Sildenafil 20 coupon

Medicines can also be a culprit, including those that treat high blood pressure, heart problems, sleeping pills, and antidepressants. Men who have prostate surgery may also have erection problems, but this is often only a short-term problem. Cut down on smoking, alcohol, and illegal drug use.

Exercise and eat a healthy diet to keep good blood circulation. Talk openly to your partner about sex and your relationship; if you can't do this, counseling can help. If the problem does not go away with lifestyle changes, or if it begins after an injury or prostate surgery, or if you have symptoms like low back pain, or abdominal pain, or a change in urination, you should call your doctor. If erection problems seem to be caused by a medication you are taking, talk to your doctor about that. You may need to lower the dose or change to another drug.

But don't change or stop taking any medications without first talking to your doctor. Your doctor can prescribe many treatments, including medicines you take by mouth, injections into the penis, medicines inserted into the urethra, vacuum devices, surgery, and penis implants. Ask your doctor about the possible side effects and complications of each treatment. Sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) are popular medications called phosphodiesterase-5 (PDE5) inhibitors.

They work, and they work when you are sexually aroused. These drugs can have side effects, which can range from muscle pain and flushing to heart attack.

Do not use these drugs with medications such as nitroglycerin.

The combination can cause your blood pressure to drop. As you see, there are several ways to

treat

Talk with your doctor to see what may be the best one for you.

To get an erection, your brain, nerves, hormones, and blood vessels all need to work together. If something gets in the way of these normal functions, it can lead to erection problems.

An erection problem is usually not "all in your head." In fact, most erection problems have a physical cause. Diabetes High blood pressure Heart or thyroid conditions Clogged arteries (atherosclerosis) Depression Nervous system disorders, such as multiple sclerosis or Parkinson disease.

Antidepressants Blood pressure medicines (especially beta-blockers) Heart medicines, such as digoxin Sleeping pills Some peptic ulcer medicines.

In some cases, your emotions or relationship problems can lead to ED, such as: Poor communication with your partner. Erection problems can affect men at any age, but are more common as you get older.

If you have erections in the morning or at night while you sleep, it is likely not a physical cause.

Most men have 3 to 5 erections at night that last about 30 minutes.

Talk with your provider about how to find out if you have normal nighttime erections. Symptoms may include any of the following: Trouble getting an erection Trouble keeping an erection Having an erection that is not firm enough for intercourse Less interest in

sex

Have

Are you having trouble getting an erection or keeping erections? Do you have erections during sleep or in the morning? Your provider will also ask about your lifestyle: Are you taking any medicines, including over-the counter medicines and supplements?

You may have a number of different tests to help sildenafil 20 coupon find the cause, such as: Urinalysis or blood tests to check for health conditions such as diabetes, heart problems, or low testosterone A device you wear at night to check for normal nighttime erections Ultrasound of your penis to check for blood flow problems Rigidity monitoring to test how strong your erection is Psychological tests to check for depression and other emotional problems.

The treatment may depend on what is causing the problem and how healthy you are.

Your provider can talk with you about the best treatment for you.

These include: Getting exercise Eating a healthy diet Losing extra weight Sleeping well.

If you and your partner have trouble talking about your relationship, it may cause problems with sex. Pills you take by mouth, such as sildenafil (Viagra), vardenafil (Levitra, Staxyn), avanafil (Stendra), and tadalafil (Adcirca, Cialis). Medicine inserted into the urethra or injected into the penis to improve blood flow.

A special rubber band is then used to keep the erection during intercourse.

Testosterone replacement if your testosterone level is low. This comes in skin patches, gel, or injections into the muscle.

These can range from muscle sildenafil 20 coupon pain and flushing to heart attack. The combination can cause your blood pressure to drop.

You may not be able to use these drugs if you have any of the following conditions: Recent stroke or heart attack Severe heart disease, such as unstable angina or irregular heartbeat (arrhythmia) Severe heart failure Uncontrolled high blood pressure Uncontrolled diabetes Very low blood pressure.

Other treatments also have possible side effects and complications. Ask your provider to explain the risks and benefits of each treatment. You may see many herbs and supplements that claim to help sexual performance or desire. However, none have been proven to successfully treat ED.

DO NOT take anything without talking with your provider first. Outlook (Prognosis) Many men overcome erection problems with lifestyle changes, treatment, or both.

For more severe cases, you and your partner may have to adjust to how ED affects your sex life. Even with treatment, counseling can help you and your partner overcome the stress ED may put on your relationship. An erection problem that does not go away can make you feel bad about yourself.

It can also harm your relationship with your partner.

ED may be a sign of health problems such as diabetes or heart disease.

So if you have an erection problem, do not wait to seek help. Call your provider if: The problem does not go away with lifestyle changes The problem begins after an injury or prostate surgery You have other symptoms, such as low back pain, abdominal pain, or a change in urination. If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider.

Talk to your provider if your erection problems have to do with a fear of heart problems.

Sexual intercourse is usually safe for men with heart problems.

Call your provider right away or go to an emergency room if you are taking ED medicine and it gives you an erection that lasts for more than 4 hours.

Cut back on alcohol (no more than 2 drinks per day).

Exercise and eat a healthy diet to keep good blood circulation. If you have diabetes, keep blood sugar well-controlled. Talk openly with your partner about your relationship and sex life. Seek counseling if you and your partner have trouble communicating. In: Wein AJ, Kavoussi LR,

Partin

Over half of all Canadian men struggle with being able to get (or keep) a proper erection, yet fewer than 25% of them choose to do anything about it.

So let's make life better and find out which treatment may be right for you.

Learn more about erectile dysfunction and the important safety information. Erectile dysfunction refers to the inability of a man to get or maintain an erection firm enough for satisfying sexual activity.

Affects body, mind, and soul ED can have a negative impact on the

emotional

Felix doctors can help determine the most effective, safest ED medication for you. We’ll ask you some questions about your medical history, and your symptoms. If you’re not sure, our medical team can recommend one for you. We’ll ship your medication to your door, in a discreet package, for free. At Felix, it’s our goal to make pricing as transparent and easy as the care we provide.

Reviewed by a licensed Canadian doctor Includes up to 1 year of refills. Choose a

refill

You will have the opportunity to select your preferred prescription ED medication while completing your online visit, including both brand name and generic options. As a policy, Felix advocates generic medications as more affordable and more likely to be covered by your insurance plan.

Felix

Treatments offered by Felix are Health Canada approved and dispensed by an accredited Canadian pharmacy.

Other treatment options for ED include lifestyle improvements (e.g., exercise, diet, quitting smoking, limiting alcohol use), surgery, penile vacuum pumps, and other ED medications. Every treatment comes with risks and benefits that you should fully understand before moving forward with it. Blood pressure is an important factor in determining whether it is safe for you to use prescription ED medication.

To complete your online visit, it is essential that you are accurate and honest about your blood pressure and that it was taken within the last 6 months.

When used improperly, these medications can cause serious harm or even death.

If you haven’t had your blood pressure taken within the last 6 months, you can get a free blood pressure range at most retail pharmacies or at a clinic. ED

medication

Currently, telemedicine appointments are not covered so you will be charged for a $40 fee for each online visit with a Felix doctor. Medication coverage varies greatly between different plans, provinces and has specific criteria that determine eligibility. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before shipping your meds. We're supported by some of Canada's leading physicians and pharmacists.

Prescribed by licensed Canadian doctors Filled by an accredited Canadian pharmacy 100% private, secure, PHIPA compliant. Start living a life of convenience, comfort, and control with Felix. Erectile dysfunction refers to the inability of a man to get or maintain an erection firm enough for satisfying sexual activity.

Erectile dysfunction can have a negative impact on the emotional well-being of men and their partners as it can be tied to both self-image and relationship difficulties.

It is the most common sexual problem in men and goes untreated in roughly 75% of diagnosed cases.

Symptoms Erectile dysfunction is characterized by a persistent or recurrent inability to get or maintain an erection of sufficient rigidity to permit satisfactory sexual activity. Causes Erectile dysfunction can be caused by either physical or psychological factors. Physical causes include heart disease, diabetes, neurological problems such as following a prostatectomy, hypogonadism, and drug side effects. Psychological causes include performance anxiety, anxiety/stress, other mental health conditions or disorders, and relationship problems due to stress, poor communication, or other concerns. Causes of or contributors to erectile dysfunction include: Cardiovascular disease Clogged blood vessels (atherosclerosis) High cholesterol High blood pressure Diabetes Obesity Metabolic syndrome, a condition involving increased blood pressure, high insulin levels, body fat around the waist, and high cholesterol Parkinson's disease Multiple sclerosis Temporal lobe epilepsy Diabetic neuropathy Certain prescription medications (e.g., SSRIs, beta blockers, alpha-2 adrenergic receptor agonists, thiazides, hormone modulators, and 5О±-reductase inhibitors) Hypogonadism Tobacco use Peyronie's disease Alcoholism and other forms of substance abuse Hyperprolactinemia (e.g., due to a prolactinoma) Kidney failure Sleep disorders Treatments for prostate cancer or enlarged prostate Surgeries or injuries that affect the pelvic area or spinal cord Aging (it is four times more common in men aged in their 60s than those in their 40s) Performance anxiety, stress, and mental disorders.

Treatment Treatment involves addressing underlying physical causes, making lifestyle modifications, and/or addressing psychological issues. In many cases, prescription medications with a PDE5 inhibitor, such as sildenafil or tadalafil, can be attempted.

Does The World Want, Much Less Need, A New Erectile Dysfunction Drug?

It’s been almost a year since the biotech company, Vivus, announced that the FDA had approved

its

Wayne Hellstrom, Professor of Urology and Chief of Andrology at Tulane School of Medicine called the FDA approval “an exciting new milestone for the millions of men suffering from erectile dysfunction who are in need of a new treatment option.” The press release went on to say that Vivus was in discussions with potential partners to commercialize Stendra in the U.S.

The fact that Vivus doesn’t want to go it alone in the sales and marketing of Stendra makes sense.

After all, it will have to compete against Pfizer and Lilly in trying to establish a beachhead in the ED market.

Yet, a year has passed and Stendra is not on the market. In fairness to Vivus, it is a relatively small company and it has been focusing its efforts on its recently approved obesity drug, Qsymia, particularly with respect to educating physicians and creating patient awareness for this drug.

As a result, work on Stendra appears to have taken a backseat to Qsymia.