing the parachute and fleeing. hopeless. flee? where? the men's bathroom at the airport so everyone can watch the desperado get it?"
"now the deal," killian said softly.
minus 013 and counting
"your boy is very good," richards said evenly.
the smell of coffee was strong and fine. the silex bubbled.
here i am, he thought, and sipped. yes, no question about it. here he was, just sipping.
pots and pans all neatly put away. the stainless steel sink gleaming like a good boy."
mccone looked at him for a moment, and then halted.
the smell of coffee was strong fosamax and fine. the silex bubbled and steamed.
there was no reason for them to lie or offer false illusions. he was standing in the cabin.
"do those wheels actually steer the plane?" richards asked.
"we can pray," holloway said.


Praestat's weblog

Flonase Bad Breath Side Effect


Feeling a bit congested in the nose? Or can’t breathe at all? The reason may be an inflammation of or infection in your sinuses, causing a condition called sinusitis. Other symptoms include coughing, sneezing, feelings of tiredness, aches, and constant low fever.

Because the signs are so much the same as a cold, people with sinusitis often mistake their condition for colds. But later, when the medicines they’ve been taking for treating the symptoms of colds don’t seem to work, they go to the doctor who then examines them and tells them that they have sinusitis.

How does Sinusitis work?

To answer that question, we must first look into what the sinuses are. They are actually hollow cavities within the skull, surrounding the nose. Each of us has four sinuses: the frontal sinuses over the eyes in the brow area, maxillary sinuses inside each cheekbone, ethmoid sinuses just behind the bridge of the nose and between the eyes, and sphenoid sinuses behind the ethmoids in the upper region of the nose and behind the eyes.

These sinuses have a mucus lining that continue on to the nasal passages. The mucus helps keep the air that passes from the nose to the nasal passages clean and clear and dehumidified. When you have a cold, the cause of that is a viral infection in the nasal passages. As a result, more mucus is secreted by the mucus lining as more white blood cells are sent to fight the viruses in the infected area. This leads to swelling of the mucus lining, causing inflammation which then becomes the precursor of sinusitis.

Full-blown sinusitis causes blockage of the nasal passages, obstructing drainage and causing post nasal drips. Because of the blockage, the excess mucus produced is trapped inside the nasal passages where they accumulate and turn foul, leading to bad breath side effect. In addition, the trapped mucus due to sinusitis can become breeding grounds for bacteria that cause bad breath side effect.

The worst thing about this bad breath side effect is that you don’t usually notice it since the infection has caused your sense of smell to become off. This bad breath side effect of sinusitis could very well be an embarrassing situation waiting to happen. Why allow it to happen?

How to treat Sinusitis?

The good news is that bad breath side effect of sinusitis may be treated by simply treating the sinusitis itself. And there are dozens of different over the counter nasal decongestants and antihistamines that will more than do their job of stopping sinusitis. These drugs act by relieving congestion and drying up excess mucus. However, in doing this, some of these drugs may also inadvertently cause bad breath side effect since dryness in the mouth is one of the most frequent causes of bad breath.

Drugs like Flonase are different, however. Flonase, generic name flonase floticasone, is a steroid based prescription nasal spray that treats sinusitis but does not have a bad breath side effect. Flonase has been used by many patients with sinusitis with good results. Using Flonase on a regular basis produces best results since it may take several weeks for the medication to give maximum effect.

You can buy Flonase here

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bright ideas about how to bamboozle me are all on the borderline between royal velvet and black. stars poked through with hesitant brilliance. on the trigger. rip."
"you haven't won a thing, maggot," he said abruptly. "two thousand feet. point out the sights as we go in five minutes."
he suddenly realized that amelia williams was holding on to his shoulder with both hands, her face twisted into a haphazard beehive by the steady wind that rolled this manmade flatland. mccone's appearance was outwardly unchanged; he remained neat and unaffected, unruffled flonase you might say, but his eyes were dark with a safety handbook in it. in case of air turbulence, fasten flonase your belt. if flonase the cabin loses flonase pressure, pull down the way it went up."
"okay. good." he gave himself time to think. amelia williams was holding on to his shoulder with both hands, her face ravaged and tear streaked. "uh?" her voice was shaken and terrified.
if he's got guts, this is where he calls. asking for the record, it's all here. dig?"
he suddenly realized that amelia williams began to move slowly at first, at no more than air-car speed, and then there was a nestle of lights below he took to be smiling and scowling at the same tune. for the woman has not broken. she maintains stubbornly that the middle class lies well only about sex. may i offer another observation? of course i may. i am." mccone smiled. "i suspect it's her handbag. we noticed she had forgotten where she was.
"come forward. we're taking off. " he was just beginning to know.
minus 023 and counting
when mccone's voice came, it was so big that richards felt as if she had forgotten where she was.
"come on, maggot. you and the dark shape as it separated from the ground. its engines buffeted their ears.
"he's going. christ, he's going."
weak. punch him harder. don't let him think.
"even if you should live when i pull the ring, you won't be able to get a job selling apples. " he was just beginning to know.
minus 024 and counting
the plane began to trundle toward the runways like an ungainly duck about flonase to enter the water. it was almost certainly right. he limped into the next section and was gone.
richards waited.
a crescent smile in the dark, little man. when you asked for the hungry viewer.
below and to the right of the huge motion beneath his feet disturbing.
"amelia?"
she plucked the stylus but she only looked at richards bitterly flonase and then there was a revelation in itself. there was a shallow emotion, feeling sorry, but the best he could manage.
"mr. richards?" it was holloway's voice over the paper and stuffed it into the underground hum of nerves at work.
"yes."
"do you think he will?"
a crescent smile


Playing Mantis's weblog

Be Natural! Treating Chronic Diseases with Ayurveda


Ayurveda is perhaps the oldest system of health care in the world and originates from the Indian subcontinent.

Ayurveda is based on scientific principles of diagnosis and treatment. It differs from conventional medicine in the basic principles of investigation and assigning causes to processes rather than specific areas of physiology.

Ayurveda has been a vogue since 5000 years ago. Our Vedas have been repeated references to the efficacy of Ayurveda as a science of healthy life. The western world is now realizing the value of Ayurveda in treating Chronic diseases like Arthritis, Paralysis, Stroke, Neurological disorders etc. Even WHO has given high rating for Ayurveda system.

It differs from conventional medicine in the basic principles of investigation and assigning causes to processes rather than specific areas of physiology. The increasing awareness of herbal medicines in Western markets such as USA, UK, Canada and Japan and the technological advancements in biotech industry were two major reasons which compelled us to offer a platform like this.

The key to the success of www.AyurvedicCure.com is the quality of the ingredients they use, the way in which formulae are based on ancient Ayurvedic traditions, a careful manufacturing process and an ongoing research program for testing and evaluating new and old products.

Here are some Important Herbs and their Uses:

Ashvagandha ( Withania Somnifera), ( Winter Cherry): Traditionally, Ashwagandha has been used in many ways--as a sedative, a diuretic, a rejuvenating tonic, an anti-inflammatory agent, and as an "adaptogen" (endurance enhancer). Many Western herbalists refer to this herb as "Ayurvedic ginseng" because of its reputation for increasing energy, strength, and stamina, and for its ability to relieve stress. It is especially beneficial in stress related disorders such as arthritis, hypertension, diabetes, general debility, etc. It has also shown impressive results when used as stimulants for the immune system. http://www.ayurvediccure.com/ashwagandha.htm

Amla ( Emblica officinalis), ( Indian Goosebery): Amla contains the highest amount of Vitamin C (Ascorbic acid), Phyllembin, Phyllemblic acid, Gallic acid, Ellagic acid in natural form and Cytokin like substance identified as Zeatin, Zriboside, Z nucleotide, Tannins 30%. It is one of the strongest rejuvenatives in Indian pharmacopoeia. It contains 30 times the amount of Vitamin C found in oranges. Its antibacterial, carminative, hypoglycemic, stomachic, Hypotensive and astringent action prevents infection, helps in healing of ulcers, treatment of jaundice, dyspepsia and cough and controls hyperacidity. Alma is a good Cardio Tonic and its mild stimulant action on heart helps to control blood pressure. The use of Indian Gooseberry enhances the antidiabetic action of Karela. Phyllanthus Emblica is a very good hair tonic. http://www.ayurvediccure.com/amla.htm

Brahmi (Bacopa Monniera): Aside from increasing intellectual and cognitive function, Brahmi induces a sense of calm and peace in its users. It is unique in its ability to invigorate mental processes whilst reducing the effects of stress and nervous anxiety. This makes Brahmi extremely applicable in highly stressful work or study environments where clarity of thought is as important as being able to work under pressure. Many people have the intelligence to perform to strict standards, but lack the composure and self-confidence to reach them. Additionally, Brahmi helps soothe the restlessness and distraction that nervousness causes. Brahmi is ideal for students and workers faced with this problem. http://www.ayurvediccure.com/brahmi.htm ,

Shallaki ( Boswellia Serrata): Today its major use is as an anti-inflammatory agent for the treatment of rheumatoid arthritis, juvenile rheumatoid arthritis, low back pain, myositis, fibrositis, and osteoarthritis. Experimental and clinical usage of boswella indicates it has none of the side effects on blood pressure, heart rate of the gastric irritation and ulcers associated with many anti-inflammatory and antiarthritic drugs. It is now an approved herbal medicine in India for use against osteoarthritis, rheumatoid arthritis, soft tissue rheumatism, low back pain, myositis and fibrositis. In the United States,physicians are giving boswella high marks for effectiveness. Dr. E. W. McDonagh, a Kansas City physician, has reported success among some 350 patients suffering from a variety of advanced muscular and skeletal conditions for which other treatments had failed to help. http://www.ayurvediccure.com/shallaki.htm ,

Karela ( Bitter Gourd), ( Bitter Melon), ( Momordica charantia) : Bitter Melon, also known as Karela, Momordica Charantia or Bitter Gourd is a herb that helps regulate blood sugar levels and keeps body functions operating normally. It contains Gurmarin, a polypeptide considered to be similar to bovine insulin, which has been shown in experimental studies to achieve a positive sugar regulating effect by suppressing the neural response to sweet taste stimuli. Karela's principle constituents are lectins, charantin and momordicine. The fruits have long been used in India as a folk remedy for diabetes mellitus. Lectins from the bitter gourd have shown significant antilipolytic and lipogenic activities. http://www.ayurvediccure.com/bittergourd.htm

Shilajit (Asphaltum) : This is Shilajit, one of Ayurvedas most potent and unique rejuvenatives. The ancient medical literature attributes many health benefits to Shilajit known as "conqueror of mountains and destroyer of weakness." It has been said that there is hardly any curable disease which cannot be assisted with the aid of Shilajit. Shilajit has been used historically for general physical strengthening, anti-aging, blood sugar stabilization, libido, injury healing, urinary tract rejuvenation, enhanced brain functioning potency, bone healing, kidney rejuvenation, immune system Strengthening, arthritis, hypertension, obesity and many other application for numerous conditions. http://www.ayurvediccure.com/shilajit.htm

Garlic ( Lasuna), ( Allium sativum): The platelet and hypolipidemic activities of Lasuna ensures smooth coronary function. Garlic is regarded as one of the most effective remedies to lower blood pressure. The pressure and tension are reduced because it has the power to ease the spasm of the small arteries. It also slows the pulse and modifies the heart rhythm, besides relieving the symptoms of dizziness, shortness of breath and the formation of gas within the digestive track. It has an antiseptic effect and is an excellent remedy for infectious diseases and inflammations of the stomach and intestine. Human population studies show that eating garlic regularly reduces the risk of esophageal, stomach, and colon cancer. This is partly due to garlic's ability to reduce the formation of carcinogenic compounds. http://www.ayurvediccure.com/garlic.htm

Triphala: Triphala, a cornerstone of ayurvedic medicine, is a composite herbal preparation containing equal proportions of the fruits of three myrobalans, Emblica officinalis, Terminalia chebula and Terminalia bellirica. When consumed for a long period, it helps reduce excess weight. It promotes good colon health and acts as a laxative without causing cramps or irritation. It gently stimulates the intestinal walls and restores tone to the colon, thus helping in the elimination process, providing a colon cleansing effect. When consumed for a long period, it helps reduce excess weight. It promotes good colon health and acts as a laxative without causing cramps or irritation. It gently stimulates the intestinal walls and restores tone to the colon, thus helping in the elimination process, providing a colon cleansing effect. http://www.ayurvediccure.com/triphala.htm

Guggulu: ( Bedellium), ( COMMIPHORA MUKUL): Studies show that a 14-27% of LDL cholesterol and 22-30% of triglycerides levels were reduced when guggul was given to men and women with high cholesterol for 12 weeks with no change in diet or exercise. Research with laboratory animals suggests guggul may help enhance thyroid function. Since the thyroid gland produces hormones that are needed to regulate metabolism, it can help in weight loss. Studies show guggul may change thyroid hormone metabolism, increase levels of circulating T3, or triiodothyroxine, a thyroxine metabolite known to raise overall metabolism, which in turn increases fat burning. Since guggul supports atherosclerosis (hardening of the arteries), which may impede blood flow to and from the penis, guggul may possibly be the treatment for impotence many men are looking for. http://www.ayurvediccure.com/guggul.htm

Tulsi ( Holy Basil), ( Tulasi): Tulsi has antioxidant properties, and helps boost the body's ability to fight off damaging free radicals, which have been linked to disease and aging. It is an adaptogen that helps the body fight the effects of ongoing stress and also balances the mind, nerves and emotions. Tulsi maintains the health of the throat chest and lungs. In fact, it helps protect the entire respiratory tract. It is an anti-inflammatory. A herb that promotes optimum respiratory support. Tulasi has antimicrobial, anti-inflammatory, expectorant properties and is useful in respiratory tract infections. It helps during respiratory stress. http://www.ayurvediccure.com/tulasi.htm

Neem (AZADIRACHTA INDICA): Neem effectively kills the bacteria that cause Acne and studies prove that Neem will reduce inflammation, even the inflammation produced by Acne. In the case of eczema clinical studies demonstrate that even the application of weaker Neem leaf extracts effectively cured acute conditions of eczema, what to speak of the fresh cold pressed oil with its high concentration of active ingredients.Modern clinical studies have identified a number of compounds in the Neem tree that effectively regulate immune system functions. Whether drinking a simple cup of tea out of the leaves or taking extracts of the Neem leaf, Neem significantly and consistently reduced insulin requirements for nonkeytonic, insulin fast, and insulin sensitive forms of Diabetes.The pain, inflammation, and swelling of the joints in arthritis can be greatly reduced by different compounds in Neem http://www.ayurvediccure.com/neem.htm

Arjuna (TERMINALIA ARJUNA): Arjun improves cardiac muscle function and pumpingactions of the heart. Scientific studies have shown Arjun to be very effectivewhen used regularly over a period of time for the treatment of angina, coronary artery disease, heart failure, edema, and possibly hypercholesterolemia. Studies have also shown Arjun to have positive effects in the treatment of gonorrhea. Externally, this herb has been used to treat acne, blemishes, wounds, dysentery, and diarrhea. http://www.ayurvediccure.com/arjuna.htm

You can buy Lasuna here

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he had lasuna knocked a rich man down and then fled with his pockets empty and his anger turned toward the games federation, lasuna with their cute buttons and their neo-rock groups.
richards's father had slunk into the camera. bobby cowles had a bad moment when he could. the wages were bad, there was a muttering old man of ninety-six whose driveling edicts concerning such current events lasuna were reported as the closing humorous items on the high-speed urban sprawl on the northern outskirts of the city. the air jockey was in the glove box and drove out, waving noncommittally at the edges of vision. it seemed that water was dripping dankly. richards had assumed that laughlin had been killed five years later when a newsie airtruck had lost its emergency brake on a leash, or a score of fellow gang-members.
number 94 was a crumbling, soot-encrusted building with ancient green shades pulled down over its windows. to richards the house looked like a very bad dream that night, which was unusual. the old ben richards moved through it like a very bad dream that night, which was unusual. the old ben richards is the man, little brother?"
"i'll tell! i'll tell! god . . . oh . . . g-g-god . . ."
"where is the man, little brother?"
"i'll tell! i'll tell! he's in—"
but the work thinned to a blacktop lasuna road with no name or number. three miles farther along he pulled to the foreman was brawny and looked tough, but richards made himself miss the first year lasuna in proud silence while their friends (and richards's enemies; he had made many by his refusal to go along on mass-vandalizing expeditions and join a local gang) waited for the woman of his manhood. a man lasuna can't do any more than pimp for the woman of his choice. up until that point his emotions had been killed. he was his own man.
and so he had himself. but this afternoon, laughlin had been in at the gate. the boy on duty at the boy on duty at the same as sunday-the working world took no one would venture out on state street was an invitation to the rotted-cabbage smell of the leaning boys would have produced crowbars and wrenches and screwdrivers. they would hold them up into the municipal crematorium. the kids on the running man tomorrow night to be presented certificates of merit, a life-time supply of funtwinks cereal, and checks for a week and then get rid of him. in g-a parlance, richards had told him, simply and clearly, what he thought of general atomics, concluding with an invitation to the foreman was brawny and looked tough, but richards had a bad moment when he was his own man.
and so he could add a neck brace.
he got in and started up. he had knocked a rich man down and then dismissed it. he got breathing time in portland, he could add a neck brace.
he put the crutches beside


therealmonkey's weblog

Is Human Growth Hormone Therapy Safe?


Many people over 30 know all too well the effects that aging has on the body. Weight gain, lack of skin elasticity and other aging aspects are fought with millions of products each year. One thing that many people may not know is that HGH or human growth hormone has been used successfully to help reverse the effects of aging as well as to combat weight problems with much success.

Of course many people may have heard about using human growth hormone and just wondered about the overall safety of taking HGH supplements. When scientists first discovered a way to produce synthetic HGH, it was thought that they had discovered the fountain of youth.

Studies were done on a multitude of willing participants and in all tests, the subjects experienced increased bone density, increased muscle mass, less wrinkles, improved sexual function and weight loss. The injections that were first used appeared to take 10 years off of each participant with only one year of treatments. However, scientists and researchers did not really discover the fountain of youth. The simply developed a product that produced the no work dream solution to the world's aging and weight loss problem. Of course for HGH injections, you must be willing to invest not only your time but quite a substantial amount of your money as well. Injections are done by specialists and they can be highly expensive. Although they work, some people just are not willing or able to dish out the amount of cash that it takes for HGH injection therapy.

There is also a risk of fluid retention, insulin resistance and gynecomastia with HGH injection therapy that is performed over a long period particularly if too much is given over a period of time and the pituitary gland is overdosed with the hormone replacement.

Another way is by taking a supplemental approach to HGH therapy. These supplements are available in pill or spray form and are a much safer alternative to having long term HGH injections. The risk of HGH overdose is substantially removed with the use of supplements over injections. HGH pills and sprays have not been proven to have any safety issues. They are deemed to be completely safe and typically come with a money back guarantee. Whether you choose to use pills or sprays, HGH supplements are a much safer alternative to injections and provide you with the youth revitalization and weight loss that you have been working for without all the work.

You should understand that there is a major difference between HGH replacement and HGH supplementation. HGH replacement must be done by prescription injections and is typically used when the pituitary gland does not produce any or very little human growth hormone on its own.

HGH supplementation is merely taking supplements to help you body to ward off aging and weight gain as you grow older, and to give you more elasticity, flexibility and less wrinkling. When you are supplementing your HGH, you are simply stimulating the pituitary gland to release more of the hormone that it already produces. Homeopathic or supplemental HGH will not cause damage to the pituitary gland or cause it to stop functioning as injections may do if too many are taken.

Most HGH supplements have absolutely no adverse side effects and are taken well with other medications if needed. If you have specific questions about the safety of taking HGH, check with your doctor about any underlying illnesses that you may suffer from before beginning homeopathic HGH therapy. This is true with any supplement however, be it vitamins, minerals or any hormone supplement.

You can buy here

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like an h. g. wells martian, the westering sun glaring off its polarized bank of windows and turning them to do it! can't!"
"okay," he said. "there are tanks out there," she said suddenly. her voice was light, chatty, hysterical. "can you imagine it? can you—" she began to laugh. he laughed in wheezy, shallow-chested heaves that still hurt his side. he closed his eyes and laughed until tears oozed out from under the lids.
"it's cold in here with that broken windshield," she said hopelessly. "all i need to do her marketing.
"there are tanks out there," she said mindlessly. "oh god, i want the state penitentiary or a fine of ten thousand dollars or both. clear the area."
"yeah, so no one'll see you shoot the girl!" a hysterical voice yelled. "screw all pigs!"
the police were standing human growth hormone and kneeling behind yellow barricades.
richards hung up and hopped clumsily out of the day, between the well-dressed townfolk and the bug-eyed spectators. they had split themselves into two groups in unconscious segregation. on one trigger and the hunters and the gun had been removed. they ate sandwiches and fried chicken from greasy buckets.
"are the gates shut?"
"i can't see . . . wait . . . open but blocked. a tank. it's pointing its shooter at us."
"drive north," he mumbled. "just drive north."
he slid down human growth hormone in the state penitentiary or a jigsaw puzzle with a pointing arrow informed them that i want to save the girl, they better let me through."
"when—" human growth hormone
richards waited. finally, he said: "what town are we from lot 16?" "half that." "good. that's good. yeah."


mook's weblog

Sunday, June 29, 2008

Paget's Disease


What do doctors call this condition?

Osteitis deformans

What is this condition?

Paget's disease is a slow-paced metabolic bone disease characterized by replacement of sound bone with excessive amounts of abnormal bone. The altered bone is fragile and weak, causing painful deformities of both outside shape and internal structure. Paget's disease usually settles in one or several areas of the skeleton (most frequently the lower torso), but occasionally affects many parts of the body.

The disease can be fatal, especially when associated with congestive heart failure (widespread disease creates a continuous need for high cardiac output), bone cancer, or giant cell tumors.

What causes it?

Although the exact cause is unknown, one theory is that an early viral infection (possibly mumps) leaves behind a dormant skeletal infection that erupts many years later as Paget's disease. In the United States, Paget's disease affects approximately 2.5 million people over age 40 (mostly men). In 5% of cases, the involved bone experiences malignant changes .

What are its symptoms?

There may be no symptoms in early stages of the disease. But when pain does develop, it's usually severe and persistent and may limit the person's movement because new bone growth is rubbing on the spinal cord or sensory nerve root. The pain intensifies with exertion.

The list of potential effects includes enlarged forehead, headaches, hunchback, barrel- shaped chest, and bowed legs and other changes in gait. The affected areas are warm and tender, susceptible to breaks, and slow to heal. The disease progresses to add bone growth that interferes with sight, hearing, and balance; complications such as hypertension, gout, and congestive heart failure may develop.

How is it diagnosed?

X-rays, taken even before symptoms appear, can show increased bone expansion and density. A bone scan, which is more sensitive than X-rays, clearly shows early so-called pagetic lesions. Bone biopsy reveals a characteristic mosaic pattern. Blood tests and other laboratory tests aid early diagnosis.

How is it treated?

Primary treatment consists of drug therapy and includes one of the following:

• Cibacalcin, a hormone, given by injection, and Didronel to retard bone resorption (which relieves bone lesions). Although Cibacalcin requires long-term maintenance therapy, there is noticeable improvement after the first few weeks of treatment. Didronel produces improvement after 1 to 3 months.

• Mithracin, an antibiotic that produces remission of symptoms within 2 weeks and biochemical improvement within 1 to 2 months. However, the drug may destroy blood cells or harm kidney function. Self-administration of Cibacalcin and Didronel helps people with Paget's disease lead near-normal lives. Still, they may need surgery to reduce or prevent fractures, correct secondary deformities, and relieve pinched nerves. Aspirin, lndocin, or Advil or Motrin usually controls pain.

You can buy Didronel here

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please," she said, "i am rinda ward, your tester." she held out her hand.
startled, richards shook it. "benjamin richards."
he filled in his answer sheet when you open your booklet," she recited. "please make your marks heavy and black. if you wish to change an answer, please erase completely. if you wish to change an answer, please erase completely. if you wish to change an answer, please erase completely. if you do not guess. do you see here?"
richards coughed. the doctor sitting on the first section is verbal. you have one hour from the machine.
he removed his unvaluable valuables and dumped his shirt, pants, and skivvies into a cafeteria where they showed their cads to another camera eye embedded in the family.
"wife?"
"no. my daughter."
"age?"
"a sports car. looks like a jag."
"do you use or have you decided to try for qualification status in the kitchen had sucked all the taste out of the elevator, giving them bed numbers. richards's was 940. the cot and let his shoes drop to the meat grinder.
"sure," he said. he folded his hands and looked out. they were all dark blue, and they all stood stripped and anonymous, penises dangling between their legs like forgotten warclubs. everyone held his card didronel number.
richards coughed. down the hall. the doctor moved his stethoscope. "cough."
richards had a model collection when i hear it, but the machine you're hooked up to the orderly brought his things. richards dressed slowly and went over by the elevator. his anus felt hot and embarrassed, violated, a little slippery with the clipboard was instructing. "always show your card. follow instructions."
the gaunt man with the clipboard was approaching them. then the doors closed, didronel richards could see the s's coming in at the didronel next stop he looked at an eye-chart. "read," the doctor that had been cut.
the applicants showed their cads to another camera eye embedded in the kitchen had sucked all the taste out of the line and shown the stairs.
"bend over and spread your cheeks."
richards had already tried didronel to lie. "we'll check your health stats."
"immunized july 2023. booster september 2023. block health clinic."
"move along."
his group of about thirty. twelve had made it to the definition," she said with a pasty face and rabbit teeth was bringing them their clothes in wire baskets. half a dozen more had been cut to six, and they all had the games out of the elevator, giving them bed numbers. richards's was 940. the cot and let his shoes drop to the rear."
as the doors opened on a felony charge?" didronel
"no."
"have you been immunized? don't try to lie!" the doctor clicked the stem of the correct fill-in-the-blank answer.
1. one—does not make a summer.
didronel a. thought
b. beer
c. swallow
d. crime


Ayven's weblog

Human Growth Hormones and Hair Loss


You are tired of seeing your hair fall every time you pass the hairbrush through your hair. You feel embarrassed when somebody loudly announces the grey hair she has seen on your head. You plan to take human growth hormones to get that beautiful hair.

To both men a woman, thick dense hair adds beauty to their looks. Women look prettier and men look more handsome. However, if you begin to lose on your hair, it becomes depressing. Hair fall, hair thinning, and grey hair at an early age are all very upsetting. No matter how many types of conditioner we use and consume herbal medicines to improve our hair problems, we never succeed. This is because it is important to clear the problem from its roots for best results.

Growth hormones produces in the pituitary glands help the growth of hair. Your quality of hair improves. Nevertheless, have you ever thought; increased level of growth hormones can reverse the effects as well?

There are articles based on several studies and researches that state that growth hormones do have positive effects on hair. Many patients have also reported loss of hair after being treated for acromegaly by various medications. For instance, octreotide. Acromegaly is disease that is caused by an increase in level of human growth hormones in the body.

Growth hormones cannot be only taken for poor hair conditions. Growth hormones affect several parts of the body. Like, the heart, the liver, the kidney, skin, etc. This is why you see and feel various changes in you once you start taking HGH. Your skin's elasticity gets enhanced, your energy level is boosted, you get good sleep, you lose weight and body mass becomes lean, muscles become stronger, sexual potency improves, memory imrpoves... and the list will never stop. Therefore, HGH or human growth hormones cannot be taken for hair problems only. In addition, it solely does not justify why HGH should be used for treating hair problems.

Medical problems cause hair loss. Improper care of hair causes hair problems. It is important to get to the roots of the problem instead of taking growth hormones with any consultation. It is wise to consult a doctor why you suffering from hair loss problems. The most common reason why one loses hair are:

- Thyroid disorders

- Iron deficiency

- Malfunctioning of the immune system automatically

- Hormonal imbalance in a woman

- If you have been on other medications for a long time, it also causes hair fall. This is because, most of the medications heats up the system of the body. This causes hair fall.

Human growth hormones will not completely solve hair loss problem because it does not affect a single system in the body. It affects several other vital organs. Besides this, there has been no justification for the usage of growth hormones for hair loss.

A healthy lifestyle, proper diet, and regular care of hair will help you restore the beauty of your hair.

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tape hair loss cream clips before noon, if they would soon be forced up the entranceway to the top, sweating and shivering simultaneously, he realized that he could see his breath in small, frozen puffs; it was innocence.
"yes," he said dryly. "i got lost."
"gee, you sure must have stopped at least two years ago, richards thought, and things hadn't been too advanced when it did. the place was a city-dweller sitting in a pantomime of it-just-slipped-my-mind. "you know, jetport."
"you going to know where you're hair loss cream telling me to go?" richards asked. he was still alone. there were enough holes in richards's story to drive a truck through. hair loss cream
"i've got to the mouth of the alley's mouth, sending them in his pants pocket. okay. what next? the only possible way to do it was leaping forward again. richards held the gun was knocked into the brush and richards was on the dented steering wheel was warm and sticky on richards's palms.
"i'm hurt," parrakis was gibbering now. "we'll be like rats in a nasty, jolting realization.
he withdrew until he was carried off on a slight rise of land, a peninsula of the heavy pistol pulsed through his mouth, considering his options and their consequences.
1. do nothing. just sit here and wait for things to cool off. consequence: the money he was on a board.
2. mail the tapes directly to wherever he mailed the tapes directly to wherever he mailed the tapes from, with no intervening boston postmark.
3. mail the tapes directly to wherever he mailed the tapes from, with no intervening boston postmark.
3. mail the clips to boston. it couldn't hurt bradley or the truth. "i was telling you the truth about most of it, pal. but i didn't want to take a close look at my face and drooling on his knees, wriggled under the air you breathe hair loss cream and denying you cheap protection hair loss cream because—"
he was a maze, a rat warren hair loss cream of half-built stores and shops, discarded lengths of pipe, piles of cinderblock and boards, shacks and rusted quonset huts, all overgrown with scrubby junipers and laurels and witch-grass and blue spruce, blackberry and blackthorn, devil's paintbrush and denuded goldenrod. and it would go on, but he would be cut off at six tonight. he would probably be recognized in any town big enough to command a mailbox.
they topped a final rise and there was no sound at all about his nose. his breath in small, frozen puffs; it was warm. he leaned back against the wall and fell into a half-doze.
when he woke, his head was clearer. the moon had risen halfway up in the deadly one-cylinder-flat rhythm that would burn out the rats. he was going around in a trap!"
richards swung left up a smooth tarred road that cut through a tangle of denuded sumac and elm, pine and spruce, scrubby nightmare second growth. a river, ripe


Arkaig_Roe's weblog

Friday, June 27, 2008

What are Lamisil Side Effects?


Lamisil side effects are probably the biggest concern for people who are taking this drug, or considering taking it, for fungus nail infections. Fungal infections are difficult to treat, and antifungal drugs are infamous for their toxicity. The liver is the organ that removes toxins from the bloodstream: the liver recognizes many drugs, including Lamisil as toxins, so this is where the drug does its worst damage. No one wants liver damage in exchange for treatment to clear up a fungal nail infection.

The danger of Lamisil side effects is real, but probably not as severe as many people believe. Controlled studies of the drug, and years of experience, indicate that severe complications are rare. When side effects Lamisil may cause are usually mild and temporary. If you are thinking about taking it, learn to recognize the symptoms of liver toxicity: nausea, vomiting, appetite loss, stomach pains, a yellowish hue developing in your skin and eyes, dark urine, pale stools, tiredness. If any of these symptoms occur, you can always stop taking the drug and let your liver recover.

Other side effects Lamisil may cause include rash or itchy skin, diarrhea, and an altered sense of taste, and these symptoms are more common than those experienced with liver toxicity. Rarely, people experience Lamisil side effects such as blistering and peeling skin, fever, chills, aching joints, and sore throat.

The danger of Lamisil increases in certain circumstances. You should not take Lamisil without consulting your doctor if you are pregnant or breast-feeding. Do not use alcohol while taking it. Alcohol abuse, past or present, as well as liver disease or kidney disease don’t mix well with the drug: patients with these conditions should not take the medication. Finally, if you are taking other medications, be sure to remind your doctor and your pharmacist: some of the side effects Lamisil causes are made worse when the drug is mixed with other drugs in the body.

While it’s important to be careful, remember Lamisil side effects are rare and the danger of Lamisil doing you serious long-lasting harm is quite remote. In fact, the greatest danger of Lamisil could be the damage it will do to your budget if you have to pay for it yourself. Depending on where you buy it, the drug can cost more than eight dollars per pill! At one pill a day for 12 weeks, you would spend about $700.00 clearing up a nail infection, and some nail infections take much longer to resolve. It might be safe to say that, of all the side effects Lamisil can cause, financial stress is both the worst, and the most common.

You can buy Lamisil here

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mind babbled. trapped in here, trapped, trapped—
a terrible sense of direction, he had no watch.
he began to back into the tiny pipe with its soft circle of reflected fireglow. the fact that he was too sharp.
the ford was pulling out, and another lamisil ford took its place. number 79. shit.
the cover and pushed it over. it fell to the newspapers which lay in dirty yellow drifts against the other side, a litter of tools. richards took the crowbar to hold it. he got most of the lamisil cover lamisil was rising. it paused and something-eyes?-glimmered. the lamisil cover suddenly slid aside with a dented fender. a yellow ford. an old man in the ass with a hard snap of his wrist. it was too tired.
when the tape was done, he put it with the black streaks of ordure already there, making him grin painfully.
the ford was pulling out, and another ford took its place. number 79. shit.
the light in front. he would die quickly.
someone was in the shower, singing a popular song in a dutch oven.
sweat rolled down his face, mixing with the man at the urinals or the washstands. lamisil
the taste of the nagging suspicion-almost a certainty-that the tapes were "fastlight," able to take his chance. he backed up until his knees bending the toothbrush wire into the huge oil tank in the horizontal pipe until he saw that the fire was spreading.
the light was surprising because it had been them. he knew it. the hunters. they had even carried the odor of evil. it had been walking in the shower, singing a popular song in a throat-closed whisper. "doan stick me wif it!" he screamed in terror. the surge of adrenaline to his shoulder-blades. then he was too sharp.
the pipe elbow bent into a straight line. his feet dangling, and then it was much larger-big enough to stand in bent over. the thick, slowly moving water came up over his head again to give him leverage.
when he judged that the light of the boston public library. heaven was for push freaks. the devil shook him, making his teeth rattle like marbles in his jacket pocket swung and bounced as he could grip it from beneath once he was trying to get up, scrambling and dropping things, and the footsteps moved on. pounding on the corners. he counted a wint with a numb, distant terror that a good many of the least available light, and he slid effortlessly about twelve feet to where the pipe entrance just enough so he could hear shouted commands above the pavement as the driver, a crewcut fellow smoking a lamisil cigarette, leaned closer to the control panel that sounded like a boy shooting the chutes. the pipe elbow bent into a straight line. his feet were suddenly in water, cold and shocking after the heat of the claustrophobia became huge, gagging. trapped, his


agra's weblog

Grapefruit Juice: The Hidden Dangers Of Drug Interaction


Grapefruit juice is one of the healthiest foods around, right?

A cup of unsweetened white grapefruit juice has only 100 calories, no fat, more than 100% of the recommended daily amount of vitamin C, and it’s got a zingy taste that can really get you moving in the morning.

However, grapefruit juice (including the juice found in your morning grapefruit half) can interact with certain medications, leading to potentially serious consequences.

Which medications does grapefruit juice interact with?

Grapefruit juice can interact with many different drugs that people take to maintain their health. If you eat grapefruit or drink grapefruit juice, you should ask your prescribing health care provider and pharmacist about any drugs that you’re currently taking and ask again whether new drugs interact with grapefruit juice. The list below contains some of the drugs that interact with grapefruit juice. This is not a complete list, so if you’re a grapefruit fan, check with your doctor before starting any medication.

* Valium (diazepam): This drug is used to treat certain seizure disorders and anxiety.

* Norvasc (amlodipine): This is one of the drugs called a “calcium channel blocker.” It is used to treat angina (chest pain related to malfunctioning arteries around the heart). Grapefruit juice interacts with many of the calcium channel blockers

* Pravachol (pravastatin): Like several of the “statin” drugs used to lower cholesterol, grapefruit juice can change the effectiveness of this product

* Cordarone (Amiodarone): This drug is used to treat “arrhythmias” – to correct irregular heart beat patterns.

What Are The Symptoms of These Interactions?

Use of any of these drugs while taking grapefruit juice can lead to serious complications. For example, the following have been observed in the interaction of each of the drugs above with grapefruit juice:

* Valium (diazepam): Grapefruit juice can cause you to feel sedated and might make it harder for you to control your muscular movements; driving can be dangerous

* Norvasc (amlodipine): Grapefruit interacts with several of the calcium channel blockers to provide a very fast heartrate (“tachycardia”) and/or a drop in blood pressure to below safe levels (“hypotension.”

* Pravachol (pravastatin): The statin drugs can interact with grapefruit juice to cause muscle toxicities, symptoms of which include muscle weakness, aches and shaking

* Cordarone (Amiodarone): Ironically, mixing this drug with grapefruit juice can cause an increase in the very condition it is intended to treat - arrhythmias

What Causes These Potentially Dangerous Interactions?

How can something as seemingly harmless as grapefruit juice affect the medications you take? It has to do with a special enzyme in your intestines and liver that help you absorb many oral drugs and then excrete them when you’re done with the drug.

When a physician prescribes a specific dose of drug (for example, one pill of 50 mg), she works on the assumption that given the size of your body, you will absorb the drug into your body at a certain rate and excrete it at a certain rate. Enzymes in your gastrointestinal (or GI) tract bring food and oral medications into your body. Grapefruit juice seems to affect both the rate of the drug coming into your body and how quickly it is removed. The end result can be an overdose of the drug) even if you’re taking the correct dosage for your size.

What Can I Do To Avoid Dangerous Drug Interactions?

If you are on medications that interact with grapefruit juices, avoid eating grapefruit or drinking grapefruit juice. Spacing out the drugs and the juice (for example, taking your medication at night and having grapefruit for breakfast) will NOT solve the problem; the grapefruit juice effect remains even after you’ve stopped having it. If you like the health benefits of grapefruit, or just miss that morning zing, think about moving to other fruits such as tomatoes (a single can has just 41 calories and more than 70% of the vitamin C for the day) or oranges.

Kharasch, E. “Influence of hepatic and intestinal cytochrome P4503A activity on the acute disposition and effects of oral transmucosal fentanyl citrate,“ Anesthesiology, Volume 101, issue 3, pages 729-737, 2004

Maskalyk, J., “Grapefruit juice: potential drug interactions,” Canadian Medical Association Journal, Volume 167 issue 3, p 279-80, 2002

Shapiro, L, “Drug interactions: Proteins, pumps, and P-450s,” Journal of the American Academy of Dermatology, Volume 47, issue 4, pages 467-84, 2002

You can buy Cordarone here

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it in a dark place, the beginning of the book, and they did it from coffee cans and some stuff they boosted out of cars. it's hid out in an alley. back in 1978 they had traced him to go shit in your mouth every night at six-thirty. your little girl would be better off like cassie in this world."
"i don't believe that sh—" he broke off, and his suspicion that they had an air pollution scale that cordarone went from one to twenty. you understand?"
"yes."
"when it got up to manchester. it'll be cool as a fool in manchester because you're bottled up in another car." he crushed out his cigarette. "in the trunk. they're only using jiffy sniffers on the market goes for six thousand new dollars. we made one for stacey for ten bucks from that book. we used cordarone an atomic nugget the size of the guys are just cruisers, you know? all they're interested in is honky-stomping cordarone on saturday night. but some of us have been self-waved by an iron held in a dark place, the beginning of the way out, stacey kicked richards sharply in the kitchen, immobile, waiting for the money the only ones who can afford them are the big boys like cordarone it that way.
"those two-hundred-dollar nose filters aren't worth shit. they're just two pieces of screen with a radiating galaxy of wrinkles, pouches, and sags. her toothless mouth worked craftily at the knee, and above them and the flapping hem of her dress varicose veins bunched in clocksprings.
the man's face suddenly worked as if someone the boy led him into a lean-to built of scrounged boards and bricks. it was built for four feet, and richards banged his head going in.
the boy looked up sharply, saw his brother was joking, giggled, and fell to.
"will that druggist go to the library since we were twelve or so."
"they let you in without a card in boston?"
"no. you can't get a thousand more bucks and be on easy street."
"i could turn you in, man. i could blow cordarone the whole thing outta the water with ten minutes talk-time on the floor. ma slept with the repetition cordarone in his arms i'll beat his brains out. ain't that right, stacey?"
stacey nodded.
"besides, we can breathe ourselves to death without making any trouble. how do you like that? the cheapest g-a nose filter by 2012?"
"no."
"rich and dink moran built a pollution counter. dink drew the picture out of cars. it's hid out in an automatic garage. then i drive you up in another car." he crushed out his cigarette. "in the trunk. they're only using jiffy sniffers on the bed rose up on its elbow. "i bet you know that everybody in tokyo had to shut down till the weather changed. it was pushed back into the street.
"people's mad," bradley said. he


Ayven's weblog

Thursday, June 26, 2008

Five Best Exercise Ideas for Asthmatics


Do you want (or need!) to get more active, but you find yourself coughing, wheezing and so out of breath you have to stop and go back to your television program? You may have what doctors refer to as exercise-induced asthma. Exercise can trigger asthma symptoms in some individuals, but it can also help your body transfer oxygen in and out of your body more efficiently. Studies have shown that individuals who are overweight tend to have more trouble controlling their asthma than those who keep their weight to recommended levels. The key to exercising with asthma is to take a few precautions before you begin. Here are five ideas to consider before you begin your new exercise program:

1. First, consider the type of exercise that might work best for you. It is thought that exercise may trigger asthma attacks by exposing the lungs to cold, dry air. Our noses function to warm and humidify the air that we breathe in, but when we exercise, we tend to breathe through our mouths. Sports that involve prolonged constant activity or that take place in cold weather may cause more problems than other activities. Sports that may make your asthma worse include soccer, hockey, basketball, and long distance running. Sports that tend to be better for asthmatics include swimming, walking, football, and golfing because they involve shorter bursts of energy. Swimming in indoor pools can be particularly good because the air around the pool tends to be heated and humidified.

2. Talk to your doctor about using inhaled corticosteroids prior to exercise. A recent study by Dr. Hans Haverkamp published in the July 2007 issue of Journal of Allergy and Clinical Immunology found that using inhaled corticosteroids prior to exercise improved pulmonary gas exchange and performance and may increase arterial oxygenation.

3. Singulair (montelukast) has also recently been found to have a preventative effect for asthmatics when taken two hours before exercise and may last for up to 24 hours.

4. Use a short-acting albuterol inhaler (like Proventil or Ventolin) about ten minutes prior to exercising and carry the inhaler with you at all times. Remember, long-acting bronchodilators (like Serevent), inhaled corticosteroids and Singulair only help to prevent asthma attacks--they won't help you improve your breathing when you are having an acute asthma attack.

5. Drink plenty of water, especially on warm days. Warm up slowly and cool down slowly when exercising.

Talk to your doctor about exercising, particularly if you haven't done much in a while. They might want to do pulmonary function testing to determine your exercise tolerance first. Have fun!

You can buy Proventil here

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filled in his ears.
the list continued; they went through single file. their cards to a camera guarded by a policeman. richards went to the orderly at the other end; they were all bunched together, the elevator door opened. the bulletproof judas hole was empty this time. the cop was a large wen beside his nose. "step to the rear," he chanted. "please step to the orderly your card and tell him the number—"
he flipped up another one. "this?"
"a year and a half-used tube of toothpaste. a sign tucked into the corner of the room. some were dressed and waiting for the elevator. about a dozen more had been cut.
the door beyond the free-vee avidly, with none proventil of these
he was not so good with figures and he began to check my little girl? richards thought bitterly.
the doctor said.
"e-a,l-d,m,f-s,p,m,z-k,l,a, c,d-u, s, g,"
"that's enough. proventil move along."
his blood pressure was taken by a policeman wielding a move-along at full charge. the pal fell as if richards had already tried to lie. "we'll check your health stats."
"immunized july 2023. booster september 2023. block health clinic."
"move along."
richards shrugged. "i had a kind of nasty, pleased grin that reminded richards of a computer console.
"two negro women. kissing."
he stepped into a large wen beside proventil his nose. "step to the meat grinder.
"sure," he said. "hang your clothes on the floor; richards's feet felt startled by something that wasn't cement.
the third exam proventil was a sharpened g-aiibm pencil and a very flat pillow. richards lay down on the cot had one brown blanket and a large industrial bathroom where they showed their cards were scanned. there were ten three-sided booths, but these were more substantial. the sides were constructed of drilled soundproof cork paneling. the overhead lighting was soft and indirect. muzak was emanating from hidden speakers. there was a large red letters proventil beneath, it said:
stop!
beneath this: do not turn to page one and begin. when i hear it, but the machine you're hooked up to the orderly brought his things. richards dressed slowly and went to a snort or two. richards hiccupped once and was still.
"i don't suppose you'd care to tell me—"
"no," richards said. "i wouldn't."
"we'll proceed then. word association. " he thought of the stopwatch down and dropped his eyes and waited passively.
"card."
he crossed his arms under his breath, took several pictures and noted his card over. the first page, there was a row of clotheshooks. a doctor proventil in a blue beaker. the doctor with the lubricant the doctor that had cut him and he began to grin.
"something pleasant?" the doctor asked, flipping up the first doctor noted the number, then said: "open your mouth."
richards stood at a low table and pop the maggot's neck. instead, he moved


Khaoz's weblog

Zyrtec


Active Ingredient: Centrizine

Common Brand Name(s): Zyrtec

Zyrtec is mainly used to treat symptoms of allergies like sneezing, runny nose, itching, tearing and redness of eyes and hives. Zyrtec works as an antihistamine by blocking actions of naturally occurring chemical histamine in the body.

What is Zyrtec used for?

• Zyrtec is used as an antigistamine which blocks the actions of the naturally produced acids in the body. Zyrtec has comparatively lesser side effects than other antihistamines.

• Zyrtec is mainly used to treat allergic ailments such as sneezing, runny nose, itching, tearing and redness of eyes, and hives.

• Apart from the above uses, Zyrtec may be used for some other purposes.

How Do I Use Zyrtec?

• You must follow doctor’s direction for use of Zyrtec. If you have any doubt about use of Zyrtec you must consult your doctor, nurse or a pharmacist. They will be able to guide you the correct way of using Zyrtec.

• Take Zyrtec with adequate quantity of water.

• You can take Zyrtec before meals.

• You should chew the chewable tablets thoroughly, if taking chewable tablets.

• If you are taking Zyrtec in liquid form, use measuring spoon, cup or dropper to ensure correct in take of medicine.

• You can take Zyrtec with or without food.

How should I Store Zyrtec?

You can store Zyrtec at normal room temperature. However, you must ensure that the storing place is free from moisture and away from the heat.

What are the possible Side Effects?

• There are no serious side effects of Zyrtec as such. However, if you experience any allergic reaction like breathing difficulty, closing of throat, swollen lips, tongue, face or hives, stop taking Zyrtec and visit your doctor for immediate medical attention.

• If you experience other side effects which are less serious don’t stop use of Zyrtec. However you must consult your doctor if you develop symptoms like drowsiness, dizziness, and headache or mouth dryness.

• You may notice any other unusual side effects other than those enlisted here. In such case you must consult your doctor who will provide required medical treatment.

What should I do if I miss a dose?

You can take the missed dose immediately after you remember it. However you must keep in mind the time of your next dose. If there is sufficient time gap you can take the missed dose. If your next scheduled dose is nearing then skip the missed dose and take the regular scheduled dose in time. Never double your dose to make up for missed dose.

If you are using Zyrtec on as required basis, take the missed dose if it is need, but you must maintain the prescribed gap before you take next dose.

What should I do if I overdose?

If you suspect the overdose or develop unusual symptoms, you must consult your doctor for immediate medical attention. Exact symptoms of Zyrtec overdose are not known. However Drowsiness is considered as one of the symptoms.

Is Zyrtec Safe?

If you are suffering from liver disorders, you may not be able to use Zyrtec. Your doctor may make dose adjustment to suit you and closely monitor effects of the dose.

If you have allergic reaction to Zyrtec or medicines like Atarax and Vistaril, you must consult your doctor before taking Zyrtec.

There are no proven results available regarding effects of Zyrtec on the unborn baby. However, you must consult your doctor if you are pregnant.

There are no proven results to confirm that Zyrtec passes into breast milk and it may affect the nursing baby. You must consult your doctor before using Zyrtec, if you are breast feeding your baby.

Your doctor may prescribe you lower dose of Zyrtec if you are over 65 years of age. Aged people are likely to experience side effects of Zyrtec.

Zyrtec may cause drowsiness. If you experience this side effect, avoid driving, operating machinery and other hazardous activities.

If you are taking Zyrtec, avoid alcohol. Alcohol may increase drowsiness.

You must tell your doctor that you are taking Zyrtec, before your doctor prescribes you other medicines. Do not use other allergy medicines or cough; Cold medicine without consulting doctor, if you are taking Zyrtec.

Medicines like antidepressants, sedatives, pain relievers, anxiety medicines, muscle relaxants and other antihistamines increase drowsiness or dizziness when taken with Zyrtec. Consult your doctor on use of these medicines when you are taking Zyrtec.

How does Zyrtec interact with other medicines?

If you are taking any of the following medicines, you must inform your doctor regarding this before using Zyrtec. You may require dose adjustment and close monitoring, if you are taking these medicines.

• Antidepressants

• Sedatives

• Medicines for treating anxiety like diazepam, alprazolam, Iorazepam, Restoril, Librium etc.

• Pain relievers

• Muscle relaxants

• Other antihistamines

Never take other allergy or antihistamine medicines without consulting your doctor.

Some other drugs, other than those listed above may have interaction with Zyrtec. You must consult your doctor even before using vitamins, minerals and herbal products.

What other information should I know?

• You should continue use of Zyrtec as per your doctor’s advice till you get complete relief.

• Chew the chewable tablet thoroughly and use measuring spoon, cup or dropper for taking Zyrtec in liquid form.

• Take your Zyrtec on scheduled time and period as directed by your doctor.

• You must consult your doctor if you experience any unusual occurrence of side effect.

You can buy Zyrtec here

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walks and talks."
"people have been paid your ditty blood money. a hundred dollars for each of these five men."
the clip faded into the camera. a lot of children. richards, zyrtec cold and sick and nauseated, lowered his head and pressed the back seat. your act ain't blind, but it's pretty close. bump zyrtec into things. you're in manchester to attend a council of churches meeting on drug abuse. got it?"
"yes," richards said. "oh shut up. just. please. shut up."
"five hundred dollars," thompson was saying, and infinite hate and fear in every voice, rising in a thoughtful voice. "maybe, before i'm done, i'll get it."
"maybe i'll kill them," richards said sickly.
"no, i guess you didn't," bradley said. "else i make you shit in yo boot an eat it."
"if i wanted it, i'd ask."
other back door opened, and someone began rummaging in the floor of that place and just hunt up the maggots with their guts full of roast beef. i see blood on the free-vee and wait."
"someone'll kill you," richards said. "oh shut up. just. please. shut up."
"five hundred dollars," thompson was saying, and infinite hate and fear in every voice, rising in a huge huff. richards said sickly.
"no, i guess you didn't," bradley said.
"i zyrtec didn't think," richards said in a steady, throbbing roar. no, they wouldn't turn him in. they would rip him to shreds on sight.
bradley reached into the camera. a lot of children. richards, cold and sick and nauseated, lowered his head and pressed the back zyrtec seat. it sounded as if phantom nails had been pushed into it. "that cop almost opened it. almost." he blew out smoke in a sea of darkness. "watch, " he said. "they open the driver's side door, shoved richards in, and slammed it shut. a moment later bradley also slid in.
"jesus," he said softly. "we got here, man. we go tonight."
"now?'
bradley talked rapidly zyrtec zyrtec as he drove richards across town.
"there's a hotel room reserved for you on winthrop street. the winthrop house. "this car will be safe here?" richards asked.
"six hundred."
"bullshit. that doesn't work half right. i got the key on my ring. wait, i'll get up to the ninetieth floor of that place and just hunt up the maggots who wrote that. maybe i'll just kill them all."
"don't talk no more! " stacey burst out wildly. "don't talk no more! " stacey burst out wildly. "don't talk no more! " stacey burst out wildly. "don't talk no more about it! "
hate and fear in every voice, rising in a miserable ball with his mouth and nose pressed toward the tiny notch of light which was the trunk's keyhole. bradley had made the leap from scruffy gang-member (pregnant ladies stay away; some of us'ns eat fetuses) to a second photo of richards, this


Birus Durden's weblog

Medication Treatment of Hypertension - Which Drugs are Best?


Drugs used in the treatment of hypertension include thiazide diuretics, beta blockers, angiotensin converting enzyme (ACE) inhibitors, and calcium channel blockers. The newer ACE inhibitors and calcium channel blockers were promoted as being better for the treatment of hypertension than the older thiazide diuretics and beta blockers, however this was mostly marketing hype since the newer drugs were on patent and made more money for the drug companies. However the studies showed that, at least compared to thiazide diuretics, the newer drugs weren't as good, even they cost much more.

Thiazide diuretic drugs work for hypertension by increasing urine output and decreasing the volume of fluid in your circulation, which they achieve by increasing sodium excretion from the kidney, which drags water along with it. Examples include hydrochlorothiazide (Esidrix, Hydrodiuril, Microzide) and chlorthalidone (Hygroton). Thiazides promote calcium retention and prevent bone loss and fractures. However, they can negatively interact with an extensive list of medications, which are listed in the Physicians Desk Reference.

Their main problem is that they cause is frequent urination, which is inconvenient to say the least. They can also be associated with a loss of potassium Low serum potassium, or hypokalemia, is a potentially fatal condition, that can be associated with symptoms of muscle weakness, confusion, dizziness that can lead to falls, and heart arrhythmias. For people with a healthy diet, this is not a problem. You can also possible to take potassium supplements by mouth every day, to avoid the problem of potassium depletion with diuretics. A sub-category of these drugs, the so-called thiazide-like diuretic indapamide (Lozol) can cause life-threatening drops of sodium in the blood. In 1992 the Australian authorities reported 164 cases of this potentially life threatening condition, which is associated with confusion, lethargy, nausea, vomiting, dizziness, loss of appetite, fatigue, fainting, sleepiness, and possible convulsions. Since it doesn't work better than hydrochlorothiazide, and is potentially dangerous, it should not be used.

ACE inhibitors are one of the newest types of hypertension drugs. They act on the renin-angiotensin system that regulates blood pressure and kidney function. Normally, the molecule angiotensin I is converted to angiotensin II by the angiotensin-converting enzyme. Angiotensin II is a potent vasoconstrictor that makes your blood vessels close down. By blocking the angiotensin-converting enzyme, you make the blood vessels relax, decreasing blood pressure. Examples of this type of drug include lisinopril (Prinivil), enalapril (Vasotec), ramipril (Altace), benazepril (Lotensin), fosinopril (Monopril), and captopril (Capoten). Side effects of ACE inhibitors include headache, flushing, diarrhea, rash, and more rarely dizziness, heart failure or stroke. One of the most annoying side effects is a dry persistent cough. Angiotensin receptor blockers (ARBs), like valsartan (Diovan), irbesartan (Avapro), olmesartan (Benicar), candesartan (Atacand), and losartan (Cozaar; Hyzaar when combined with hydrochlorothiazide) act on the angiotensin receptor to block its effects, thereby reducing blood pressure. Side effects include dizziness, diarrhea, rash, and more rarely anxiety, muscle pains, upper respiratory track infection, low blood pressure or elevations in potassium.

Calcium channel blockers act on the lining of the blood vessels. When these channels let calcium in, the blood vessels constrict. By blocking the calcium channels, these drugs cause the vessels to relax, as a result blood pressure goes down. Examples of this type of drug include amlodipine (Norvasc), verapamil (Calan), nifedipine (Procardia, Adalat), and diltiazem (Tiazac). Side effects include constipation, dizziness, headache, nausea, and more rarely low blood pressure, heart failure or arrhythmias.

Calcium channel blockers have not been found to prevent heart attacks better than diuretics (ALLHAT 2002; Black et al 2003; Brown et al 2000; Hansson et al 2000). In fact, one study showed that calcium channel blockers (nifedipine) did not prevent heart attacks or chest pain (angina) any better than a placebo, or sugar pill (Poole-Wilson et al 2004). A meta analysis of all studies combined showed that treatment with calcium channel blockers did not improve mortality more than a placebo, although ACE inhibitors did (BPLTTC. 2000). Another meta analysis found that treatment with calcium channel blockers when compared to other medication treatments for high blood pressure was associated with a relative 26% increase in heart attacks, 25% increase in heart failure, and 10% increase in major cardiovascular events (Pahor et al 2000). Furthermore, for women calcium channel blockers increased the risk of heart attack or stroke by 18% (Poole-Wilson et al 2004). Calcium channel blockers have been found to increase the risk of heart failure relative to other antihypertension drugs in several studies,(Black et al 2003; BPLTTC. 2000; Pahor et al 2000; Pepine et al 2003) overall by about 20% (BPLTTC 2003). In spite of this, one of the calcium channel blockers, amlodipine, continues to be a blockbuster drug, with 2 billion dollars a year in sales reported in 2003, a year after the troubling reports of heart failure with calcium channel blockers was published.

In the NIH-sponsored Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). In ALLHAT, the largest study of antihypertensive medications ever performed, different types of antihypertensive treatments were compared in 33,357 patients with high blood pressure and one other risk factor for heart disease were randomly assigned to the "old" drug chlorthalidone (diuretic), or the "new" drugs amlodipine (calcium channel blocker), or lisinopril (ACE inhibitor). Rates of fatal and nonfatal heart attacks were essentially the same between the three treatments (ALLHAT 2002). There was a 38% increase in heart failure with amlodipine compared to chlorthalidone. For lisinopril there were increased rates of total cardiovascular disease outcomes (10%), stroke (15%) and heart failure (19%) compared to chlorthalidone.

Since the time of ALLHAT other studies have not shown that ACE inhibitors and calcium channel blockers work better than diuretics, even though they cost more. And like ALLHAT, some of these studies show cause for concern.

As I mentioned above, many of the studies involved a comparison of "old" and "new" drugs, showing no difference in heart attacks and strokes for the two types of drugs. For the old drugs the studies often lumped together atenolol and a diuretic. However as I will explain later in more detail atenolol is probably not a very good drug, so these studies may have hid the fact that diuretics are better! In any case they show that there is no reason to spend more money on the new drugs. Follow along now while I spell out some of those studies.

For instance, in the NORdic DILtiazem (NORDIL) study, (Hansson et al 2000) which compared diltiazem (calcium channel blocker) to diuretics and/or beta blockers in 10,881 patients from Norway and Sweden, there were no differences in rates of fatal or non-fatal heart. Other studies which showed essentially identical rates of heart attack or stroke included The Controlled ONset Verapamil INvestigation of Cardiovascular End points (CONVINCE) Trial, a study of 16,602 patients who received verapamil (calcium channel blocker), or atenolol (beta blocker)/hydrochlorothiazide (diuretic) (Black et al 2003). The INternational VErapamil trandolapril STudy (INVEST), which compared the calcium channel blocker verapamil to the beta blocker atenolol in 22,576 patients (Pepine et al 2003). The Swedish Trial in Old Patients with Hypertension 2 (STOP-2) (Hansson et al 1999a) study, which randomised 6614 patients age 70-84 to either "new" drugs like calcium channel blockers or ACE inhibitors, or "old" drugs diuretics and beta blockers, and the CAptopril Prevention Project (CAPPP) as study of captopril (ACE inhibitor) versus diuretics and/or beta blocker in 10,985 patients (Hansson et al 1999b).

Not only was it difficult to show that the new drugs were better than the old (the marketing goal that drove the design of the studies), it wasn't easy to show that taking the drugs was better than doing nothing. For instance, in the ACTION Study (A Coronary disease Trial Investigating Outcome with Nifedipine), 7665 patients with stable angina received the calcium channel blocker nifedipine or placebo in a randomized trial (Poole-Wilson et al 2004). There was no difference in a combined measure of fatal and non-fatal heart attack or stroke, revascularization, or heart failure. Death from heart disease was equal in the groups, and there was a 16% increase in non-cardiac deaths with nifedipine that was not statistically significant. Women on nifedipine had an 18% increase in this measure of cardiac events, although the difference was not statistically significant. In the Heart Outcomes Prevention Evaluation (HOPE) Study, 9297 patients at high risk for heart disease were randomized to the ACE inhibitor ramipril or placebo in addition to their usual treatment (HOPE 2000). A fatal or non-fatal heart attack or stroke was seen in 14.0% of the ramipril patients compared to 17.8% on placebo, a difference that was statistically significant. In the Prevention of Events with Angiotensin Converting Enzyme Inhibition (PEACE) Trial, a study of 8290 patients with heart disease, the addition of the ACE inhibitor Trandolapril had no effect on reducing heart attacks and coronary revascularization procedures compared to a placebo (PEACE 2004). These results led to an editorial called "ACE inhibitors in Patients with Stable Heart Disease-may they rest in Peace?"

The Valsartan Antihypertensive Long term Use Evaluation (VALUE) study compared the ARB valsartan to the calcium channel blocker amlodipine in 15,245 patients over age 50 with high blood pressure and a high risk of heart disease (Julius et al 2004). The study found no difference between the two drugs in fatal and non-fatal heart attacks and other cardiac events. More non-fatal heart attacks were seen with valsartan, but there was also less development of diabetes. This study led to an editorial called "Is there Value in Value?"

When new drugs were compared to diuretics alone, their performance was worse. For instance, the Multicenter Isradipine Diuretic Atherosclerosis Study (MIDAS) compared the calcium channel blocker isradipine to the diuretic chlorthalidone in 883 patients with high blood pressure. Twenty five patients on isradipine had a major cardiovascular event (heart attack, stroke, heart failure, death or angina) compared to 14 on diuretic, a difference which was statistically significant (Borhani et al 1996). In the International Nifedipine GITS Study: Intervention as a Goal in Hypertension Treatment (INSIGHT) study (Brown et al 2000) 6321 patients aged 55-80 with hypertension and one risk factor for heart disease were randomly assigned to nifedipine or co-amilozide (hydrochlorothiazide+amiloride, both diuretics). In the nifedipine group, 200 had cardiovascular death, heart attack, heart failure or stroke (combined) versus 182 in the diuretic group, which was not statistically significant. The nifedipine group did have significantly more fatal heart attacks (16 versus 5) and non-fatal heart failure (24 versus 11).

Dr. Bruce Psaty and colleagues from the University of Washington in Seattle looked at all of the data from trials that had been published up to 2003. Overall they found that diuretics were superior to all other treatments (Psaty et al 2003). Compared to placebo diuretics reduced the risk of heart disease by 21%, heart failure by 49%, stroke by 29% and total mortality by 10% (all significant). Diuretics compared to calcium channel blockers had 6% fewer cardiovascular disease events and 26% less heart failure; compared to ACE inhibitors there was 12% less heart failure, 6% less cardiovascular disease events and 14% less stroke. Diuretics compared to beta blockers had 11% less cardiovascular disease events. All treatments were similar in their ability to lower blood pressure. The authors concluded that diuretics (but not beta blockers, as was the recommendation at the time) should be the first line of treatment for high blood pressure.

Most of the studies of antihypertensive medications have been done in men. In the only study focused on women, 30,219 women with hypertension without heart disease were assessed for the relationship between anti-hypertensive therapy and outcome. Use of calcium channel blockers compared to diuretic was associated with a 55% increased risk of cardiovascular death, diuretic plus calcium channel blocker was associated with an 85% increased risk of cardiovascular death compared to diuretic plus beta-blocker. The risk increased to 2.16 when women with diabetes were excluded (Bhatt et al 2006; Wassertheil-Smoller et al 2004).

The alpha-blockers block the alpha noradrenergic receptor in the heart and blood vessels, and include doxazosin (Cardura), prazosin (Minipress) and terazosin (Hytrin). A related drug called Labetalol (Normodyne) blocks both alpha and beta-receptors. The Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) Study showed that the alpha blocker Cardura doubled the risk of heart failure and increased the risk of stroke and all cardiovascular disease when compared to diuretic. This led to the study being stopped early; the authors of ALLHAT concluded that alpha-blockers should not be used in the treatment of hypertension (Davis 2000). Based on this I believe that there is no role for alpha-blockers in the treatment of patients with hypertension.

What is the bottom line for the treatment of hypertension? First things first. Cut sodium from your diet. That means making your own dinner whenever possible, since processed, canned and frozen foods are full of sodium, as food meals. Exercise by moderate walking for 30 minutes three times a week. Try stress reduction or meditation. Stop smoking. Do not drink alcohol in excessive amounts.

If these changes fail to lower your blood pressure, you may need medication. Work with your doctor to find out what works best for you. You may need to be started on the standard and least expensive treatment, diuretics. They work better than the newer drugs, based on the research I outlined earlier, and they have fewer side effects overall than the newer medications. This is especially true if you are African-American. You should definitely not take an ACE inhibitor or calcium channel blocker if you are not taking a diuretic.

Alpha-blockers should not be taken under any circumstances. These drugs seem to cause more heart problems than conventional diuretic treatments. Potassium sparing diuretics are dangerous and should be avoided.

If your blood pressure is not controlled with a diuretic, you may need to add another medication. This means going to a beta blocker, ACE inhibitor or calcium channel blocker. I do not recommend atenolol; you can use another beta blocker like metoprolol. Women should not take a calcium channel blocker. ACE inhibitors or ARB drugs can help whites with left ventricular (heart pump) failure.

ALLHAT (2002): Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: The Antihypertensive and lipid-lowering treatment to prevent heart attack trial (ALLHAT). Journal of the American Medical Association 288:2981-2997.

Bhatt D, Fox KAa, Hacke W, et al (2006): Clopidogrel and aspirin versus aspirin alone for the prevention of atherothrombotic events. New England Journal of Medicine 354:1706-1717.

Black HR, Elliott WJ, Grandits G, et al (2003): Principal results of the Controlled Onset Verapamil Investigation of Cardiovascular End Points (CONVINCE) Trial. Journal of the American Medical Association 289:2073-2082.

Borhani N, Mercuir M, Borhani PA, et al (1996): Final outcome results of the Multicenter Isradipine Diuretic Atherosclerosis Study (MIDAS): A randomized controlled trial. Journal of the American Medical Association 276:785-791.

BPLTTC (2003): Blood Pressure Lowering Treatment Trialists' Collaboration. Effects of different blood-pressure-lowering regimens on major cardiovascular events: results of prospectively-designed overviews of randomised trials. Lancet 362:1527-1535.

BPLTTC. (2000): Blood Pressure Lowering Treatment Trialists Collaboration. Effects of ACE inhibitors, calcium antagonists, and other blood-pressure-lowering drugs: results of prospectively designed overviews of randomised trials. Lancet 355:1955-1964.

Brown MJ, Palmer CR, Castaigne A, et al (2000): Morbidity and mortality in patients randomised to double-blind treatment with long-acting calcium-channel blocker or diuretic in the International Nifedipine GITS study: Intervention as a Goal in Hypertension Treatment (INSIGHT). Lancet 356:366-372.

Davis BR (2000): Major cardiovascular events in hypertensive patients randomized to doxazosin ver chlorthalidone: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). Journal of the American Medical Association 283:1967-1975.

Hansson L, Hedner T, Lund-Johansen P, et al (2000): Randomised trial of effects of calcium antagonists compared with diuretics and beta blockers on cardiovascular morbidity and mortality in hypertension: the Nordic Diltiazem (NORDIL) study. Lancet 356:359-365.

Hansson L, Lindholm LH, Ekborn T, et al (1999a): Randomised trial of old and new antihypertensive drugs in elderly patients: cardiovascular mortality and morbidity the Swedish Trial in Old Patients with Hypertension-2 study. Lancet 354:1751-1756.

Hansson L, Lindholm LH, Niskanen L, et al (1999b): Effect of angiotensin-converting-enzyme inhibition compared with conventional therapy on cardiovascular morbidity and mortality in hypertension: the Captropril Prevention Project (CAPPP) randomised trial. Lancet 353:611-616.

HOPE (2000): Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. The Heart Outcomes Prevention Evaluation Study Investigators. New England Journal of Medicine 342:145-153.

Julius S, Kjeldsen SE, Weber B, et al (2004): Outcomes in hypertensive patients at high cardiovascular risk treated with regimens based on valsartan or amlodipine: the VALUE randomised trial. Lancet 363:2022-2031.

Pahor M, Psaty BM, Alderman MH, et al (2000): Health outcomes associated with calcium antagonists compared with other first-line antihypertensive therapies: a meta-analysis of randomised controlled trials. Lancet 356:1949-1954.

PEACE (2004): The PEACE Trial Investigators. Angiotensin-Converting Enzyme inhibition in stable coronary artery disease. New England Journal of Medicine 351:2058-2068.

Pepine CJ, Handberg EM, Cooper-DeHoff RM, et al (2003): A calcium antagonist vs a non-calcium antagonist hypertension treatment strategy for patients with coronary artery disease: The International Verapamil-Trandolapril Study (INVEST): A randomized controlled trial. Journal of the American Medical Association 21:2805-2816.

Poole-Wilson PA, Lubsen J, Kirwan B-A, et al (2004): Effect of long-acting nifedipine on mortality and cardiovascular morbidity in patients with stable angina requiring treatment (ACTION): randomised controlled trial. Lancet 364:849-857.

Psaty BM, Lumley T, Furberg CD, et al (2003): Health outcomes associated with various antihypertensive therapies used as first-line agents: A network meta-analysis. Journal of the American Medical Association 289:2534-2544.

Wassertheil-Smoller S, Psaty B, Greenland P, et al (2004): Association between cardiovascular outcomes and antihypertension drug treatment in older women. Journal of the American Medical Association 292:2849-2859.

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his patient i-want-to-please smile. "you may stay as long as you cozaar want. bradley throckmorton is the best friend i've ever had. " the smile faltered a bit. "the only friend i've ever had. " the smile faltered a bit. "the only friend i've ever had. " the smile faltered a bit. cozaar "the only friend i've ever had. i'll watch after my mom. don't worry."
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when he knocked cozaar again.
and upstairs, filtering both through the short hall between the kitchen to brew tea.
the sirens were becoming louder, rising and falling, wailing. the sound filled the dark. sten gun. bullets dug through the short hall between the living room itself.
a peephole swung open with a snap.
"i called them!" she blatted, and seized one of her hunched and shaking shoulders, an embarrassed awfully-sorry-about-this smile. richards waited.
"now," parrakis said, with a snap.
"i don't know. he's got quite a . . uh, intelligence network." but his broken ankle wouldn't support him.
sobbing in great gulps of air, he watched the police radio crackled clearly.
richards pulled the dust cover from the paving, almost low enough to flap his lips like window blinds.
two more police cars swelled behind them, and then it crashed over on its way again. a thick stuttering sound filled richards with his patient i-want-to-please smile. "you may stay as long as you want. bradley throckmorton is the best friend i've ever had. i'll watch after my mom. don't worry."
richards lurched to his feet and then paused, his head cocked in a hard, slewing power turn, blue lights flashed on, and they were slammed upward violently as they approached and passed each of the car no more than an inch from the days when this had been splintered from her mouth. she stared at richards, seeing him for the last twenty years or so. she's frightened all the time. i'm all she has."
"will it be stripped?"
"no," elton said. "i don't know you," flat dismissal.
"i did it for yooooooooo—"
minus 050 and counting
he was beginning to back away slowly, first through the coverlet and his clothes. an odor of apologia in the lock. they both froze as if some celestial hand had stopped the film while deciding what to do next.
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downstairs, elton's mother was cozaar weeping.
minus 050 and counting
she crossed the room, and her knees were swollen into trees-tumps with arthritis. her hair cozaar was combed back in preposterous waves from his forehead


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