Herbal Viagra Vs. Prescription Viagra: Which Is Better? – Viagra is the best treatment for erectile dysfunction, but it also has more side effects than other options, according to an analysis of more than 150 trials.
Viagra is known as sildenafil. Men concerned about the side effects of Viagra such as headache, flushing, indigestion and nasal congestion may want to start Cialis, known as tadalafil, researchers report in European Urology. If that doesn’t work, men in some countries can try Zydena (udenafil).
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Many men have trouble getting or maintaining an erection, especially as they get older, but erectile dysfunction — also known as ED — is not a part of aging, according to the US National Institutes of Health.
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The new review compared seven ED treatments, all of which belong to a class of drugs called phosphodiesterase 5 inhibitors (PDE5i’s). They work by inhibiting an enzyme that reduces the strength of an erection.
Viagra, Cialis, Levitra (vardenafil) and Stendra (avanafil) all work this way and are approved for use in the US. The supplements Zydena, Helleva (lodenafil) and Mvix (mirodenafil) are only approved for use in other countries.
PDE5i’s are considered the first line of treatment for ED, but they only work for 60 to 80% of men who try them, and many stop taking them, according to Dr. Alexander W. Pastuszak of Baylor College of Medicine’s Department of Urology. in Houston, Texas. This is not part of the new study.
Researchers at the University of Zurich, the Swiss Federal Institute of Technology and the Maastricht University Medical Center in the Netherlands reviewed 82 studies of drug effectiveness and 72 studies of side effects.
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These treatments are all better than placebo for treating erectile dysfunction, and are generally safe and well tolerated, the authors note.
A dose of 50 or 100 milligrams (mg) of Viagra appears to be the most effective treatment. It is 50% better than placebo. Smaller doses are used less often. Stendra, in the amount of 50 to 200 mg, is the least effective – only 20 to 30% better than the placebo.
The dose of 50 milligrams of Stendra was associated with the lowest rate of side effects of the drug – 8.5% of the time. A dose of 20 mg Levitra has the highest rate of side effects: 25%. The higher doses of Viagra and Cialis usually cause side effects between 21 and 22% of the time.
“Viagra has an established efficacy and safety profile and remains an important treatment option for men with erectile dysfunction,” a spokesperson for Pfizer, the drugmaker, said in a statement to Reuters Health. “Viagra has been studied for more than 15 years in more than 136 complete and ongoing clinical trials involving more than 23,000 men with ED.”
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Side effects depend on which drug is used and which enzymes the drug can block, Pastuszak told Reuters Health by email. One of the main side effects of Viagra is visual changes, while Cialis usually causes muscle pain.
In general, these ED drugs can lower blood pressure because they are vasodilators, which open up blood vessels, he said. He added that they should not use nitrate-based heart medications because they can lower blood pressure.
“Men complain about side effects, but mostly about failure,” he said. “The drugs are not for everyone because they may not necessarily help a man with erectile dysfunction as much as they would help someone with mild or moderate ED.”
Urologists may already have an understanding of the effectiveness and side effects of ED treatments, so the new results would not be surprising, he said.
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Only Cialis has to be taken every day, the other options are all short-acting, so men have the option of trying different things to see what works best, he said.
Doctors should carefully discuss the outlook and treatment options with patients before choosing a treatment, the authors wrote. Some ED patients may want immediate relief at the expense of more serious side effects, while others may not. They have: Couples in love walking in the sunshine, sipping chardonnay, knowingly looking into each other’s eyes. Who hasn’t seen TV and Internet ads for erectile dysfunction (ED) drugs like Viagra and Cialis? “If you suffer from ED, now is the time to talk to your doctor,” the publisher said. In the real world, erectile dysfunction is not a topic of discussion that men enjoy, even with their doctor! If men would talk more openly about ED, they would learn that it is a serious condition that affects approximately 30 million men in the United States, and that there are medications that can help.
Still, men – along with their partners – want to know more, specifically, can Viagra and other drugs help with ED?
ED occurs when a man cannot achieve or maintain an erection for sexual intercourse. ED is considered a urological problem, but can develop into a real psychological problem in which men feel ashamed and embarrassed that they cannot enjoy themselves. As a result, they will be disappointed, and their confidence and self-esteem will be greatly reduced.
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The erection process begins in the brain when a man is sexually stimulated. The arousal causes an erection, which is triggered by a brain chemical called nitric oxide that acts as a neurotransmitter. The nitric oxide works with the muscle enzyme called guanylate cyclase to produce a messenger called cyclic guanine monophosphate (cGMP), which in turn is responsible for the size of the blood vessels to the vagina and reduces the size of the blood vessels. .
When the testicles are relaxed, blood can flow through the veins to increase the pressure in the corpora cavernosa, the erectile tissue that contains a large amount of blood. That’s what makes it interesting. The tunica albuginea, which covers a man’s testicles, then acts like a trapdoor and traps the blood in the corpora cavernosa, causing an erection. In other words, when the muscles of the vagina are compressed and blood is trapped, the penis becomes hard and an erection occurs. When the brain stops sending signals indicating sexual arousal, the hormonal response ends. This is when the blood vessels return to their normal state and your penis returns to its flaccid state.
The thought should occur faster than it takes to read the previous sentence. But that doesn’t mean it happens to everyone. In fact, problems can occur when the small blood vessels in the vagina become stiff due to various reasons, reducing blood flow to the vagina causing laxity.
Viagra, Cialis, Levitra and other drugs used to treat ED are classified in a group of drugs called PDE5 inhibitors. For men suffering from ED, PDE5 inhibitors are designed to help a man achieve – and maintain – an erection. They work by relaxing the blood vessels to allow more blood to flow to the areas that need it most.
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For about two-thirds of men with ED, these little pills do the trick. Viagra is usually prescribed by a urologist to men who need to shorten their periods, or at least until they can maintain an erection without it. Urologists may also prescribe hormone replacement therapy or surgery for men who do not respond to medication or have the following conditions.
If you believe you may be suffering from erectile dysfunction, it may be time to talk to your doctor. Don’t wait, because not being diagnosed or treated early can lead to further complications.
To learn more about erectile dysfunction medications, and to find out if you are a candidate, call Ironwood Urology at (480) 961-2323 to schedule an appointment with male urologist Dr. Desi Avila, or request an appointment online. Share on Facebook Facebook Logo Share on Twitter Twitter Logo Share on LinkedIn LinkedIn Logo Copy URL to List Share Icon Copy URL to List
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Viagra is a drug used to treat erectile dysfunction (ED). It contains the active ingredient sildenafil, which improves blood flow to the penis for erection. FDA-approved in 1998, Viagra was the first drug of its kind. In its first six years on the market, Viagra has been prescribed to more than 20 million men, providing sex and pleasure. Often nicknamed the “little blue pill,” Viagra has become one of the most popular oral medications for the treatment of ED.
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However, the high price of brand name Viagra can be a financial burden for some people who need the drug. Fortunately, generic Viagra has become a more affordable option for ED symptoms, increasing the interest of patients and doctors.
Yes, a generic version of Viagra is available in the market.