Erectile Dysfunction Drug Treatment

ERECTILE DYSFUNCTION DRUG TREATMENT

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ERECTILE DYSFUNCTION DRUG TREATMENT

Erectile dysfunction drug treatment may be divided into different categories. Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis.

In March 1998, the Food and Drug Administration (FDA) approved Viagra, the first pill to treat ED. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. Additional oral medicines are being tested for safety and effectiveness.

Viagra, Levitra, and Cialis all belong to a class of drugs called phosphdiesterase (PDE) inhibitors. Taken an hour before sexual activity , these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow.

The most common side effects of this type of erectile dysfunction drug treatment are headaches, facial flushing, and upset stomach. Less frequent symptoms may be blurred or bluish vision, or a brief sensitivity to light.

While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100mg or 25 mg, depending on the patient.

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The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in 2.5 dose.

None of these PDE inhibitors should be used more than once a day. Men who take nitrate - based drugs such as nitroglycerin for heart problems should not use either drug because the combination can cause a sudden drop in blood pressure.

Also, tell your doctor if you take any drugs called alpha blockers, which are used to treat prostate enlargement or high blood pressure. Your doctor may need to adjust your ED prescription. Taking a PDE inhibitor and an alpha blocker at the same time (within 4 hours) can cause a sudden drop in blood pressure.

Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage. Patients have also claimed that other oral drugs including yohimbine hydrochloride, dopamine, and serotonin agonists, and trazodone - are effective, but the results of scientific studies to substantiate these claims have been inconsistent.

Improvements observed following use of these drugs may be examples of the placebo effect, that is, a change that results simply from the patient's believing that an improvement will occur.

Many men achieve stronger erections by injecting drugs into the penis. This method of erectile dysfunction drug treatment causes the penis to become engorged with blood. Drugs such as papaverine hydrochloride, phentolamine, and alprostadi (marketed as Caverject) widen blood vessels.

These drugs may create unwanted side effects, however, including persistent erection (known as priapism) and scarring. Nitroglycerin, a muscle relaxant, can sometimes enhance erection when rubbed on the penis.

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Another erectile dysfunction drug treatment entails a system for inserting a pellet of alprostadil into the urethra. It is marketed as Muse. The system uses a prefilled applicator to deliver the pellet about an inch deep into the urethra. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes.

The most common side effects of this type of erectile dysfunction drug treatment are aching in the penis, testicles, and area between the penis and rectum; warmth or burning sensation in the urethra; redness from increased blood flow to the penis; and minor urethral bleeding or spotting.

Research on erectile dysfunction drug treatment is expanding rapidly. Patients should ask their doctor about the latest advances.

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