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What are the differences between erectile dysfunction drugs? About half of men ages 40 to 70 have erectile dysfunction ED to some degree, although only one in 10 report a complete inability to have erections.
Does it make any difference which of the four drugs for erectile dysfunction you take? Sildenafil Viagra is often the first drug your doctor offers.
It's been on the market longest and its side effects and the medications and foods it interacts with are well known. But the main challenge to finding the best ED drug for you may turn out to be health insurance rules—not biochemistry.
It's a common practice among insurers to limit the number of pills you can obtain per month. You'll need to work with your doctor to get the pill you need at a price you can afford.
These all improve blood supply to the penis. In combination with sexual stimulation, the drugs can produce an erection sufficient to initiate and complete intercourse. There is also a fast-dissolving form of Levitra, called Staxyn, that you put under your tongue. This helps to produce erections on demand and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate.
The cost to you for ED drug therapy varies considerably, depending on the pharmacy price, prescription co-pays, and your level of health plan coverage. Even if private insurance covers it, you may be limited to four doses per month.
Here are a few things you can do to contain costs:. Shop around, because pharmacy prices vary. Various web-based tools can help you compare prices easily. One of them is www. Ask your doctor about pill splitting, where you get the pills at a higher dose than you need and divide them. Explore manufacturer discount programs.
These allow you to obtain a limited supply of medications not covered by your insurance. But the results vary quite a bit from one individual to another. A man with nerves or arteries damaged by prostate surgery, diabetes, or cardiovascular disease will not respond as strongly to ED drugs. How soon the drugs start working ranges from 15 to 60 minutes. Neither Viagra nor Levitra will work if you take them after a meal, which blocks their absorption. However, neither Cialis nor Stendra interact with food this way.
The onset time determines how soon you can engage in intercourse. Stendra and daily-use Cialis are closest to being an "on demand" erectile drug; using the others requires more planning. Liou says that some men come to him after getting a prescription from their primary care doctors, claiming that the drug doesn't work. Sometimes it's because they used it incorrectly.
But the drugs don't work well without sexual stimulation. It's not like that. The ED drugs break down at different rates in the body. The durations of action range from four hours to more than a day for Cialis in the higher doses.
Each dose should be sufficient to provide a full cycle of intercourse, from erection to climax. It's not guaranteed," Dr.
To have sex more than once a day, Cialis is your best bet. The most common side effects of ED drugs, in order of most to least common are headache , flushing, upset stomach, nasal congestion, urinary tract infections, vision problems, diarrhea, dizziness, and rash. A man who has an erection that lasts four hours or more needs to get to a hospital or risk permanent damage. None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure.
Drugs that many men take for urinary symptoms, called alpha blockers, can also lower blood pressure, so take them at least four hours apart from ED drugs. Your doctor may start you on a smaller dose of the ED drug if you already take an alpha blocker, or may recommend the alpha blocker tamsulosin Flomax , which affects blood pressure less. ED is often an early warning sign of underlying cardiovascular disease , such as clogged arteries atherosclerosis.
We don't have strong proof yet that starting to live a healthier lifestyle can reverse erectile problems, but it can't hurt.
Looking for natural solutions to ED? Read 5 natural ways to overcome erectile dysfunction. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Harvard Men's Health Watch. Erectile dysfunction pills have some differences, but price can limit your ED medicine choices Updated: August 22, Published: Herbal supplements to treat erectile dysfunction?
Blood pressure drugs and ED:
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During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect. You should not use Levitra if you are allergic to vardenafil, or if you take other medicines to treat pulmonary arterial hypertension , such as riociguat Adempas.
Do not take vardenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate.
Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite "poppers". Levitra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people, most of whom also had heart disease, diabetes, high blood pressure , high cholesterol , or certain pre-existing eye problems, and in those who smoked or were over 50 years old.
It is not clear whether vardenafil is the actual cause of vision loss. Levitra is not for use in women, and the effects of this medicine during pregnancy or in breastfeeding women are unknown.
Take Levitra exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Levitra is taken only when needed, about 60 minutes before sexual activity. The medicine can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Staxyn vardenafil disintegrating tablets should not be used in place of Levitra vardenafil regular tablets.
Avoid medication errors by using only the form and strength your doctor prescribes. If you receive medical care for heart problems, tell your caregivers when you last took vardenafil. C Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
D There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks. N FDA has not classified the drug. Has no currently accepted medical use in treatment in the United States. There is a lack of accepted safety for use under medical supervision. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions.
Abuse may lead to severe psychological or physical dependence. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.
It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4. Alcohol X Interacts with Alcohol. Care Notes 1 related article. Always tell your medical conditions as well as other therapies you undergo to avoid any side effects.
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