Erectile dysfunction: Viagra and other oral medications
by Admin
Posted on 21-03-2023 11:53 PM
Changing usual medication
some medications can cause erectile dysfunction. A change in medication may help, although finding an alternate medication that works best may take time. Never stop taking a prescribed medication, or change the way you take it, without first talking with your health care professional.
Hormone therapy
for men who have testosterone deficiency, testosterone replacement therapy may be an option. Many men experience improvement in erectile function from phosphodiesterase inhibitors. These medications relax muscles in the penis and increase blood flow in response to sexual stimulation. These medications do not automatically produce an erection but allow an erection to occur as a reaction to physical and psychological stimulation.
Oral medications are often the first line of treatment for erectile dysfunction. For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects. Sildenafil (viagra), vardenafil (levitra, staxyn), tadalafil (cialis) and avanafil (stendra) are oral medications that reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation.
Quitting smoking, exercising regularly, losing excess weight, curtailing excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health but also may improve or even prevent progression of erectile dysfunction. It is unclear if such lifestyle changes can reverse erectile dysfunction. However, lifestyle improvements may prevent progression of the erectile dysfunction. Some studies suggest that men who have made lifestyle improvements experience increased rates of success with oral medications. A number of medical treatment options exist for erectile dysfunction including the following: oral phosphodiesterase type 5 (pde5) inhibitors ( sildenafil [viagra], vardenafil [levitra and the generic formulation staxyn], tadalafil [cialis]), and avanafil [stendra]).
Other Topics in Patient Care & Health Info
Although viagra, levitra and cialis have been shown to be effective in many men with erectile dysfunction, they are not effective in patients who have a prostatectomy, unless a nerve-sparing approach was used. These medications must not be used with medications containing nitrate, such as nitroglycerin, nitrostat, nitro-bid, nitro-dur, isordil and ismo, or deponit.
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How oral medications differ
Consult with your healthcare practitioner about switching to a different prescription if the first erectile dysfunction medication isn't functioning or isn't producing the expected results. Sometimes, doctors recommend switching between one and another ed medication because each may work differently on individual patients. A study shows that after switching to tadalafil, patients who were already taking sildenafil opted to continue oral ed treatment with tadalafil rather than sildenafil. It is a common practice for doctors to switch between different medications until an acceptable result is reached. For instance, you might prefer cialis' long-lasting effects over fast-acting viagra or levitra.
Four pills are approved by the fda to treat erectile dysfunction by increasing blood flow to the penis. They are: sildenafil, known by the brand names viagra and revatio tadalafil, known by the brand name cialis vardenafil, known by the brand names levitra and staxyn avanafil, known by the brand name stendra the key differences between these medications, including: how you take them in relation to eating how long they last how often you take them, based on your personal goals other considerations, including: side effects, such as priapism, and how to handle them which one is right for men with an enlarged prostate the cost of oral medications.
If a trial of oral therapy and withdrawal of offending medications do not restore erectile function or if a patient has medical or financial contraindications to pharmacologic therapy, most primary care practitioners should consider referring the patient to a specialist for additional evaluation and discussion of alternative treatment options. However, some primary care practitioners may recommend vacuum constriction devices. The device consists of an acrylic cylinder placed over the penis that uses a lubricant to achieve a good seal between the penile body and cylinder. An erection is then achieved by creating a vacuum inside the cylinder with a pump connected to the cylinder.
Oral pde-5 inhibitors are first-line treatments for ed. 57 sexual stimulation is needed to produce an erection; the pde-5 inhibitor helps to maintain the erection by enhancing the vasodilatory effects of endogenous nitric oxide. Four pde-5 inhibitors with similar effectiveness and safety profiles are currently approved by the u. S. Food and drug administration (fda) for treatment of ed: avanafil (stendra), sildenafil (viagra), tadalafil (cialis), and vardenafil (levitra). Table 4 summarizes these medications. 56 – 58 all are effective within about one hour of dosing and are typically used on an as-needed basis. The effects may be delayed or decreased if the patient has recently eaten a fatty meal, particularly for sildenafil and vardenafil.
Penile self-injections were the first medication approved by the u. S. Food and drug administration for the treatment of erectile dysfunction. These are prescribed for men who don’t respond well to oral medications. An nyu langone urologist performs the first injection in the doctor’s office, in order to determine the dose of medication needed. Your doctor then instructs you on how to safely inject the medication, which is supplied in vials with syringes, for use at home. Typically, a man injects the medication into the shaft of the penis 10 to 20 minutes before sexual activity to achieve an erection.
For many men, oral medications are the standard, first-line treatment for ed. These meds are routinely prescribed and have proven effective for many men. Plus, their safety has been widely studied. If you’re interested in oral ed medication, these are your 4 options.