Viagra 100mg Pfizer Prix | OVERNIGHT Delivery!













































toms until four years ago when there developed bladder hesitation and cystitis, partial paralysis of the rectum, and crises. During the past few months he manifested marked mental symptoms. He was a partner in a large mercantile establishment and caused his associates so much annoyance by his extravagant conduct of the business that they insisted on his retirement from Viagra 100mg Pfizer Prix the firm. On his Viagra 100mg Pfizer Prix own initiative he increased the wages of his em- ployees twenty-five per cent., and in ordering supplies for the house he would purchase ten times the quantity re- quired. In other words, this patient had every evidence of the stage of exaltation. On February nth, he was treated with 0.25 gramme, followed, February 20th, by 0.4 gramme, and ^larch 31st by 0.4 gramme, all intra- \enously. The third injection gave rise to a sharp re- ! action four hours after its administrtion, with a chill, '' vomiting, and a temperature of 101° F. ; this subsided and thirty-six hours after he was well, but thirty-six hours later still a second reaction developed with shooting pains in his legs and a temperature of 100° F. This passed o\er in a day and since that time he has improved steadily. His knee jerks are much less exaggerated, hii bladder now has only 100 c.c. of residual urine, and his mind is as clear as it ever was. Of the 175 cases treated, I have noted six re- currences, Viagra 100mg Pfizer Prix all after a single dose. They were peri- osteal lesions in the case of malignant syphilis, mu- cous membrane lesions in an alcoholic, a palmar syphilide, a plantar syphilide, an optic neuritis, and an iritis. In the case of malignant syphilis, in spite of relapse, it is not an exaggeration to say that the patient owes his life to the remedy. His recurrence took place one month after a subcutaneous injection of 0.5 gramme neutral suspension, but yielded to a second injection of the al- Viagra 100mg Pfizer Prix kaline solution. The patient with the optic neuritis was a physician treated for a digital lesion and secondary eruption on October 7th, with 0.6 gramme neutral suspension. Prompt recession of the lesions took place, but the serum remained strongly positive. About six weeks after treatment an optic neuritis of one eye developed. This at the Viagra 100mg Pfizer Prix last re- port was Viagra 100mg Pfizer Prix yielding to mercury. The case of iritis was in a young man whose infection dated Viagra 100mg Pfizer Prix back two months and who at the time of treatment presented a generalized macular eruption. He was in- jected with 0.5 gramme alkaline solution in the lumbar muscles on November 8th. About si.x weeks later an iritis developed. This cleared up entirely under injec- tions of mercury and the patient has had no further trouble. In the patient with palmar syphilides the eruption had been of one year's duration. On May i6th he received 0.3 gramme alkaline solution and at the end of a month his palms were free. Five months later a circinate lesion appeared in one Viagra 100mg Pfizer Prix palm and persisted up to the time of his second injection, on January 12th, of 0.6 gramme alkaline solution. He now has no clinical evidence of the disease and his serum reaction has been reduced to a single plus. These scaling lesions of the palm and sole show a greater amenability to salvarsan than to Viagra 100mg Pfizer Prix the ordinary treatment, and the relapses are not as extensive as after mercury. From the literature recording recurrences after salvarsan treatment the impression is gained that they are particularly prone to aflfect the eye or cranial nerves. In fact, a number of observers be- lieved that a neurotropic action on the part of the drug could not altogether be eliminated. Further study of these cases has in the great majority con- firmed their purely luetic nature, but whether this predilection is greater after salvarsan or mercurial treatment must for the moment be left sub judice. Ehrlich explained the apparent increase on the ground that mercury seldom produces such an energetic sterilization as salvarsan and oflFers the plausible opinion that these focal recurrences are the result of a few remaining spirochaetae which have escaped sterilization with the main mass and become encapsulated in the narrow bony canals, where slight lesions produce marked clinical symp- toms. He made a careful analysis of the ocular cases and came to the conclusion that in only one might the drug be Viagra 100mg Pfizer Prix incriminated, namely, the young woman treated in Finger's clinic, who, prior to the salvar- rORDYCE: SALVARSAW 865 san therapy, had received thirty injections of ar- sacetin and sixty-nine of enesol. In this case he thought it highly probable that the optic nerves were primarily injured by the earlier arsenical treatment or that the arsenic receptors of the tis- sue had acquired an increased avidity, rendering it susceptible to the later treatment. Benario has recently published his results of a com- parative study of 126 nerve recurrences after salvarsan treatment. Of this number 118 patients were in the early stage of their infection, viz., Viagra 100mg Pfizer Prix five in the primary, 22 pri- mary and secondary, and 91 in the secondary stage. He found that the individual cranial nerves were affected 15;^ times, the order of frequency being the following: Acoustic 68; optic 41; facial 25; oculomotor 12; tro- chlearis, trigeminal, and abducens each 4 times. In rela- tion to the time of Viagra 100mg Pfizer Prix treatment, iii cases, or 96.6 per cent., occurred within four months after its administration. In regard to the date of infection 88 per cent, of the cases occurred within the first nine months. As arguments against the toxic nature of these lesions he advances the long interval intervening between their appearance and the treatment; their inilammaton' rather than atrophic nature; their occurrence almost without exception in cer- tain periods of the disease ; their absence as far as known in nonluetic infections after this treatment, their devel- opment after minimum doses and Viagra 100mg Pfizer Prix cure by further specific therapy, especially salvarsan. The more intensive treat- ment either by repetition of intravenous doses or com- bination with mercury as employed by Schreiber, Neisser, Gennerich, and others has seemed to insure against these relapses.