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Trade name:
Prozac

International name:
Fluoxetine

Group Affiliation:
Antidepressant

Description of the active substance (INN):
Fluoxetine

Dosage form:
Capsules

Pharmacological Effects:
Antidepressive tool, a selective serotonin reuptake inhibitors. It improves mood, reduces tension, anxiety and fear, eliminates dysphoria. Does not cause orthostatic hypotension, sedation, nekardiotoksichen. Persistent clinical effect occurs within 1-2 weeks of treatment.

Indications:
Depression (regardless of the degree of depressive disorder - weak, moderate, severe), bulimia, anorexia, alcoholism, obsessive-compulsive disorder.

Contraindications:
Hypersensitivity, renal failure (CC less than 10 ml / min), expressed liver failure, suicidal tendencies, simultaneous reception of MAO inhibitors (in the previous 2 weeks), pregnancy, laktatsii.C caution. Diabetes mellitus, epileptic syndrome of different genesis and epilepsy (including history), Parkinson's disease, compensated renal and / or hepatic failure, cachexia.

Side effects:
From the nervous system: dizziness, headache, drowsiness or insomnia, lethargy, fatigue, asthenia, tremor, agitation, anxiety, suicidal tendencies (typical of patients with major depressive disorder), mania or hypomania. From the digestive system: loss of appetite, dry mouth or hygrostomia, nausea, diarrhea. Allergic reactions: skin rash, urticaria. Other: increased sweating, weight loss, decreased libido, systemic violations of the lung, kidney or liver, vaskulity.Peredozirovka. Symptoms: nausea, vomiting, a state of excitation, convulsions. Treatment: gastric lavage, the appointment of activated charcoal, in convulsions - anxiolytic LAN (tranquilizers), symptomatic therapy.

Dosage and administration:
Inside, depression starting dose - 20 mg / day 1 time in the morning if necessary, increase the weekly dose of 20 mg / day. The maximum daily dose - 80 mg in 2-3 doses. With bulimia, and for elderly patients - 60 mg in 3 divided doses, with obsessive-compulsive disorder - 20-60 mg / day. Maintenance therapy - 20 mg / day. Course of treatment - 3-4 weeks.

Cautions:
When treating patients with underweight anorectics should take into account the effects of (possible progressive loss of body weight). In patients with diabetes mellitus appointment fluoxetine increases the risk of hypoglycemia and hyperglycemia - when its abolition. In connection with this dose of insulin and / or any other hypoglycemic LS used inside should be adjusted. Prior to the significant improvement in the treatment of patients should be under medical supervision. During treatment should refrain from receiving ethanol and occupations potentially hazardous activities that require attention and speed of mental and motor responses. The interval between the end of therapy inhibitors and the start of treatment with fluoxetine should be at least 14 days between the end of treatment with fluoxetine and starting therapy inhibitors - not less than 5 weeks. In liver and in old age, treatment should begin with 1 / 2 dose.

Interaction:
Enhance effects of alprazolam, diazepam, ethanol, and hypoglycemic LS. Increases in plasma concentration of phenytoin, tricyclic antidepressants, Maprotiline, trazodone 2-fold (to 50% lower dose of tricyclic antidepressants, while the application). Against the background of electroconvulsive therapy may develop prolonged seizures. Tryptophan enhances serotonergic properties of fluoxetine (increased agitation, restlessness, disorders of the gastrointestinal tract). MAO inhibitors increase the risk of serotonin syndrome (hyperthermia, chills, sweating, myoclonus, hyperreflexia, tremor, diarrhea, disturbances of coordination of movements, autonomic lability, agitation, delirium and coma). BOS, providing a depressing effect on the central nervous system, increase the risk of side effects and enhance the inhibitory effect on the central nervous system. In an application with the LS with a high degree of protein binding, especially with anticoagulants and digitoxin may increase plasma concentrations of free (unbound) medicines and an increased risk of adverse effects.

Description of the drug Prozac is not intended for purposes of treatment without the participation of a physician.

How to discuss sensitive issues with children

Sooner or later, every parent has to communicate with children to raise unpleasant and sensitive issues. For example, before the child is necessary to bring about such diseases as HIV infection, why should be afraid to talk and somewhere to go with strangers, talk about the dangers of smoking and alcohol consumption on sexual life ... How to do it right?



On whatever topic you choose to start a conversation that the child took the information and agreed to abide by the rules to ensure his safety, should:



1 - Find a real reason to start a conversation. For example, the subject of news, PSAs, or event in the life of a relative, friend - in the life of every man there are sad events and by no means always the child is with them to keep silent. Even better, if your son or daughter, he begins to talk, "You know, Mom, and in our school a boy found the tablets of ecstasy ...



2 - Do not threaten or intimidate the child and leave alone didactic tone. Statements like "That's going to linger on the streets at night - you need to attack," or "Mother is always right and good wishes to your mother, do not you go to these discos, the drugs in spiked water and offer a free to try, then you vtyaneshsya ! evoke a child only two feelings - a feeling of resentment and a sense of protest.



Children are not so stupid and simple as it seems to adults, they often really appreciate the danger and insults that adults can not see. And a sense of protest - "I'm not a little of what they did with me talk!" - The child is able to mess things up a lot of nonsense.



3 - Writing to understand a child that a house for him - a "safe harbor". What he can come to parents with any problems and troubles, and it will not criticize, condemn, punish, and vice versa - sympathize, help, and so on. The child must know that his parents love him - any and all times.



4 - Be honest with your child. Of course, so far as possible: because of age, children up to a certain time not able to fully understand some things. But do not lie, even the baby, that he, for example, should not talk to strangers, because it is evil wizards who can turn it into stone. It is better to say that the stranger can steal a child, ever take away from the house. Older kids can all be explained in more detail.
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Kamasutra

Kama Sutra - the world's oldest treatise on love, in his collected knowledge, skills and wisdom of thousands of pairs! Posted this very valuable book Malla-naked Vatsyayana, an Indian sage who lived in the III-IV centuries AD.
Kama Sutra contains 35 chapters, collected in 7 sections, each of which is written by experts in the relevant field. Often referred to as:



Introduction (4 chapters) - on love in general, its place in human life and the classification of women.



On sexual union (10 chapters) - in-depth analysis of kisses, of various types of pre-weasels, orgasm, a list of sexual positions, oral sex, paraphilia, as well as the situation of a love triangle (three of a family - husband, wife and mistress of her husband).



Learn how to find a wife (5 chapters) - courtship and marriage.



On his wife (2 chapters) - as a wife should behave.

About the wives of other people (6 chapters) - mainly about seduction.



Prostitutes (6 chapters).



Learn how to charm others (2 chapters).



Interestingly, in India, quite common gifts in the form of books like Kamasutra, girls and young women, in order to help them discover themselves in terms of sexuality, to gain experience in the sensory area.



Nowadays Kamasutra - undoubtedly the most famous throughout the world book on the teachings of love. The name of the scientist of the treatise is so ingrained in our perception and everyday language, which has become an integral part of it. Pronouncing the word, Kama Sutra, we mean the tall, elegant, refined sexual relations. But often our knowledge is in question and is based on myths and misconceptions.



And it is not properly be considered as the Kama Sutra another, but, of course, ancient, western European tour of sex, which simply describes over a dozen different poses.



There is another myth, though the position described in Kamasutra are so complex technically, that without training them, and can not be used. However, it is not. In fact, do not necessarily have exclusive power or discharge of acrobatics to try to own all the subtleties of the teachings Indians.



The vast majority of such errors due to the fact that the West still does not have an analogue of the Kama Sutra. Western publications in the majority or simply pornography, or else more medical reference book, stuffed with various details in terms of anatomy, than a book about love. Agree, in this scenario a person would no longer be simply a desire to understand sex as art.



But in fact, many of us view sex as an exceptional way to meet the needs of the lowest, or, as an effective "weapon" to reproduce their own kind.



In contrast, the sexual act in the East with the sources is something secret, sacred, and the relationship between a man and a woman described in the books of highly artistic terms and words. And this break between our own language, and this fact, the language of sensory East, is simply amazing.



Kamasutra sex classes called "divine union".



Kamasutra - is the worship of a woman, a real Oda. In every word, addressed to a woman who sounds admiration and worship. A woman in the Kama Sutra has the largest number of rights, without her man is not tested and a third that can offer this amazing book.
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How and where to learn a lonely girl

The Internet

Around the internet dating had the widespread belief that the web sites of acquaintances sit introverts suffer from complexes, for which the World Wide Web - last chance to find a life partner.

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But this is nothing more than a myth. Internet is so powerful and globally in almost all segments of the population that the online space today, you can meet anyone. Including adequate, successful and free men. On the Internet find each other thousands of people, if you reminisce, are certain to find such examples, and among his acquaintances.

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Make yourself a good photograph, pokreativnee fill out a questionnaire on several dating sites, and the result will not keep you waiting. But not limited to dating sites. Communicate on forums with the same interests, find boyfriend there fewer chances, but if that happens, you will unite not only the lyrical interest.
At work

If you rarely go to clubs, do not like to hang out and prefer to conduct most of their time at home, try to learn on the job.

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This is a very convenient option, because so you combine business with pleasure. The main thing you need to do - to present itself vividly before their male counterparts. Do yourself a new haircut, wear a little more sexy than usual, and add a note of his playful tone when communicating.
If you are confused by the prospect of office romance, then it is not necessary to flirt with men of your department. Turn its attention to other parts of your company, there may also be worthy candidates.
In the company of friends

Friendship Company - one of the most agreeable solutions to problems. In such companies, most people know each other, so the furnishings are arranged, including for new acquaintances.
Moreover, in this case, you can always count on the help of friends. So do not miss a single friendly Sabantui or even take the initiative to organize them.
The fitness centers

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Fitness centers - has long been one of the most popular places for singles. Moreover, and girls, and boys learn there with a mutual activity. Connoisseurs even know which of these centers most "fish". But you first fit any more or less a big one.
Walk to the fitness room, and seeing someone who you like, start to engage in the vicinity. When fitnesist will take a break between his exercises, you can ask him to help you to hedge, for example, bench press. The usual situation for the gym - and together with the perfect opportunity for singles.
In supermarket

You may seem strange, but the supermarket, in fact, has excellent potential for new acquaintances.
Come across, again, completely different people and in large quantities.

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If you go to the supermarket once a week and long standing in the wine department, pretending that it's difficult to determine the choice, it is possible to provoke a hardball interest on the part of men.
In the end, you yourself can contact you liked the man with the request to advise you on any drink. Judging by the reviews on some women's forums, works flawlessly.
The club

And why not? This is the easiest way to new relations. The club for this and go.
The only thing better than going to different clubs and not the luxury, because they tend to gather up the so-called hunters. one-night stand, sex for one night, without the commitment and desire to build a serious relationship.

Impotence - We'll Won!

Impotence ... How many in this word. Someone suffering from this, someone is trying to turn it into a joke, anyone that is more convenient. But what would we not say that there is some concept of this concept in general. No. Today we will not go easy on the banal treatment of impotence or eliminate it. Let's look at it from a philosophical side. What is impotence, why they want to cure millions of men and what can be done in the end. Well, first, impotence is a male disease, a serious problem for the majority, but in my practice I have met a lot of people who fundamentally decided to put this notion of a point. That is, they forgot about him as such. And be honest, I think it could be very significant alternative to different kinds of suffering from the disease. What is the point? And the point is that people suffering from impotence focuses constantly on the disease. His day starts with a thought, damn, why is everyone so hard time? At a time when a person is "forgotten" about it not even remember her. In his mind completely different problem. However, this is just a psychological approach, a kind of test that can definitely affect the situation in general. If a person thinks constantly about the problem, then he would be attracted by it as at the level of thought. So when we think for example, where to get the money, we constantly are working on hundreds of ideas that our brain is trying to tell us, and eventually find it. But unlike my example with erectile dysfunction is more complicated, and it does not cease to bother you just because you think "That shit is not for me." My way to show you the other side of the coin. I will be brief, and may my secret you'll understand. But first, a response to the question is really whether you need a great erection, or is it just a fleeting desire, desire for sex, the desire to prove to someone that you are capable. There are many aspects of the course, but the basic idea in the competent management of your power of thought. Today everything, but I would like to tell a story. This story was told to me by a friend of mine. What was once one of the states in the United States rode a train which was carrying freezers and equipment. The train went 2 police officers. And so it happened that has been informed that that one of the freezers are not working correctly. That is no longer producing cold. Then one of the policemen decided to check what it was. The train stopped and the police approached the car from the freezer. He opened it, went inside and began to examine her. At this time the freezer door shut. The policeman was in a panic. He was seized by shock. He thought that he would die in it and began struggling to call his partner, to help him escape. But after more than 20 minutes while team-mate did not come. Then the police lost all hope of salvation. It seemed to him that he began to freeze, and his body was covered with ice. As a result, the police was killed in a closed freezer. When his partner pulled himself up and opened the door he saw his friend dead. He was shocked and did not understand why it happened. So, what is the moral of the story. Morality and meaning in the fact that the freezer was not working. She just was in the car, its easy to transport, but it was not even connected. The conclusion here is such that our power of thought capable of much. We even can not imagine how we can change our lives by only one power of thought. In the story, the policeman who died so scared that if he presented freezes. As a result, he "called the" death of ...

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Vumbuilding - intimate fitness

Intimate, vaginal, muscle of love "- how often do you pay attention to the development of this group of muscles? How much time do you spend on them compared with a visit to a cosmetologist, shops and fitness rooms? Meanwhile, in matters of women's attractiveness and desirability is their training can play a decisive role.
According to the eyewitnesses, if a woman has mastered these muscles, from the fans (or rather her husband) will not be hanging up regardless of the shape of the figure. However, with the men here? Trained intimate muscles in the first place need their owner. Let's order.



History



Technology ownership vaginal muscles, known since ancient times - China, Japan and other eastern countries since ancient times in various training and practice for the transfer of skills from generation to generation.



Basically, of course, the muscles trained priestess of love, using stone or wooden eggs - every day for 20-30 minutes. Also, these studies were described in "Kama Sutra", "Tantra", "Dao" and many other ancient treatises.

Current knowledge in this area are associated with two names. This is a gynecologist Kegel and less well-known VL Muranivsky - engineer, inventor of the system vumbuilding (VUM - vaginally administered muscle).



Arnold Kegel



In the late 40-ies of the last century gynecologist Apnold Kegel exercises to decipher The program for the development of perineal muscles. These exercises are designed to help women strengthen their pelvic muscles and to overcome urinary incontinence that occurs sometimes after childbirth.



Many women tone pubococcygeal muscle with age is significantly reduced, which is especially felt after the birth. To bring the process to a surgical intervention, or simply to a better life, Kegel invited women to train the appropriate muscles.



He is also the inventor of the world's first "promezhnostnometra" - the device, the locking force of biological resistance, in other words, the simulator, allowing women to exercise their muscles and to monitor progress in training.



"Kegel exercises" are very popular, and very often under the training intimate muscles means they - although they are aimed only at strengthening certain muscles of the vagina, pubococcygeal (its fibers begin from the pubic bone, surrounding entry into the vagina and reach the tailbone).



Nevertheless, the fortified "input" and improved blood circulation is better than nothing, so we give the exercises recommended by the gynecologist Kegel.



In order to feel above the muscle, try to arbitrarily detain urination. Feel which muscles tense? They are and will continue to train.

Slow compression: Squeeze your muscles as you did to stop urinating. Hold them in a position 5-20 seconds, then relax.



The second option - stifle muscles slightly and hold 3-5 seconds, then a little harder, holds, etc., to its limit. Also relax in stages, pausing for a few seconds at each level.



Abbreviations: Tighten and relax your muscles as quickly as possible.

Popping: potuzhtes down moderately, as a chair or podah VARIATIONS. (Overdo this exercise should not be!)



Start tpenipovki with ten slow contractions, abbreviations, and ten of ten on the ejection five paz a day. Within a week, add five exercises for each action, ppodolzhaya implement them as five paz a day. And so every week until the number of exercises will not reach thirty.



Then ppodolzhayte do at least five episodes per day for poddepzhaniya tone. Ideally, you should perform 150 uppazhneny Kegel every day. Do not forget to breathe naturally and matrix exhibits a homogeneously in Quaternary training.



A nice bonus: These exercises can be performed anywhere, anytime - and this means that they can be combined with work or leisure, and devote time to training because of his tight schedule would be required.



Try not to overdo it in the training process: over-developed vaginal sphincter - a potential condom breakage, uncomfortable sensations in men, as well as the difficulties of flow delivery. However, to achieve such a result could be practicing for the Olympics as most of us, is only the reverse problem - weakness of the vaginal muscles.



Vumbuilding



VL Muranivsky - Soviet engineer, the creator of vumbuilding and a lot of simulators for these muscles. He argued that trained vumy (vaginally administered muscle) - is: to improve gynecological health: increased blood circulation in tissues, the change of vaginal mucosa by the influx of oxygen to the tissues and the normalization process lubrikatsii (highlight the natural "lubricant").



A healthy mucous - is to increase resistance to infection, disease and microtraumas! Preparations for the minimally painful childbirth, reducing the possible gaps, with the exception of omissions, increasing the volume of vaginal and hemorrhoids.

enrichment of sexual sensation and improve the quality of sexual life and a woman and her partner overjoyed. After the development of intimate muscles increases the sensitivity of the vagina due to increase blood supply of the nerve endings.



In addition, trained vagina increases the intensity of contact with a member that can not affect the perceptions of partners. Good muscle development provides for coitus is not sliding, stress or beat in any place, and the compression-apart of - that is putting strong pressure on the vaginal erogenous zones and nerve endings.



The better-developed muscles, the better, brighter experienced an orgasm, the faster it occurs. Well, of course, a strong vagina and woman's ability to not only cover member, and run over to him a wave, suck in and push it (the worth of trained muscles vagina) can bring a man to unimagined ecstasy.



Opinions girls anyway trains his love muscle in this issue are completely consistent with the opinion of the author vumbuilding:



"I started training a couple of months ago - sex is better, and my boyfriend in ecstasy."



"And I did not know that there are special exercises. I am 15 years old herself unconsciously to the came. I train often - not at home - on the way to work, for example."



"I tried to play week in the muscles. My surprise, he asked:" What are you doing? ", And then was all so tender and gentle ...".



Doing its muscles Muranivsky proposed using special simulators consisting of vaginal cells, coupled with a pear-blower and a pressure gauge. Luggage is divided into several divisions, respectively, which can control the results of training different parts of the muscles.



Buy these simulators (like kegelevskie), can be on the Internet (best done on the original site, so as not to bump into inferior pirated products).

Coaching your muscles can and an old way - by using vaginal balls - conventional or with a displaced center of gravity, or eggs of various materials. For example in China it is a simulator in the form of eggs was considered the most efficient and modern Chinese physicians, as physicians of antiquity, they advise the use of eggs, made of volcanic stone - obsidian, as well as vaginal balls with heavy metal or hard and dense types of wood. These funds are sold in any sex-shop - ordinary or virtual.



Exercises with balls



Before you begin to exercise, learn how to reduce the vaginal muscles are not squeezed while the buttocks and abdominal muscles. When will pan out, start training.



Exercises are done standing. Before using the ball is processed grease. Egg is introduced into the wide side.



Mentally divide the vagina into three parts. Lower part - the muscles covering the entrance of the vagina, as a rule, the most developed - this will be the first part of the exercise. The second part, above - the muscles of the vagina. Here it is necessary to make possible to distinguish every movement of these muscles, to control them and force to move the way you want it. And the third - the upper section of the vagina, directly there, where the cervix. The most difficult and brings the sweetest part of the results.



Enter the ball, try to feel it. Tighten the muscles of the first division. Now take a deep breath and reduce the muscle of the second division, embracing simulator. When it is easy, try to learn how to move the ball up and down and from side to side. Learn how to compress-decompress the ball with different strength. Now, feel and reduce the third division. Try holding a simulator lower division, to push its top.



Toned muscles better every day, especially at first, when you're just trying to give them tone. Be sure to alternate contraction with relaxation, because the muscle fibers is stronger during the holidays.



In the training process can be improved by replacing the simulators more young and smooth. (The most effective are small heavy metal balls with a smooth surface). You can also enter at the same time two balls and learn to push them together.



Another means of "feedback" - their own fingers. With the help of their own fingers, you can perform diagnostics: how much, where and how the contracts which the wall is strong, which is the weakest, where muscle natrenirovanny (they have a ribbed surface), where - no (surface to touch the internal surface of the cheeks).



If you already understand the need of training the muscles of love, do not forget that the body - is a holistic system, and the need to develop the muscles associated with vaginal.

Along with proper workouts vaginal muscles, you can:
-do belly dancing, pilates, yoga (these sports are working on the deep muscles not affected by simple aerobics).

-do exercises to strengthen abdominal muscles, pelvis, buttocks, legs, back.
work with the breath. If you hold your breath when aroused or having sex (as do most unconsciously), full, deep satisfaction you get (try to experiment with holding your breath and normalizing it).



Therefore try to change the frequency of respiration as soon as the excited - it will significantly increase the time of orgasm. Consciously Monitor your breathing during sex. In order to learn this, you can perform the following exercise: Lie on your back, put one hand on your stomach. Slowly inhale, filling the lungs with air, and when you feel the diaphragm, just exhale slowly. While you breathe, the hand on the stomach should rise and fall. Repeat this exercise several times, and then a few minutes, breathing normally.