MEN NEED GOOD TOOLS. Men Need Good Tools. power, performance, price.

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1 MEN NEED GOOD TOOLS Men Need Good Tools power, performance, price

2 Congratulations on taking the first step... Erection problems are common Erectile dysfunction (ED) is a common condition affecting over 50% of men over the age of 40 1, at some time. In many instances ED can be a symptom of other issues that may be occurring with you, either physical, psychological or a combination of both. It is treatable. So now, let s see about helping you...

3 What Is Erectile Dysfunction (ED) And What Causes It? How does an erection occur? During an erection, the blood vessels that let blood into the penis relax and dilate increasing the blood flow to your penis, causing the sponge-like tissues of the penis to swell and harden. The veins that carry the blood away from the penis are then compressed restricting the blood flow back out of the penis. What causes ED? The process of achieving an erection is complex and requires a precise sequence of events. Problems may occur for a variety of reasons and can be of a physical or psychological nature, or a combination of the two. Physical causes The sequence of events that lead to an erection involve nerve impulses in the brain, spine, and penis as well as the subsequent response in the muscles, fibrous tissues, veins and arteries in and near the penis. Physical causes of ED are related to a breakdown of, or damage to, these sequence of events. This could be a result of a disease, hormone imbalance, surgery, prescription medicine or lifestyle factors. Surgery Performed to treat diseases such as prostate and bladder cancer, often require the removal of nerves and tissues around the affected area which can lead to ED. Injuries to the pelvis, bladder, spinal cord or penis that require surgery may also lead to ED. Prescription medicines There are a number of medicines which can cause or contribute to erection difficulties. You should discuss all medicines, whether prescription or not, with your doctor or pharmacist. Do not stop taking any prescribed medicine without first consulting your doctor or pharmacist. Lifestyle choices Smoking, alcohol intake or drug use can damage blood vessels and/or restrict blood flow to the penis causing ED. Smoking in particular plays a large role in causing ED in people with arteriosclerosis (narrowing/ hardening of the arteries). Diseases Such as kidney, neurological or cardiovascular diseases or diabetes may affect hormone circulation, blood flow or nerve function that can lead to ED. Hormone imbalances Such as thyroid, prolactin, and testosterone, can affect a man s response to sexual stimulation. These imbalances can be the result of a tumour of the pituitary gland, kidney disease, liver disease, or treatment of prostate cancer.

4 Psychological factors Such as higher than normal anxiety and stress levels, or depression and low self-esteem, may also contribute to ED. Modern life can be full of deadlines, frustrations and demands. For many people stress is commonplace in life, but beyond a certain point, stress can stop being helpful and can start affecting mood, productivity, relationships and quality of life. Once a man experiences ED, he may become overly worried that it will occur again. This can lead to performance anxiety, or a fear of sexual failure and consistently cause ED. Low self-esteem or depression can affect someone physically and psychologically and may be due to prior episodes of ED, or can be the result of other issues unrelated to sexual performance. How can I be sure I have ED and what can I do? ED is a common issue that will affect many men over the age of 40 1 at some time. It can be the total inability to achieve an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Use the Erection Hardness Grading Scale 2 below to find the erection score that best describes your recent experiences: Grade 1. Penis is larger but not hard Grade 2. Penis is hard, but not hard enough for penetration Grade 3. Penis is hard enough for penetration, but not completely hard Grade 4. Penis is completely hard and fully rigid If you are not confident in your ability to get and/or retain an erection when aroused, or if you are not getting a grade 4 erection, talk to your doctor or pharmacist to see if Vedafil is right for you. How can this affect my relationship? Although men can often feel frustrated and embarrassed, ED is common, and it happens to a lot of men. Your relationship with your partner may be affected. They may not completely understand why you may be withdrawing from physical contact, so it s important to discuss these issues with them. This will not only ease any additional strain on the relationship but also help resume a rewarding sex life once treatment is established.

5 Congratulations.You ve taken the first step, so go on, take that next step, make an appointment with your doctor or pharmacist. You ve got nothing to lose and everything to gain. What to expect at your appointment Remember ED is a common disorder and can be a symptom of other things that may be occurring with you. Although you may be concerned, don t be embarrassed. Talk to your doctor or pharmacist about your concerns they have had this discussion with many of their male patients and are familiar with the possible causes, any underlying health concerns and treatment options. Your doctor or pharmacist will usually access your general health and may check your blood pressure. Your pharmacist may refer you to your GP who might conduct some blood tests or may refer you to an urologist. If you are concerned or unsure of how to raise the subject of your erection difficulties with your doctor or pharmacist, use the tips below to help generate the discussion: Visit your pharmacist or book a general health appointment with your GP and commit to the date. Prepare a list of questions in advance. Before you visit your doctor or pharmacist, write down a list of questions you have and what you would like to discuss. Be direct. Addressing the issue at the beginning of your appointment can be the easiest and best way to convey to your pharmacist or doctor what you are going through. You will no doubt feel relieved that you have got it off your chest, and your pharmacist or doctor will be able to give you the appropriate treatment. Remember they ve had this discussion many times before. Quick and easy ice breakers may include: My relationship with my partner is not as physical as in the past. Lately I ve been having difficulties in the bedroom I heard about a new medicine called Vedafil, can you tell me more about it and do you think this would be right for me? I think I have erectile dysfunction (or ED your doctor or pharmacist will be familiar with the term). Treatments Although there are many possible causes of ED, there are treatment options available and also simple lifestyle changes you can make to help with your erection difficulties and to assist in your general health. Depending on the cause of your ED, your doctor or pharmacist may suggest one or more of the following options: Lifestyle changes be it reducing alcohol intake, quitting or cutting down on smoking, avoiding the use of illegal or recreational drugs, becoming more active or reducing stress levels. Counselling either with or without your partner. Sometimes it may be as simple as discussing any anxiety, stress or performance issues you have about your sex life. Substituting existing medicines that can cause or may be contributing to your ED, with other medicines less likely to do so. Oral medication such as Vedafil may be prescribed to treat your ED, helping to increase blood flow to the penis and improve erectile function when stimulated. Hormone treatment may assist if your ED is caused by variable levels of testosterone or other hormones related to sexual function. Other treatments including surgical options, injections and many more. Talk to your doctor or pharmacist about the right treatment options for you.

6 Vedafil what you need to know Vedafil is a medicine in oral tablet form, used to treat erection difficulties, specifically erectile dysfunction (ED) in men. Vedafil contains the active ingredient sildenafil citrate, a treatment that has been prescribed for erectile difficulties since the late 1990s. Sildenafil improves erectile function and is generally well tolerated 3. If prescribed Vedafil remember: Vedafil only works when you are sexually aroused. Vedafil works within 30 minutes for most men 4. Consumption of a high fat meal may slow the absorption rate. Take Vedafil only as directed and speak to your doctor or pharmacist if you have any concerns. How does Vedafil work? Vedafil works by relaxing the blood vessels that let blood into the penis when sexually aroused, leading to increased blood flow. This increased blood flow causes the sponge-like tissues of the penis to swell and harden resulting in an erection. How can I get Vedafil? As Vedafil is a prescription medicine, you will need to talk with your doctor or pharmacist to see if Vedafil is right for you. Most doctors will have free samples of Vedafil for you to try. This will assist in finding the correct dosage for you and managing any possible side effects. be counterfeit products and may not be safe. Vedafil safety information Vedafil is a prescription medicine. All medicines have risks and benefits and as such, sildenafil treatment may not be right for you. Sildenafil treatments such as Vedafil must not be taken if you are currently taking any nitrate medication. alk to your doctor or pharmacist if you are currently being or have been treated for angina or other heart conditions. The more common side effects with sildenafil treatments such as Vedafil include headache, flushing, blocked nose, indigestion, diarrhoea or rash. Don t be alarmed by the list of more common side effects, you may not experience any of them. However if you have any side effects and they worry you, please speak to your doctor or pharmacist. Full consumer medicine information is available from the Medsafe website If you are currently prescribed an oral medication for ED, Vedafil may offer a more cost effective option to your current medication. Once prescribed, Vedafil is available from most pharmacies nationwide and reputable on-line pharmacies registered in New Zealand. Vedafil is available in three tablet strengths, 25mg four tablet packs, 50mg four tablet packs and 100mg four and twelve tablet packs. Be wary of any Vedafil offers that do not require a prescription, as these are likely to

7 MEN NEED GOOD TOOLS power, performance, price With the Buzz Card Loyalty Programme you can get a free 5 pack of Vedafil, with every four packs purchased - that s every fifth pack of Vedafil for free 5! Get even more power and performance for your price. Vedafil understands the cost implications of your ongoing treatment, so we have developed a loyalty card much like a coffee card at your local café or trade card at your hardware supply store. With the Vedafil Buzz Card you get a free 5 pack of Vedafil with every four packs purchased that s every fifth pack of Vedafil for free 5! Simply keep your pharmacy receipt for every purchase of Vedafil. Complete your Buzz Card including your nominated pharmacy for pick up and send with your receipts to Mylan New Zealand. Mylan will then send your free 5 pack of Vedafil to that pharmacy. Remember you still need a prescription to pick up your free 5 pack, and a pharmacy fee may apply. Every time you fill in your Buzz Card we will send you a replacement card. You can also request a Buzz Card from your pharmacy or doctor, or download from Buy 4 packs of Vedafil And get your 5th Pack Free 1 Simply follow the steps below; 1. Keep your pharmacy receipts each time you purchase your Vedafil pack. 2. Once you have purchased four (4) packs, complete your details on the form below and send in together with the receipts for the four (4) purchased packs of Vedafil to the address below. 3. Your free 1 pack of Vedafil will then be sent to your nominated pharmacy for you to collect. Complete the details below, attach your four (4) Vedafil receipts and send to: Vedafil Buzz Card, PO Box 11183, Ellerslie, Auckland Name Address Phone What strength Vedafil has been prescribed for you? 25mg 50mg 100mg Pharmacy Name Pharmacy Address You can choose to be notified by either mail or when your free 1 pack of Vedafil has been sent to your nominated pharmacy (please allow 14 working days). Mail I do not wish to be notified when my free 1 pack of Vedafil is available for collection (in this case you are responsible for checking with your pharmacy as to when your free 1 pack of Vedafil is available for collection). Remember you must have a valid prescription for Vedafil (Sildenafil citrate), supplied by your Doctor or Pharmacist, to collect your free 1 Vedafil pack. Terms and conditions apply. MORE POWER AND PERFORMANCE FOR YOUR PRICE

8 Terms and Conditions: The Vedafil Buzz Card is a limited offer available until 30 th June Mylan New Zealand reserves the right to withdraw this offer at any stage. Offer available while stocks last. Submissions that are ineligible, inaccurate, lost or contain false information will be deemed void. Pharmacy receipts identifying the Vedafil pack size must be included and dated within the specified period above. Submission of the Vedafil Buzz Card is deemed as acceptance to these terms and conditions. This offer is available to the person nominated on this card and is not redeemable for cash.this offer excludes any and all pharmacy or doctor consultancy fees, any of which will remain payable by the card bearer. The card bearer must nominate a registered pharmacy within New Zealand for the free 1 Vedafil pack to be sent to. 1. A valid prescription, supplied by your Doctor or Pharmacist, is required and normal doctor s fees and pharmacy dispensing fees may apply. Privacy Statement: The personal information you provide to Mylan New Zealand will be used for the purposes of fulfilling this offer including notifying you of its status unless otherwise stated. Your personal information will be stored securely and in the strictest confidence. All information provided is voluntary but failure to complete in full may limit Mylan New Zealand s ability to provide you the products and services. Mylan New Zealand may share your information with third party service providers that Mylan New Zealand has contracted for the purposes of providing this service or product only. Mylan New Zealand reserves the right to share this information with authorised government authorities where required by law. You have the right to inspect, update or delete your details at any stage by contacting Mylan New Zealand, 2b George Bourke Drive, Mt Wellington, Auckland 1060, info@mylan.co.nz. 1 Feldman HA et al. J. of Urol : Goldstein I et al. N Engl J Med 1998; 338: Fink H et al. Arch Intern Med. 2002; 162: Mylan New Zealand Ltd. Vedafil (sildenafil citrate) data sheet. 5 A valid prescription, supplied by your Doctor or Pharmacist, is required and normal doctor s fees and pharmacy dispensing fees may apply. Vedafil (sildenafil citrate) 25, 50 & 100 mg Tablets. Prescription medicine, except when supplied by a pharmacist who has successfully completed an approved training programme. Used for the treatment of erectile dysfunction in adult males. Consult your doctor or pharmacist to see if Vedafil is right for you. Vedafil is not suitable for all males with erectile dysfunction. Do not take Vedafil if you are taking any nitrate medication (used to treat angina and other heart conditions) or riociguat (used to treat high blood pressure in the lungs). Do not take if you: have an allergy to sildenafil citrate or any component of the tablet; have severe liver problems; have been advised to avoid sexual intercourse; have suffered a heart attack or stroke in the past 6 months; have certain eye conditions or hereditary eye disorders; have unusually high / low blood pressure. Do not use with other erectile dysfunction treatments including herbal products. Tell your doctor or pharmacist if you are taking any other medication. Medicines have benefits and some may have risks. Use strictly as directed. Caution when driving or operating machinery. Serious side effects include: chest pain; sudden decrease or loss in hearing; fits; painful or prolonged erections; sudden loss of vision; allergic reaction. If symptoms continue or if you have side effects, see your health professional. Full Consumer Medicine Information (CMI) is available at govt.nz. Vedafil is an unfunded medicine. You will need to pay for this medicine. Normal doctor s fees & pharmacy charges apply. Mylan NZ Ltd., Auckland. DA1624JL-31 Vedafil is a registered trademark of Alphapharm Pty Limited. Vedafil (sildenafil citrate) 25, 50 & 100 mg Tablets. Prescription medicine, except when supplied by a pharmacist who has successfully completed an approved training programme. Used for the treatment of erectile dysfunction in adult males. Consult your doctor or pharmacist to see if Vedafil is right for you. Vedafil is not suitable for all males with erectile dysfunction. Do not take Vedafil if you are taking any nitrate medication (used to treat angina and other heart conditions) or riociguat (used to treat high blood pressure in the lungs). Do not take if you: have an allergy to sildenafil citrate or any component of the tablet; have severe liver problems; have been advised to avoid sexual intercourse; have suffered a heart attack or stroke in the past 6 months; have certain eye conditions or hereditary eye disorders; have unusually high / low blood pressure. Do not use with other erectile dysfunction treatments including herbal products. Tell your doctor or pharmacist if you are taking any other medication. Medicines have benefits and some may have risks. Use strictly as directed. Caution when driving or operating machinery. Serious side effects include: chest pain; sudden decrease or loss in hearing; fits; painful or prolonged erections; sudden loss of vision; allergic reaction. If symptoms continue or if you have side effects, see your health professional. Full Consumer Medicine Information (CMI) is available at Vedafil is an unfunded medicine. You will need to pay for this medicine. Normal doctor s fees & pharmacy charges apply. Mylan NZ Ltd., Auckland. DA1624JL-26.