Cialis, Levitra, and Viagra are oral medications used to treat erectile dysfunction (ED). You may also know them by their generic names, tadalafil (Cialis vardenafil (Levitra and sildenafil levitra professional reviews (Viagra). About 30 million men occasionally have a problem with getting or keeping an erection, according to the. When ED becomes a problem, many men turn to oral ED medications. These drugs levitra professional reviews often help. Cialis, Levitra, and Viagra each work in similar ways. But there are also some differences, such as when you take them, how long they work, and what their side effects are. Cialis, Levitra, and, viagra are all in a class of drugs called. These drugs work by blocking an enzyme called phosphodiesterase type. They also boost a chemical in your body called nitric oxide. This action encourages the levitra professional reviews muscles in your penis to relax. Relaxed muscles allow blood to flow freely so that when youre aroused, you can get an erection. It also helps you maintain the erection long enough to have sex. Levitra and Viagra stay in your bloodstream for about four to six hours. Cialis remains in your bloodstream for 17 to 18 hours or longer. The length of time a drug stays in your system may be important if youre taking other medications. Here are more basics on each of these drugs: * This drug is commonly misused without a prescription. Be sure levitra professional reviews to take this drug exactly as your doctor tells you. If you have questions or concerns, talk with your doctor. Cialis, Levitra, and Viagra are usually stocked at most pharmacies. All three of these drugs cost about the same amount. In general, most health insurance companies wont cover their costs. But if you have certain medical conditions, your health plan may pay for the drug with prior authorization. The side effects of these medications are similar. Most men have only mild side effects. The chart below compares the side effects of these drugs. Tell your doctor if you have any side effects that linger and dont go away on their own. If you have an erection that lasts longer than four hours, call your doctor right away. Keep reading: More info on the 7 common side effects of ED drugs ». Each drug comes with the chance of drug interactions. Since PDE-5 inhibitors work on the body in similar ways, Cialis, Levitra, and Viagra come with similar interactions. All three of these drugs interact with nitrates. They also all interact with blood pressure drugs such as alpha-blockers. For Cialis, these also include the drugs bendrofluazine, enalapril, and metoprolol. For Viagra, these also include the blood pressure drug amlodipine. Viagra also interacts with the drug ritonavir. Cialis can also interact with alcohol. Drinking alcohol with Cialis can cause low blood pressure when you stand up from a sitting or lying position. This may result in dizziness or a headache. To learn more, read more about the effects of mixing Cialis and alcohol. Levitra and Viagra do not seem to cause low blood pressure when taken with alcohol. However, alcohol may interfere with your ability to get an erection, even while youre taking any of these drugs.

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Vardenafil iNN ) is a, pDE5 inhibitor used for treating erectile dysfunction that is sold under the trade names. Levitra bayer AG, GSK, and, levitra mechanism of action sP Staxyn in India, and, vivanza in Italy. History edit, vardenafil was co-marketed by, bayer Pharmaceuticals, GlaxoSmithKline, and, schering-Plough under the trade name. As of 2005, the co-promotion rights of GSK. Levitra have been returned to Bayer in many markets outside the.S. In Italy, Bayer sells vardenafil. Levitra and GSK sells it as, vivanza. Thus, because of, european Union trade rules, parallel imports might result. Vivanza sold next to, levitra in the. An orally disintegrating form, marketed. Staxyn and, levitra Soft, has been gaining approvals in countries such as the United States 1 and Canada. 2 Clinical use edit Main article: PDE5 inhibitor Vardenafil's indications and contraindications are the same as with other PDE5 inhibitors; it is closely related in function to sildenafil citrate (Viagra) and tadalafil (Cialis). The difference between the vardenafil molecule and sildenafil citrate is a nitrogen atom's levitra mechanism of action position and the change of sildenafil's piperazine ring methyl group to an ethyl group. Tadalafil is structurally different from both sildenafil and vardenafil. Vardenafil's relatively short effective time is comparable to but somewhat longer than sildenafil's. Beyond its indications for erectile dysfunction, vardenafil may be effective in the treatment of premature ejaculation, where it may significantly increase the time from penetration to ejaculation. 3 Adverse drug reactions edit The common, adverse drug reactions (side effects) are the same as with other PDE5 inhibitors. The frequent vardenafil-specific side-effect is nausea ; the infrequent side effects are abdominal pain, back pain, photosensitivity, abnormal vision, eye pain, facial edema, hypotension, palpitation, tachycardia, arthralgia, myalgia, rash, itch, and priapism. One possibly serious, but rare, side effect with vardenafil is heart attack. Also, in rare cases, vardenafil use may cause priapism, a very painful emergency condition that can cause impotence if left untreated. 4 On, the.S. Food and Drug Administration (FDA) announced that a warning about possible deafness ( sudden hearing loss ) would be added to the drug labels of vardenafil, and other PDE5 inhibitors. 5 Drug interactions edit Vardenafil, as with all PDE5 inhibitors, should not be used by people taking nitrate medications, because combining them with vardenafil might provoke potentially life-threatening hypotension (low blood pressure). 6 7 8 Further, vardenafil causes lengthening of the QT interval. Therefore, it should not be taken by people taking other medications that affect the QT interval (such as amiodarone levitra mechanism of action ). 9 10 levitra mechanism of action Dose forms edit Levitra 20mg Oral Tablet It is available.5 mg, 5 mg, 10 mg, and 20 mg doses in round orange tablets. The normal starting dose is 10 mg 11 (roughly equivalent to 50 mg of sildenafil).

Levitra recreational use

At 28 you should be too old to be experimenting with drugs. But I'm at least 30 years too young to be messing about with the blue tablets in the palm of my hand. I'm not normally coy about drugs, but there's something about the idea of Viagra levitra recreational use that makes me pause. These are not the sort of things you get given in a club. These are huge, thick-looking, old people's pills. I take a deep breath and pass one over to my boyfriend. 'Cheers he says, with a nervous smile. I put the blue diamond on my tongue and swallow it down with a heavy gulp. I first heard about taking Viagra for fun when my boyfriend's housemate Dominic bounded into the kitchen one morning, grinning and flushed with a new-found cockiness. 'What's the greatest number of times you guys have had sex in one night?' he demanded. 'Take that number and double it, because that's a night on Viagra. You've got to try. I laughed, but wasn't too surprised - there are few things my friends wouldn't try. We have good jobs but few responsibilities. Even though some of us are doctors, journalists, management consultants and lawyers, we spend our free time indulging ourselves like wealthy, overgrown teenagers. It turns out that many of my friends have enjoyed taking Viagra, either on its own or in combination with other recreational drugs. If you are used to taking illegal substances at the weekend, the prospect of popping something medically approved levitra recreational use shouldn't be very daunting. My friends have a few cautionary tales, though. One says Viagra stops him from sleeping properly. Another complains of a blue haze affecting his vision whenever he takes. And my friend Rahul once found it an levitra recreational use embarrassing inconvenience. 'I popped it one time and failed to get laid he tells. 'I walked back from the girl's house the next day, and the mere chaffing of my boxer shots against my penis as I walked turned.'. If I am being offered Viagra, then there must be a large market for it on the recreational scene. I decide to investigate. Viagra was initially designed as a heart drug, but clinical trials showed it was no more levitra recreational use effective than cheaper medicines already on the market. When Pfizer tried to abandon the trial, the male patients refused to stop taking. It was only then that the side effect that has made Viagra famous was discovered. Dr Graham Jackson, a consultant cardiologist at Guy's hospital, was part of the original research team when Pfizer developed Viagra. He explains that there are actually three different drugs on the market: Viagra, Cialis and Levitra. Levitra and Viagra work in about an hour and last around six hours, but Cialis takes two hours to work and lasts up to 48 hours. 'There's a recreational circus going on with these drugs he says. 'You can get Viagra from any cab driver now. Nothing much would happen if someone without erectile dysfunction took Viagra, although they might think levitra recreational use they feel better, psychologically. But it would make a difference if you took it along with other drugs. Cocaine, marijuana, ecstasy, alcohol, nicotine, crystal meth - they all can cause erection problems. Viagra dilates the blood vessels and allows blood to flow into the penis when these drugs are stopping.'. Little is known about the effects of Viagra on women, and Dr Jackson thinks results will never be proven clinically. Pfizer set up a female sexual dysfunction unit a few years ago, comparing Viagra in women to a placebo, but the study had to be stopped because 85 per cent of the women responded to the placebo. It seems that even the very idea of Viagra is enough to make some women aroused. 'There's no documented evidence of any major catastrophe with people taking these drugs recreationally, but it's not the sort of thing that's reported he says. I'm surprised when he tells me Viagra could even make certain illegal drugs safer: 'Cocaine is a very dangerous drug because it causes coronary arteries to shut down and can give you a massive heart attack. And in a funny way, Viagra can actually help a cocaine user, because it does the opposite thing to the blood vessels.'. The danger with Viagra comes when users buy it online or from dealers instead of going through a doctor. 'Men with erection problems and no cardiac symptoms are cardiac patients until proved otherwise. They should get their drugs from a doctor and be evaluated. But for most young people, taking Viagra won't do any harm. Nothing much would happen.'. With this in mind, I think there can be no harm in trying it once. I've heard that you can now get Viagra over the counter at Boots, but only if you are a man aged between 30 and 65, and the idea of explaining myself to a pharmacist is distinctly unappealing.

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Robert Beer, founder of BuiltByBeer, has been building houses for over 25 years.  Robert first started working in construction for his family-founded Birchwood Development company, which had been building homes for over half a century. The company was founded in 1946 and went on to build tens of thousands of homes on Long Island including a 2,200 house community in Jericho.  The company built all different style homes including capes, splits and ranches and built them throughout Long Island.

In 2007, Birchwood was sold to Kimco, a publicly traded company. After fulfilling the requirements of the sale, Robert Beer was able to go off on his own and form BuiltBybeer. Since inception, BuiltBybeer has built dozens of new homes along with a number of commercial renovations.

BuiltByBeer is truly today’s “Master Builder.”  We have been producing the most elegant and well-built residences on Long Island’s East End and Gold Coast. Our professional team is known for working intimately with our clients to provide them with the uniquely conceived and beautifully built home of their dreams.

We have perfected a technique that tastefully merges 19th Century craftsmanship and style with interior living spaces for the 21st Century.  Our design/build model effortlessly integrates process and materials. The client’s time is efficiently spent making real design decisions that will ultimately realize their custom-built dream home.  Our in-house consultants can assist with all the details, such as plumbing fixtures, decorative hardware and lighting. We offer kitchen and bathroom design services and custom cabinet-makers guarantee a perfect finished product. Landscape design and installation are also one of our many specialties.

We strive to maintain an ongoing relationship with our clients extending far beyond the building process. We are steadfast in our commitment to quality and dependable performance.  We provide our customers with straight answers, solid thinking and follow through on ideas.  We dedicate time, talent and financial support to our community.

Whether you are working with your own broker or not, we will be happy to advise you on the merits of your prospective purchase, giving you invaluable insight and an appraisal from a builder’s perspective.

Your new home will be the result of a concentrated effort to create a successful and pleasing design, intensive research into the latest building techniques, the specification of the finest materials to be found, and the meticulous craftsmanship and pride that has always been a benchmark of BuiltByBeer homes. We make this promise with the utmost confidence that your new home will not only meet all of your expectations, but exceed them as well.

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Check out Robert on WPIX 11 News talking about how home owners can save money this winter. Click on “Read More” to watch the video! CLICK HERE FOR VIDEO

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LUXURY Best of 2015 Issue

Check out Robert Beer in the latest issue of LUXURY – Full Story

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BuiltByBeer (formerly known as RB Shore Development) “At my jobs, there’s never a day when something is sitting still,” says owner Robert Beer. His scheduling prowess and long-standing relationships with subcontractors allow him to work quickly—completing homes in less than a year—without sacrificing quality. Beer also builds his homes to Energy Star efficiency specifications. 516-860-6843 […]

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“If you build it, they will come,” said Michael Koblenz, who has been mayor for the last 16 years, recalling his determination to build the park in a community that lacked facilities and a focal point. He sold the former village hall for about $3 million and acquired the land for the same amount. With […]

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Allison Eden Studios highlights one of the BuiltByBeer homes. Link to picture and post

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Check out Robert Beer in the latest issue of Top Long Island Builders TO VIEW IN PDF CLICK – Robert Beer Article TO VIEW ON THE 25A MAGAZINE SITE CLICK – Top Long Island Builders

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Building the new construction home of your dreams!
We are here to help you through the process of building your new home. We can help you starting from the idea phase or jump in at any phase you are up to. Below are some of the major phases of building a new home:

PHASE 1: Selecting a piece of property and engaging an architect.
Selecting the piece of property is an important phase to have an experienced builder involved with. We would be able to walk the property and immediately tell you the type of home, landscaping and other you would be able to build. We would also be able to anticipate any extra costs that you might incur due to the current layout of the property such as the potential need for retaining walls, excessive soil removal or need to bring soil to the property, all of which can cost extra money.
There are a number of great architects so make sure you find someone you feel comfortable with. Make sure you see houses they have designed and speak to home owners they have worked with. We have worked with a number of architects that we can recommend or we can work with any architect you decide to build your dream home.

PHASE 2: Designing your home.
This is another phase that is important to get an experienced builder involved with to make sure you are; 1. designing to stay within your budget, 2. designing to make the home energy efficient and, 3. designing your home to be approved quickly by your village boards. Spending time with a builder during this process will save you a lot of time and money. We have built dozens of homes for others and our own homes on spec so this is a phase we are very familiar with.

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PHASE 3: Pre-Construction
You have designed your home and are now ready to go meet your village to get the necessary permits and approvals to get started! Depending on your location, this process could take as little 2 months or as long as 18+ months. It is important to engage with a builder that has experience with this process to help speed things along. Engaging a builder in the First Phase will speed this up even faster!

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PHASE 4: Site Clearing & Excavation – Approximately 2 weeks
You have all of your permits and approvals and are now ready to start building. The property will most likely have to be fenced in, but this will be determined by the rules of the village you are building in. Once fenced in you will be able to demolish the current house on the property and clear it to prepare for the excavation.
Once the site is cleared, the excavation can now begin. The excavation takes place to create the necessary forms to for the next phase of putting in the foundation and sanitary systems. The excavation is a fairly quick process if done right.

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PHASE 5: Footings & Foundation – Approximately 4-8 weeks
Depending on the region your home is built in, your new home’s foundation consists of a slab, block or poured wall foundation. Long Island homes are typically poured wall foundations. This is when the concrete is poured into foundation form panels. Once the concrete is set, foundation waterproofing is applied, and drain tile piping is installed. Underground plumbing is installed and tied into the sanitary systems. Next your basement slab is poured, and the concrete floors are finished. Foundations can be as deep as you would like.
We have done as much as 20 foot foundations to allow for basketball and other sport courts in the basement. The deeper you go the more expesive it becomes. We can discuss costs and options with you in order to help you make your decision. This is another reason it is important to engage an experienced builder earlier on in the building process.

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PHASE 6: Framing & Exterior – Approximately 6-12 weeks

Framing is the phase where things really start to take shape. Many homeowners think their home is near completion at the end of this stage. Actually, we are still only about one third of the way through the construction process! So while the phases beyond this one may seem much slower in progress, it’s because we are getting into the fine details which may not be apparent but are vital to your finished home.
In the framing phase, the subfloor, walls, and roof structure are built, and your roof is shingled, Exterior trim work is installed. Window and door units are installed, and any backfilling around the foundation is done. This cost and length of time for this phase depends on the size and shape of the home you are building. Designs with a lot of cuts and different shapes will take longer and be costlier. An experienced builder can immediately tell from the design of the home.
Exterior Trim detail work on the exterior of the home and siding detail work will continue longer than this initial phase, but can go on while other phases are taking place.

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PHASE 7: Rough Mechanicals – Approximately 6-10 weeks

“Rough mechanicals” is the term used for the mechanical portions of building including heating, air conditioning, plumbing and electric. This construction phase is a swarm of activity, as plumbing and indoor sewer pipes, your furnace and ducts, and electric wiring, outlets, and switches are installed. This is a very important phase with a number of village inspections along the way to make sure things are being done correctly. The amount of time this takes will also vary greatly based on the size and complexity of the home.

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PHASE 8: Insulation and Drywall – Approximately 4-6 weeks

Once you have passed all of the necessary Rough Mechanical inspections you are ready for this next phase to “close up the walls.” Before closing up the walls, the insulation is installed in the walls for energy efficiency and sound control. Once insulated, the drywall is installed. In this phase, water, gas and electric utilities can also be connected to your home.

PHASE 9: Finishing – Approximately 8-16 weeks
The finishing phase is probably one of the most exciting phases. You’ll see many of the selections you made come to life. This is when kitchen and bath cabinetry, countertops, mirrors, medicine cabinets, interior doors and trim, stair rails, and many other detail features are installed. Kitchen appliances and hard flooring – vinyl, ceramic, and hardwood – are installed, and both the interior and exterior of your home are painted

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PHASE 10: Finish Mechanicals – Approximately 4-8 weeks
“Finish mechanicals” are the visible portions of the rough mechanics. Plumbing hardware, such as faucets, showerheads, commodes, and so on, are installed. Switch plates, plug covers, and light fixtures are put into place, as are your thermostat, outdoor air/heat pump unit, and register and return air covers. Carpeting is installed, and your yard is finish-graded, seeded or sodded.
This is generally an anxious time for many homeowners. Your home construction process is nearing completion and you are awaiting a finish date.

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PHASE 11: Final Stage – Approximately 1-2 weeks
During this construction phase, finishing touches are added, such as cleaning the windows, floors, baths, kitchen, and so on. Building and Quality Assurance Inspections are scheduled and completed to ensure all of the finishing touches on your new home have been completed according to your custom architectural plan.
At this phase you are now ready to move into your NEW home!

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BUILDER TOOLS
We recognize that building a home is stressful and the longer it takes ends up costing you more money due to the carrying and other costs associated with owning a home you are not living in. We utilize state of the art technology to keep our projects running as efficiently as possible to get you into your new home with out any major delays. We keep all of the phases of the job on a very tight schedule so that we make sure not to lose time outside of weather and other unforeseen and unavoidable delays.
We are in constant contact with you throughout the build and we are available to you 24/7. At the beginning of the job we will go over dates that we need approvals from you on ordering items such as Front Door, Garage Door, Cabinetry and other, in order to avoid delays. We also make sure to upload pictures for you to view in case you can not be on the job site and just make sure to keep the communication going throughout the entire build.
Below is a snapshot of our software that we use to track the schedule, make sure everyone on the job site has the proper/up to date insurance and more. As you can see from the schedule we make sure to plan ahead for inspections, ordering of material to give us plenty of time for items that might take long to get delivered, and a lot more!

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