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Tadalfil and vardenafil come in tablets of 2.5 mg, 5 mg, 10 mg and 20 mg.

Sildenafil comes in tablets of 25 mg, 50 mg and 100 mg. Even if you take the medicine,

you

Your doctor may want to change your tablet strength. The side effects of ED medicine are mostly the same. Flushing (face and upper body turning red and warm). Tadalfil has the same side effects, except for the flushing and possible changes in vision.

For each of the medicines, headache is the most common side effect. Talk to your doctor if you have any side effect that bothers you.

Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.

You shouldn’t use these medicines if you take nitroglycerin or any other nitrates for chest pain. If you have heart problems, tell your doctor before taking any ED medicines.

These medicines can have serious side effects in people who have heart problems. If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last. Impotence, also known as erectile dysfunction or ED, is a very common problem, affecting up to half of 40-70 year old men in Australia.

Treatment techniques for impotence have varied through the years, from external steel mechanical attachments, to static electricity attached to the penis and testicles, to simple aphrodisiacs such as oysters.

Until as recently as 1970, erectile failure was almost always seen as being due to psychological causes and was usually treated with psychotherapy.

Since then, the medical causes contributing to impotence have been recognised and the treatment of impotence has been revolutionised, providing a range of options which are far more acceptable and very much more successful. Treatment choices for erectile dysfunction include: medicines; self-injection therapy; devices such as vacuum pumps; penile implant surgery; hormone therapy; and counselling. If you have erectile dysfunction, the treatment your doctor recommends will depend on the severity of symptoms and the underlying cause of your impotence.

Your doctor will want to check that any conditions that could be contributing to or causing erectile dysfunction are being treated. Your doctor may also suggest that you make some lifestyle adjustments , such as: increasing the amount of physical activity you get; losing weight if you are overweight; reducing the amount of alcohol you drink; quitting smoking; and not taking illicit drugs. These lifestyle recommendations can help improve impotence related to several causes and improve your health in general. The first tablet available for erectile dysfunction, sildenafil (brand name Viagra), has been largely responsible for helping to bring the topic of erectile dysfunction out into the open.

Similar medications — tadalafil (Cialis) and vardenafil ( Levitra) — are also available. These medicines all work in a similar way, although there is some difference in how long their effect lasts. Sildenafil, tadalafil and vardenafil belong to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors because they block the PDE5 enzyme. How do oral medicines help treat erectile dysfunction? PDE5 inhibitors help in the process of getting and keeping an erection by working on chemicals in the body that are involved in erections.

These medicines work by stopping PDE5 from breaking down an erection-producing chemical called cyclic guanosine monophosphate (cGMP).

cGMP helps to relax the smooth muscle cells in the penis's erectile tissue, allowing more blood to flow into the penis to cause an erection. When PDE5 is temporarily blocked by these medicines, it can’t break down the erection producing cGMP, so an erection can be achieved and maintained.

PDE5 inhibitors can be used in the treatment of erectile dysfunction that is due to physical or psychological causes. Medications such as Viagra, Cialis and Levitra will work only if you are sexually stimulated.

They are not aphrodisiacs and won’t increase your sex drive.

Side effects of these medicines can include headaches, flushes, blocked nose, indigestion and dizziness. In rare situations, sildenafil

and

Men taking nitrates (often used to treat angina) should never take phosphodiesterase type 5 (PDE5) inhibitors.

PDE5 inhibitors should also not be taken with some medicines used to treat high blood pressure.

PDE5 inhibitors may also not be suitable for men with certain heart conditions or low blood pressure.

Check with your doctor to find out if this type of medication may be suitable for you. Self-injection therapy delivers a medicine called alprostadil (brand name Caverject), also known as prostaglandin E-1, to the erectile tissue of the penis.

Prostaglandin E-1 occurs naturally in the body and helps increase the blood flow to the penis to cause an erection. Unlike the PDE5 inhibitors, alprostadil will cause an erection whether the penis is stimulated or not. Self-injection therapy is usually recommended if PDE5 inhibitor medicines are not suitable or have not been effective in the treatment of erectile dysfunction. Alprostadil is injected into either of the 2 cigar-shaped chambers of the penis known as the corpora cavernosa, which run along the length of the penis, one on either side.

Your doctor or urologist (specialist in problems with male reproductive organs and the urinary tract) will give you instructions on how to do this. Alprostadil should produce an erection in 5 to 20 minutes and, generally, the erection will last for 30 to 60 minutes.

You should not use alprostadil more than once in a 24-hour period, and you should use it no more than 3 times a week. Don’t try to use more than the recommended dose of alprostadil, as your erection may last longer than is medically safe. You should ask your doctor if alprostadil is suitable for you.

Your doctor will also be able to tell you how much alprostadil to use, depending on your condition and whether or not you are taking any other medications, and also how to use alprostadil properly. People with certain illnesses, such as leukaemia and sickle cell anaemia, or who have a penile implant or Peyronie’s disease, where the penis may be scarred and produces erections that are not straight, should not use alprostadil. Men for whom sexual activity is not advised should not use alprostadil. The most common side effects of alprostadil include pain in the penis or bruising in the penis at the site of injection. Fibrosis (the development of fibrous tissue) can also develop following injections into the penis. The most serious side effect is priapism (a persistent erection), which is a medical emergency.

Your doctor will inform you of what to do if you have an erection that persists for 2 hours or more. It is very important that you follow your doctor’s instructions and inform them that you have experienced this side effect. Vacuum erection devices work by creating a vacuum, which increases blood flow to the penis, producing an erection.

The penis is lubricated and placed inside a hollow plastic chamber.

Air is pumped out of the chamber, either manually or by a battery powered pump.

This creates a vacuum which pulls blood into the penis to

cause

After intercourse, the ring can be removed to return the penis to a limp state. Vacuum erection devices avoid surgery and can be used as often as required.

However, they may be difficult to use, and many men and their partners feel they take much of the pleasure and spontaneity away from sexual activities. Vacuum pumps are not suitable for men who have problems with blood clotting, or blood disorders such as leukaemia. Penile implant surgery is not a common procedure but in some cases it may be the most appropriate treatment for erectile dysfunction.

The procedure involves placing an implant inside the penis, along its length, so that it can become erect.

The implant may be viagra 100mg online shopping a pair of semi-rigid rods or a pair of inflatable cylinders.

The inflatable implants allow the penis to look and feel limp (flaccid) or erect, depending on how much the cylinders are inflated. The cylinders in an inflatable implant are hollow, and the man gets an erection by squeezing a pump located in his scrotum to fill the cylinders with salt water (saline) stored in a reservoir implanted in his lower abdomen. A release valve drains the saline out of the cylinders and back into the reservoir. With the semi-rigid, malleable rod type of implant, the rods run along the length of the penis and can be bent upwards to produce an erect penis, or downwards when an erect penis is not required.

Like all surgery, there are some risks, such as infection or bleeding.

If you have had surgery and have severe pain, fever, swelling or excessive bleeding, you should contact your doctor as soon as possible.

In cases where a man’s anatomy prevents blood flow into or out of the penis, vascular surgery may be an option. This treatment option is rarely recommended, and is usually only successful in younger men.

If there is a blockage that prevents blood from flowing into the penis, a doctor may recommend an operation that bypasses the blocked blood vessels, using a length of vein or manufactured tubing, to allow more blood to flow into the penis and help produce an erection. If the problem is that blood leaks back out of the penis, this can be corrected by tying off the major veins that drain the penis, a procedure known as venous ligation.

In a small number of men, blood tests may show abnormally low levels of testosterone, the male sex hormone.

In such cases your doctor might prescribe a course of testosterone injections or a testosterone implant. The supplements can help boost sex drive as well as increasing the ability to have erections.

Testosterone gel or patches, applied daily to the skin, are another option. There is a lack of scientific evidence supporting the effectiveness of complementary therapies for

the

Erectile dysfunction often has physical causes, but sometimes there is a psychological basis for erection problems.

A man may have had an episode of erectile dysfunction due to some passing cause like fatigue, stress, relationship difficulty or intoxication. This may have led to embarrassment or a feeling of failure. Even if the physical cause does not remain, future attempts to have sex may trigger memories of this embarrassment and acute anxiety that it will happen again.

This anxiety itself is capable of causing erectile dysfunction, and so a man may get trapped in a self-reinforcing cycle of anxiety and erectile dysfunction. In these instances, seeing a GP, counsellor or psychologist can be very helpful.

Stress, anxiety, depression and low self-esteem, in fact, almost all significant emotional problems, can have a major effect on sexuality. So do many chronic physical illnesses, even if they don't directly affect genital function. Counsellors and psychologists can assist with these and a wide range of other sexual and relationship problems and can also help female partners suffering from sexual problems.

They are particularly skilled in helping patients to overcome guilt or anxiety relating to sexual abuse, and in helping couples to sort out relationship difficulties. Simple problems can be dealt with in a few visits, but more complex problems may require several months or even years of therapy. Your doctor may be able to recommend a psychologist or counsellor who specialises in sexual and relationship problems.

Erectile dysfunction (impotence) About erectile dysfunction. Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection. Erectile dysfunction is a very common condition, particularly in older men.

It is estimated that half of all men between the ages of 40 and 70 will have it to some degree. See your GP if you have erectile dysfunction for more than a few weeks. They will assess your general state of health because the condition can be the first sign of more serious health conditions, such as heart disease (when the heart’s blood supply is blocked or interrupted). Erectile dysfunction can have a range of causes, both physical and psychological. Physical causes include: narrowing of the blood vessels going to the penis – commonly associated with high blood pressure (hypertension), high cholesterol or diabetes hormonal problems surgery or injury. Psychological causes of ED include: anxiety depression relationship problems.

Sometimes erectile dysfunction only occurs in certain situations.

For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner.

If this is the case, it is likely the underlying cause of erectile dysfunction is psychological (stress related).

If you are unable to get an erection under any circumstances, it is likely that the underlying cause is physical. Erectile dysfunction can also be a side-effect of using certain medicines.

Although you may be embarrassed, it's important to get a diagnosis so that the cause can be identified. This will involve answering questions about your symptoms, as well as a physical examination and

some

whether

The narrowing of the arteries (called atherosclerosis) is one of the most common causes of ED. In these cases your GP may suggest lifestyle changes, such as losing weight, to try to reduce your risk of cardiovascular disease. This may help to relieve your symptoms as well as improving your general health.

You may also be given medication to treat atherosclerosis, such as cholesterol-lowering statins and drugs to reduce your blood pressure.

A number of treatments have been successful in the treatment of erectile dysfunction.

Medication, such as sildenafil (sold as Viagra), can be used to manage it in at least two-thirds of cases. Vacuum pumps that encourage blood to flow to the penis and cause an erection are also successful in 90% of cases.

Psychological treatments include cognitive behavioural therapy (CBT) and sex therapy.

Overall, treatments for erectile dysfunction have improved significantly in recent years.

The main symptom of erectile dysfunction (ED) is the inability to get and maintain an erection for satisfactory intercourse. ED should not be confused with ejaculation problems such as premature ejaculation, which is a condition where the process of arousal, orgasm and ejaculation occurs very rapidly.

For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner. In these circumstances, it is likely that the underlying cause of ED is primarily psychological (stress related). However, if you are unable to get an erection under any circumstances, it is likely

that

They will assess your general state of health because the condition can be the first sign of more serious health conditions, such as heart disease (when the heart’s blood supply is blocked or interrupted).

Many websites offer treatments for ED but their use is not recommended. The medications that are offered by these sites could be fake and may be dangerous. Even if the medications are genuine, they may not be suitable for you.

It is important that you only take medication for ED that your GP has prescribed for you. Erectile dysfunction (ED) can have many causes, such as certain medical conditions, medications and stress.

It's important to identify the cause of erectile dysfunction and treat any underlying conditions.

When a man becomes sexually excited (aroused), his brain sends signals to the nerves in his penis.

The nerves increase the blood flow to the penis, causing the tissue to expand and harden. Anything that interferes with the nervous system or the blood circulation could lead to erectile dysfunction.

Anything that affects the level of sexual desire (libido) can also cause erectile dysfunction because a reduced libido makes it more difficult for the brain to trigger an erection.

Psychological conditions, such as depression, can reduce libido, as can changes in hormone levels (chemicals produced by the body). There are four main types of health conditions that can cause physical problems resulting in erectile dysfunction. These are: conditions affecting the flow of blood to your penis – vasculogenic conditions affecting your nervous system, which is made up of your brain, nerves and spinal cord – neurogenic conditions affecting your hormone levels – hormonal conditions affecting the physical structure of your penis – anatomical.

Penis injuries or surgical treatment of the penis, pelvis or surrounding areas can sometimes lead to erectile dysfunction.

Erectile dysfunction is also thought to occur in up to 15-25% of people who experience a severe head injury. Examples of vasculogenic conditions viagra 100mg online shopping that cause erectile dysfunction include: cardiovascular disease – a disease of the heart or blood vessels, such as atherosclerosis (hardening of the arteries) high blood pressure (hypertension) diabetes – a condition caused by high blood sugar levels. This can affect both the blood supply and the nerve endings in your penis, so it is also a neurogenic condition.

Erectile dysfunction is strongly associated with cardiovascular disease.

For this reason, it may be one of the first causes your GP considers when making a diagnosis and planning your treatment. Examples of neurogenic conditions that cause erectile dysfunction include: multiple sclerosis – a condition that affects the body's actions, such as movement and balance Parkinson’s disease – a condition that affects the way that the brain coordinates body movements, including walking, talking and writing a spinal injury or disorder a stroke – a serious condition that occurs when the blood supply to the brain is interrupted. Examples of

hormonal

In some men, certain medicines can cause erectile dysfunction, including: diuretics – these increase the production of urine and are often used to treat high blood pressure (hypertension), heart failure and kidney disease antihypertensives – such as beta-blockers, that are used to treat high blood pressure fibrates – medicines used to lower cholesterol levels antipsychotics – used to treat some mental health conditions, such as schizophrenia antidepressants – used to treat depression and some types of pain corticosteroids – medication that contains steroids, which are a type of hormone H2-antagonists – medicines used to treat stomach ulcers anticonvulsants – used to treat epilepsy antihistamines – used to treat allergic health conditions, such as hay fever anti-androgens – medication that suppresses androgens (male sex hormones) cytotoxics – medication used in chemotherapy to prevent cancer cells from dividing and growing.

Speak to your GP if you are concerned that a prescribed medicine is causing erectile dysfunction.