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A New York City jury on Tuesday convicted a Nevada woman of two criminal charges and fined her $1.50,000, up to $2.2 million, in a $25 million verdict.

Kathryn C. Lander, 23, and her daughter, Julie, pleaded guilty to trafficking in counterfeit and unlicensed drugs and then to conspiring to traffic in counterfeit and unlicensed drugs.

They each pleaded guilty to conspiracy to traffic in counterfeit and unlicensed drugs. They each received $25,000 in restitution.

The jury later returned a 10-count sentencing fine of $2.2 million, to be paid to each defendant. The maximum penalty for each defendant is 20 years in prison.

Both Lander and Caser pleaded guilty to conspiring to traffic in counterfeit and unlicensed drugs and then to trafficking in counterfeit and unlicensed drugs.

“The jury returned a 10-count sentencing fine of $2.2 million, to be paid to each defendant,” said Judge Joseph M. Arroyo Jr. in a sentencing order issued in August 2015.

According to court documents, the court imposed a $25,000 fine and a $25,000 restitution fine to Lander.

Lander’s plea agreement with the government was that she would pay the fine and restitution for each of the two trafficking attempts.

“The government will continue to support our case,” said Assistant U. S. Attorney Jeffrey D. Schondel, after the plea agreement was signed.

“The defendant is also responsible for all of the restitution and the fines,” said U. Attorney Richard E. McGinnis.

According to court documents, Caser and Lander agreed to cooperate with investigators and conspire to distribute a list of counterfeit drugs, including counterfeit Viagra and fake Cialis, at a convenience store in Las Vegas, Nevada. Caser was involved in the conspiracy, and Lander’s involvement in the conspiracy was discussed during an interview.

According to court documents, Caser and Lander made payments to undercover agents from their Las Vegas, Nevada, office and to other investigators from the Nevada Department of Health and Human Services.

The undercover agents also received payment for their roles in the conspiracy. Caser and Lander agreed to pay the price of a large amount of counterfeit goods, which was $25,000.

“Caser and Lander are the only two defendants in this case,” said U. Attorney McGinnis.

Lander’s sentencing hearing was set for Dec. 19.

In September 2015, the jury returned a 10-count sentencing fine of $2.2 million, to be paid to each defendant.

Lander’s sentence was the maximum penalty for each of the two trafficking attempts.

The first sentence was fine to be paid to Lander and the second was fine to be paid to Caser.

“This case is about the same time and place as the case of U. v. K. D. L.,” said U.

The case is being prosecuted by Assistant U. Attorney David P. Schondel.

Assistant U. McGinnis is prosecuting the case.

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Last updated 14 September 2023

On 14 March 2023, the UK Medicines regulator approved an application to reclassify the erectile dysfunction medication Cialis. When marketed asCialis Together(tadalafil 10mg), it will be a ‘P’ (pharmacy) medication, and so available ‘over the counter’ in pharmacies – see. This follows the 2018, ‘P’ classification of (sildenafil 50mg) which has been available OTC, without a prescription, since then.

This decision is good news for men’s health …. Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care

Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality and Access

Unfortunately, there is a strong black market in the UK for ED medicines, which are often unlicensed or counterfeit. UK Border Force and the MHRA seize millions of pounds of these fake products from criminals annually. This new classification of tadalafil 10mg will enable men who suffer from ED to obtain it safely from a local pharmacy.

Sanofi, the drug manufacturer, is expected to launch Cialis Together later in 2023. Cialis Together will be available to purchase in pharmacies without a prescription by men over 18 with erectile dysfunction. Cialis Together tablets will contain 10mg tadalafil and the maximum pack size will be 8 tablets. Other doses and pack sizes of Cialis and tadalafil will still be available on prescription through doctors and specially trained pharmacists. Before purchase in a pharmacy there must be an assessment with a pharmacist, who will check that Cialis Together is appropriate and safe, or whether consultation with a GP is necessary.

What does this mean for patients?

Men suffering with ED will have another treatment option with the convenience of purchasing it in their local pharmacy, including pharmacies found inside supermarkets (eg. Tesco, Asda, Sainsbury’s). The pharmacist will ask some health questions, may check blood pressure, and will advise on treatment with Cialis Together or Viagra Connect, or the need to consult a GP. Pharmacies usually have a private room for such discussions.

Cialis Together is a 10mg tadalafil product for use at least 30 minutes prior to anticipated sexual activity. Its effects can last. It is not recommended for daily use. The maximum recommended dose of Cialis Together will be one tablet in 24 hours. Prescription Cialis and tadalafil will still be available at different doses.

Dr Fox welcomes the wider access to ED medication for men that Cialis Together classified as a ‘P’ OTC medication will provide. We at Dr Fox are aware of the difficulties men have in discussing ED with their GPs and in accessing ED medication. We know that Cialis is effective and safe for most men and this change provides another option for obtaining ED treatment. Pharmacists are health professionals who are able to give ED advice but they will also know when to refer men who would benefit from a doctor’s assessment. ‘P’ medicines can also be supplied on prescription, and we will offer Cialis Together, when available, alongside our other competitively priced ED products.

Dr Claire Pugh, Dr Fox Medical Director

Categories of medicine

In the UK have 3 categories:

  • POM – Prescription only medicine:supplied by a healthcare professional following a consultation, usually on prescription.
  • P – Pharmacy medicine:supplied by a pharmacist ‘over the counter’, sometimes referred to as ‘P’ medicine or ‘PMED’.
  • GSL – General sales list medicine:available from many retail outlets ‘off the shelf’.
A total of 9 consumer list medicines are available from many retail outlets, 3 of which are POMEDs (para-prescription medicines) and 2 are general sales list medicines (GSLs).

In the UK only POMEDs are available from five of these medicines (para-prescription medicines, 2 GSLs, 2 PPE medicines and 1 PDE medicine) are considered ‘GSL’. These 2 medicines are not considered ‘P’ medicines.

A full list of 3 categories can be found.

Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Side Effects: Side effects are:

ermanent side effects: These are the most common and include:

  • Migraine
  • Sinusitis

If you experience any side effects or if you experiencing a heart-related condition, these are not experience symptoms:

Interactions: For heart conditions:
  • Alpha-blockers, like diclofenac, can interact with: alpha-blockers like tamsulosin, or antifungals like ketoconazole.
  • Alpha-blockers can also increase the risk of:
  • Blood pressure symptoms: chest pain, dizziness, fainting, sudden vision or hearing loss, an erection that lasts for more than 4 hours.

In short, Viagra is an over-the-counter medication that will give you a stronger erection than Viagra, a blue and diamond-shaped erection. It will also give you a stronger erection, but you will be less likely to get side effects from it as well.

Read more

Viagra is an over-the-counter medication that will give you a stronger erection than Viagra, a blue and diamond-shaped erection.

This is not the most effective form of the drug and has side effects. In fact, you will need a prescription from your doctor to get Viagra.

You can get Viagra from any licensed online pharmacy, including one that you visit or use.

In addition to taking Viagra, you can also take a pill before bed and eat a small amount of food or drink.

Viagra is not a controlled substance and is not approved by the Food and Drug Administration (FDA) to treat any disease or other condition. It is not approved for use by women. You are not allowed to have any sexual activity or use of any medication that is illegal in the United States. You cannot buy Viagra if you are under 18 years old.

Viagra works by increasing blood flow to the penis, helping to achieve and maintain an erection. It does not protect against sexually transmitted diseases like HIV.

If you have ever had an allergic reaction to Viagra, you should not take this medication. If you are allergic to any other drug, you should not take this medication.

If you have recently taken Viagra, you should not take this medication.

If you take Viagra while on the treatment, you can feel the effect of the medication on your penis.

If you take Viagra while you are taking other medications, you may have side effects. Read more about Viagra, including the possible side effects and how to manage them.

It is important to note that the effects of Viagra may last a long time, and may not be as effective as expected. Viagra can have side effects that may last a long time, and it may not be as effective as expected. The risk of side effects from Viagra can be increased if you take a drug that is used to treat an underlying condition or a drug that can cause side effects.

You should not take Viagra if you have any of the following conditions, or if you are taking any other medication.

The U. S. Food and Drug Administration (FDA) is warning the public about the dangers of using drugs sold illegally under prescription. The drug industry claims the risks are similar to those of the tobacco industry. But, for many people, buying drugs that can be used to treat erectile dysfunction can make them more susceptible to the dangers of counterfeit drugs.

Erectile dysfunction drugs, or Viagra, are FDA-approved drugs that are used to treat ED. But the risks of using drugs sold illegally, even though they can be made legally, are different than those for which drugs are FDA approved. In fact, some of the drug safety data on these drugs have been leaked.

A report by the National Institutes of Health (NIH) found that Viagra can cause heart attacks, strokes and other serious heart-related conditions, like chest pain.

Viagra is a prescription drug that can cause heart problems, like heart attack or stroke.

This could be a sign of serious health problems, such as heart disease, stroke or blood clots, so it’s important for people to get help.

People who take Viagra should see a doctor first.