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Erectile Dysfunction: The Drugs That Treat It
Erectile dysfunction, more commonly known as ED, affects millions of men around the world and can be difficult to talk about. If you’re one of the many who struggle with erectile dysfunction and are looking for ways to treat it, here’s an overview of the medications that can help with erectile dysfunction so you can choose the best treatment option.
-Sildenafil Citrate (Viagra)
This is probably one of your best bets if you’re looking for a quick fix, as it works right away. Sildenafil Citrate (Viagra) increases blood flow to certain areas of your body, in particular those around your penis, resulting in increased sensitivity and an erection. Viagra can help you get more out of sex than ever before with increased strength and heightened sensations. If you want to improve your sex life and experience more intense orgasms, then take a little blue pill for better performance—Viagra (sildenafil citrate). Like many other erectile dysfunction medications on the market today, Viagra requires a prescription to be obtained; most health insurance companies cover it. However, there are often copay costs associated with obtaining prescriptions.
-Tadalafil (Cialis)
Cialis, like Viagra, is one of a group of drugs called PDE5 inhibitors. These work by relaxing tight blood vessels in your penis, which allows more blood to flow through and get hard. This is what causes an erection. Cialis used to be approved only for men with ED who also had low testosterone; however, studies have shown that it can be effective for men without both ED and low testosterone. In August 2011, Viagra gained FDA approval for use in treating male erectile dysfunction as well as pulmonary arterial hypertension (high blood pressure in your lungs). Studies are currently ongoing regarding its use in preventing heart attacks and strokes following sexual activity. It may be available in generic form soon. Although Tadalafil does not seem to affect sperm production or ejaculation, it might affect fertility. Don’t take Cialis if you’re already taking another drug containing tadalafil or if you’re using nitrates—like nitroglycerin—for chest pain because their effects on your heart could cause a dangerous drop in blood pressure. Talk with your doctor about how long you should wait between taking these medications. If you’ve been diagnosed with cancer of any kind within 6 months or prostate cancer within 5 years, don’t take Cialis because there’s no research on how these conditions will interact with Tadalafil yet.
-Avanafil (Stendra)
Avanafil is one of a class of medications called PDE5 inhibitors. Viagra and similar medications in that category work by increasing blood flow to the penis, thus causing an erection. Avanafil works on a different principle—and it’s more effective. Instead of increasing blood flow, avanafil actually relaxes certain muscles in your penis to improve blood flow and therefore cause an erection. If you need help getting it up, try avanafil instead. Don’t worry if you don’t respond—if it doesn’t work for you after trying it three times (at least 48 hours apart), keep reading to learn about other erectile dysfunction treatments. You might find something else that does. In fact, according to some estimates, as many as 1 out of every 3 men who seek treatment for ED are nonresponders to avanafil.
-Vardenafil (Levitra)
Vardenafil, sold under the brand name Levitra, belongs to a class of drugs called phosphodiesterase type 5 inhibitors. It’s used to treat erectile dysfunction (ED), though it’s not as effective as some other drugs on our list. Vardenafil works by making it easier for blood to flow into your penis to achieve and maintain an erection. Unlike many ED medications, vardenafil is a prescription drug rather than an over-the-counter medication available in pharmacies without a prescription. This means your doctor will have to prescribe it specifically for you. Other advantages of vardenafil include minimal risk of heart attack or stroke and few side effects. Common side effects of vardenafil include headache, flushing, upset stomach, and nasal congestion. These typically subside within a week after taking vardenafil. If they persist longer, consult with your doctor about switching to another treatment option. There are also two generic versions of vardenafil available: Levitra professional and Levitra super active. They contain exactly the same ingredients but cost less than brand-name versions because they aren’t marketed by pharmaceutical companies. Your insurance might cover these generic versions if you don’t want to pay full price for Levitra or Viagra from your pharmacy.
-Adverse Effects/Drug Interactions of ED Medications
Like all drugs, erectile dysfunction medicines can cause side effects. However, compared to many other medications, side effects from ED meds are typically mild. More than 90 percent of men taking ED medicines report no side effects at all, says Robert Graham, MD, urologist and male sexual medicine specialist at New York-Presbyterian Hospital in New York City. Still, it’s important to be aware of potential adverse reactions associated with these drugs so you know what to watch out for. Some common side effects include headache; indigestion; flushing; nasal congestion; lightheadedness; dizziness or fainting upon standing up (due to low blood pressure); back pain (if you take nitrates); heartburn (if you take nitrates). If you experience any serious side effects while taking an ED drug, stop using it immediately and call your doctor or pharmacist right away. You should also contact your doctor if you experience any bothersome but non-serious side effects like a stuffy nose or minor headache that doesn’t go away after a few days.
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