Q: You should also see your doctor if you feel nauseous, dizzy, or like you are going to pass out. These are all possible symptoms of a heart problem caused by Cialis. You may also experience ringing in your ears, temporary hearing loss, and vision issues. An erection that lasts longer than 4 hours can cause damage to your penis. Head to your doctor's office or the nearest medical center right away so the issue can be addressed. Your doctor may suggest you try taking less Cialis on a regular basis or spreading out your dosage so you only take it occasionally. They may also ask you about how you are taking Cialis to ensure you are using it correctly so you are not at risk of any issues. If Cialis is putting you at risk of developing heart problems or a heart attack, your doctor may suggest that you try another medication. They may recommend another erectile dysfunction medication you can try to address this issue.
A: Speak to your doctor if you feel light-headed or have chest pain during sex. See your doctor if your erection lasts longer than 4 hours. Discuss lowering your dosage with your doctor. Switch to another medication if you are at risk of heart issues.

Q: If you've talked to your doctor about your opiate use, there may be a number of reasons why your doctor may have recommended that you come off of opiates. Common medical reasons for tapering off of opiates include: Inadequate pain relief Many people who experience chronic pain and take a high dose of opiates experience improved pain management, as well as greater functioning skills and overall mood, after tapering down or discontinuing opiate use. Decreased levels of pain Once the pain has become more manageable or disappeared entirely, your doctor will recommend discontinuing the use of opiates. Adverse side effects Some people experience unpleasant or dangerous side effects related to opiate use, including (but not limited to) constipation, sedation, sleep apnea, injuries (sustained as a result of opiate intoxication or sedation), and overdose Opiate abuse/addiction Most doctors will recommend tapering or completely discontinuing opiate use if abuse occurs or addiction develops Although some individuals are able to successfully come off of opiates at home without medical assistance, some medical professionals will recommend inpatient detoxification for people with long-lasting or severe addiction. The advantage of an inpatient setting is that medical professionals can be on hand around the clock to help treat the symptoms of withdrawal. Inpatient detoxification is usually recommended for people who are medically unstable (typically those whose pain is so intense that withdrawal could increase the pain they feel), have not succeeded in outpatient programs, are not compliant with outpatient medical advice, or require detoxification from multiple substances. Inpatient services are offered at hospitals and at residential treatment centers. You can find an inpatient facility by searching online, or by asking your primary care physician for a recommendation. Inpatient detoxification typically lasts three to four days, though it may take longer, depending on the severity of symptoms. Most inpatient detoxifications are then co-administered with a 28 day rehabilitation program for complete care. There are numerous detox plans available for inpatients at a medical facility. Each plan has its advantages and disadvantages, and it's important to talk to your doctor and/or an addiction specialist to determine the plan that's right for you. Medical Detoxification This detox plan involves tapering down the dosage of opiates. Tapering is done in a controlled medical setting that allows nurses to administer any medication necessary to help counteract the effects of withdrawal, if those effects arise. Rapid Detoxification This plan involves stopping all use of the opiate immediately. You will be anesthetized and given intravenous opiate blockers (such as naltrexone, naloxone, and nalmefene) to ensure that you do not get high on any opiates you subsequently take. After approximately four to eight hours under general anesthesia, your body goes through sudden and rapid withdrawal, but you will not experience the unpleasant physical effects of withdrawal. You will then typically be discharged within 48 hours after an assessment and medical evaluation. There are risks of complications from the use of anesthesia, however, including the risk of death. Stepped Rapid Detoxification In this alternative plan, opiate blockers like naloxone are administered intravenously and withdrawal-management medications are administered orally, reaching the same ultimate effects of rapid detox but over a more gradual period of time. Stepped rapid detox may be less taxing on the body than regular rapid detoxification. In stepped rapid detox, you are alert and awake the whole time, but your symptoms of withdrawal are closely monitored and quickly addressed with medication. Buprenorphine This is an opioid medication used to help ease withdrawal symptoms and help ease you off opiates. It is a partial opioid agonist, meaning you will experience less euphoria, less dependence, and the withdrawal is more mild than with other opiates. It can reduce cravings, suppress withdrawal symptoms, and block the effects of other opioids. Not all doctors can prescribe buprenorphine so you will need to find an addiction specialist who is able to do so. It comes three administration forms including by mouth, through a patch, or via injection. Methadone Some doctors recommend methadone treatments to help addicts come off of opiates. Methadone is the most commonly used method of opiate detoxification. In methadone treatment, you will receive daily doses of the synthetic narcotic medication methadone from an approved clinic over a period lasting around 21 days, after which you should be able to discontinue all opiate use. Methadone detox still subjects you to a painful period of withdrawal and may not adequately prevent you from using other opiates.
A: Trust your doctor's decision. Consider checking into rehab. Choose a detoxification plan.

Q: These types of thermometers are available at pharmacies. Make sure that the digital thermometer you buy is labeled for rectal use. If you plan to use a digital thermometer for both oral and rectal temperatures, then buy two and label them accordingly. Also, never use a mercury thermometer, which is the glass kind that used to be used. Rectal thermometers have a security bulb specifically designed for safely taking rectal temperatures. Review usage of your specific thermometer. Familiarization of the thermometer will aid in preventing prolonged insertion into rectum. Follow and keep the manufacturer's instructions for correct use to ensure safety and accuracy. This can cause an inaccurate reading. Never use the same thermometer that you use in the rectum to take temperatures in other ways, because this can spread bacteria. If you prefer to use a disposable thermometer sleeve, use one of these instead and always dispose of after use and use a new one each time. But, be careful with the sleeves. They may pull off the thermometer as you are taking the temperature. You will need to hold it as you pull the thermometer out when you're finished. Only insert it about to 1 inch and do not force it in if there is resistance. Keep the thermometer in the baby's rectum until it indicates that it is finished. Then, remove the thermometer and check the reading. Turn the thermometer on.
A:
Purchase a digital rectal thermometer. Be sure that the baby or patient has not had a bath or been swaddled (when babies are wrapped tightly for warmth) in the past 20 minutes. Clean the tip of the rectal thermometer with soapy water or rubbing alcohol. Apply petroleum jelly to the tip of the thermometer to make it easier to insert. Lay your baby on his back and insert the digital thermometer into the rectum.