Aprima contains the active ingredient apomorphine hydrochloride and works in a completely different manner to other forms of treatment of erectile dysfunction ( E.D. ). Apomorphine hydrochloride is known as a dopamine agonist and works by enhancing the nerve signals that produce an erection. During sexual stimulation, nerve signals are sent from the brain to the penis. This causes the blood vessels in the penis to widen and relax producing an erection. Apomorphine mimicks the action of dopamine, a naturally occuring chemical neurotransmitter. Neurotransmitters are responsible for sending signals along nerves. Dopamine acts on dopamine receptors in an area of the brain called the hypothalamus causing nerve signals that produce an erection to be sent to the penis. It is the dopamine enhancing effect of apomorphine hydrochloride that makes Aprima a truly unique product. As a result of the enhanced effect of naturally occuring dopamine, nerve signals to the penis are enhanced ultimately causing it to become erect during sexual stimulation. Aprima has certain advantages over traditional treatments of E.D. such as Kamagra. Aprima dissolves under the tongue in under 10 minutes largely bypassing the normal digestive system. Its absorbsion, therefore, is not affected by food or alcohol. This results in much quicker onset of effects, typically in around 15-20 minutes compared to 45-60 minutes for sildenafil citrate ( Kamagra ) tablets making sexual activity more spontaneous and natural. Also,the sublingual absorbsion of the pill is ideal for people who have difficulty swallowing tablets. Side effects tend to be very mild for the majority of users while at the same time remaining a potent and effective treatment of E.D. Cinical trials have demonstrated an improvement in erections in at least 88% of participants.

HOW TO TAKE APRIMA:
it is advisable to drink a glass of water before taking the tablet. This will help with the dissolving process. After drinking the water, place the tablet under the tongue and allow it to dissolve. Do not chew or swallow the tablet. It should take around 10 minutes for the tablet to completely dissolve. It is recommended that you take Aprima around 20 minutes before sexual activity takes place. 

DOSAGE:
Aprima is available in a 2mg and a 3mg tablet. All Aprima sold by this website are maximum strength 3mg tablets. No more than one tablet should be taken in an eight hour period. 

SIDE EFFECTS:
Side effects resulting from the use of Aprima are usually mild and transient in nature. Most common side effects are headache ( 7% ), dizziness ( 7% ) and nausea ( 4% ). Nausea side effects tend to diminish with continued use. Minor, less common side effects include yawning, sleeplessness, sweating, mouth ulcers, inflammation of the throat, flushing, inflammation of the lining of the nose. 

WARNING / CAUTION Do NOT take Aprima if you :

• Have ever experienced any allergic reaction to apomorphine.
• Suffer from severe unstable angina.
• Have suffered a recent heart attack.
• Suffer from severe hypotension ( very low blood pressure ).
• Have any other medical condition that makes sexual activity dangerous.
  In addition, this product should NEVER be taken by children.

• Deformity or disease of the penis, such as severe curvature or Peyronies disease.
• Liver / kidney problems.
• A history of sudden drops in blood pressure when moving from sitting to standing resulting in dizziness.
• Hypotension ( low blood pressure ).
• Hypertension ( uncontrolled high blood pressure ).
• Elderly people.
• If any nitrate based medication is also being taken. Nitrates are commonly contained in drugs for the treatment of Angina. Examples of these are Nitroglycerin, Isosorbide Mononitrate and Isosorbide Dinitrate. Nitrates can also be found in recreational drugs such as Amyl Nitrate (known as Poppers). If you are unsure what nitrates are or need to establish if any medicines you are taking contain nitrates consult your doctor.
  If any of the above apply, it is advisable to seek medical advice to assess your suitability to take Aprima.

DRUG INTERACTION:
If Aprima is taken with alcohol, there is an increased risk of a drop in blood pressure. Also, alcohol can cause impaired sexual performance. Aprima should not be taken with other medecines that affect dopamine activity in the brain and nervous system. These medecines include :

• Certain treatments for Parkinsons Disease e.g. bromocriptine, cabergoline, pergolide, levodopa, apomorphine, entacapone, amantadine, ropinirole, selegiline, lisuride, pramiprexole.
• Antipsychotic drugs.
• Quinagolide

It is also recommended that Aprima should NOT be taken with other treatments for E.D. Aprima should be taken with caution by men taking nitrate based medication as the combination can lower blood pressure and may cause dizziness. Aprima can be safely taken with antisickness drugs domperidone, ondansetron and prochlorperazine only.