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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.
Vardenafil is effective for four to five hours or more if you have mild to moderate erectile dysfunction. A newer form of the drug that dissolves on the tongue might work faster than the pill that you swallow.
Because these drugs are similarly effective, the American College of Physicians recommends that the choice be based on your preferences, including cost, ease of use, how long the drug's effects last and side effects. There are generic versions of sildenafil, vardenafil and tadalafil available.
When it comes to erectile dysfunction, despite the wide research into treatment options, what causes it is still relatively unknown. While there is not a conclusive way to prevent ED, there are a few lifestyle changes that you can make to minimize your risk.
If you search \"buy erectile dysfunction drugs\" online, you'll bring up nearly 22 million web sites. You may find well-known ED drugs for sale, as well as many \"natural\" remedies that promise to give you the same results.
The ED drugs and herbal remedies you buy on the internet aren't always what they seem. An FDA investigation found that more than one-third of \"dietary supplements\" sold for ED actually contained prescription drugs, including sildenafil, the medicine in Viagra.
When you buy from an unknown company, you run the risk of getting counterfeit medicines. By some estimates, more than half of all ED drugs sold online are fakes. Some of these drugs include ingredients you wouldn't want to put in your body -- things like talcum powder, paint, and printer ink.
Erectile dysfunction drugs that are approved by the FDA work by increasing blood flow to the penis. Just like any other medicine, these drugs can have side effects. If you purchase them online -- without a prescription -- you won't get a chance to discuss this with your doctor before you take them.
ED drugs can also be dangerous if you have certain conditions, like heart disease. They can interact with other medicines you take, such as blood thinners and some alpha blockers, which are used to treat high blood pressure and prostate conditions. Even mixing them with grapefruit juice can worsen side effects. These are issues your doctor needs to talk to you about during an office visit before they prescribe the medicine.
If you buy an \"herbal remedy\" online that turns out to contain ingredients from real ED drugs, you could also put your health at risk. For example, if sildenafil is hidden in natural ED treatments, you could run into trouble if you use nitrates for heart disease. The combo can lead to a dangerous drop in blood pressure.
In 2005, a review by the Office of the State Comptroller determined that Medicaid paid for the erectile dysfunction drug Viagra on behalf of 198 recipients who were registered sex offenders classified as level-3 (most likely to reoffend). Given the risk to public safety, the review sparked an overhaul of legislation at the federal and state levels to ensure such drugs are not paid for by Medicaid.
Current federal and state laws prohibit Medicaid from paying for drugs to treat sexual or erectile dysfunction for Medicaid recipients, including registered sex offenders. State law additionally prohibits payment for procedures or supplies to treat ED for registered sex offenders.
In 2011, Medicaid pharmacy benefit management for managed care recipients was transferred from DOH to managed care organizations (MCOs). DOH directed MCOs on how to handle ED drug exclusions and indicated uses. Under managed care, MCOs are expected to police the drugs Medicaid recipients enrolled in their plans can get and to determine their medical necessity.
Auditors found that did not always happen. Since the transition of pharmacy benefit management to MCOs, Medicaid continued, primarily under managed care, to fund drugs, procedures, and supplies that enhance sexual and erectile function for recipients, including registered sex offenders.
Similarly, Medicaid paid $285,641 for ED drugs approved to also treat BPH or PAH for 14 sex offenders (see table 3 in audit), 11 of whom were classified as a level-2 or a level-3 sex offender. Auditors reviewed the medical records of 13 of the 14 sex offenders to determine if the records supported a diagnosis of BPH or PAH and found 31 percent, or four of 13 cases, supported only a diagnosis of ED. One case was indeterminate.
Erectile dysfunction (ED) is common. It is not unusual for most men to have problems occasionally getting or maintaining an erection. This is usually caused by tiredness, stress, drinking too much alcohol, or anxiety. It is not usually caused by low hormone levels. Most men with erectile dysfunction are in reasonable health, although erectile dysfunction may be a symptom of poor circulation or early diabetes. Erectile dysfunction is more common in smokers and men who are overweight. Some medicines can contribute to ED as can many recreational and frequently abused drugs. Some men with ED have low testosterone levels. Cycling more than 3 hours a day can also lead to ED.
Over the last few decades medications have revolutionised the treatment of erectile dysfunction. These medications work by enhancing the natural reaction to stimulation, improving the blood flow needed for erections. Other treatments for ED include topical applications, injections into the penis, surgical devices, and counselling.
Erectile dysfunction can be a symptom of conditions such as diabetes, high blood pressure, high cholesterol, or narrowing of the arteries. Some simple tests may be required. An assessment with a doctor is particularly important if symptoms develop over a period of weeks or months, or even suddenly, without an emotional event to set them off. Erectile dysfunction can be a complication of previous operations or a side effect of some prescribed medication.
Improving lifestyle factors such as diet, exercise, stopping smoking, reducing alcohol intake, and maintaining an active lifestyle has shown improvement in ED in men of all ages. Apart from the general benefits of a healthy lifestyle, studies show improvement in erectile dysfunction symptoms and a reduced need for tablets. ED also shares risk factors with a range of other medical conditions including diabetes, heart disease, and circulatory problems, all of which are also likely to benefit from lifestyle modification.
Erectile dysfunction can be distressing and lead to relationship difficulties, anxiety, and depression. Your regular doctor may recommend counselling. This may help resolve the cause of erectile dysfunction. In some cases a problem of performance anxiety can be overcome by breaking the cycle of failure with tablet treatments.
When you buy an unauthorized sexual enhancement product there is no guarantee that it contains what it says it does, nor is there a guarantee that its ingredients are safe. These products are often labelled as \"all natural\" and \"safe\", but in many cases prescription drugs are added. They may also contain cheap ingredients added as \"fillers\".
Using drugs containing yohimbine (either as yohimbine hydrochloride or yohimbe bark extract) may result in serious adverse reactions. This is particularly true for people with high blood pressure, or heart, kidney or liver disease. Side effects associated with yohimbine include:
Sexual enhancement products for sale online or in stores may be counterfeit or adulterated. The World Health Organization has estimated that nearly half of the drugs sold online (billions of dollars) are fakes.
There are many kinds of pills for erectile dysfunction, but they are all part of the same group of drugs called PDE5 inhibitors. PDE-5 inhibitors work by relaxing your blood vessels, which increases blood flow to the penis and helps you to get an erection.
Although erectile dysfunction (ED) is common among older men, that doesn't mean you have to just accept it as a normal part of the aging process. Many men still enjoy sex well into their senior years and there's no reason you can't be one of them.
A lot of different processes in your body have to work together to produce an erection - hormones, nerves, blood vessels, muscles, your heart, and your brain. A disruption to any one of these could lead to erectile dysfunction (ED).
Google \"Erectile Dysfunction Treatments\" and you'll be bombarded with over 51 million hits. But be warned. Not everything is what it says it is. An FDA investigation showed that more than one-third of \"dietary supplements\" sold for ED actually contained prescription drugs, including sildenafil, the active ingredient in Viagra. Others contained entirely different medicines, of no use whatsoever for ED, such as antibiotics.
A 2021 review of studies published in the Cochrane Database of Systematic Review concluded that ginseng has a \"trivial effect on erectile function\" compared to a placebo (sham drug), as well as a \"trivial effect\" on sexual satisfaction in males.
All erectile dysfunction drugs, including Viagra and Cialis, come with a risk of side effects and may even be dangerous in certain people. These include people who take nitrate drugs for angina or guanylate cyclase (GC) stimulators for pulmonary hypertension. Taking ED drugs with these medications can cause a potentially fatal drop in blood pressure.
Barassi A, Corsi Romanelli MM, Pezzilli R, et al. Levels of l-arginine and l-citrulline in patients with erectile dysfunction of different etiology. Andrology. 2017;5(2):256-61. doi:10.1111/andr.12293 59ce067264
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