I'm blessed with b/g twins my Ob stinks and has never told me but I know they had separate sacks and separate placentas so does that mean Di-Di fraternal?

My OBGYN did my first vaginal scan herself and we are having twins. She said that she could not tell if they were mono-di or di-di, but at the time I was so excited, the question did not come to mind. Does this mean I am having fraternal twins? Or is there still a chance of identical twins?

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Generic Cialis

What Generic Drugs Are?

This question is rather common, and there is nothing strange in it, since a lot of people don’t understand the essence of the word “generic” at all. Therefore, it is necessary to determine what drugs are considered generic and in what they differ from their prototypes. A modern person needs to understand a lot, and different drugs presented on the pharmaceutical market as well, if he wants to make a reasonable and informed choice.

A generic drug is a drug containing the same active substance as the original one, in the same dosage and with similar auxiliary substances. The latter may differ, but the active substance remains the same anyway. Generics are manufactured not by the company which produced and patented the original drug, but by other pharmaceutical concerns, and the names of reproduced and initial drugs never coincide because of patent protection of the branded name of the drug.

Some people may wonder – how is it possible that generics often cost much less than original meds? The fact is that for the manufacturer of generic it is no longer necessary to re-create the molecule of the drug and make all the way from the chemical laboratory to experimental researches, to sponsor advertising campaigns etc. The requirements for clinical tests of generics are much less strict than to the original drugs. Therefore, the funds spent on the production of both medicines are incommensurable. Meanwhile, the original drug is a new discovery of a pharmaceutical company which synthesized its active substance and protected it with a patent active for many years (usually for 15-20 years). During this period, the med is produced only by the initial manufacturer. The original drug is most often unique in its kind and has no analogues produced by competing companies, so you will not find something of this kind in the pharmacy while patent protection is in effect. When the patent protection is removed and analogues (generics) appear, this original drug will cost more than all the generics (for example, the drug Cialis is much more expensive than its generic Tadalafil).

What Is Generic Cialis?

If we are talking about this potency drug, let’s find out what it is and what is its generic. So, Cialis is the second most popular drug in the world used for the treatment of erectile dysfunction of various etiology in men of all ages. It is effective for significantly improving male potency due to the ability of the main active ingredient (Tadalafil) to stimulate filling of cavernous bodies of the penis with an increased amount of blood. Since filling of these parts of the penis with blood is exactly the natural mechanism of occurrence of erection, it can be concluded that Tadalafil has no artificial effect on male reproductive system, but influences only the natural mechanism of arousal. It also follows from this that the given substance is not an aphrodisiac, and in order for it to be effective a man should be sexually aroused or stimulated. Erection won’t happen to you if you just swallow a pill and walk down the street or sit at home and watch TV.

Cialis was invented and originally manufactured by an American pharmaceutical concern Eli Lilly and Company, located in the USA. It happened in middle 1990s, and due to overwhelming popularity of the newly developed drug recently its patent protection was removed, and various manufacturers of drugs began producing its generic. It has the same properties as the original drug, among which there can be named:

Cialis was invented and originally manufactured by an American pharmaceutical concern Eli Lilly and Company, located in the USA. It happened in middle 1990s, and due to overwhelming popularity of the newly developed drug recently its patent protection was removed, and various manufacturers of drugs began producing its generic. It has the same properties as the original drug, among which there can be named:

  • High efficacy against physiological and psychological impotence;
  • The possibility of a safe combination with alcohol (in moderate doses);
  • An extremely long period of action – up to 36 hours;
  • Significantly reduced number and severity of side effects in comparison with other ED drugs;
  • Speed and degree of absorption, independent of food intake;

and many others.

In fact, the only differences of generic Cialis are its lower price, optionally other shape and color of pills, and a different title on the package. An additional feature of generic is that it is usually manufactured in a greater variety of dosages.

Thus, it can be said that generic has much more positive sides than negative ones, and the minus, in fact, one: in a dubious drug store you can stumble upon a poor-quality medicine or a placebo.

How To Take Generic Cialis?

The drug is manufactured in form of oval film-coated pills, which are easy to swallow and very soon get absorbed into blood. The effect starts in about half an hour after the intake, this period may slightly vary in different men.

The pill should be washed down with water. One of useful properties of Tadalafil is that it can be taken together with alcohol, not leading to a conflict of substances and fatal consequences. However, keep in mind that if the amount of taken alcohol is really large, even this medicine for increasing potency will not help you to achieve an erection sufficient for a sexual intercourse, because too much alcohol kills the very possibility of the appearance of sexual desire necessary for the action of the drug.

It is prohibited to take the drug in a combination with any light or heavy drugs. If you take medications containing nitrates, it is also prohibited to take Tadalafil.

Before taking the medicine, take time to study the instruction manual. It should contain a detailed list of composition of the drug, its contraindications and side effects. The main contraindications to Tadalafil are cardiovascular diseases.

There are two main schemes of intake: the first implies that a man takes the drug directly before the planned sexual act, while the second implies a regular intake of the med, up to every day. In the second case the daily dosage can be reduced to minimal – 5 mg, sometimes even 2,5 mg of Tadalafil, while usual dosage in case of rare reception is 10 or 20 mg. In order to choose the option which is more suitable for you, it is recommended to consult with a specialist and undergo a careful medical examination.

Where To Buy Generic Cialis?

Since generic drugs are considerably cheaper than their originals, there is no wonder that local pharmacies prefer selling originals and get their margin. Of course, there are some exceptions, but in general it is usually more convenient to order generic Cialis in online pharmacies. Currently there is a plenty of them in the world, some being universal and selling all kinds of medicines, beauty products etc., and some specializing only on drugs for the treatment of erectile dysfunction.

If you decide to buy this ED medication online, be sure that you have chosen a reliable pharmacy. Get acquainted with reviews of other customers, check the date of foundation of the drug store. Many pharmacies require prescriptions, so don’t forget to take a paper from your doctor. You can scan it and easily use for online purchasing.

As for payment, it is most often carried out via ordinary MasterCard or Visa. The largest online pharmacies can deliver your order to whatever place of the world in quite a short time.