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Since PDE-5 inhibitors work on the body in similar ways, Cialis, Levitra, and Viagra come with similar interactions. They also all interact with blood pressure drugs such as alpha-blockers.

For Cialis, these also include the drugs enalapril and metoprolol. For Viagra, these also include the blood pressure drug amlodipine. Drinking alcohol with Cialis can cause low blood pressure when you stand up from a sitting or lying position.

Levitra and Viagra do not seem to cause low blood pressure when taken with alcohol. However, alcohol may interfere with your ability to get an erection, even while you’re taking any of these drugs.

You and your partner will still act just as you would if you were not taking a medicine for erectile dysfunction; Do not drink large amounts of alcohol before you plan to take an erectile dysfunction drug. Drinking too buy sildenafil without a prescription much alcohol can reduce your ability to get an erection and this may prevent you from getting the maximum benefit from the tablets; It is recommended that you do not drink grapefruit juice during the 24 hours before you take an erectile dysfunction drug. This is because there is a chemical in grapefruit juice which can increase the amount of avanafil in your bloodstream and this makes side effects more likely; Keep your regular appointments with your doctor so your progress can be monitored.

If you feel the tablets are too strong for you, discuss this with your doctor as your dose may need to be reduced.

Alternatively, if you do not get an erection after taking an erectile dysfunction drug, or if it does not last long enough for you to have sex, you should discuss this with your doctor; do not take more tablets than you have been told to.

If you have erectile dysfunction, talk to your doctor about Cialis, Spedra, Levitra, and Viagra. Tell your doctor if you take other over-the-counter or prescription drugs or supplements. Be sure to mention all other health conditions you have. Different erectile dysfunction drugs suit different people, but it is difficult to

tell

been

It may also take some time to find the dosage that works best for you.

This chart compares 6 major erectile dysfunction (ED) drugs currently on the market: Viagra, Levitra, Cialis, Staxyn, Stendra, Caverject injections, and

the

Quickly absorbed by the body; slower absorption after a high-fat meal and best taken on an empty stomach. Avoid grapefruit juice, which can make side effects worse.

The daily dosage is 2.5 mg but can go up to 5 mg; most men start with the lower dose. For use-as-needed, or as a weekend pill, the starting dose is usually 10 mg but can be as low as 5 mg or as high as 20 mg. May be taken with or without food, and with a moderate amount of alcohol (three drinks). Drinking more than that can increase the chances of side effects like rapid heart rate, low blood pressure, dizziness, and headaches. -CHICAGO -- The highly specific PDE5 inhibitor Avanafil may work in as little as 15 minutes after dosing, researchers said here. by Kristina Fiore, Staff Writer, MedPage Today 2012-08-31. CHICAGO -- The newest drug for erectile dysfunction (ED) may work in as little as 15 minutes after dosing, researchers said here. A significantly larger proportion of patients had successful sexual encounters within 15 minutes of taking avanafil (Stendra) compared with placebo ( P ?0.05), John Mulhall, MD, of Memorial Sloan Kettering Cancer Center in New York,

and

Approved last April, avanafil is the first ED drug to be introduced to the market in nearly a decade.

It's a highly specific phosphodiesterase type 5 (PDE5) inhibitor that is rapidly absorbed, typically within 30 to 45 minutes. Note that this study was published as an abstract and presented at a conference.

These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.

The newest drug for erectile dysfunction (ED) may work in as little as 15 minutes after dosing.

The drug was well tolerated, with the most common adverse event being headache, and fewer than 2% of patients discontinued due to an adverse event.

Patients in the four randomized, controlled trials of the drug were told to take a dose 30 minutes before sexual activity, but 277 patients (18.3% of the sample) recorded intercourse attempts within 15 minutes of dosing. To evaluate their success rates, the researchers looked at responses to the Sexual Encounter Profile question 3 (SEP3). Patients took either placebo or one of three doses of the drug -- 50 mg, 100 mg, or 200 mg doses -- though most (75%) increased their dose to 200 mg. The population included diabetics, non-diabetics, and men who'd had bilateral, nerve-sparing radical prostatectomy, and about a third of patients had severe ED.

Mulhall and colleagues found that significantly more men on the drug who attempted sex within 15 minutes were successful compared with those on placebo ( P ?0.05). For instance, 55% of those on 50 mg and 200 mg, as well as 57% of those on 100 mg, were successful, compared with 35% of those on placebo, he reported. Which Drug for Erectile Dysfunction Is Better: Viagra or Cialis?

Four drugs have been approved for erectile dysfunction.

Which is best depends on your individual needs and desires. The Food and Drug Administration has approved four similar drugs for erectile dysfunction, sold under such names as Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil) and Stendra (avanafil).

They all work the same way, producing an erection by increasing blood flow to the penis.

Which drug is best may depend on your preference for quick onset versus long duration and your individual medical needs.

The discovery of Viagra is one of the classic stories of serendipity in drug development.

In the 1980s, the pharmaceutical company Pfizer began studying sildenafil, the generic name for Viagra, as a treatment for heart disease. It didn’t work, but the sildenafil rx coupon men in the study developed unusually strong, long-lasting erections. All four of the currently approved drugs seem to be equally good at producing erections. But it is difficult to be more definitive in evaluating their efficacy, because few studies directly comparing them have been conducted, a common problem with many drugs.

Since all four drugs are similarly effective, the answer to which drug is

best

Drug interactions are largely similar, with the most important interaction being a contraindication to nitrate-containing drugs, such as nitroglycerin, commonly used to treat angina.

Time of onset is an important difference between the drugs.

While all take effect within an hour, Stendra is the fastest acting, often taking effect within 15 minutes.

Duration of action is another important difference between the drugs. Cialis is the longest acting, with a duration of up to 36 hours. Cialis’s long duration means that it can be taken once a day, eliminating the need to take a pill before each sexual encounter. Such once-a-day dosing has been reported to increase sexual

self-confidence

Which drug is better depends on your personal situation.

For long duration, and perhaps for spontaneity,

Cialis

The number of men diagnosed with erectile dysfunction has skyrocketed ever since the little blue pill made it okay to talk about.

Fortunately, the number of treatment options has increased, too. So, which ones are worth a shot, and which are just hype?

In the 14 years or so since Viagra was introduced in 1998, the number of men diagnosed with erectile dysfunction (ED) has increased by a whopping 250 percent. Men are realizing more and more that they’re not alone and that they have options. Aside from pills like Viagra, Levitra, and Cialis, for example, there are surgical, therapeutic, even

do-it-yourself

"Some older ED treatments are actually being used more than ever, especially for men who can't take the pill," says Michael Feloney, MD, a urologist at the Nebraska Medical Center in Omaha.

Read on to find out about nine common remedies for ED, plus the truth about which ones live up to the hype and which fall flat.

For many of the 30 million Americans affected by erectile dysfunction, Viagra, Levitra, and Cialis are the first line of ED treatment — and they’re successful for about 80 percent of men. These drugs, called phosphodiesterase-5 inhibitors, are approved by the U.S. Food and Drug Administration (FDA) and work by increasing blood flow to an erection.

Common side effects include nasal congestion and headache. Note: If you take nitroglycerin pills for heart disease, you won’t be able to take ED pills, as they can cause a dangerous drop in blood pressure. Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass.

Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment. "For men who are unwilling or unable to self-inject alprostadil, the FDA has approved this dissolvable pellet that can be inserted directly into the urethra, the opening of the penis," says Dr. MUSE, with an inspiring name that actually stands for medicated urethral system for erection, will trigger an erection in about 10 minutes that may last as long as an hour. Using MUSE to treat ED can result in somewhat unpleasant side effects, however — including an aching sensation, burning, redness, and minor bleeding. The vacuum pump method is the next most common choice among men with erectile dysfunction who pass on pills,

says

If you have a neurological disorder or spinal cord injury and other erectile dysfunction treatments aren’t effective, two types of surgical implants could offer solutions to your ED.

“An implantable pump can be used to manually create an erection by pumping fluid into cylinders placed inside the penis,” explains Feloney. “The other option is a malleable prosthesis that works like a gooseneck lamp to direct the penis into position for

intercourse

"Male hormone is not an approved treatment for erectile dysfunction," notes Bennett.

"It may be used to increase desire in men who have low testosterone, but it doesn’t improve blood flow to an erection." A doctor can do a blood test to check you for low testosterone, but it is a rare cause of ED.

Hormone therapy with injections, patches, or gels applied to the skin may improve mood and sex drive, but it likely won’t fix any mechanical issues.

Also, testosterone drugs should not be used by men with prostate cancer. Side effects include acne, breast enlargement, prostate enlargement, and fluid retention. It’s the inability to maintain an erection enough for sex. While this problem may be endangering the lives of many men, having it from time to time should not send negative

messages

Though impotence has a negative effect on men’s sex life, it can be cured.

Erectile dysfunction treatment includes: Medications Natural treatments Treatment of underlying body conditions such as being overweight. Don’t get confused, we had made it easy for you by listing the best ED pills from Prescription category drugs and

Over

Max performer is an over the counter pill designed to successfully

treat

side

According to the manufacturer, Max performer has many benefits to its users. Increased libido Bigger and harder erections Strong and intense orgasms Cures erectile dysfunction Increased sexual desire boost stamina and endurance. With Max performer, there is more sex, more fun and more love. No man wants to risk his body, and people are always looking for proof and results.

Max Performer contains 12 natural ingredients that help to treat erectile dysfunction. The pills supplement the deficient nutrients needed to improve male sexual metabolism.

On the primary function is to

increase

With increased testosterone in the body, a man can maintain an erection and enjoy pleasurable sex. Another way in which Max Performer works is by widening the blood vessels that carry blood to the penis.

Luckily, Max Performer ingredients have some science behind them. Horny Goat Weed, Cordyceps, Maca, Korean Red Ginseng, Selenium, Zinc-24mg,Pantothenic Acid, Niacin, Bioperine , Iron, Riboflavin, Cyanocobalamin ,Pyridoxine HCl. Max Performer dosage is 2 pills per day, and this should be taken one hour before any sexual intercourse on an empty stomach.

For best results, Max Performer should be used for at least 3-4 months. Though the product is safe , one should only take the recommended

dosage

However, those with various medical conditions should consult their doctor first before consuming the tablets.