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Treatment options are available; however, men with diabetes are less responsive to oral ED medications.

What’s good for the heart is good for your ED symptoms.

If ED occurs, most treatment options are available.

However, oral ED medication and heart medications don’t mix well and the medication in some injections should not be used if you have blood clotting problems. While ED may be a side effect of prostate cancer treatment, erectile function does not return in all cases. Penile rehabilitation and counseling may help both partners in recovery. Despite wide usage, 30-50% of patients who turn to sexual aids after surgery discontinue use within a year. Fast-acting erectile dysfunction drug Stendra approved by FDA.

(CBS News) A

new

erectile dysfunction drug that reportedly works in less than 15 minutes has just received approval from the U.S. On Friday the FDA approved Vivus Inc.'s Stendra to take as an "as-needed" pill

for

men before sexual activity.

Current ED drugs on the market include Pfizer Inc.'s Viagra, Eli Lilly's Cialis and GlaxoSmithKline and Bayer's drug Levitra.

The new drug Stendra, the brand name for avanafil, is the first new erectile dysfunction drug in a decade for this class of drugs known as phosphodiesterase type 5 (

PDE5

) inhibitors. "This approval expands the available treatment options to men experiencing erectile dysfunction, and enables patients, in consultation with their doctor, to choose the most appropriate treatment for their needs," Dr. Victoria Kusiak, deputy director of the Office of Drug Evaluation III in the FDA's Center for Drug Evaluation and Research, said in an FDA statement.

Similar to its counterparts, the drug works by helping increase blood flow to the penis. Canada reports no new COVID-19 deaths, first time since March College students caught hosting party despite positive COVID tests COVID deaths of young teachers raise alarm as school year begins 792 kids nationwide diagnosed with rare condition linked to COVID-19. "This is potentially the fastest acting of the four," Dr.

Wayne Hellstrom, professor of urology at Tulane University School of Medicine in New Orleans, told Reuters. Patients taking Stendra are recommended to take the drug 30 minutes before sexual activity but clinical trials have shown the drug works as fast as 15 minutes. Viagra may take an hour to start working, Reuters reported.

In clinical trials, 77 percent of men with general ED were able to get erections after taking Stendra, compared with 54 percent of men taking a placebo pill, WebMD reported.

Stendra resulted in successful intercourse for 57 percent of men with general ED, compared with 27 percent of men on placebo. According to the FDA, the most common side effects for men taking Stendra were headache, face redness, nasal congestion, cold-like symptoms, and back pain.

In rare cases men may get an erection that does not go away after four hours - a condition known as priapism.

If that happens, patients should seek immediate medical care, the FDA said. As with other PDE5 inhibitors, Stendra should not be used by men who also take nitrates commonly used to treat chest pain, because the combination can cause a sudden drop in blood pressure. Erectile dysfunction: giving patients more choice and better treatments. Erectile dysfunction affects around 50% of men between 40 and 70 years old. Futura Medical is currently developing a topical gel product, named MED2005, as a new therapeutic approach for the condition.

Can MED2005 add to the treatment choices in the erectile dysfunction space?

Many studies have found that sales of Viagra (sildenafil), a tablet used to treat erectile dysfunction in men, surge around Valentine’s Day.

This has contributed to 14 February also being designated as UK National Impotence Day in previous years, and this year as Thinking about Sex Day, by the Sexual Advice Association (SAA).

Erectile dysfunction is very common; it affects around half of men aged between 40 and 70 years old, according to the SAA. It is now known to be caused by both psychological and physical causes, such as vasculogenic conditions affecting the blood flow to the penis, neurogenic conditions and hormonal conditions.

In addition to its own effects on a patient’s health and well-being, erectile dysfunction is an indicator of other serious conditions, such as diabetes and heart disease, making discussions about the condition itself and the availability of efficacious and practical treatments for erectile dysfunction even more important.

Issues with existing erectile dysfunction treatments. As well as lifestyle changes dependent on the causes of an individual’s erectile dysfunction, those suffering with erectile dysfunction have access to a range of first line therapies called phosphodiesterase type 5 (PDE5) inhibitors, which include Viagra, as well as Cialis (tadalafil), Levitra (vardenafil)

and

Spedra (avanafil).

Although these therapies have an approximately 70% success rate, PDE5 inhibitors have to be taken between 30 minutes and two hours before sexual activity leading a lack of spontaneity in the sex lives of those taking the drugs.

Viagra, Levitra and Spedra are also negatively affected by food, and it is recommended to avoid consuming alcohol when taking any of the four drugs.

These issues were noted by Professor David Ralph, consultant urologist at University College London and trustee of the SAA, during an R&D discussion event organised by Futura Medical earlier this month. Second line therapies for erectile dysfunction include alprostadil injections; two branded examples are Caverject and Viridal. For these therapies, aprostadil, which is the same chemical produced by an erect penis, is injected into the shaft of the penis to help blood flow. Ralph noted this treatment can cause scarring to patient’s penises; the SAA also states it can be very painful. There are other therapies where alprostadil in pellet form is administered into the urethra, however, Ralph comments that efficacy is not as good as the injectable form. A third line of therapy for severe cases are penile prosthesis and surgical removal of the prostates.

Moving towards the ideal treatment for erectile dysfunction. Since oral agents introduced in the 1990s are the most recent major innovation in the erectile dysfunction field, there is a lot of patient expectation for more high-quality treatment options.

In his presentation, Ralph described the ideal treatment for erectile dysfunction as having good evidence of efficacy, having rapid onset, being safe, cheap and discrete, being a localised therapy, not affected by food and drink and acceptable to the patient’s sexual partner.

Using its expertise in transdermal delivery, Futura Medical has developed a topical gel product, called MED2005, using its DermaSys technology to treat mild and moderate erectile dysfunction, which it believes ticks most of these boxes.

MED2005 builds upon recent developments in creating creams for erectile dysfunction.

An example is Takeda’s Vitaros, a topical cream formulation of alprostadil, which incorporates a skin-permeation enhancer that aids absorption after application to the meatus of the penis. Futura Medical’s topical gel enables the targeted and rapid delivery of glyceryl trinitrate (GTN), a drug originally developed to treat angina, into the glans penis.

Phase I and II trials showed that MED2005 was efficacious compared to placebo becoming effective within ten minutes, was not impacted by alcohol or food and caused few adverse events for either the male participants or their partners.

Latest report from Browse over 50,000 other reports on our store. The company also noted that in the pharmacodynamics Phase II trial in one third of cases the female partner applied the gel; it is common with existing therapies for partners to be largely excluded from treatment. The ongoing European Phase III trial aims to evaluate the efficacy of the drug, as well as focusing more closely on measuring time of onset and duration of action by using a range of parameters.

Futura Medical is optimistic

about

the outcome of this trial; it expects results to be published at the end of 2019 and for regulatory filings to follow in the second half of

2020

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Erectile Dysfunction Drug May Help Treat Heart Failure.

A drug for erectile dysfunction may also help treat heart failure, a preliminary study in animals suggests. In the study, published today (May 1) in the journal Scientific Reports, the researchers gave the drug tadalafil (brand name Cialis) to sheep that had advanced heart failure.

The researchers found that the treatment improved the strength of the animals' heart contractions and that it reversed greenstone sildenafil coupon some of the harmful cellular effects seen in heart failure. The finding adds to a growing body of evidence suggesting that erectile dysfunction (ED) drugs could be beneficial for individuals with heart failure, a condition in which the heart muscle can't pump enough blood to meet the body's normal demands.

Heart failure is a serious condition, and existing treatments aren't always effective.

About half of the people who develop heart failure die within five years of their diagnosis, according to the Centers for Disease Control and Prevention. Still, because the new study was conducted in sheep, further research will be needed to see if the findings apply to humans as well.

[9 New Ways to Keep Your Heart Healthy] In addition, people should not self-treat their heart failure with tadalafil, study lead author Andrew Trafford, a professor of cardiac pathophysiology at the University of Manchester in the United Kingdom, said in a statement. Not only are more studies needed to confirm the findings, but also, tadalafil may have serious side effects when combined with other drugs. People should speak with their doctor before taking erectile dysfunction drugs. The most well-known ED drug, sildenafil (brand name Viagra), was originally intended as a treatment for angina, or chest pain caused by reduced blood flow to the heart. However, in early studies, the drug did not produce the heart effects the researchers had hoped for.

But it did have an interesting side effect among men: stronger and more persistent erections.

This finding spurred more research and eventually led to the approval of sildenafil as an ED drug.

Sildenafil and other drugs in this class (including tadalafil) work by inhibiting an enzyme called phosphodiesterase 5 (PDE5), which is found in various tissues, including the penis, but also in blood vessels.

PDE5 plays a role in regulating blood flow, and some studies suggest that PDE5 inhibitors may greenstone sildenafil coupon also affect heart cells. Although sildenafil didn't initially pan out as a heart drug, subsequent studies suggested that PDE5 inhibitors might have heart benefits. For example, a 2016 study of men with type 2

diabetes

who were at high risk for heart disease found that those who took PDE5 inhibitors had a lower risk of early death compared with men who didn't take the inhibitors. And a 2011 study of people with heart failure found that those who took PDE5 inhibitors experienced improvements in some of the heart abnormalities seen in patients with heart failure. However, much of this earlier research has not focused on the more advanced stages of heart failure. In the new study, the researchers used pacemaker devices to induce advanced heart failure in sheep. (The study used sheep because their hearts are similar to human hearts.) Then, the researchers administered doses of tadalafil that are similar to those used in the treatment of ED.

The researchers found that the treatment halted the progression of heart failure and reversed some of the effects seen at the cellular level in the disease. For example, it improved the ability of heart cells to respond to the hormone adrenaline. (An imparied ability of the heart to respond to adrenaline is a hallmark of heart failure, the authors said.) This, in turn, increased the ability of the heart to pump blood throughout the body.

The new study "shows

what

people have long suspected — that there might be direct effects of [PDE5 inhibitors] on heart cells," said Dr. Theodore Abraham, professor of medicine and clinical chief of cardiology at the University of California, San Francisco, who wasn't involved in the new study. A drug that directly affects both blood vessels and heart cells would, in theory, be "the perfect combo" for treating heart failure, Abraham said.

However, future studies are needed to show that PDE5 inhibitors actually improve outcomes for patients with heart failure.

In the past, some drugs that directly improved heart function failed to improve outcomes (greenstone sildenafil coupon such as survival or hospitalization rates) for patients, Abraham told Live Science. In addition, future studies would need to show that PDE5 inhibitors work at least as well as or better than current drugs for heart failure and would need to determine which patients benefit most from the drugs, Abraham said.

Erectile dysfunction (ED), formerly called “impotence,” means that a man often can't have an erection firm enough for intercourse. Men with greenstone sildenafil coupon diabetes get ED three times as often as other men.

If you think you may have ED, see your health care provider.

For example, a medical problem (such as high blood pressure) may be the cause and can be treated. In that case, you may be able to switch to some other drug. Sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) work by making muscles in the penis relax. The erection-helping effects of ED pills last about 4 hours with sildenafil and vardenafil and 36 hours with tadalafil.

You should not borrow these drugs from friends or buy them online.

They should only be taken with your health care provider's knowledge and oversight.

These include men who should not have sex for medical reasons and men who take certain drugs or have certain medical problems.

The most common are headache, flushing, upset stomach, vision changes, and erections that last longer than 4 hours. One form (Caverject, Caverject Impulse, or Edex) is injected into the side of the penis to increase greenstone sildenafil coupon blood flow and cause an erection within 5 to 20 minutes. Other side effects include bruising, redness, numbness, bleeding, and irritation. Alprostadil also comes as a pellet that is placed within the penis.

Side effects can include pain, aching, burning, minor bleeding, and redness.

When a man has low levels of male hormones, a doctor may prescribe testosterone patches.

Too few studies have been done to know whether these patches work for ED.



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