Cialis, Viagra etc. - How safe are they?

[dobob]

A few years ago, I was interested in finding out about Cialis and the like. I lied through my teeth on the form for the Lloyds Pharmacy online doctor and duly gave it a go. It didn't do a great deal for me, but I probably just didn't need any help then. When Viagra Connect became available over the counter, I likewise lied through my teeth to a Boots pharmacist. I think Viagra did me able to keep erect a lot longer than normal, but my normal was pretty good then and I suffered dizziness and stomach upsets, so I don't think Viagra is for me.

Now I am finding that my performance is a bit variable: good days are fine, but on a bad day, I feel like I am getting hard but not hard enough and end up having perfunctory sex quickly followed by finishing off by hand (usually mine to get it done quickly) before I lose it altogether. I know that this is almost as much in the mind as it is physical, but I thought I would try Cialis (or rather the much cheaper unbranded Tadalafil) to give my mind a leg-up. So I have duly ordered some from Lloyds Pharmacy. This time, being less cavalier about my health nowadays, I decided to be honest on the form for the online doctor and 'fessed up to cholesterol, drinking 30 odd units a week and blood pressure in the high but not very high range. To my surprise, my request was approved (within minutes, on a Sunday!).

So I am interested in the experience of others with similar health concerns in getting prescriptions for drugs like this. I am also interested in any views about how safe they actually are. I'd rather grow old gracefully than keel over during or after my next punt. If I survive, I'll report back on how well the Tadalafil worked.

Cheers!

[daviemac]

I am also interested in any views about how safe they actually are. I'd rather grow old gracefully than keel over during or after my next punt. If I survive, I'll report back on how well the Tadalafil worked.
Cheers!

It no longer amazes me members actually asking questions like this on here, it happens so often. 

You are concerned that they might kill you but instead of asking you own GP, who has full access to your medical history, you ask anonymous members of a punting forum.   

FFS talk to you doctor, medically you are an individual, just because one person with a condition similar to your's can safely take medication doesn't mean you can.

[Strawberry]

It no longer amazes me members actually asking questions like this on here, it happens so often. 

You are concerned that they might kill you but instead of asking you own GP, who has full access to your medical history, you ask anonymous members of a punting forum.   

FFS talk to you doctor, medically you are an individual, just because one person with a condition similar to your's can safely take medication doesn't mean you can.

My first response was and is 'Have you considered asking a pharmacist or GP?".

[SpaceRaiderDave]

It no longer amazes me members actually asking questions like this on here, it happens so often. 

You are concerned that they might kill you but instead of asking you own GP, who has full access to your medical history, you ask anonymous members of a punting forum.   

FFS talk to you doctor, medically you are an individual, just because one person with a condition similar to your's can safely take medication doesn't mean you can.

It amazes me as well. Though I agree your own GP is the best source of info, they are swamped by so many more important matters these days my suggestion to anyone with half a brain is to read the info available on the nhs website and other reputible websites such as webmd etc etc. There is a wealth of useful accurate data out there without putting further strain on your GP practice

[Strawberry]

It amazes me as well. Though I agree your own GP is the best source of info, they are swamped by so many more important matters these days my suggestion to anyone with half a brain is to read the info available on the nhs website and other reputible websites such as webmd etc etc. There is a wealth of useful accurate data out there without putting further strain on your GP practice

But people do this, then prolong their symptoms or risk. I know people who've followed advice on the NHS website, when they needed a proper diagnosis, referral and treatment.

GP holds records, qualification and experience meaning they can match up the individual's situation.

[londonroad]

A few years ago, I was interested in finding out about Cialis and the like. I lied through my teeth on the form for the Lloyds Pharmacy online doctor and duly gave it a go. It didn't do a great deal for me, but I probably just didn't need any help then. When Viagra Connect became available over the counter, I likewise lied through my teeth to a Boots pharmacist. I think Viagra did me able to keep erect a lot longer than normal, but my normal was pretty good then and I suffered dizziness and stomach upsets, so I don't think Viagra is for me.

Now I am finding that my performance is a bit variable: good days are fine, but on a bad day, I feel like I am getting hard but not hard enough and end up having perfunctory sex quickly followed by finishing off by hand (usually mine to get it done quickly) before I lose it altogether. I know that this is almost as much in the mind as it is physical, but I thought I would try Cialis (or rather the much cheaper unbranded Tadalafil) to give my mind a leg-up. So I have duly ordered some from Lloyds Pharmacy. This time, being less cavalier about my health nowadays, I decided to be honest on the form for the online doctor and 'fessed up to cholesterol, drinking 30 odd units a week and blood pressure in the high but not very high range. To my surprise, my request was approved (within minutes, on a Sunday!).

So I am interested in the experience of others with similar health concerns in getting prescriptions for drugs like this. I am also interested in any views about how safe they actually are. I'd rather grow old gracefully than keel over during or after my next punt. If I survive, I'll report back on how well the Tadalafil worked.

Cheers!

I suggest you inform your medical professional of your true health situation. If they do not know the facts they can’t prescribe the best solution to resolve your medical requirements. Many (all?) GP surgeries now have online services to request help of this nature. Good luck.

[StingRay]

 and if you chose not to seek medical advice and instead shop online, please remember the old adage "dying for a hard on"!   

[Doc Holliday]

To be fair he has completed an online consultation which will have been signed off by a Doctor. He is now concerned that this may not be best practice?

So I have duly ordered some from Lloyds Pharmacy. This time, being less cavalier about my health nowadays, I decided to be honest on the form for the online doctor and 'fessed up to cholesterol, drinking 30 odd units a week and blood pressure in the high but not very high range. To my surprise, my request was approved (within minutes, on a Sunday!).

So I am interested in the experience of others with similar health concerns in getting prescriptions for drugs like this.

[daviemac]

It amazes me as well. Though I agree your own GP is the best source of info, they are swamped by so many more important matters these days my suggestion to anyone with half a brain is to read the info available on the nhs website and other reputible websites such as webmd etc etc. There is a wealth of useful accurate data out there without putting further strain on your GP practice

My experience with the medical profession must be totally different to your's, my doctors will make an appointment within a timescale relevant to the nature of the medical issue and that in turn is a deciding factor in the type of appointment. The more urgent the problem the quicker the appointment will be in the surgery face to face, for more minor matters such as this it would be a telephone consultation about a week later. They are quite happy to deal with any medical enquiries or concerns and make it clear they would rather that than not being asked.

The telephone consultation could be with a doctor, pharmacist or another medical professional, but whoever it was would have full access to medical records and history.


 

[lamboman]

It amazes me as well. Though I agree your own GP is the best source of info, they are swamped by so many more important matters these days my suggestion to anyone with half a brain is to read the info available on the nhs website and other reputible websites such as webmd etc etc. There is a wealth of useful accurate data out there without putting further strain on your GP practice

What are GPs swamped by exactly?
It's not patients that's for sure.

[Analist]

How safe are they? Very safe, compared to many drugs out there. Just Google how many people die of a paracetamol overdose, then do the same for sildenafil or tadalafil. The main danger is if you're on blood pressure altering medication.
Of course, individual safety depends on your medical history but in general terms these drugs are safe.

[dobob]

Thanks to all those advising me to see my GP, but I am confident that that would be completely useless. I rarely get to talk to the same GP twice and always get the impression that he or she takes nothing more than a superficial interest in my medical record. No doubt studying the medical literature would give me some data, but I am not particularly well-qualified to interpret that data and was hoping that someone on UKP who was suitably qualified and has done the research could share their knowledge. I was also interested to know how the Lloyds Pharmacy process with their online doctor (which I imagine starts with a bot that decides whether or not a real doctor needs to be involved) compares with other ways of getting these drugs either over the counter or through their doctor.

Cheers!

[londonroad]

Why not give your GP practice the chance to answer your request for help with ED? What have you lose? If they have an online request process, your request will normally get routed to someone in the practice who is qualified to answer your question/request. Need to be open and honest with which ever medical professional you choose to use - they can’t mind read.

[daviemac]

Thanks to all those advising me to see my GP, but I am confident that that would be completely useless. I rarely get to talk to the same GP twice and always get the impression that he or she takes nothing more than a superficial interest in my medical record. No doubt studying the medical literature would give me some data, but I am not particularly well-qualified to interpret that data and was hoping that someone on UKP who was suitably qualified and has done the research could share their knowledge. I was also interested to know how the Lloyds Pharmacy process with their online doctor (which I imagine starts with a bot that decides whether or not a real doctor needs to be involved) compares with other ways of getting these drugs either over the counter or through their doctor.

Cheers!

Change your doctors mate. When I saw mine about ED, the first was a female I hadn't seen before but she checked my history and made an appointment for blood tests (tested for 7 different conditions), practice nurse took the bloods then saw a different doctor to discuss the results, he also checked my medical history and prescribed sildenafil.

Just think of the time I could have saved if I hadn't bothered with any of that and just asked some random punter.   

BTW second question the paramedic asked after having a heart attack was "have you taken viagra lately".     

[Watts.E.Dunn]

It is however sometimes of use to hear how other people have got on and what "they" experence.

For instance a lot will say that Viagra effects can be very varied, that seems to be down to what you eat and when and gut contents, also whilst i get a stiffy, not a very long lasting one i do take a bloody long time to "pop" far longer than what time it can take, less the 'lil blue pils.

Others here have related to similer expences and effects over time...

[Strawberry]

Three or four punters have told me they had serious side effects, one signed off work for 6 weeks, another two blinding headaches and visual disturbances. One of these had the same side effects using a Chinese herbal version tried after the pharmaceutical variety.

All had the ED medication prescribed by a GP.

I've noticed some experience red eyes, ruddy face which can be startling.

However I am guessing many are fine, I have a good idea ED medication is used by many punters. A man in his early 30s told me it's his 'insurance'.

[Laudanum]

Change your doctors mate. When I saw mine about ED, the first was a female I hadn't seen before but she checked my history and made an appointment for blood tests (tested for 7 different conditions), practice nurse took the bloods then saw a different doctor to discuss the results, he also checked my medical history and prescribed sildenafil.

Just think of the time I could have saved if I hadn't bothered with any of that and just asked some random punter.   

BTW second question the paramedic asked after having a heart attack was "have you taken viagra lately".   

I totally agree about consulting a medical professional if you have concerns, but my GP surgery is completely useless too. Last year I had a serious concern, and filled in their 'ask a doctor' webform, and got a standard reply 5 hours later saying 'we are not taking appointments. If you have a health issue go to A&E, or the urgent treatment centre at your local hospital.' Obviously the question never got anywhere near a doctor. I suspect many GP surgeries are as bad since lockdown.

[Marmalade]

Changing your GP in the current climate might not be that easy. If one has seen all the GPS in a practice and they give the same answer it’s possible (group policy), but not incredibly likely, that a GP from another practice will say anything very different.

[dobob]

Change your doctors mate. When I saw mine about ED, the first was a female I hadn't seen before but she checked my history and made an appointment for blood tests (tested for 7 different conditions), practice nurse took the bloods then saw a different doctor to discuss the results, he also checked my medical history and prescribed sildenafil.

Just think of the time I could have saved if I hadn't bothered with any of that and just asked some random punter.   

Changing my doctor is not an option just now. Obviously you are pleased that your GP did tests and checked your medical history: good for you! Did the doctor explain why sildenafil was right for you?

I am not asking "random punters" to prescribe for me. I am hoping to share some information in UKP about our experiences with these medications.

Cheers!

[Marmalade]

They also might tell you that if you have ED problems to go and buy viagra from the pharmacy.

[JontyR]

hoping that someone on UKP who was suitably qualified and has done the research could share their knowledge.

Mate, a lot of folks on here suggest they are qualified and knowledgeable about many things, doesn't mean that they are.

[dobob]

Mate, a lot of folks on here suggest they are qualified and knowledgeable about many things, doesn't mean that they are.

Sure, but I can happily read their opinions and come to my own judgments about them.

Cheers!

[daviemac]

Changing my doctor is not an option just now. Obviously you are pleased that your GP did tests and checked your medical history: good for you! Did the doctor explain why sildenafil was right for you?

I am not asking "random punters" to prescribe for me. I am hoping to share some information in UKP about our experiences with these medications.

Cheers!

You are asking random punters if ED meds are safe and anyone on here can only answer for themselves so therefore you are totally missing the point. There's a host of reasons for ED, you admit yourself that medication sometimes doesn't work but you won't even give your doctor a chance, phone them up and explain the situation and see if they'll get you in for tests, that way you know there's no underlying medical conditions that might need other treatment.

Just because medication works for one person it doesn't mean it will work for you. 

Yes my GP went through all aspects of taking Sildenafil along with available alternatives if it didn't 'agree' with me.

All I can say is thank fuck I live in the NE, not only do we have a plethora of hot reasonable priced British escorts but doctors that actually care about and treat their patients.

[dobob]

... therefore you are totally missing the point ...
...
Just because medication works for one person it doesn't mean it will work for you. 
...
All I can say is thank fuck I live in the NE, not only do we have a plethora of hot reasonable priced British escorts but doctors that actually care about and treat their patients.

I am not totally missing the point. I did go through the Lloyds Pharmacy process, which I expect asked all the same questions as my GP would have.

I am interested in anecdotal evidence - the "it works for him but might not for you argument" doesn't mean it's not useful to discuss our experiences (in fact that is exactly what you and I are doing).

Good for you that you have a good service from your GPs and your escorts. Other people's mileage may vary.

Cheers!

[Doc Holliday]

I was also interested to know how the Lloyds Pharmacy process with their online doctor (which I imagine starts with a bot that decides whether or not a real doctor needs to be involved) compares with other ways of getting these drugs either over the counter or through their doctor.

It is a prescription only medicine (POM) so must be reviewed and signed off a by a Doctor. That said, initially an algorithm will be used to assess the answers to your questions and to some extent pre-assess your suitability and flag up any warnings. The Doctor will then review the analysis before rubber stamping or declining. This greatly speeds up the process.

If you wanted to actually speak to someone LLoyds also offer this. External Link/Members Only

[Doc Holliday]

How safe are they? Very safe, compared to many drugs out there. Just Google how many people die of a paracetamol overdose, then do the same for sildenafil or tadalafil. The main danger is if you're on blood pressure altering medication.
Of course, individual safety depends on your medical history but in general terms these drugs are safe.

Whilst I agree ED meds are generally safe you cannot define safety of a drug based on overdose alone. It is based on normal therapeutic dosages.

[Doc Holliday]

BTW second question the paramedic asked after having a heart attack was "have you taken viagra lately".   

Was it the 'tenting' that gave it away 

[shyleo]

Have been using Cialis for a number of years, and now need to take Statin and BP tablets. GP says it's fine.
Anuone had any issues. I know we are all different so there wont be a hard and fast rule.

[daviemac]

Have been using Cialis for a number of years, and now need to take Statin and BP tablets. GP says it's fine.
Anuone had any issues. I know we are all different so there wont be a hard and fast rule.

Can I ask which Statins you take?

Was it the 'tenting' that gave it away 

I wish doc, with a heart rate of 30 I couldn't raise a smile let alone anything else. 

[PunTor13]

With a heart rate of 30, that 2 second pause between beats could easily become a longer (and terminal!) pause

If it didn't respond to medical (drug) management, did they use a temporary pacemaker / implant a permanent one?

Edited for typo : how did "beats" become "BB eats".

BB eats doesn't bear thinking about, bleach my retinas!

[daviemac]

With a heart rate of 30, that 2 second pause between beats could easily become a longer (and terminal!) pause

If it didn't respond to medical (drug) management, did they use a temporary pacemaker / implant a permanent one?

Edited for typo : how did "beats" become "BB eats".

BB eats doesn't bear thinking about, bleach my retinas!

2 stents one day then permanent pacemaker the next straight after cardiac arrest, CPR and defibrillator to keep me going.   

[shyleo]

I am on Atorvastatin Daviemac.

[daviemac]

I am on Atorvastatin Daviemac.

Though you would be, most people are, they're the easiest to take, they can be taken anytime of the day as long as it's the same time.  However due to adverse side effects I can't take them, I have to take Simvastatin and they have to be taken at night, also with Atorvastatin grapefruit juice can be drunk in moderation but not at all with Simvastatin. Both are statins and both do the same job but they have very different effects on two different people.

This is just one example of why it's best to get advice from your own doctor regarding any medication, just because it's alright for one person doesn't mean it will be for another.

[Stevelondon]

I am not totally missing the point. I did go through the Lloyds Pharmacy process, which I expect asked all the same questions as my GP would have.

I am interested in anecdotal evidence - the "it works for him but might not for you argument" doesn't mean it's not useful to discuss our experiences (in fact that is exactly what you and I are doing).

Good for you that you have a good service from your GPs and your escorts. Other people's mileage may vary.

Cheers!

But did'nt you say you lied through your teeth when you were online to Lloyds online doctor............
I have to say I too think it a bit strange that folk come on here asking about medical stuff. I saw my GP when thinking about using the old hard on pill. Just makes sense to me and similarly to Daviemac. A few years back after experiencing chest pains (turned out to be naff all)...the paramedic asked me if I was on viagra.

As I live near London. Must remember to log on here if I ever get stabbed and ask what to do........surely someone on here has been knifed. 

[Doc Holliday]

But did'nt you say you lied through your teeth when you were online to Lloyds online doctor............

You need to reread the OP. He has lied in the past but not on the last occasion, which is the one under discussion.

Patients being less than truthful is always a challenge with diagnosis and prescribing.

Your GP will have better access to the 'historical' truth should someone decide to lie. That assumes they bother to fully check it? The online questionnaires are detailed and thorough. If you answer honestly then a combination of the computer program plus an Online Doctor signing it off means you should be fine.

The only way to then tell if you are truly fine is to take the medication. Screening can only do so much and problems can arise (as in Strawberry's post) 

The main issue with ED meds is that the the common list of side effects are almost the norm. Whilst not necessarily dangerous that tend to be 'unpleasant'.

[dobob]

You need to reread the OP. He has lied in the past but not on the last occasion, which is the one under discussion.

Patients being less than truthful is always a challenge with diagnosis and prescribing.

Your GP will have better access to the 'historical' truth should someone decide to lie. That assumes they bother to fully check it? The online questionnaires are detailed and thorough. If you answer honestly then a combination of the computer program plus an Online Doctor signing it off means you should be fine.

The only way to then tell if you are truly fine is to take the medication. Screening can only do so much and problems can arise (as in Strawberry's post) 

The main issue with ED meds is that the the common list of side effects are almost the norm. Whilst not necessarily dangerous that tend to be 'unpleasant'.

Thanks for the above and for your other helpful comments (and thanks also to everyone else who has commented). I have reread the online doctor's message and see that, although it came back very quickly, it is signed with the doctor's name. I had wondered at first if it was completely automated, but as your post also implies, it is not, which is reassuring.

I have now tried the Tadalafil and found it really did the the trick for me. From your last paragraph, it seems that it is normal for taking ED meds to have some side effects. In my case, there were side effects but they only lasted for half an hour or so after taking the drug and were very mild: an almost imperceptible sense of dizziness and some salivation (but perhaps I was just gagging for it on the way to the massage parlour I chose for my test run  ). It is helpful to know that these drugs aren't expected to be a "free lunch".

Cheers!

[Strawberry]

You need to reread the OP. He has lied in the past but not on the last occasion, which is the one under discussion.

Patients being less than truthful is always a challenge with diagnosis and prescribing.

Your GP will have better access to the 'historical' truth should someone decide to lie. That assumes they bother to fully check it? The online questionnaires are detailed and thorough. If you answer honestly then a combination of the computer program plus an Online Doctor signing it off means you should be fine.

The only way to then tell if you are truly fine is to take the medication. Screening can only do so much and problems can arise (as in Strawberry's post) 

The main issue with ED meds is that the the common list of side effects are almost the norm. Whilst not necessarily dangerous that tend to be 'unpleasant'.

I've recently had an issue with something I'm prescribed, supposed to be fairly safe (safe enough to be routinely putting it into women's arms) had a reaction to it twelve years down the line. It won't kill me, but it's annoying. Being in contact with a GP means they can monitor it, and adds to their experience.

[GreyDave]

I've recently had an issue with something I'm prescribed, supposed to be fairly safe (safe enough to be routinely putting it into women's arms) had a reaction to it twelve years down the line. It won't kill me, but it's annoying. Being in contact with a GP means they can monitor it, and adds to their experience.

I ran out of the Asthma inhalers I use , recently I tryied to get a repeat scipt It was refused until I d seen a Dr as "people are finding difficultys with them you need to see a Dr " ok ...we call call you next week but you will need to come in appointments May .... So of you guys on here are lucky with Drs and are able to see or chat quickly it is very very difficukt in my area to get on a list many people just end up going to A & E for what that department would class as a small non urgent case,,,, We need walk in clinics but that aint going to happen. ED drugs now seem to be a lifestyle choice and to be fair are eaisere to get than Ventolin or Becotide in my case...    My Drs Surgery is staffed mostly by partime female Drs when I asked to see a male ( rather than the young asian female types who I personal feel uncomfatable talking about my cock with I was told 2-3 month wait )  I just went on line Thats why guys ask on here  Yes I understand underlying condition heart ect and would hope guys would do to if taking those meds...Before the fan boys of Drs and NHS get on here The system is not perfect and thats is also why people ask on here

[KerachiDope]

I have an old prescription bottle of Viagra that was bought at a pharmacy in Bahrain back in 2017. Tried half a Viagra pill yesterday before a punt and amazingly it still worked.
No shelf life I guess.

[Watts.E.Dunn]

I've recently had an issue with something I'm prescribed, supposed to be fairly safe (safe enough to be routinely putting it into women's arms) had a reaction to it twelve years down the line. It won't kill me, but it's annoying. Being in contact with a GP means they can monitor it, and adds to their experience.

Theres a new test that will be avaiable soon so they say, it checks your genetic makeup and sees if the drugs your getting are compatible with you..

Appears that around 1 in 10 drugs dont work or cause further upset in people their admisisterd to even things like codine work in some, but not others.

Got a fancy name this syndrome bu**ered if i can remeber it now!..

[dobob]

A follow-up point about the Tadalafil: I have found that what they say in the information leaflet in the packet is true: the confidence boost it gives you can be enough for you to do without it. I now do fine without it. Maybe I'm a bit harder for a bit longer when I've taken it, but I now think of it more as a "recreational" thing than a "cure" to a medical problem.

Cheers!

[JustaPunter]

Change your doctors mate. When I saw mine about ED, the first was a female I hadn't seen before but she checked my history and made an appointment for blood tests (tested for 7 different conditions), practice nurse took the bloods then saw a different doctor to discuss the results, he also checked my medical history and prescribed sildenafil.

Just think of the time I could have saved if I hadn't bothered with any of that and just asked some random punter.   

BTW second question the paramedic asked after having a heart attack was "have you taken viagra lately".   

The reason the Para asked about Viagra because it is a contraindication for GTN.

So if you are exerting yourself and have chest pain it could just be angina, for which GTN would be used.

Viagra is more likely to cause a stroke in my experience, though not strictly the Viagra on its own I suspect but also the physical exertion.

[JustaPunter]

I have an old prescription bottle of Viagra that was bought at a pharmacy in Bahrain back in 2017. Tried half a Viagra pill yesterday before a punt and amazingly it still worked.
No shelf life I guess.

Shelf life of medication is often misunderstood.

The date you see relates to the medication being 100% efficacious.

It doesn’t go “off” but will gradually become less effective over time, and that will be months or years.

The caveat is the medication needs to be stored correctly as incorrect storage will increase the lifespan of the medication, even reducing it effectiveness within its use by date.

[dobob]

Shelf life of medication is often misunderstood.

The date you see relates to the medication being 100% efficacious.
...

See External Link/Members Only for informed advice pointing out that medicines may be unsafe to use after their expiry dates. I have a draw full of spices which will just be less efficacious when they are too old. I have a freezer full of frozen meat and fish products which could poison me when they are too old. As I keep telling my wife, you shouldn't hoard medicines.

Apologies for this boring, finger-wagging, old fart's post! But be careful out there!

[daviemac]

The reason the Para asked about Viagra because it is a contraindication for GTN.

So if you are exerting yourself and have chest pain it could just be angina, for which GTN would be used.

Viagra is more likely to cause a stroke in my experience, though not strictly the Viagra on its own I suspect but also the physical exertion.

You know this how??     How many heart attacks and strokes have you had?   

I must remember to tell my doctor, heart specialist and cardiac rhythm managements team about the stroke issue. 

[JustaPunter]

See External Link/Members Only for informed advice pointing out that medicines may be unsafe to use after their expiry dates. I have a draw full of spices which will just be less efficacious when they are too old. I have a freezer full of frozen meat and fish products which could poison me when they are too old. As I keep telling my wife, you shouldn't hoard medicines.

Apologies for this boring, finger-wagging, old fart's post! But be careful out there!

What does fish and meat have to do with anything?

If you freeze them they last years, if you put them in a cupboard at ambient temperature they go off in days.

Maybe you should stop using Google and linking up pages as if that’s your opinion, those webpages are intended for people with zero pharmacological knowledge.

If you linked to a research paper of BNF maybe your post would have some form of relevance

[JustaPunter]

You know this how??     How many heart attacks and strokes have you had?   

I must remember to tell my doctor, heart specialist and cardiac rhythm managements team about the stroke issue.

Would you like to know what I did for a living before early retirement?

Would you like to know how many I treated?  Or bypassed A&E with and took straight to a the Cath Lab at Bonner Road?

You do know the difference between ischaemia  and  infarct?

[daviemac]

Would you like to know what I did for a living before early retirement?

Would you like to know how many I treated?  Or bypassed A&E with and took straight to a the Cath Lab at Bonner Road?

You do know the difference between ischaemia  and  infarct?

You're a random bloke on a punting forum.     Maybe a hospital porter.    

I know for a fact the paramedics who first attended, the doctors who examined me in hospital, the heart surgeon who carried out the operation and my GP all work for the NHS and I trust them to have checked their qualifications far more than I trust someone who has never seen me, never examined me and has never seen my medical history.

OK then if you know it all, what was the cause of my heart attack and what was the treatment.   

[dobob]

What does fish and meat have to do with anything?

If you freeze them they last years, if you put them in a cupboard at ambient temperature they go off in days.

...

Frozen meat and fish don't last for years.

Cheers!