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Neurally mediated hypotension: Unlike orthostatic hypotension, this disorder causes blood pressure to drop after standing for long periods, leading to symptoms such as dizziness, nausea and fainting. This condition primarily affects young people and occurs because of a miscommunication between the heart and the brain. Nutritional deficiencies: A lack of the essential vitamins B-12 and folic acid can cause anemia, which in turn can lead to low blood pressure. A single lower-than-normal reading is not cause for alarm, unless you are experiencing any other symptoms or problems. If you experience any dizziness, lightheadedness, nausea or other symptoms, it’s a good idea to consult with your healthcare provider. To help with your diagnosis, keep a record of your symptoms and activities at the time they occurred. Your donation helps empower people everywhere to learn the facts and take action to lower their risk of heart problems. All of these medications relax muscles in the penis and improve blood flow to treat ED. Although they act similarly, some differences may cause a medical professional to suggest one over the other. 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. Erectile dysfunction, problems getting or maintaining an erection, is a common condition. Viagra, Cialis, Levitra, and sildenafil all belong to the same class of drugs. These medications relax muscles in the penis and improve blood flow to treat ED. Although they act similarly, some differences may cause a medical professional to suggest one over the other. Choosing between them should also come down to which fits best with your lifestyle. Searching for a simple answer to how to treat your ED can feel a bit like Alice in Wonderland. You chase after the one answer you need, but it takes a turn just as you’re about to grasp it. Suddenly you’re down the rabbit hole—in this case, the Internet rabbit hole—and more confused than ever about what treatment is right for you. You’ve likely run into multiple names of medicines, like Viagra, Cialis, Levitra, and sildenafil, but you’re no closer to a clear answer. It’s a common experience, especially since between 3 and 76.5% of men experience erectile dysfunction globally, according to a 2019 study (the price of viagra Kessler, 2019). Younger men aren’t immune to erectile dysfunction, more commonly known as ED, either. Roughly 8% of men 20–29 and 11% of men age 30–39 have erectile dysfunction, according to one study that looked at 27,000 men from eight different countries (Rosen, 2004). But this may only give us a limited idea of the true scope of the common condition as Rosen and his fellow researchers found that in men with ED in their study, only 58% had ever sought help from a medical professional for the condition. If prescription medication is needed to treat erectile dysfunction—which isn’t always the case, as things as simple as dehydration can cause ED—those same names pop up: Viagra, Cialis, Levitra, and sildenafil. It’s a lot easier to keep straight once you know that all of these fall into the purchase viagra no prescription same class of drugs called phosphodiesterase-5 inhibitors (PDE-5 inhibitors), which just means they all work in a similar way. Although erections are surprisingly complicated, these drugs do something simple to help: They all relax muscles in the penis and improve blood flow in order to treat ED. A real, U.S.-licensed physician will review your information and get back to you within 24 hours. Movies and TV shows would have you believe it’s easy, maybe even too easy at times, to get an erection. But a lot of systems have to work together properly to make one happen, meaning there’s mcdonald pharmacy viagra actually nothing easy or simple about it. Ignoring the emotional and psychological aspects of arousal, even the biology of an erection is complex. But there’s one step in the process where things tend to go wrong, and that’s where these medicines come in. Before an erection can happen, a messenger called cGMP tells erectile tissue to relax, which allows blood to flow in. But at the same time, the blood vessels that take the blood back to your heart get compressed so that more blood is trapped in the penis. The penis is able to relax thanks to an enzyme called phosphodiesterase-5 (PDE-5) that breaks down cGMP, ending the signal to the erectile tissue. If you have too much phosphodiesterase or it takes over too soon, cGMP can’t do its job. PDE-5 inhibitors block this enzyme from breaking down this important messenger that kick starts the blood flow needed to get and maintain an erection. That’s the goal of all of these medications, though their exact chemical structure and the way that you take them differ. Viagra is a brand name for sildenafil, which is just one type of PDE-5 inhibitor. The active ingredient is sildenafil citrate, and Viagra comes in three doses (25 mg, 50 mg, and 100 mg). The Food and Drug Administration (FDA) approved Viagra in 1998, and by the end of 2005, more than 27 million men worldwide (17 million of them in the United States) had been prescribed sildenafil for the treatment of ED (McMurray, 2007).
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