Best Place To Buy Viagra Online Uk | OVERNIGHT Delivery!







































tion is due to the liberation of cndotoxine. and that in nonsyphilitics the administration of salvarsan will not cause any rise in temperature. In our series the best results were obtained in tho.se patients who had the most constitutional re- actions. In the latent cases the reactions were very mild and the temperature low, i)ctween 99° and 100° F. In none of our cases did the therniometer record more than 102.5° ^■' although it may rise as high as 105° to 106° F. EFFECT ox THE \V.\SSERM.\NX RE.\CTION. The effect of salvarsan on the Wassermann re- action is very interesting ; Ehrlich-* lavs great stress on its importance. Following an injection one of two thmgs occurs : it Best Place To Buy Viagra Online Uk either persists or becomes negative. If the reaction persists, notwi.thstanding the absence of lesions, the result must be consid- ered a failure, and your patient is a candidate for another injection. If it becomes negative, one of two possibilities obtains ; either your patient has been cured, as will be evidenced by the persistence of the negative reaction, or we are dealing with a passing negative phase. It is possible that the num- ber of Best Place To Buy Viagra Online Uk spirochnstje are greatly lessened, and the re- maining ones are not sufficient to cause reaction. Later, when they increase, the reaction might again appear. The new positive reaction indicates a recurrence and even without the development of any visible manifestations of the disease, the pa- tient should .get another injection. In apparent opposition to these observations is the fact that in some cases, early stage of primary infection, and in occasional cases of malignant syph- ilis, the reverse course would be observed, /. e.. a beginning negative reaction would become positive. It is explained that in such cases the number of spirochaetae are too small to produce a Wassermann reaction, but that after the reduction of the spiro- chsetns following the injection, the resulting endo- toxines are sufficient to produce the reaction. The percentage of negative reactions obtained varies with the dift'erent observers. Schreiber.-" by systematic reinjections, has been able to obtain neg- ative reactions in nearly one hundred per cent, of his cases. Isaac. ^'' by employing oil emulsions, o.i gramme, repeated six times at weekly intervals, produced a negative Wassermann reaction in one hundred per cent. Gennerich'' has been able to produce negative re- actions in all but three of eight-one severe cases of lues. In our own series-- we have obtained neg- ative reactions in about seventy-five per cent, of our cases. Weintraud has been able to produce nega- tive reactions in practically one hundred per cent, of the cases by his method of .giving three intra- venous injections of salvarsan within a period of six weeks. Gerrone^^ offers some interesting fig- ures in this connection. In one hundred and twen- ty-four patients, following the first injection in fifty- seven the Wassermann reaction became negative, while in sixty-seven it persisted. Following the second injection twenty-five of the thirty-two be- came negative. From this it is apparent that with sy,stematic reinjections it should be possible to get negative reactions in about ninety per cent, of the cases. It is quite possible that there Best Place To Buy Viagra Online Uk are certain strains of spirocha;tae arsenic fast, and that in these the addition of courses of mercury and potassium iodide will still reduce the percentage of negative reactions. There is no objection to combining mer- cury and potassium iodide with the salvarsan injec- tions. On the contrary, Ehrlich^* .himself has in- sisted on the greater advantage if we attack the organisms from all possible sides. It is Neisscr's" 8iJ KVriXA: SJU\4RSAX THERAPEUTICS. York JOURN l)racticc to give three injections of salvarsan within a period of three to six weeks, and at the same time administer a vigorous mercury cure. It has always been the consensus of opinion among the better thinking element of. the profession, that while one or two injections of 'salvarsan will exert incalculable good in combating the affection, Best Place To Buy Viagra Online Uk it will be only by tJie reinforcement of the injections by vigorous mercury and potassium iodide administra- tions (six months to two years) that freedom from recurrences Best Place To Buy Viagra Online Uk and permanency of cure will obtain. The failure to carry out this routine has been due to the studied attempt to afiford salvarsan an un- hampered opportunitv' to prove its real worth and value. THER.APEUTIC.\L EFFECTS OF EHRI.ICH's REMEDY. The drug is effective in all syphilitic lesions, jjrimary, secondary, and tertiary. The rapiditv of the cure in primary cases depends upon Best Place To Buy Viagra Online Uk the char- acter of lesion present. Sores of the erosive type heal within four to five days, whereas it takes seven to twenty days to heal the indurated sore. The effect upon the secondaries is even better. I have seen the eruption show a tendency toward re- cession in less than tv^-enty-four hours following the injection, and entirely disappear in forty-eight to seventy-two hours. Mucous patches of the most resistant type heal and become spirochaetas nega- tive ''n twenty-four to forty-eight hours. The prophylactic importance of this cannot be over esti- mated. The effect upon tertiary lesions is almost miraculous in some cases. This sounds paradoxi- cal, but is due to the fact, as explained by Ehrlich, that there are already in the circulation a large number of antibodies, and the injection of salvarsan stimulates the Best Place To Buy Viagra Online Uk system in a wonderful manner. It may also be due to the fact that we have in this stage a weak strain of spirochsetse and the specific acts with brilliant effect. Gummata disappear and deep ulcers become clean and granulating in a few