Which Drug Is Best For Erectile Dysfunction?

Which Drug Is Best For Erectile Dysfunction

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. Taking an ED drug produces an erection sufficient to start intercourse in about 70% of otherwise healthy men.

Does the four erectile dysfunction medications you take make any difference? “Indeed, there may be variations,” says Dr. Louis Liou, head of urology at the Cambridge Health Alliance in Boston, associated with Harvard. “I’ve tried different templates of new patients to see what works best.”

Does the four erectile dysfunction medications you take make any difference? “Indeed, there may be variations,” says Dr. Louis Liou, head of urology at the Cambridge Health Alliance in Boston, associated with Harvard. “I’ve tried different templates of new patients to see what works best.”

But the main challenge for you to find the best ED drug may turn out to be rules on health insurance— not biochemistry. Limiting the number of pills you can get per month is a common practice among insurers. The out – of-pocket cost for a single pill may be as high as $20 after you reach your limit. “In my career, the price is the main obstacle,” says Dr. Liou. To get the prescription you need at a price you can afford, you’ll need to meet with your doctor.

What erectile dysfunction pills are available?

In addition to Viagra, avanafil (Stendra), tadalafil (Cialis) and vardenafil (Levitra) are other ED drugs available in the United States. All of these increase the supply of blood to the penis. The drugs can create an erection that is adequate to initiate and complete the intercourse in conjunction with sexual stimulation. There’s also a fast-dissolving type of Levitra that you place under your tongue, called Staxyn.

The FDA-approved one ED drug, Cialis, is used daily in a dosage of 2.5 or 5 milligrams. This helps to create on-demand erections and can also help relieve urinary problems, such as difficulties initiating urination, resulting from an enlarged prostate.

Cost of erectile dysfunction pills

The cost of ED drug therapy varies greatly depending on the value of the medication, the prescription co-paid, and the extent of coverage of your health plan. The out- of-pocket cost per prescription varies from around $15 to $20 at the national level. Also if it is covered by private insurance, you may be limited to four doses a month. Here are a couple of things you can do to reduce costs:

Shop around, as the prices of pharmacy differ. Various web-based tools can help you easily compare costs. www.genericstreet.com is one of them.

Ask your doctor about pill splitting and break the pills at a higher dose than you need.

Consider discount services for suppliers. It helps you to access a limited supply of non-insurance drugs.

How well do ED pills work?

ED drugs in around 70% of people create an erection that is appropriate for intercourse. However the findings differ significantly from person to individual. A man with prostate surgery, diabetes, or cardiovascular disease damaged nerves or arteries will not respond as strongly to ED drugs. There are several people who are not dependent on any of these drugs.

How quickly do ED pills work?

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.

How to use ED pills properly

Dr. Liou notes that after getting a prescription from their primary care physicians, several men come to him, saying the drug is not effective. Perhaps it’s because it was misused. “An on / off option for erections is the biggest misconception,” says Dr. Liou. But the drugs don’t work well without sexual stimulation. “You need to be with your partner at the time and have foreplay,” says Dr. Liou. “Don’t take it, do the taxes or the dishes, and then meet at the bedroom thinking you’ll be ready to go. It’s not like that.”

How long do ED pills last?

The ED drugs break down in the body at various rates. The length of the treatment ranges from four hours to more than one day (in higher doses for Cialis). Every dosage should be adequate from erection to orgasm to provide a complete cycle of intercourse.

“Is it going to last a particular cycle? It’s not guaranteed,” says Dr. Liou. To have sex more than once a day, Cialis is your best bet.

What are the side effects of ED pills?

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 medications are safe to take with cardiac medicines called nitrates because they can cause a dangerous drop in blood pressure. Drugs that many men take for urinary symptoms, called alpha blockers, may also reduce blood pressure, so keep them apart from ED drugs for at least four hours. 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.

Heart health and erectile dysfunction

ED is often a sign of early warning of underlying cardiovascular disease, such as blocked arteries (atherosclerosis). “A diagnosis of cardiovascular disease can be predated by at least a couple of years,” says Dr. Liou. We don’t have strong proof yet that starting to live a healthier lifestyle can reverse erectile problems, but it can’t hurt.

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