What happens if you take Sildenafil tablet (Viagra) for long term?

 Sildenafil tablets (Viagra), is a medication, that is widely consumed recreationally, especially among young people. In Nepal, this drug is available under various brand names, including Viagra, Zenegra, Aryagra, and Silagra. It is available in 50 mg and 100 mg doses in the market.

What is Sildenafil?

Sildenafil is a medication used for men's sexual health. It is primarily prescribed to treat Erectile Dysfunction (ED), a condition where a man has difficulty achieving or maintaining an erection.

How does it work?

Sildenafil increases blood flow to the penis, helping achieve and sustain an erection. It is particularly beneficial for men who experience ED due to diabetes, heart disease, high blood pressure, or aging.

Recreational Use

Many young people are now using this medication without a doctor's prescription for recreational purposes. Some take it to boost confidence or enhance sexual performance.

Effects of Long-Term Use

If Sildenafil is misused for a long time:

• It can reduce confidence in engaging in sexual activity without the drug.
• Users may develop a psychological dependence on the medication.
• This condition is known as Psychogenic Erectile Dysfunction, where the ability to achieve an erection without the drug is compromised.

Who Should Be Cautious While Using This Drug?

If you have any of the following conditions, consult a doctor before using Sildenafil:

✔️ Heart disease, high blood pressure, diabetes, or liver/kidney problems

✔️ Currently taking nitrate medications

✔️ Serious eye conditions

✔️ Blood disorders

👉 Do not take this medication without a doctor's prescription if you have any of these conditions.

Proper Usage Guidelines

✔️ Always follow your doctor's prescription.

✔️ Typically, a 50 mg tablet is taken one hour before sexual activity.

✔️ Do not take it more than once a day, as excessive use can be harmful.

Serious Side Effects

Seek immediate medical attention if you experience:

❗ An erection lasting more than 4 hours

❗ Headache, chest pain, blurred vision, or hearing loss

❗ Increased heart rate or feeling weak

👉 Visit a doctor immediately if you experience these symptoms.

Long-Term Risks of Using Sildenafil

1️⃣ Heart Problems: It can increase blood pressure and the risk of heart attack.

2️⃣ Vision Issues: It may cause blurred vision or even sudden vision loss.

3️⃣ Hearing Problems: It can lead to tinnitus (ringing in the ears) or sudden hearing loss.

4️⃣ Psychological Dependence: Users may lose confidence in performing without the drug.

5️⃣ Digestive Issues: Long-term use can cause acidity, gastric problems, or indigestion.

Final Message

🚨 If you are using this drug recreationally, be cautious!

👉 Improper use can have severe health consequences.

👉 Do not take Sildenafil without medical advice.

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🙏 Thank you! 

Can we use Vitamin E Capsules directly on face and hair ? Tips to use Vitamin E Capsule

 

Nowadays, many people visit pharmacies to buy Vitamin E capsules for application on their skin and hair. But is it really appropriate to apply Vitamin E capsules directly to the skin and hair? Today, I will discuss this topic.

Before that, let’s first understand Vitamin E.

Vitamin E is also known as the "beauty vitamin" because it has antioxidant properties. It is found in abundance in dry fruits like almonds, cashews, walnuts, sunflower seeds, and sesame seeds; green vegetables like spinach, cabbage, and fenugreek leaves; and fruits like kiwi, avocado, and mangoes.

• Vitamin E helps reduce age-related skin issues like blemishes and wrinkles.
• It keeps the skin hydrated and radiant.
• It helps reduce hair fall, prevents split ends, and strengthens the hair.
• It boosts the immune system, protecting the body from infections and diseases.
• It helps balance cholesterol levels.
• It improves blood circulation, reducing the risk of heart attacks.
• It strengthens eye muscles and helps maintain clear vision.
• It aids in the faster healing of small wounds, burns, and scars.

These are the benefits of Vitamin E. If you are consuming the foods mentioned above regularly, you don’t need to take Vitamin E capsules separately. However, many people nowadays apply Vitamin E capsules directly to their skin and hair.

To clarify, the Vitamin E capsules available in pharmacies are meant for oral consumption, not for direct application to the skin and hair. If you need Vitamin E for skincare, you can use moisturizers or creams that contain Vitamin E. Similarly, for hair care, you can use shampoos and conditioners enriched with Vitamin E.

If you still want to apply Vitamin E from capsules to your skin and hair, how should you do it?

It is best not to apply Vitamin E oil directly to your skin and hair, as it may cause allergic dermatitis. Instead, mix the oil from the capsule with aloe vera, coconut oil, almond oil, or rose water before applying.

How did you find this ? If you found it helpful, please don’t hesitate to like, comment, and share. Thank you! 

Isotretinoin, Side effects, Contraindication and Precautions

 Acne, is a common issue among many young people. No matter how much treatment some receive, they never seem to improve, and they keep running to hospitals wondering how they will recover. Today, I will provide information about a medication used for acne, i.e. isotretinoin. It is not enough to just know how to take this medication; it is also important to understand the potential side effects and the situations in which it should not be used.

"Isotretinoin is a Vitamin A derivative that reduces the activity of oil-producing glands in the skin. It helps in the regeneration of the skin."

For what type of acne is this medication suitable?

1. It is suitable for those with more severe forms of acne.
2. It is also appropriate for those who have not responded to other treatments such as antibiotics or creams. However, it should only be used with a doctor's recommendation.

This medication comes in capsule form, and the dosage is 0.5 mg/kg per day. If you weigh 60 kg, you should start with 30 mg per day or 15 mg in the morning and evening. Always take isotretinoin after a meal, and make sure to drink a glass of water with it. For more severe acne, the medication should be taken for 15 to 20 weeks.

Now, let’s talk about the potential side effects:

1. Dry and cracked lips: Use lip balm for this.
2. Dry  mouth and dry eyes: Use moisturizer for the mouth and artificial tears for the eyes.
3. The skin becomes more sensitive to the sun: Use sunscreen when going out in the sun. Avoid using any kind of cleansing or waxing on your face while on this medication.
4. Hair may become thin or fall out, but this issue gradually decreases after stopping the medication.
5. Some may experience body aches as well.

In more severe cases, isotretinoin may cause:

• A decrease in high-density lipoproteins (HDLs),
• Elevated liver function tests (LFTs),
• Decreased blood levels, including hemoglobin and hematocrit. Red and white blood cell counts may decrease, while platelet count may increase. If a decrease in white blood cells is noticed, stop the medication immediately.

What precautions should be taken while on this medication? 

• Patients taking isotretinoin should not donate blood during treatment and for one month after stopping the treatment. 
• If isotretinoin is combined with tetracycline, pseudotumor cerebri (a condition with increased pressure around the brain) may occur. Therefore, isotretinoin should not be given with tetracycline. If symptoms of pseudotumor cerebri occur, stop isotretinoin immediately and refer the patient to a neurologist for further evaluation.

Who should not take isotretinoin? 

• Isotretinoin is contraindicated in pregnant women and women who may become pregnant. It has been shown to cause serious harm to a developing baby when taken during pregnancy. Women should use birth control pills or avoid sexual activity while taking isotretinoin and for some time after stopping it. Men who are taking isotretinoin should not participate in sperm donation while on the medication. 
• Those who are allergic to Vitamin A should also avoid taking this medication.