Some men grappling with erectile dysfunction (ED) discover that they can reinvigorate their sexual lives by addressing an underlying condition, such as hypertension or diabetes, or by undergoing counseling and adopting lifestyle changes. However, for others, medication may be necessary to facilitate the attainment and maintenance of an erection. The FDA has sanctioned several prescription drugs, which you ingest orally, to manage ED.
What Medications Are Accessible?
All of these medications function by relaxing your muscles and enhancing blood flow to your penis, thereby facilitating the achievement and retention of erections. They comprise:
- Avanafil (Stendra)
- Sildenafil (Viagra)
- Tadalafil (Cialis)
- Vardenafil (Levitra, Staxyn)
Caution: Refrain from using these ED medications if you take nitrates, such as nitroglycerin or a similar medication, for chest pain, as the combination can induce dangerously low blood pressure.
Are There Disparities Among Them?
While these medications operate similarly to each other, subtle distinctions exist in their duration of efficacy and onset of action.
- Levitra typically begins to take effect within about 30 minutes and lasts slightly longer than Viagra, approximately 5 hours.
- Staxyn dissolves in the mouth and contains the same active ingredient as Levitra, initiating action in roughly 15 minutes.
Viagra usually becomes effective in about 30 minutes and lasts for about 4 hours. Cialis exhibits a much lengthier duration of action, enduring up to 36 hours in certain cases. Stendra can commence its effects within as little as 15 minutes, with its effects persisting for up to 6 hours.
Can I Switch Between Them?
Certainly. You might discover that one medication aligns better with your schedule or that variations exist in their side effects for you. However, since these medications function in a fundamentally similar manner, comparable outcomes are probable.
What Precautions Should I Exercise?
Once again, avoid these ED medications if you consume nitrates or if other circumstances render their usage unsafe. Before initiating Viagra or any of the others, notify your doctor:
- If you possess allergies to any medications, including other ED medications.
- About any prescription or nonprescription medications you are currently taking, as well as any herbal and dietary supplements.
- If you have any scheduled surgeries, including dental procedures.
- If you take alpha-blockers for blood pressure or prostate issues, as these can precipitate a drop in blood pressure when taken in conjunction with ED pills.
Always adhere to the instructions on your prescription label diligently. Additionally, ensure to seek clarification from your doctor or pharmacist regarding any aspects that remain unclear. Administer these drugs precisely as instructed.
Who Should Refrain from Taking These?
You should also steer clear of these medications if you have uncontrolled high or low blood pressure or if you experience chest pain during sexual activity.
Are There Any Side Effects?
Although infrequent, side effects may occur. These may encompass:
- Headaches
- Upset stomach or heartburn
- Flushing or warmth sensation
- Nasal congestion
- Alterations in vision (such as seeing lights tinged with color or experiencing glare)
- Back pain
- Hearing loss
Warnings
Immediate medical attention may be necessary if you encounter an erection lasting for more than 4 hours without sexual stimulation, which doctors refer to as “priapism.” In this condition, blood becomes trapped in the penis and fails to recede, potentially leading to scarring and permanent ED if untreated.
Likewise, seek prompt medical care in the event of:
- A rash
- Painful erection
- Fainting
- Chest pain
- Itching or burning sensation during urination
If you experience chest pain and have ingested Viagra within the preceding 24 hours or Cialis within the past 48 hours, abstain from using nitroglycerin. Summon emergency medical services (EMS) and ensure that you or someone accompanying you informs them of the ED medication you ingested.
Vision Issues
Terminate the use of these medications and promptly contact your doctor if you encounter vision loss.
A rare visual impairment termed NAION (nonarteritic anterior ischemic optic neuropathy) has been documented in a few men using these drugs.
Individuals at heightened risk for NAION include those who:
- Are aged over 50 years
- Smoke
- Have heart disease, diabetes, high blood pressure, or elevated cholesterol levels
- Harbor specific other eye conditions
How Should I Store Them?
Maintain them in their original container and beyond the reach of children. Store them away from heat and moisture (avoid storing them in the bathroom). Discard them when they expire or are no longer needed.
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