Generic Cialis Should Not Be Taken With Nitrate Based Drugs
Cardiovascular diseases are a group of diseases that affects the heart and blood vessels. It includes ischemic heart disease, hypertension, cerebrovascular diseases (stroke) and congenital heart disease. In today’s world, non communicable diseases claims more lives than any other disease. Almost 35 million people die of non communicable diseases annually. Of which almost half of them die of cardiovascular disease. More than 1/3 of these deaths occur in middle aged people. In developed countries, heart diseases and stroke are the first and second leading cause of death for adult men and women.
The incidence of cardiovascular diseases is greater in urban areas than in the rural areas reflecting the changing life style patterns with increased tobacco smoking, alcohol consumption, lack of physical activity, unhealthy diet and obesity. The middle and low income countries are at the mid point of the emerging epidemic and will face its full impact in the coming years.
Cardiovascular diseases have their own risk factors. It can be broadly classified as modifiable and non modifiable. Non modifiable risk factors include age, sex, ethnicity and genetic. Familial predisposition is one of the major factors in the incidence of cardio vascular diseases. Personality too comes under the non modifiable risk factors. People who tend to get angry soon, have lots of stress; behavioral alterations are all at the risk of developing cardiovascular diseases.
Modifiable risk factors include:
Cigarette smoking
High blood pressure
Elevated serum cholesterol
Diabetes
Obesity
Sedentary habits and stress.
Uniquely a human habit, smoking is one of the major risk factor for the development of cardio vascular diseases. The degree of risk of developing cardiovascular diseases depends on the number of cigarettes smoked per day. Moreover smoking acts synergistically with other modifiable risk factors in the development of coronary heart diseases. It is found that the risk of developing cardiovascular diseases decreases with the cessation of smoking and in the long run would come to the level of that of non smokers.
Hypertension is another important risk factor that independently accelerates the atherosclerotic process. It also helps in identifying the high risk individuals. Serum cholesterol is another deciding factor in the development of cardiovascular diseases. There is an established triangular relationship between habitual diet, blood cholesterol- lipoprotein levels and cardiovascular diseases. In reality, there is a threshold level of cholesterol beyond which there is a definite association.
Diabetics are at 2-3 times more risk than non-diabetics. In industrialized countries, 30-50 % of deaths in diabetics over the age of 40 years are due to cardiovascular diseases.
Conditions like long-term diabetes and cardiovascular disease are related to development of erectile dysfunction. In cases of cardiovascular disease, if you taking nitrate based drugs or if you are using recreational poppers, or if you have had a stroke you must not take Generic cialis or Generic Viagra, you need to talk to your physician. It is highly risky to take these drugs with nitrate combination.
There are specific interventions for combating CVD. It mainly focuses on dietary changes. The fat intake should be reduced to 20-30% of the total energy intake. Consumption of cholesterol and saturated fats must be limited with an increased consumption in complex carbohydrates. There must be a restriction in salt intake and a reduced consumption of alcohol.
Smoking has to be stopped and has to be worked towards a smoke free society. Finally keep a track of your blood pressure and have good physical activity.
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