How to Choose the Right Pill to treat Erectile Dysfunction (Impotence)

Healthcare & Medical

Dec 15, 2013

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Erectile dysfunction medication guideline

Viagra, Cialis and Levitra work in almost the same way by increasing the blood flow to the penis and providing longer and harder erections. Every drug differs though. For example, Viagra is proved effective for 90% of the men, while Cialis works for about 70%, Viagra works for about 4 hours and Cialis stays in the blood for about 36 hours, that's why it is called the weekend pill.

Levitra is so far a "dark horse" that is mostly used by men taking some other medications (lower cholesterol, high blood pressure, etc). Generic Soft Viagra and Soft Cialis are in fact almost as hard as the regular ones, but they are not to be swallowed but to be dissolved under the tongue. This is the best solution for those who want the pills to work faster and take them after a fatty meal when the regular pill will be of no help.

There are many oral therapies for erectile dysfunction, but the only approved medication in the US is the PDE 5 enzyme inhibitor sildenafil (Viagra). Unapproved therapies, some of which are available in the US and some elsewhere, some of which have data to prove efficacy and some not, include tadalafil (Cialis), vardenafil (Levitra), yohimbine, phentolamine, trazodone, apomorphine and neutraceuticals. PDE5 inhibitors act to relax penile erectile tissues with sexual stimulation thus enhancing your ability to get an erection. Sildenafil (Viagra) is effective for all sorts of erectile dysfunction in 69% of people. Why is there a need for another pill? In some cases the erection is not hard enough, sometimes sildenafil (Viagra) just doesn’t work.

Over the last ten years, newer medicine has increased the treatment of Erectile Dysfunction. These medicines work by enhancing the natural reaction to stimulation, opening up the blood flow needed for erections. Now on to the 3 different types of ED medicines: Viagra, Cialis, and Levitra.

Viagra (Sildenafil)

Viagra comes in 25 mg, 50 mg, and 100 mg tablets. It takes 40 minutes to start working and it works for 4 hours.

Cautions and Interactions

- Interacts with any nitrate-based medication

- Low blood pressure

- Retinus Pigmentosa

- Angina

Common Side Effects

- Headaches

- Palpations

- Indigestion

- Dizziness

- Congestion

- Flushing

- Blurred vision

Cialis (Tadalafil

Cialis comes in 2.5 mg, 10 mg, and 20 mg tablets. It takes 30 minutes to work and works for 36 hours.

Cautions and Interactions

- Any nitrate based medication

- Low blood pressure

- Recent myocardial infarction

- Angina

Common Side Effects

- Headaches

- Muscle aches

- Indigestion

- Congestion

- Flushing

- Dizziness

Levitra(Vardenafil)

Levitra comes in 5 mg, 10 mg, and 20 mg tablets. It takes 20 minutes to work and works for 12 hours.

Cautions and Interactions

- Any nitrate based medication

- HIV protease inhibitors

Common Side Effects

- Headaches

- Flushing

- Indigestion

- Congestion

- Nausea

- Dizziness

When taking medications, it is always best to start with a lower strength tablet and build up as needed. Sometimes one drug may work better for one person than it does another. So it is best to try everyone to see which works best for you.

Lifestyle changes

The symptoms of ED can often be improved by making changes to your lifestyle. You can reduce your risk of ED by:

losing weight if you are overweight
giving up smoking
moderating your alcohol consumption
not taking illegal drugs
exercising regularly
reducing stress

As well as helping to improve your ED, these types of changes can also improve your general health. For example, losing weight may help to reduce your risk of cardiovascular disease (conditions that affect your heart and blood vessels).

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