{"id":15548,"date":"2023-03-16T16:59:44","date_gmt":"2023-03-16T16:59:44","guid":{"rendered":"https:\/\/fitolympia.com\/?p=15548"},"modified":"2023-03-16T16:59:46","modified_gmt":"2023-03-16T16:59:46","slug":"erectile-dysfunction-pills-viagra-cialis-and-more","status":"publish","type":"post","link":"https:\/\/fitolympia.com\/na\/erectile-dysfunction-pills-viagra-cialis-and-more\/","title":{"rendered":"Erectile dysfunction pills: Viagra, Cialis, and more"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">DISCLAIMER<\/h3>\n\n\n\n<p>If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/media.socastsrm.com\/wordpress\/wp-content\/blogs.dir\/1969\/files\/2019\/03\/1-21.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p>Erectile dysfunction medication are part of a class of drugs known as PDE5 inhibitors. They work by improving blood flow to the penis during arousal, making it easier to get erections. ED meds come with the potential for side effects and certain drug interactions. Other treatments for ED include lifestyle changes, non-oral drugs, and natural remedies.<\/p>\n\n\n\n<p>Getting an erection is a complicated chain of events that involves hormones, certain chemicals, multiple systems in the systems in the body, and perhaps an erotic internet search or two. ED pills work by affecting blood flow in the erect penis, allowing it to stay erect longer. But this is not without risks\u2014read on to learn all about ED medications, how they work, risks, benefits, and other potential treatments for ED.\u00a0<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">What is erectile dysfunction?<\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"http:\/\/www.drsinghals.com\/wp-content\/uploads\/2012\/10\/erectile-dysfunction-2.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p>Erectile dysfunction, or ED, is when you can\u2019t get or keep an erection sufficient enough for a satisfying sex life. That might include erections that don\u2019t last as long as you want or aren\u2019t as firm as you\u2019d like.<\/p>\n\n\n\n<p>People with ED often deal with embarrassment or stigma around the condition, but it\u2019s one of the most common sexual issues. An estimated 52% of American men between ages 40 and 70 deal with ED, although it\u2019s difficult to know the exact numbers (many people are reluctant to talk about ED) (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562253\/#article-91330\" target=\"_blank\" rel=\"noreferrer noopener\">Sooriyamoorthy, 2021<\/a>).<\/p>\n\n\n\n<p>If you\u2019re experiencing ED, it\u2019s a good idea to seek medical advice from a healthcare provider. That\u2019s because it\u2019s not just your sex life that may be at stake\u2014in some men, ED can be the first sign of a serious\u00a0underlying condition\u00a0such as heart disease,\u00a0high blood pressure, or\u00a0<strong>diabetes<\/strong>.<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">What are ED pills?<\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2020\/11\/HowToTakeViagra.png\" alt=\"\"\/><\/figure>\n\n\n\n<p>ED pills are part of a family of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Currently,\u00a0<strong>PDE5 inhibitors\u00a0<\/strong>approved by the U.S. Food and Drug Administration (FDA) include (<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK549843\/\" target=\"_blank\">Dhaliwal, 2020<\/a>):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Sildenafil (brand name Viagra)<\/li><li>Tadalafil (brand name Cialis)<\/li><li>Vardenafil (brand name Levitra or Staxyn)<\/li><li>Avanafil (brand name Stendra)<\/li><\/ul>\n\n\n\n<p>The first PDE5 inhibitor,\u00a0<strong>sildenafil<\/strong>, was originally formulated as a prescription drug to treat high blood pressure. As it was tested, researchers discovered an unexpected side effect: men taking the drug were reporting more erections .<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">How do ED pills work?<\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/post.greatist.com\/wp-content\/uploads\/2020\/09\/Viagra_Table_1200x628-facebook-1200x628.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p>An erection begins with stimulation, which can be sensory (like touch, smell, and sight) or psychological (thinking of something that turns you on).<\/p>\n\n\n\n<p>During sexual arousal, nerve messages tell the penis \u201cit\u2019s time to get hard!\u201d and stimulation starts. This triggers the production of what\u2019s called cyclic guanosine monophosphate (cGMP), which relaxes smooth muscles in the penis\u2019s arteries. This allows a rush of blood to flow into the penis where it\u2019s trapped, creating a hard or erect penis (Dhaliwal, 2020).<\/p>\n\n\n\n<p>After ejaculation, PDE5 (that enzyme we mentioned earlier) \u201cturns off\u201d the erection by breaking down cGMP. Once cGMP is broken down, the penis releases any trapped blood and the erection subsides.&nbsp;<\/p>\n\n\n\n<p>ED medications work by blocking PDE5 (hence the name PDE5 inhibitors) and prevent cGMP from breaking down. The result is an engorged penis that remains erect for longer. The result is an engorged penis that remains erect for longer (Dhaliwal, 2020).&nbsp;<\/p>\n\n\n\n<p>While PDE5 inhibitors are highly effective at treating ED, it\u2019s important to know that you need to be sexually stimulated as well for the pills to work.&nbsp;&nbsp;<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">How effective are ED pills?<\/h1>\n\n\n\n<p>Research has shown that when used properly, ED pills can help improve erectile function.<\/p>\n\n\n\n<p>A large analysis of clinical data found that participants who took either sildenafil, tadalafil, and vardenafil (avanafil\u00a0wasn\u2019t available at the time of this study) experienced better erections. In fact, around 70% of people had improved erections or more successful sex after using one of these three pills. The analysis did not find significant differences in effectiveness or side effects between the medications studied (<a rel=\"noreferrer noopener\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19884626\/\" target=\"_blank\">Tsertsvadze, 2009<\/a>).\u00a0<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">How to use ED pills<\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcS7EWxF2OYHBrdkcIi3_fmbXd4DScwUwWnywH6i0kX_C_FEk-3OzvuPHTOLXA1rnKd4mzg&amp;usqp=CAU\" alt=\"\"\/><\/figure>\n\n\n\n<p>As mentioned, ED pills can help erections be stronger and last longer, but won\u2019t give you an erection without some sort of stimulation.&nbsp;<\/p>\n\n\n\n<p>You typically take the pill by mouth about an hour before sexual activity, although avanafil can be taken up to 15 minutes before sex, depending on the dose (<a href=\"https:\/\/www.uptodate.com\/contents\/treatment-of-male-sexual-dysfunction\" target=\"_blank\" rel=\"noreferrer noopener\">Khera, 2020<\/a>).&nbsp;&nbsp;<\/p>\n\n\n\n<p>How long the effects last depends on what ED drug you\u2019re taking. Sildenafil lasts about 4-5 hours, avanafil lasts 6 hours, and vardenafil works for up to 8 hours. Tadalafil lasts up to 36 hours, the longest of all the PDE5 inhibitors (Khera, 2020).&nbsp;<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Side effects and potential risks of ED medication<\/h1>\n\n\n\n<p>ED medications come with the potential for side effects and drug interactions. Common side effects of PDE5 inhibitors include (Dhaliwal, 2020):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Flushing (experienced more with sildenafil)<\/li><li>Upset stomach or indigestion<\/li><li>Headache<\/li><li>Dizziness<\/li><li>Changes in vision (objects may seem to have a blue tinge )<\/li><li>Runny nose or nasal congestion<\/li><li>Body aches and back pain<\/li><li>Low blood pressure<\/li><\/ul>\n\n\n\n<p>Rare side effects of ED pills include (Dhaliwal, 2020):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>A stroke to the optic nerve, also called nonarteritic ischemic optic neuropathy<\/li><li>Hearing loss<\/li><li>Priapism (an erection lasting 4 hours or longer)<\/li><\/ul>\n\n\n\n<p>You might have heard about a link between PDE5 inhibitors and skin cancer. One theory for this connection is those who take ED medications could be more likely to see a healthcare provider for other issues, which increases the chances of catching skin cancer (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29117385\/\" target=\"_blank\" rel=\"noreferrer noopener\">Loeb, 2017<\/a>). So far, research doesn\u2019t support that ED drugs actually cause skin cancer (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29504984\/\" target=\"_blank\" rel=\"noreferrer noopener\">Feng, 2018<\/a>).&nbsp;<\/p>\n\n\n\n<p>You should not take oral ED medication if you\u2019re also taking nitrates or nitroglycerin, a medication used to treat episodes of chest pain in people with heart disease. Mixing the two medications can lead to a severe drop in blood pressure (<a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2011\/021368s20s21lbl.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">FDA, 2011<\/a>).&nbsp;<\/p>\n\n\n\n<p>Be careful using ED pills if you have any of the following health conditions (Dhaliwal, 2020):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>A recent history (six months or less) of heart attack or stroke<\/li><li>Serious problems with heart rhythm<\/li><li>High or low blood pressure<\/li><li>History of heart failure or chest pain<\/li><\/ul>\n\n\n\n<p>When talking with a healthcare provider about ED drugs, be sure to thoroughly discuss any medical conditions you have as well as current medications you\u2019re taking. Some drugs, like alpha blockers for example, may increase the risk of side effects.&nbsp;<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">How much do ED medications cost?<\/h1>\n\n\n\n<p>Most\u00a0insurance\u00a0providers cover erectile dysfunction drugs, but you should check with your provider.\u00a0<\/p>\n\n\n\n<p>Some may only cover a particular medication, not all PDE5 inhibitors. If you have to pay out of pocket, the cost depends on whether you\u2019re buying brand name or generic. In general, generic drugs tend to be cheaper than the brand name counterparts.\u00a0<\/p>\n\n\n\n<p>Sildenafil and tadalafil are typically less expensive than the newer vardenafil. Avanafil is the newest to the family and is not available as a generic drug. It\u2019s currently the most expensive of the four ED treatment options.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How else can ED be treated?<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Lifestyle changes<\/h3>\n\n\n\n<p>Your cardiovascular system is essential to getting blood where it needs to go\u2014including your penis.&nbsp;<\/p>\n\n\n\n<p>To keep it healthy, avoid smoking, exercise regularly, and follow a heart-healthy diet. Moderate to intense exercise has been shown to improve erections (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27707739\/\" target=\"_blank\" rel=\"noreferrer noopener\">Silva, 2017<\/a>). In one study, young men who increased their fruit and vegetable intake, decreased alcohol consumption, and smoked less had better erectile function (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29325831\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mykoniatis, 2018)<\/a>. Both tobacco and alcohol can damage blood vessels and nerves that produce a healthy erection.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Non-oral drugs<\/h3>\n\n\n\n<p>Alternative treatment options include non-oral ED medications like alprostadil, which can be injected into the penis or urethra. If low testosterone is the cause of ED, testosterone replacement therapy may be used in the form of a patch, gel, or injection (Khera, 2020).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Medical devices<\/h3>\n\n\n\n<p>Penis pumps (vacuum assist devices) and so-called\u00a0cock rings\u00a0can be helpful for ED. A penis pump draws blood into the penis, producing an erection. A cock ring is placed around the penis (or around the penis and testicles), keeping blood from flowing out of an erect penis.\u00a0<\/p>\n\n\n\n<p>Penis implants\u2014which include a rod, semi-rigid implant, or one that can be inflated before sex\u2014are also an option (Khera, 2020).<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Natural remedies<\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/images-prod.healthline.com\/hlcmsresource\/images\/AN_images\/ginseng-root-on-cutting-board-1296x728.jpg\" alt=\"\"\/><figcaption><strong>ginseng<\/strong><\/figcaption><\/figure>\n\n\n\n<p>Some people have found\u00a0natural remedies\u00a0to be effective against ED.\u00a0<\/p>\n\n\n\n<p>Certain studies suggest that over-the-counter\u00a0<strong>supplements\u00a0<\/strong>like\u00a0<strong>DHEA<\/strong>,\u00a0<strong>ginseng<\/strong>, L-arginine, and\u00a0<strong>yohimbe\u00a0<\/strong>may be helpful. However, these claims are not endorsed by the FDA and more research is needed in these areas.<\/p>\n\n\n\n<p>Source:- getroman<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DISCLAIMER If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":15549,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[251,243,59],"tags":[],"class_list":["post-15548","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-learn","category-mens-health","category-wellness"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"na","enabled_languages":["en","es","de","fr","ru","hi","ar","tr","it","pt","na"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"hi":{"title":true,"content":true,"excerpt":false},"ar":{"title":true,"content":true,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"pt":{"title":true,"content":true,"excerpt":false},"na":{"title":false,"content":false,"excerpt":false}}},"featured_img":"https:\/\/cdn.fitolympia.com\/file\/olympia-cdn\/wp-content\/uploads\/2021\/08\/GettyImages-869281560_thumb.jpg","categories_details":[{"id":251,"name":"Learn","count":77,"parent":0},{"id":243,"name":"Men's Health","count":32,"parent":0},{"id":59,"name":"Wellness","count":80,"parent":0}],"tags_details":[],"comment_count":0,"author_name":"Staff","author_img":"https:\/\/secure.gravatar.com\/avatar\/0770ff71d5267ad67c1cefbf36008dc2a2753c332616ff451380094010b0d281?s=96&d=mm&r=g","post_views":5628,"_links":{"self":[{"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/posts\/15548","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/comments?post=15548"}],"version-history":[{"count":11,"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/posts\/15548\/revisions"}],"predecessor-version":[{"id":15672,"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/posts\/15548\/revisions\/15672"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/media\/15549"}],"wp:attachment":[{"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/media?parent=15548"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/categories?post=15548"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fitolympia.com\/na\/wp-json\/wp\/v2\/tags?post=15548"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}