Guide To Erectile Dysfunction Treatment

1. Guide To Erectile Dysfunction Treatment © Clearsky Pharmacy ( www.clearskypharmacy.biz )

2. Guide To Erectile Dysfunction Treatment What Is Erectile Dysfunction (ED)? Erectile dysfunction (or sexual impotence) is a medical condition that is defined as persistent, recurrent difficulty getting and/or maintaining an erection for satisfactory sexual performance. Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease. ED is not considered normal at any age, and may be associated with other problems that interfere with sexual intercourse, such as lack of desire and problems with orgasm and ejaculation. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

3. Guide To Erectile Dysfunction Treatment What Causes Erectile Dysfunction (ED)? There are a variety of reasons you might be experiencing Erectile Dysfunction (ED), and this is something your doctor can help you with. Addressing the underlying causes of ED may help your doctor determine the right treatment plan. ED can be caused by a number of factors, including: Inadequate blood flow due to Vascular disease: Proper blood flow is crucial to get and keep an erection. Blood supply to the penis can become blocked or narrowed as a result of vascular disease such as atherosclerosis (hardening of the arteries). This can also be impacted by other conditions such as heart disease, high blood pressure, hardened arteries, and diabetes. Neurological disorders (such as multiple sclerosis): The ability to get or keep an erection comes from nerves in your lower spine. Nerves that send impulses to the penis can become damaged from stroke, diabetes, or other causes. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

4. Guide To Erectile Dysfunction Treatment What Causes Erectile Dysfunction (ED)? Psychological states: These include stress, depression, lack of stimulus from the brain and performance anxiety. Conditions such as depression, anxiety, stress, and relationship troubles can make getting hard challenging. You'd be surprised how much emotional and psychological factors can impact your physical health, and sexual dysfunction is no exception. And yes, bedroom performance pressure can also lead to erectile dysfunction. Trauma: An injury could contribute to symptoms of ED. Prostate cancer, colorectal cancer, or bladder cancer can all cause ED. While it's more common in older men, both cancer and cancer treatments can cause erectile dysfunction. This is something your urologist can help you with. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

5. Guide To Erectile Dysfunction Treatment What Causes Erectile Dysfunction (ED)? Illicit drugs, alcohol, and smoking: Time to kick the habit! Drugs, alcohol, and smoking can have the unwelcome side effect of ED. Erectile dysfunction (ED) is a common side effect of a number of prescription drugs. While these medications may treat a disease or condition, in doing so they can affect a man's hormones, nerves or blood circulation, resulting in ED or increasing the risk of ED. Chronic illness and a condition called Peyronie's disease can also cause ED. Operations for the prostate, bladder, and colon cancer may also be contributing factors. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

6. Guide To Erectile Dysfunction Treatment How Are Depression And Erectile Dysfunction Related? For some men, depression could accompany the condition of Erectile Dysfunction (ED). It is common for men with ED to feel angry, frustrated, sad, unsure of themselves, or even less “manly.” Such type of feelings can lead to a lack of self-esteem and, in severe cases, to depression. Depression that accompanies ED is treatable. The first step in addressing your concerns about ED-related depression is to be honest with yourself, your partner, and your doctor. After depression has been brought out into the open, coping with it will be easier and less stressful. In fact, men with clinical depression are about twice as likely to develop ED. And one recent study found over 80% of men diagnosed with ED without previous experience of depression reported symptoms of this mental health disorder. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

7. Guide To Erectile Dysfunction Treatment Tests for Erectile Dysfunction There are a few tests your doctor might perform in order to determine the underlying cause of your ED. Physical exam. This might include careful examination of your penis and testicles and checking your nerves for sensation. Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions. Urine tests (urinalysis). Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions. Ultrasound. This test is usually performed by a specialist in an office. It involves using a wandlike device (transducer) held over the blood vessels that supply the penis. It creates a video image to let your doctor see if you have blood flow problems. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

8. Guide To Erectile Dysfunction Treatment Tests for Erectile Dysfunction This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection. Psychological exam. Your doctor might ask questions to screen for depression and other possible psychological causes of erectile dysfunction. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

9. Guide To Erectile Dysfunction Treatment Treatments For Erectile Dysfunction Erectile Dysfunction (ED) can be treated in many ways, including: Oral medications, Sex therapy, Penile injections, Vacuum devices, Intraurethral medication and Surgery (penile implant). Each type has its own pros and cons. Discuss your options with your doctor to determine the best treatment for you. The first step to treating ED is to find the underlying cause. Then the appropriate treatment can begin. There are a number of non- surgical and surgical options that can help a man regain normal sexual function. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

10. Guide To Erectile Dysfunction Treatment Treatments For Erectile Dysfunction Treatment plan can include a combination of individual treatments (such as medications plus talk therapy) or it can include one treatment. Medications such as Sildenafil, Vardenafil, Avanafil or Tadalafil may help improve sexual function in men by increasing blood flow to the penis. Men who are on medicines that contain nitrates such as nitroglycerine should not take oral ED medications. The combination of nitrates and these specific medications can cause low blood pressure (hypotension). An important factor in medications working properly is sexual stimulation. Sexual stimulation results in the release of nitric oxide, activating the enzyme guanylate cyclase and making increased cGMP levels possible. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

11. Guide To Erectile Dysfunction Treatment Sildenafil Citrate Sildenafil Citrate is a medication that belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. (A class of drugs is a group of medications that act in a similar way.) Sildenafil Citrate works by increasing blood flow to your penis, which helps you have and keep an erection. But this medicine only works if you’re sexually aroused. PDE inhibitors help promote better blood flow in the body by dilating the blood vessels and relaxing the muscles – two key factors that help achieve a longer-lasting erection. The brand name for Sildenafil Citrate is Viagra, a well-known medication manufactured by Pfizer used for treating erectile dysfunction (ED). Sildenafil Citrate is also available as a generic drug, with the generic version of the medication regarded as equally effective as the name brand version. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

12. Guide To Erectile Dysfunction Treatment Generic Sildenafil Citrate © Clearsky Pharmacy ( www.clearskypharmacy.biz )

13. Guide To Erectile Dysfunction Treatment Active Ingredient Viagra or Generic Sildenafil The active ingredient contained in Viagra versions is Sildenafil Citrate. Each tablet contains 25 mg, 50 mg or 100 mg of Sildenafil. Generic Sildenafil © Clearsky Pharmacy ( www.clearskypharmacy.biz )

14. Guide To Erectile Dysfunction Treatment Sildenafil Citrate Dosage The dosage of Sildenafil Citrate tablets Sildenafil Citrate tablets is given below: For most patients, the recommended dose of Sildenafil is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, Sildenafil tablets may be taken anywhere from 30 minutes to 4 hours before sexual activity. Based on effectiveness and toleration, the dosage of Sildenafil tablets may be increased to a maximum of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day. i.e. 24 hours must elapse before taking your next dose. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

15. Guide To Erectile Dysfunction Treatment How Should I Use Sildenafil Citrate Tablets? For most patients aged 65 or younger, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. The dose is 25 mg for people aged 65 or older. However, Sildenafil may be taken anywhere from 30 minutes to 4 hours before sexual activity. The medication is not approved for use by anyone under the age of 18. Sildenafil should not be taken more than once per day, as the medication can take up to 24 hours to leave your system fully. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

16. Guide To Erectile Dysfunction Treatment Sildenafil Tablets – Brand Names Sildenafil Citrate tablets are available under various Drug trade names that include Viagra, Alphagra, Alphagra pocket, Suhagra, Silagra, Kamagra, Kamagra jelly, Kamagra Chewable, Caverta, Penegra, Erix, Cenforce, Androz and Alsigra. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

17. Guide To Erectile Dysfunction Treatment How Long Does Sildenafil Take To Start Working? In general, it is recommended to take Sildenafil approximately one hour before you plan on having sexual intercourse. This is the standard amount of time it takes to begin seeing the effects of the medication. However, you can take Sildenafil Citrate tablets anywhere from 30 minutes to four hours before sexual activity. The effects of Sildenafil tablets can last for up to four hours — Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of Sildenafil Citrate tablets. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

18. Guide To Erectile Dysfunction Treatment Contraindications This medicine is contraindicated in patients with a hypersensitivity to Sildenafil Citrate or any other component of this medication. Administration of Sildenafil Citrate tablets to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form is contraindicated. Sildenafil was shown to potentiate the hypotensive effect of nitrates. Sildenafil Citrate tablets should not be used in patients who are using a GC stimulator, such as Riociguat. PDE5 inhibitors, including Sildenafil (Viagra), may potentiate the hypotensive effects of GC stimulators. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

19. Guide To Erectile Dysfunction Treatment Side Effects Most common Sildenafil Citrate side effects with an incidence rate greater than 2% include headache, flushing, dyspepsia, abnormal vision, nasal congestion, back pain, myalgia, nausea, dizziness and rash. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

20. Guide To Erectile Dysfunction Treatment How Long Do Other ED Medications Last? Regarding other ED medications, such as Vardenafil (brand name Levitra), Tadalafil (brand name Cialis) or Avanafil (brand name Stendra), these drugs can vary in how long they last. Vardenafil lasts a similar amount of time to Sildenafil, taking between 30 minutes to an hour to take effect and lasting for approximately four hours. A typical dose of Avanafil takes between 15 minutes to 30 minutes to take effect and lasts for up to six hours. On the other hand, the average amount of time it takes for Tadalafil to reach maximum concentration is, on average, 120 minutes. However, this can range from between 30 to 360 minutes. The effect of Tadalafil (Cialis) can last up to 36 hours. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

21. Guide To Erectile Dysfunction Treatment Vardenafil Hydrochloride Vardenafil Hydrochloride tablets which belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors are used as an oral therapy for the treatment of men with erectile dysfunction (sexual impotence). After the penis is stroked, Vardenafil maintains an erection by increasing blood flow. Without physical activity, such as that occurring during sexual intercourse, Vardenafil will not cause an erection. These medicines work by relaxing the blood vessels in the penis when a male is sexually aroused. This will allow blood to flow into the penis, causing an erection to take place in the natural way. Vardenafil Tablets will only work if you are sexually excited. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

22. Guide To Erectile Dysfunction Treatment Active Ingredient The active ingredient contained in Levitra or Generic versions is Vardenafil Hydrochloride. Each tablet contains 10 mg, 20 mg, 40 mg or 60 mg of Vardenafil. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

23. Guide To Erectile Dysfunction Treatment Vardenafil Tablets – Brand Names Vardenafil Hydrochloride tablets are available as Vardif, Vilitra, Valif, Mevitra -20, Mvitra, Levitra, Staxyn ODT and Vivanza. Vardenafil Hydrochloride Oral Jelly is available as Valif Oral Jelly and Vitara Jelly. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

24. Guide To Erectile Dysfunction Treatment Vardenafil Dosage Vardenafil Hydrochloride tablets Vardenafil Hydrochloride tablets are taken as needed. For most patients, the starting dose of Vardenafil Hydrochloride tablets is 10 mg, up to once daily. Increase to 20 mg or decrease to 5 mg based on efficacy/tolerability. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

25. Guide To Erectile Dysfunction Treatment Contraindications Vardenafil Tablets are contraindicated in patients with a known hypersensitivity to Vardenafil Hydrochloride or any component of the tablet. Administration of Vardenafil Hydrochloride tablets with nitrates (either regularly and/or intermittently) and nitric oxide donors is contraindicated. Do not use Vardenafil tablets in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including Vardenafil Hydrochloride tablets may potentiate the hypotensive effects of GC stimulators. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

26. Guide To Erectile Dysfunction Treatment Side Effects Most common Vardenafil Hydrochloride tablets side effects with an incidence rate of greater than or equal to 2% are headache, flushing, nasal congestion, dyspepsia, sinusitis, flu syndrome, dizziness, increased creatine kinase, nausea, back pain. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

27. Guide To Erectile Dysfunction Treatment Tadalafil Tadalafil Tablets Tadalafil Tablets are prescribed for the treatment of male sexual function problems also known as erectile dysfunction (ED) or sexual impotence, in men 18 years and above. Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. Tadalafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. It is also approved by the US FDA for treating the signs and symptoms of benign prostatic hyperplasia (BPH) as well as a combination of BPH and erectile dysfunction when the conditions coincide. This medicine is also used for the treatment of Pulmonary Arterial Hypertension (PAH). © Clearsky Pharmacy ( www.clearskypharmacy.biz )

28. Guide To Erectile Dysfunction Treatment Active Ingredient The active ingredient contained in Cialis Generic Tadalafil versions Generic Tadalafil versions is Tadalafil. Each tablet contains 5 mg, 10 mg or 20 mg of Tadalafil. Cialis or © Clearsky Pharmacy ( www.clearskypharmacy.biz )

29. Guide To Erectile Dysfunction Treatment Tadalafil Tablets – Brand Names Tadalafil tablets are available under various drug trade names that include Tadali, Tadali Pocket, Tadalista, Tadacip, Tadalift, Cialis, Adcirca, Filda, Forzest, Megalis, Tadalis, Tazzle, Zydalis. Also available in jelly form as Apcalis SX Oral Jelly 20mg. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

30. Guide To Erectile Dysfunction Treatment Tadalafil Dosage The dosage of Tadalafil tablets Tadalafil tablets is given below: Tadalafil for use as needed: Erectile Dysfunction (ED): Starting dose: 10 mg as needed prior to sexual activity. Increase to 20 mg or decrease to 5 mg based upon efficacy/ tolerability. Improves erectile function compared to placebo up to 36 hours post dose. Not to be taken more than once per day. Tadalafil for once daily use: Erectile Dysfunction (ED): 2.5 mg taken once daily, without regard to timing of sexual activity. May increase to 5 mg based upon efficacy and tolerability. Benign Prostatic Hyperplasia (BPH): 5 mg, taken at approximately the same time every day. ED and BPH: 5 mg, taken at approximately the same time every day. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

31. Guide To Erectile Dysfunction Treatment Tadalafil Dosage Tadalafil Dosage Adjustment for Erectile Dysfunction (ED): Elderly Men: Dose adjustments are not required in elderly patients. Men With Renal Impairment: Dose adjustments are not required in patients with mild to moderate renal impairment. For patients with severe renal impairment 10 mg is the maximum recommended dose. Once-a-day dosing of Tadalafil tablets is not recommended in patients with severe renal impairment. Men With Hepatic Impairment: The recommended dose of is 10 mg taken prior to anticipated sexual activity and with or without food. There is limited clinical data on the safety of Tadalafil tablets in patients with severe hepatic impairment (Child-Pugh Class C). In case Tadali tablets are prescribed, a careful individual benefit/risk evaluation must be undertaken by the prescribing doctor. Men With Diabetes: Dose adjustments are not required in diabetic patients. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

32. Guide To Erectile Dysfunction Treatment Contraindications Tadalafil Tablets are contraindicated in patients with a known hypersensitivity to Tadalafil or any component of the tablet. Administration of Tadalafil to patients using any form of organic nitrate is contraindicated. Tadalafil was shown to potentiate the hypotensive effect of nitrates. Coadministration of GC stimulators such as Riociguat with Tadalafil is contraindicated. Tadalafil may potentiate the hypotensive effects of GC stimulators. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

33. Guide To Erectile Dysfunction Treatment Side Effects Most common Tadalafil tablets side effects with an incidence rate of 2% or more include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in limb. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

34. Guide To Erectile Dysfunction Treatment Avanafil Avanafil is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction. Avanafil relaxes muscles of the blood vessels and increases blood flow to particular areas of the body that play a vital role in sexual intercourse.Avanafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works. Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body's normal response is to increase blood flow to his penis to produce an erection. By controlling the enzyme, Avanafil helps to maintain an erection after the penis is stroked by increasing blood flow to the penis. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

35. Guide To Erectile Dysfunction Treatment Active Ingredient The active ingredient contained in Stendra or Generic Avanafil versions is Avanafil. Each tablet contains 50 mg or 100 mg of Avanafil . © Clearsky Pharmacy ( www.clearskypharmacy.biz )

36. Guide To Erectile Dysfunction Treatment Avanafil Tablets – Brand Names Avanafil Tablets are available under various drug trade names that include Avana, Stendra, Spedra, Avagra and Avaforce. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

37. Guide To Erectile Dysfunction Treatment Avanafil Dosage The dosage of Avanafil tablets Avanafil tablets is given below: For most patients, the starting dose is 100 mg taken approximately 30 minutes before sexual activity, on an as needed basis. Take Avanafil tablets no more than once a day. The dose may be increased to 200 mg or decreased to 50 mg based on efficacy and/or tolerability. Use the lowest dose that provides benefit. Avanafil tablets may be taken with or without food. Do not use Avana with strong CYP3A4 inhibitors. If taking a moderate CYP3A4 inhibitor, the dose should be no more than 50 mg in a 24-hour period. In patients on stable alpha-blocker therapy, the recommended starting dose of Avanafil tablets is 50 mg. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

38. Guide To Erectile Dysfunction Treatment Contraindications Avanafil tablets are contraindicated in patients with a hypersensitivity to Avanafil or any other component of this medication. Administration of Avanafil tablets to patients using any form of organic nitrate is contraindicated. Administration with guanylate cyclase (GC) stimulators such as Riociguat along with Avanafil tablets is also contraindicated. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

39. Guide To Erectile Dysfunction Treatment Side Effects Most common Avanafil tablets side effects with an incidence rate greater than or equal to 2% include headache, flushing, nasal congestion, nasopharyngitis, and back pain. The other side effects of Avana tablets with a frequency rate of 1% or more but less than 2% include upper respiratory infection (URI), bronchitis, influenza, sinusitis, sinus congestion, hypertension, dyspepsia, nausea, constipation, and rash. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

40. Guide To Erectile Dysfunction Treatment How To Make ED Medicines Work Better? There is no way to make Erectile Dysfunction medications work better other than practicing healthy lifestyle habits and avoiding fatty foods and alcohol. You should also avoid taking over-the-counter drugs or medications that boost sexual performance without first consulting with your doctor or healthcare advisor on the safety of these drug interactions. Additionally, you should never take more than the recommended dose of medicine in an effort to make it work better. Taking more than the recommended dose will only result in unwanted side effects — and potentially a trip to the hospital. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

41. Guide To Erectile Dysfunction Treatment ED Tablets are not Working, What Should I Do? If your ED prescription is not working, the first step to always take is to talk with your doctor that provided the prescription. In a lot of cases, if your prescription is not working, your dosage may be problematic. A healthcare practitioner can safely determine a new dosage for you to try and assess how the dosages compare to each other. Moreover, if you are experiencing negative side effects from your ED prescription, stop using the medication and contact a healthcare practitioner immediately. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

42. Guide To Erectile Dysfunction Treatment Can External Factors Affect ED Medications? Yes, external factors can affect ED medications like Sildenafil, Vardenafil, Avanafil or Tadalafil. As stated earlier, specific food items like fatty foods can affect how well ED medications like Sildenafil works. Additionally, a person’s overall diet and age can also affect the drug’s effectiveness. For example, as a person ages, their body may become more susceptible to the medicine and its side effects, leading to a lower recommended dose for people over 65. Dose adjustments are also often required for patients with renal or hepatic impairment. © Clearsky Pharmacy ( www.clearskypharmacy.biz )

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