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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 will depend on other attributes, such as side effects, drug interactions, speed of onset and duration of action. Headache, flushing and upset stomach are the most common side effects. And, in rare cases, all can cause a persistent and sometimes painful erection that will not go down, a condition called priapism that can result in permanent damage if not treated promptly. 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 and spontaneity. Which drug is better depends on your personal situation. For long duration, and perhaps for spontaneity, Cialis may be best. As always, the answer must come from your doctor, who can assess patient-specific factors and help determine which is right for you. 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 treatments that can bring back that lovin’ feeling. "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 Dr. To create an erection, you place a plastic cylinder over the penis and pump the air out of the cylinder to force blood to flow into the penis. An elastic ring that you slide onto the base of your penis holds the erection. This ED treatment device is effective for about 75 percent of men. Side effects include numbness, bruising, and weak ejaculation — and the ring must be removed after 30 minutes. 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." Risks for these ED treatments include infection and mechanical breakdown. "Medications that create blood flow to the penis can't help when an erection is blocked by the fear or anxiety of the fight-or-flight response,” says Feloney. “This type of erectile dysfunction probably has a lot to do with evolution — men didn't need an erection when a dinosaur was chasing them." The best way to treat erectile dysfunction caused by performance anxiety, depression, a poor relationship, or stress may be with a combination of ED drug treatment and sex therapy, individual therapy, or couples therapy from sexual health professionals. Commercials for drugs to improve “low T,” or testosterone, the male hormone, are now vying for airtime, but they address desire, not performance. "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 to the mind. Depression Low testosterone Anxiety Blood flow issues Damaged penis tissues. According to an American Journal of Medicine, erectile dysfunction risk increase with age. 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 the counter pills . Max performer is an over the counter pill designed to successfully treat men with erectile dysfunction . It can also be used to treat other men sexual problems. Silver Blade Nutrition Ltd Company manufactures the supplements. It’s a natural and effective method that has no side effects. Any man who wants to naturally treat the problem of ED has the answer with Max Performer. Unfortunately, the market is full of fake ED pills , since many men are suffering. Thanks to these pills that have been made from natural ingredients. 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 testosterone production in the body. 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. They should be used by anyone who wants to improve his sex life. However, those with various medical conditions should consult their doctor first before consuming the tablets. Max Performer can be bought from their official website. Buying from their site, the user gets: 100-day money-back guarantee Free worldwide shipping. 6 month supply@$ 200 only 3 months’ supply@$ 138 only 1 month supply@$69 only. Note: Prices may keep on changing; it’s advisable to keep on checking their official website. #2.VigRX Plus- Viagra Alternative Natural ED Pills. VigRX Plus is an over the counter product used to help men fight erectile dysfunction. It an effective pill is known to improve erectile function and help men restore their sex drive. Better control over erections Increased libido Nervous system health Restoring self –esteem and hence great sexual life. Korean Red Ginseng root,Saw Palmetto berry,Hawthorne berry,Ginkgo Biloba leaf, damiana leaf, Tribulus Terrestris, Catuaba bark extract, Muira Puama bark extract, Cuscuta seed extract-50mg, Epimedium leaf extract and Bioperine. These pills help to accelerate blood circulation in the whole body. With this, blood automatically increased in the penis. The aphrodisiacs contained in this product treats erectile disorders , and this helps to improve overall sexual appetite. Only 2 pills should be consumed daily with plenty of water before sexual intercourse. There are not strict guidelines from the manufacturer as to who should or shouldn’t use these pills. Any adult who is suffering from erectile dysfunction should not hasten to purchase the product. VigRX Plus is always available on their official website. To know more about pricing, visit their official site. Viasil is an over the counter supplement male potency formula. It gives a powerful boost to men since it enhances the strength of erections. Men dealing with erectile dysfunction can get natural help from Viasil. It doesn’t cause any side effects and doesn’t require a doctor’s prescription. According to the manufacturer, Viasil contains powerful ingredients that bring the below results: Cures impairment of erectile function Sexual stamina Long duration Powerful ejaculations Increased hardness Increased sexual libido Long term results with confidence. Anyone who wants to fight back E.D naturally can do so with Viasil. Studies show that the below ingredients have a positive impact on problems related to erectile dysfunction. They include: Epimedium brevicornum, Zinc, Citrus Sinensis,Ginkgo Biloba, Tribulus Terrestris, Panax Ginseng root extract and Pomegranate: How Does Viasil Work. Viasil naturally helps in increasing blood flow and oxygen to the body. Consequently, erections become firm enough for sex. With this, the body obtains renewed vitality and strength increases. For one to maintain an erection, a considerable amount of energy is needed. This also helps the penis gets more blood and becomes active. With Viasil, any user can experience significant hard erections because of the better blood supply to the genitals. Viasil should be used one hour before having sexual intercourse. To gain maximum benefits, the user should use the pills for 1-2 months with a 3-4 months’ rest to ensure the body doesn’t develop resistance. Men suffering from an impaired erectile function can use Viasil. It’s the most effective medication that has led to over 80% cure of ED . Anybody who wants to combat erectile dysfunction problems has that can with Viasil. Viasil can be purchased online from their official website. This is the only place the buyer is assured of getting the original supplement. The supplement can also be obtained from other local stores, but no one is sure of their efficacy. Other advantages include: 60-day money-back guarantee Free worldwide shipping. 10 tablets go for $ 54.99- An excellent pack for beginners 20+ 10 tablets@$109.99- maximum results 30+20 tablets@$159.99- Maximum savings. BlueChew is a chewable tablet designed to help men treat erectile dysfunction problems. It offers tiered plans for any man with different needs. BlueChew is made in the USA and it’s easy to cancel the prescription from its dashboard, Is BlueChew better than Viagra ? BlueChew is absorbed in the body faster and lasts longer than Viagra. Besides, it contains Tadalafil or Sildenafil that helps it deliver results faster. A man can start feeling effects in his private areas approximately 15 minutes after chewing the pills. With BlueChew, no man has to worry about losing an erection as it is safe to use. Improves blood flow- When blood vessels relax, more blood flows freely to the penis, making it to maintain an erection. Helps white pill teva 5343 maintain performance- It stays in the body system for 4-6 hours and gets triggered when the penis is aroused Gives satisfying sex- With BlueChew, the penis experiences more firm erections. BlueChew uses ingredients that are white pill teva 5343 FDA approved to treat erectile dysfunction. These include: An erection that can last for more than 4 hours Dizziness Decreased hearing loss Nausea. One should seek medical help immediately if these symptoms arise. BlueChew uses the same active ingredients found in Viagra, which is an FDA approved medication. The only difference teva pharmaceuticals sildenafil is that they come in chewable form . BlueChew works so fast that a man becomes ready within no time. This allows the penis to become hard and maintain an erection when a man becomes aroused. BlueChew contains two main ingredients that include Tadalafil and Sildenafil as ED medication. These ingredients have been used for some time to increase blood flow to the penis. Tadalafil: This is the active ingredient in Cialis. It works by blocking phosphodiesterase type 5, a chemical found in the body. With this, the blood vessels widen and there flow of blood in the penis increases, making it erect for sex. Sildenafil: Works to improve blood blow to the penis such that a man won’t lose erections quickly. Consequently, when there is increased blood flow to the penis, it becomes erect. The latter can help with erectile dysfunction and also improve one’s sexual desire. According to the manufacturer, BlueChew can stay active in the body system for hours. Therefore, one can take BlueChew pills up to 4 hours in advance before any sexual activity. According to the manufacturer, one should forget about BlueChew medications if: If he is allergic to Tadalafil or sildenafil Is taking medication that contains nitrates stimulators as this could lead to an unhealthy drop in blood pressure. Have underlying medical conditions such as liver problems, low blood pressure , stomach ulcers, deformed penis shape, and much more. Women or children shouldn’t take BlueChew, it is for those who are treating erectile dysfunction. For more information, one can visit their official site. It’s advisable to talk with the doctor to ensure that you’re fit for these medications. Meaning the buyer needs a prescription before ordering the tablets. This doesn’t mean that the doctor has to prescribe. The user gets free online consultation that determines whether he is eligible for these chewable tablets. Other benefits include: Discreet shipping Money-back guarantee- If BlueChew doesn’t work , the user can take it back to the manufacturer for a refund. The user can get to choose the plan that best suits him from their official website. Taladafil: 4 chewables@ $20 7 chewables@ $30 14 chewables@ $50 28 chewables@ $90. Sildenafil: 6 chewables@ $20 10 chewables@ $30 17 chewables@ $50 34 chewables@$90. Erectile dysfunction drugs vary in effectiveness, side effects. (Reuters Health) - Viagra is the most effective treatment for erectile dysfunction, but it also has a higher rate of side effects than other options, according to an analysis of more than 150 trials. Men concerned about possible side effects of Viagra like headaches, flushing, indigestion and nasal congestion may want to start on Cialis, which is known generically as tadalafil, researchers report in European Urology. If that’s not effective, men in some countries can try Zydena (udenafil). Many men have trouble getting or keeping an erection, especially as they age, but erectile dysfunction – also known as ED - is not a natural part of aging, according to the U.S. The new review compares seven common ED therapies, all belonging to a class of medications called phosphodiesterase 5 inhibitors (PDE5i’s). They work by inhibiting an enzyme that may reduce the potency of an erection. Viagra, Cialis, Levitra (vardenafil) and Stendra (avanafil) all work this way and are approved for use in the U.S. The additional drugs Zydena, Helleva (lodenafil) and Mvix (mirodenafil) are only approved for use in other countries. PDE5i’s are considered the first-choice therapy for ED, but they’re only effective for 60 to 80 percent of men who try them, and many will stop taking them, according to Dr. Pastuszak of Baylor College of Medicine’s urology department in Houston, Texas. Researchers at the University of Zurich, the Swiss Federal Institute of Technology, and Maastricht University Medical Center in the Netherlands reviewed 82 studies of the drugs’ effectiveness and 72 studies exploring side effects. These treatments are all more effective than placebo for treating erectile dysfunction, and are generally safe and well tolerated, the authors note. A 50- or 100-milligram (mg) dose of Viagra appeared to be the most effective treatment. It performed about 50 percent better than a placebo. Stendra, in doses ranging from 50 to 200 mg, was among the least effective - only 20 to 30 percent more effective than a placebo. The 50-milligram dose of Stendra was associated with the lowest rate of side effects of any medication - 8.5 percent of the time. A 20-mg dose of Levitra had the highest rate of side effects: 25 percent. Higher doses of Viagra and Cialis tended to cause side effects between 21 and 22 percent of the time. “Viagra has an established efficacy and safety profile and remains an important treatment option for men with erectile dysfunction,” a spokesperson for Pfizer, makers of the drug, told Reuters Health in a statement. “Viagra has been studied for more than 15 years in more than 136 completed and ongoing clinical trials involving more than 23,000 men with ED.” Side effects depend on which drug is used and what other enzymes the drug is able to inhibit, Pastuszak told Reuters Health by email. One of the main side effects of Viagra is visual changes, whereas Cialis more often causes muscle pain. More generally, these types of ED drugs can cause a drop in blood pressure, because they are vasodilators, which open blood vessels, he said. He added that they should not be used with nitrate-based heart medications since they can cause a steep drop in blood pressure. “Other common side effects include facial flushing, congestion, headache, and upset stomach,” Pastuszak said. “Men complain of side effects, but more often of a lack of complete efficacy,” he said. “The drugs are not for everyone, as they won’t necessarily help a man with severe erectile dysfunction as much as they would someone with mild or moderate ED.” Urologists will already have an understanding of the effectiveness and side effects of the available ED therapies, so the new results will not be a surprise, he said. Only Cialis is to be taken daily, the other options are all short-acting, so men have the option of trying several to see which one works well, he said. Doctors should carefully discuss expectations and treatment effects of the various options with patients before choosing a therapy, the authors write. Some ED patients may want immediate stronger efficacy at the cost of higher side effects, while others may not. Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men. Sildenafil (Revatio) is used to improve the ability to exercise in adults with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness). Children should not usually take sildenafil, but in some cases, a doctor may decide that sildenafil (Revatio) is the best medication to treat a child's condition. Sildenafil is in a class of medications called phosphodiesterase (PDE) inhibitors. Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily. If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Sildenafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV). Sildenafil comes as a tablet and suspension (liquid; Revatio only) to take by mouth. If you are taking sildenafil to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph. The best time to take sildenafil is about 1 hour before sexual activity, but you can take the medication any time from 4 hours to 30 minutes before sexual activity. Sildenafil usually should not be taken more than once every 24 hours. If you have certain health conditions or buy 10 viagra pills are taking certain medications, your doctor may tell you to take sildenafil less often.
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