Diovan (Valsartan)
| Online Pharmacy: | Minimal Price: | Best Buy: | Shipping: | Payment | Delivery to: |
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| medixresources "Diovan" | 160 mg | 14/free |      | most countries | |
| 30 pills $108.52 | 90 pills $242.41 | ||||
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40 mg | ||||
| 30 pills $39.47 | 90 pills $91.06 | ||||
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80 mg | ||||
| 30 pills $59.2 | 90 pills $132.22 | ||||
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| tl-pharmacy "Generic Diovan" | 40mg | 10-21 days/free |    | every country | |
| 30 pills €41.54 | 360 pills €332.29 | ||||
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80mg | ||||
| 30 pills €49.09 | 360 pills €362.5 | ||||
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160mg | ||||
| 30 pills €53.72 | 180 pills €263.3 | ||||
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| medrx-one | Not available for sale | 10 days/free | | most countries | |
| leadmedic "Diovan" | 40 mg | 14-21days/$10
5-7 days/$25 | | every country | |
| 30 pill $51.26 | 90 pill $118.26 | ||||
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80 mg | ||||
| 30 pills $76.89 | 90 pills $171.72 | ||||
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160 mg | ||||
| 30 pills $140.96 | 90 pills $314.82 | ||||
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| Medph | Not available for sale | FedEx next day/$24 |  | USA only | |
| med-pen "Diovan" | 80mg | 14-20 days/$10
7-14 days/$20 |   | most countries | |
| 30 Tabs $43.5 | 120 Tabs $156 | ||||
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160mg | ||||
| 30 Tabs $61.65 | 120 Tabs $214.8 | ||||
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| ourpharmacyrx "Diovan" | 160 mg | 14-21 days/$15
5-12 days/$30 | | most countries | |
| 30 pills $183 | 90 pills $486 | ||||
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80 mg | ||||
| 30 pills $66 | 90 pills $161.1 | ||||
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40 mg | ||||
| 30 pills $72 | 90 pills $177.3 | ||||
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| RxPharms | Not available for sale | 14-24 days/free | | worldwide | |
| RxMedShop | Not available for sale | 8-16 days/$20
5-9 days/$30 3-6 days/$40 | | most countries | |
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WOMEN FIGHTING HEART DISEASE TOO: HORMONES AND HEART DISEASE
While we certainly don’t have all the answers about how a woman’s hormonal balance offers protection against heart disease prior to menopause, there’s no question that a clear link exists. And it appears that replacing those hormones later in life can extend that protection. This is particularly important for you, having already experienced one cardiac event.
Oestrogen seems to affect the way the body deals with fats and cholesterol in the bloodstream. Numbers of research efforts have demonstrated that with oestrogen in the blood, levels of LDL, the “bad” cholesterol, remain down while those of HDL, the “good” cholesterol, are up. We don’t know just how that works. Nor do we know how the use of other hormones in oral contraceptives influence the picture.
Taking the Pill tends to increase LDL counts, especially when those pills contain a large proportion of progesterone to oestrogen. Oral contraceptives also intensify the rate of blood clotting; young women taking them have double the rate of heart attacks, especially those who also smoke cigarettes. Women who once took oral contraceptives, but have stopped, have no continued risk.
Owing to the apparent protection provided by natural oestrogen, doctors have long pondered the effects of giving the hormone artificially. For men, the results were disastrous. Those receiving oestrogens actually had a higher rate of heart attacks than those not taking it. But that’s not the case for women who have stopped producing oestrogen owing either to menopause or removal of the ovaries.
As is the case with natural oestrogen, supplements given to postmenopausal women appear to lower LDL and raise HDL. This suggests that women would receive protection against coronary heart disease. That might be particularly true for those who have both ovaries removed and thus experience a sudden loss of oestrogen production. Such women are at double the normal risk of heart disease unless they get oestrogen replacement.
The benefits may not be as clear for those who gradually produce less and less oestrogen as they enter menopause. Some studies indicate that risk of heart disease, and the potential benefits of hormone replacement therapy (HRT), would be less for such women. Other studies offer promise that HRT benefits all women who are at risk of heart disease, especially those who have already developed the disease or those who have had a cardiac event.
Of course there are other advantages to HRT, involving a lessening of the ill-effects following menopause including reduction of hot flushes and balancing of masculinising tendencies. Hormone replacement can also reduce the loss of calcium from the bones.
But there has been a major complication. Oestrogen replacement has been associated with increased risk of cancer of the endometrium, the lining of the uterus, when that hormone is used alone. But when it’s given in combination with progesterone, HDL levels tend to fall, thus potentially minimising the protective benefits.
Women should also be aware that oestrogen replacement may place them at greater risk of breast cancer. This is particularly true for those who have already developed that disease or who have a family history of it. This has long been a consideration when trying to reduce the hazard of osteoporosis, which is greatly increased after menopause. Give oestrogen and the rate of osteoporosis goes down, but the rate of breast cancer goes up.
If this all sounds terribly confusing and frustrating to you, you’re not alone. Doctors everywhere are concerned. In an effort to answer some of these perplexing questions, the National Heart, Lung and Blood Institute of America has begun a detailed three-year study. The Postmenopausal Estrogen Progesterone Intervention (PEPI) should shed some light on this complex issue.
But if you’ve already experienced a cardiac event, you probably don’t want to wait for definitive evidence of the benefits of HRT. You should know that very encouraging data do exist, showing the benefits of an oestrogen/progesterone treatment. In a study of more than 1000 women aged 50-79, those getting HRT showed improvements in blood pressure, cholesterol and blood sugar.
Cardio & BloodTo summarise, HRT offers the benefits of reduced risk of heart disease and future heart attacks, protection against osteoporosis, and alleviation of many of the symptoms of menopause. The disadvantages are potential increases in the risk of endometrial and breast cancer, depending on whether the oestrogen is given alone or with progesterone.
HRT can be a difficult decision. Discuss it fully with your physician. A woman who has had a hysterectomy and thus faces no possible risk of endometrial cancer, has no family history of breast cancer, but has a medical history of heart disease might certainly be seen as a logical candidate for HRT. Another woman, having an intact uterus and perhaps a medical history of breast lumps, might not be as clear a candidate.
*42/85/2*
