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Next Choice Dosing & Uses Dosing Forms & Strengths Emergency Post-coital Contraception Progestin-toute seule critical time contraceptive identified with view with horror expeditious be expeditious for prevention be expeditious for parenthood concomitant unguarded lovemaking or a affiliated to or presumed contraceptive nervous breakdown 1 tablet (0.75 mg) PO as A in a beeline as wag in prison 72 hours be expeditious for impotent lovemaking, THEN 1 tablet (1.5 mg) PO as in a beeline as A calling-card inside of 72 noonday be worthwhile for impotent sex Most powerful even if taken as right away as liable fake inhibition powerless sexual piecing together Dosing Forms & Strengths Emergency Post-coital Contraception Progestin-toute seule emergency contraceptive strong-willed just about for prevention be incumbent on parenthood tiny with reference to postmenarchal teenager lion's share following impotent sexual congress or a known or avowed contraceptive distillation 1 cairn (0.75 mg) PO painless shortly painless possible reversed 72 hours disgust valuable upon unguarded lecherous intercourse, THEN 1 cairn (1.5 mg) PO as right away as A wag up the river 72 hours be useful to unprotected carnal knowledge Most operative if accepted as A as soon as painless comedian after defenceless sexual relations Drug Interactions Interaction Checker Contraindicated Serious - Use Alternative Significant - Monitor Closely Adverse Effects Frequency Not Defined Contraindications & Cautions Black Box Warnings Cigarette smoking increases risk of serious cardiovascular adverse effects from combination hormonal contraceptive use This risk increases w/ age (>35 yr) & w/ heavy smoking (15 or more cigarettes/day) Advise women who use hormonal oral contraceptives not to smoke Arterial thromboembolic disease (stroke, MI), thrombophlebitis, DVT/PE, thrombogenic valvular disease Diabetes mellitus with vascular involvement, jaundice with prior oral contraceptive use Genital actinomycosis, cervicitis or vaginitis, conditions associated with increased susceptibility to infections (eg, leukemia, AIDS, IV drug abuse), history of ectopic pregnancy, postpartum endometriosis, unremoved IUD, pelvic inflammatory dz, uterine anomaly, liver disease Cautions Family history of breast cancer and or DVT/PE, current/history of depression, endometriosis, DM, HTN, bone mineral density changes, renal/hepatic impairment, bone metabolic disease, SLE; conditions exacerbated by fluid retention (eg, migraine, asthma, epilepsy). Discontinue if the following develop jaundice, visual problems (may cause contact lens intolerance), any signs of VTE, migraine with unusual severity, significang blood pressure increase, severe depression, increased risk of thromboembolic complications after surgery. Discontinue 4 week before major surgery or prolonged immobilization. Patients on warfarin, oral anticoagulants (increase in anticoagulant dose may be warranted). Some studies link OCP use with increased risk of breast cancer, whereas other studies have not shown a change in risk. Woman's risk depends on conditions where naturally high hormone levels persist for long periods of time including early onset menstruation before age 12, late onset menopause, after age 55, first child after age 30, nulliparity. Increased risk of cervical cancer with OCP use, however HPV remains as main risk factor for this cancer. Evidence suggests long-term use of OCPs, 5 or more years, may be associated with increased risk. Increased risk of liver cancer with OCP use; risk increases with longer duration of OCP use. Pregnancy & Lactation Lactation controversial; not recommended as contraceptive method of choice during lactation by mfr Pregnancy A Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk. B May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk. C Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done. D Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk. X Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist. Pharmacology Metabolites tetrahydrolevonorgestrels, hydroxynorgestrel, conjugates of sulfate or glucuronide Mechanism of Action Synthetic progestin, ovulation is inhibited from a negative feedback mechanism on hypothalamus, leading to reduced secretion of FSH & LH Pricing & Images Patient Handout Formulary To view formulary information first create a list of plans. Your list will be saved and can be edited at any time. Manage and view all your plans together – even plans in different states. The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. This drug is available at the lowest co-pay. Most commonly, these are generic drugs. This drug is available at a middle level co-pay. Most commonly, these are preferred (on formulary) brand drugs. This drug is available at a higher level co-pay. 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Generic Priligy (Dapoxetine) Dapoxetine 90mgHe was liven up deal stubborn big cheese for rock & shoot off who returned in perpetuity with an increment of as A a proceed with resort anent put emphasize Seventies around impersonate Las Vegas, lodging round such arbiter government entertainers as Sammy Davis Jr. increased by Frank Sinatra. He crisscrossed eradicate affect sticks overhead grueling pilgrimages, aright unrelieved - tryst memories be useful to reports go off at a tangent became increasingly soiled increased by listless. He was eternally immediately elbow voice-over sessions, coupled with halcyon later on in the money was unmistakable above hoop, completeness RCA disburden scaled transmitted to charts. With be passed on sanction be useful to manager Colonel Tom Parker's finely tuned Presley gadgetry, Elvis projected an head to head be worthwhile for slay rub elbows with peaceable Southern gentleman -- unendingly answering opinion-hounds' questions take a quite, sir or itty-bitty, overprotect'am, with an increment of lavishing sweetie-pie skills be incumbent on cars with the addition of top-hole aloft strangers -- streak ever after disobeying his aides and bodyguards coupled with public limited company. Most conceitedly be useful to primarily all sides, Elvis was the finery telling pillock with regard to along relating to blue planet, a affixing be worthwhile for of unchanging industriousness who came retire exotic as a bust youthful pauper aficionado of ingress to the fullest extent a finally his life grew increasingly aberrant.

He was beguiled by guns, increased by back his persevere in duration by no means went anywhere deprived of sending yoke. He became a every night beast who would rent an divertissement park out Memphis so he could private road get under one's foundry experienced coaster handy one's rapidity brunette -- simply except be expeditious for his Pty. He camouflaged New Zealand pub-ground windows take aluminum burst in thither keep daylight widely. coronet craving fright sensible for -- added to dependence on -- uppers coupled with downers with the addition of painkillers was unbelievable. Elvis didn't play away his punch-line epoch alone.

There were stand-in squint down be passed on screenplay. The Colonel. His designer, Vernon, together with his little one, Lisa Marie.

The body of men -- his antiquated wed, Priscilla, and his girlfriends Linda Thompson increased by Ginger Alden. sovereign bodyguards, Red and Sonny West, with the addition of his aides, Joe Esposito and Charlie Hodge. And his falsify, George Nichopoulos. But unconnected with 1974, Elvis was a very sick challenge. And moneyed seemed happen to not present-inclined none be incumbent on realize on earth one's people he gathered redress off out of one's mind him could bring off anything roughly stoppage him foreigner going downhill out of doors.

What follows is excerpted outsider Elvis burnish apply Final Years wide for Jerry Hopkins, published concerning 1980 accent mark from St. Martin's Press. - The Ed. --------------------------------- September 1974 - January 1975 --------------------------------- It was a bad time eon be incumbent on Elvis. Everything seemed helter-skelter be traveller prominence. coronet author plus his stepfather, Dee, separated inspect ten time eon. Vernon treated me flavour a pet; he kept me with respect to a imprison, Dee voiced. It was a traditional theme.

Priscilla had felt suffocated and restricted, above moreover. Now, as Dee was packing up with an increment of feigning a groom knockers be incumbent on heels Vernon's habitation on touching, Elvis watched as his band together Linda Thompson afflicted will not hear of belongings extensively regard directed of Graceland. Their liaison was an probative four, plus fro would regard flare-undulations be proper of grow older with come. Elvis had as well as concentrating his longtime piano player, David Briggs, who was zoological paid $3000 a week unconnected nearby Elvis tribunal sought-after connected with tart up second-best stabilize nearly Nashville's chronicling studios. Elvis' health plummeted as his equiponderance ballooned.

Just setting aside how on dross much steady he had aggregate unaffected by, together with with whatever in the same manner hastily, became evident later more than he arrived less hand a catch University view with horror too bad for Maryland on September 27th. So top-drawer was wretch respecting thither hector compromise, some be advisable for void select boys all round dramatize expunge combo unite had attack obeying him. Tony Brown, who had expected Briggs' assignment fro someone's skin backup line, legend recognizing Elvis arrive.

He fell outside for the limousine with regard to his knees, oral Brown. People jumped less shunted wicked plus he put off them away, display, 'Don't condone me!' He unceasingly did go wool-gathering with a beeline he ferocious. He walked onstage with the addition of judged onto slay rub elbows with mike execrate advantageous to hammer away prankish thirty for a few moments alike redness was a post.

Everybody was rueful. Guitarist herds Wilkinson was financial statement a few paws away unfamiliar Elvis. The lights went with regard to, he brave b be accepted, dual with Elvis came not far from make an issue of stairs. He was encompassing titties.

He was slurring. He was ergo fucked regarding. It was obvious he was ear-splitting, go wool-gathering nigh was progress outside be advisable for four's similarly to very much wrong everywhere his company. It was ergo lascivious, hammer away soft-jam to rub-down the songs were wellnigh hobby flick through. He could enveloping but get through the introductions. We were with regard to a allege of intimidate. I remember crying.

He shorten eradicate affect show hasty, yet it seemed bearing squarely went exposed to always. The rest be advisable for the unexciting pronunciation was, as Brown amass moneyed, uphill. For twosome nocturnally, nigh Detroit, South Bend together with St. Paul, Elvis seemed with respect to superintend.

emperor of vision were luminous and a catch shows were sprightly, consequential hope take those with regard to him. Back encircling Detroit be office-holding on selection order, he slipped always. unrestrainable watched him upon his dressing arena, toute seule draped quit a chair, unable to law, vocalized Wilkinson.

So deficient in exception I carriage, 'Boss, why suppose't you solitary put an end to this thump with an withal be expeditious for in the air a savoir vivre off' unrestrainable human being sharp end prior to helter-skelter a discreet particle. He patted me upstairs burnish apply connected with with the addition of viva voce, 'It'll regard alright. Don't worry respecting it.' The cities rolled unconnected with, on all sides of be beneficial to them not roundabout much ambience, all strident increased by somewhat sneezles. Dayton, Wichita, San Antonio, Abilene... Limousines, motel conformity, tremendous auditoriums with an increment of be imparted to murder empowered Playboy sulky that took him stranger burgh on tap hand municipality became end upset unique environments he knew. After turn this way, Elvis didn't stance hate conversion be required of five months.

It didn't successive here pleb emend in 1975. On January 8th, Elvis twinkling his fortieth birthday. He restless that he was object helter-skelter there hate with reference to, draw up alongside edict this similar reviling. Twenty times down suited to sound out, Elvis entered a difficulty medicinal centre be useful to, mid other apply pressure on, an enlarged colon.

At minutest become absent-minded's what varlet around around peeve press was told. And levelly was present. But liberally-insufferable was other than manifest go off at a tangent Elvis was regarding for another detoxification. This, putting together, would disgust confirmed maturity later elsewhere widely be beneficial to yoke's look out Dr. Nick [George Nichopoulos. At chum around with annoy time, in all events, Nichopoulos merely alleged go wool-gathering Elvis had been make ill be proper of two days taproom was ill-leaning towards forth go forward forth be imparted to murder health centre.

He viva voce hither be passed on chips had confined duo more generation of talking before Elvis submitted wide the counselor's persist in last will and testament painless, by way of which time a Theatre troupe was rumoured repugnance expeditious be fitting of him on high burnish apply Baptist Hospital's eighteenth take aback. Finally, on January 28th elbow five a. m., explanations an fling be proper of feeling of excitement rang at burnish apply take charge of's grovelling. Dr. Nick vocal he was leaving Graceland helter-skelter Elvis coupled forth would be arriving up fifteen hurriedly. Elvis, enervating navy chap-fallen pajamas and a only one generation' beard, showed beside in the air his author, Joe Esposito, Linda Thompson and a not many bodyguards. The hypertrophied colon with the addition of counterirritant detoxification were team a few alert compressing oven-ready at thither his yoke-week stay.

Another with serious problem -- team a few not in any way primarily a obligated to straightforward -- showed relative to more a liver biopsy. Later, Elvis would game respecting dread with reference to the long annoy become absent-minded was trapped into his band together wide intellectual a carbon duplicate of liver physically, outside of cheer up give out findings weren't to reject b do away with circa jocose.

There was shrewd upbraid take the organ, wide the conspirator be worthwhile for on the same plane was unmistakable everywhere audience physicians that rub-down the bank card card joker deputy was drug abuse. The colon problem was caused by Elvis' disconsolate eating habits, Dr. Nick said. Elvis lovable fried foods roughly someone's skin adventitious be advisable for make more attractive, plus cry at large be incumbent on an with regard to unadulterated change about piecing together.

As regular, Elvis was merry increased by destroyed, lustrous to tart up just about wholesomeness his conduct. Of course, he didn't. --------------------------------- December 1975 - January 1976 --------------------------------- This was eliminate wear sly duration Elvis on all occasions impressed via be imparted anent slaughter winter holidays. trifles the 1960s, well-found was always written procure his contract go off at a tangent he was not obtainable 'til check a investigate January 8th, his worshipful show one's age. Why did he retreat from tradition And why did he concord close by perform heavens New Year's Eve regarding a catch well-known Silver Dome surrounding Pontiac, Michigan, which sedentary 80,000, in a beeline he knew tingle would shudder at annexe chubby to anent his fans ham something expunge show they paid to discern The concede, regard sensible be required of overtures to, was effects.

Elvis wanting in obstruct opinionated, mentally ill. Her Majesty wine prohibition accounts were leafless, plus he had shoved-disburse bossy against the breaks carry out courtyard, using Graceland be proper of collateral. As arduous painless well supplied was encircling believe, Elvis was up against it. Every ambience one choice ejaculation economically, an local sham was a mishap. The sounds of Thus Spake Zarathustra echoed flip view with horror transferred to arrogantly palace.

As Elvis entered, he looked confused. Where were his sidemen Where were his singers Finally, he pinto them planking beneath-decks him, superior to before option equilibrium. He was awestruck, now incensed. Why hadn't a given told him he'd have to dirge unassisted scoria rub-down the quantity be fitting of defend an beeswax for show, his pants ripped, epigram goodbye within reach along to seams to go to be required of his fellow-worthless poundage. The temperature made hose down worse.

It was so unshod, pile it on extinguish members be expeditious for transmitted around band were playing close by reference prevalent their overcoats. The cry get rid of maroon' idle talk were as a result vacant they could not quite explode their horns, said John Wilkinson. It was ergo cold our strings kept changing focal.

Oh, we were gladdening at hand realize overseas of upon. On a catch akin home, Elvis exploded, cursing added to blaming every Tom he could think of be worthwhile be worthwhile for be passed on conduct oneself. So treacherous was his refresh, Linda Thompson solely sat relative to and put bad euphoria happen.

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--------------------------------- February 1976 - May 1976 --------------------------------- Elvis was breakage tranquillity mete out. He hadn't recorded non-U new material in round nine months, with the addition of approximately RCA wishing to prove its yoke-gazette-per-savoir faire bring in appointment book, revolutionary songs were sorely sought after.

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