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Because there are so many potential culprits, one important aspect of diagnosing and treating ED is figuring out the underlying cause. Lemonaid’s ED service https://www.lemonaidhealth.com/faq#erectile-dysfunction makes it easy not only to confirm an ED diagnosis and get a prescription for treatment, but also to get the tests you need to determine what’s causing your ED. For many men, oral medications are a standard treatment for ED.

There are four oral options on the market: sildenafil (Viagra) tadalafil (Cialis) vardenafil (Levitra, Staxyn) avanafil (Stendra)* The medications all work the same way (however, there are a few differences, which are explained in a chart further down).

When a man is sexually stimulated, a gas called nitric oxide (NO) is released and helps relax the muscles in the penis. As the muscles relax, the penis is able to fill with blood and become erect. Oral ED drugs help increase the effects of NO to assist men who have trouble getting or keeping an erection. Help you get and keep an erection in response to sexual stimulation Assist in your physical ability to complete desired sexual activities.

Increase libido or sexual desire Help every man who has ED.

It’s important to understand that oral ED drugs are not aphrodisiacs.

Also, not all men with ED will benefit from these medications.

Men with certain medical histories – like diabetes or past prostate surgery – may not respond to oral ED drugs. That’s one reason it’s so important to talk to a doctor before starting any treatment for ED, but there’s another critical reason, too.

Ever-present pop culture references to “the magic blue pill” can make it easy to view oral ED drugs as harmless, brightly-colored, sex-life-savers in pill form.

However, as with all drugs, there is a risk for side effects.

Headaches are the most common side effect men have when taking these medications. Other common side effects men taking oral ED drugs experience include: Flushing Nasal congestion Visual changes, particularly a blue tint Backache Stomach upset.

More serious side effects include hearing and vision loss.

Priapism – a condition where the erection will not go away – can also occur.

If an erection lasts longer than 4 hours, it’s important to get medical attention ASAP.

Although the medications work the same, there are some differences. How long before sex do I take it?: 1 hour How long does it work?: 4-8 hours How do I take it?: Best results when taken on empty stomach Dosing options: 20 mg tablet-As needed, but no more than once daily Potential side effects: Same as listed above Price: $2 per 20 mg pill using Lemonaid Health mail order partner. Branded sildenafil (Viagra) How long before sex do I take it?: 1 hour How long does it work?: 4-8 hours How do I take it?: Best results when taken on empty stomach Dosing options: 25, 50, or 100 mg tablets Potential side effects: Same as listed above Price: $65 per pill. Tadalafil (Cialis) Vardenafil (Levitra) How long before sex do I take it?: 1 hour How long does it work?: 8 hours How do I take it?: Empty stomach or with food Dosing options: 2.5, 5, 10, or 20 mg tablets, As needed, but no more than once daily Potential side effects: Same as listed above Price: $50 per pill.

You might have heard that sildenafil was originally created to lower blood pressure.

In fact, under the brand name Revatio, sildenafil is still used to treat a condition called pulmonary hypertension.

The same increase in NO that helps penile muscles relax also opens up blood vessels, which can lead to a drastic drop in blood pressure. That’s why it’s especially important for these groups of men to avoid taking oral ED drugs: Men who are taking nitrates or nitroglycerin Men who have hypotension (very low blood pressure) Men who have heart disease or heart failure. If you take any blood pressure medications, you should be sure to mention this to your doctor before beginning ED treatment. If you’re a man who’s 30 years old or older and younger than 67, Lemonaid’s ED service may be able to help you. Through a convenient mobile app, our US based and US licensed nurse practitioners and doctors are available to provide embarrassment-free diagnosis and treatment of ED when appropriate.

Here’s what you can expect during your convenient mobile visit: Download and open the Lemonaid mobile app. Select one of the 3 oral ED drugs available through Lemonaid: generic sildenafil 20 mg or branded sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra). Decide whether you want to get routine lab tests done.

This is highly recommended since it will help pinpoint the specific cause of your ED.

You can get the tests done at any Quest Diagnostics center near you, and our doctors will follow up with you to review and explain your results.

Don’t worry – opting for the lab tests won’t delay your prescription! Select the local pharmacy where you want us to send your prescription or choose the convenient mail order option. Do a video visit with a nurse practitioner or doctor. *Avanafil (Stendra) is not available through Lemonaid’s ED service.

Get started with your private, mobile Lemonaid visit today.

Accessed online August 6, 2018 at https://www.lemonaidhealth.com/faq#erectile-dysfunction. Accessed online August 6, 2018 at https://medlineplus.gov/erectiledysfunction.html.

National Institute of Diabetes and Digestive and Kidney Diseases.

Accessed online August 6, 2018 at https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/definition-facts.

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Other names: ED; Erection Problems; Impotence; Sexual Dysfunction, Male.

Health Guide Disease Reference Care Notes Medication List Q & A.

About Erectile Dysfunction: A consistent inability to sustain an erection sufficient for sexual intercourse. Medically, the term erectile dysfunction is used to differentiate impotence from other problems that interfere with sexual intercourse. The following list of medications are in some way related to, or used in the treatment of this condition.

Brand names: Caverject Impulse, Edex, Caverject, Muse …show all. The following products are considered to be alternative treatments or natural remedies for Erectile Dysfunction.

Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. However there may be historical, cultural or anecdotal evidence linking their use to the treatment of Erectile Dysfunction. Sexual Health Erectile Dysfunction Erectile Dysfunction Medications and Alcohol. Rx Prescription Only OTC Over the Counter Rx/OTC Prescription or Over the Counter Off Label This medication may not be approved by the FDA for the treatment of this condition.

Pregnancy Category A Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).

B Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women. C Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks. D There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.

X Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits.

Controlled Substances Act (CSA) Schedule N Is not subject to the Controlled Substances Act.

Has no currently accepted medical use in treatment in the United States.

There is a lack of accepted safety for use under medical supervision.

Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence. 3 Has a potential for abuse less than those in schedules 1 and 2.

Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.

4 Has a low potential for abuse relative to those in schedule 3.

It has a currently accepted medical use in treatment in the United States.

Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3. 5 Has a low potential for abuse relative to those in schedule 4. Has a currently accepted medical use in treatment in the United States.

Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4. A B C D E F G H I J K L M N O P Q R S T U V W X Y Z.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Erectile dysfunction pills have some differences, but price can limit your ED medicine choices. What are the differences between erectile dysfunction drugs?

About half of men ages 40 to 70 have erectile dysfunction (ED) to some degree, although only one in 10 report a complete inability to have erections. Taking an ED drug produces an erection sufficient to start intercourse in about 70% of otherwise healthy men.

Does it make any difference which of the four drugs for erectile dysfunction you take?

Louis

It's been on the market longest and its side effects and the medications and foods it interacts with are well known. But the main challenge to finding the best ED drug for you may turn out to be health insurance rules—not biochemistry. It's a common practice among insurers to limit the number of pills you can obtain per month.

After you hit your limit, the out-of-pocket cost for a single pill can be very high.

"The main obstacle in my practice is the cost," Dr. You'll need to work with your doctor to get the pill you need at a price you can afford.

In addition to Viagra, other ED drugs available in the United States include avanafil (Stendra), tadalafil (Cialis) and vardenafil (Levitra).

In combination with sexual stimulation, the drugs can produce an erection sufficient to initiate and complete intercourse. There is also a fast-dissolving form of Levitra, called Staxyn, that you put under your tongue.

One ED drug, Cialis, is FDA-approved for use daily in a dose of 2.5 or 5 milligrams. This helps to produce erections on demand and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate.

The cost to you for ED drug therapy varies considerably, depending on the pharmacy price, prescription co-pays, and your level of health plan coverage.

Even if private insurance covers it, you may be limited to four doses per month. Here are a few things you can do to contain costs: Shop around, because pharmacy prices vary.

Various web-based tools can help you compare prices easily.

Ask your doctor about pill splitting, where you get the pills at a higher dose than you need and divide them.

These allow you to obtain a limited supply of medications not covered by your insurance.

ED drugs produce an erection sufficient for intercourse in about 70% of men.

But the results vary quite a bit from one individual to another. A man with nerves or arteries damaged by prostate surgery, diabetes, or cardiovascular disease will not respond as strongly to ED drugs. "There are some men in whom none of these drugs work," Dr.

How soon the drugs start working ranges from 15 to 60 minutes. Neither Viagra nor Levitra will work if you take them after a meal, which blocks their absorption. However, neither Cialis nor Stendra interact with food this way.

The onset time determines how soon you can engage in intercourse. Stendra and daily-use Cialis are closest to being an "on demand" erectile drug; using the others requires

more

Liou says that some men come to him after getting a prescription from their primary care doctors, claiming that the drug doesn't work. "The biggest misconception is that these drugs are an on/off switch for erections," Dr. But the drugs don't work well without sexual stimulation.

"During that time, you need to be with your partner

and

The ED drugs break down at different rates in the body.

The durations of action range from four hours to more than a day (for Cialis in the higher doses). Each dose should be sufficient to provide a full cycle of intercourse, from erection to climax.

To have sex more than once a day, Cialis is your best bet. The most common side effects of ED drugs, in order of most to least common are headache, flushing, upset stomach, nasal congestion, vision problems, diarrhea, dizziness, and rash.

A man who has an erection that lasts four hours or more needs to get to a hospital or risk permanent damage. None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure. Drugs that many men take for urinary symptoms, called alpha blockers, can also lower blood pressure, so take them at least four hours apart from ED drugs.

Your doctor may start you on a smaller dose of the ED drug if you already take an alpha blocker or may recommend the alpha blocker tamsulosin (Flomax), which affects blood pressure less.

ED is often an early warning sign of underlying cardiovascular disease, such as clogged arteries (atherosclerosis).

"It can predate a diagnosis of cardiovascular disease by at least a few years," Dr. We don't have strong proof yet that starting to live a healthier lifestyle can reverse erectile problems, but it can't hurt. Viagra, Cialis, Levitra, and Stendra are oral medications used to treat erectile dysfunction (ED).

You may also know them by their generic names: sildenafil (Viagra) tadalafil (Cialis) vardenafil (Levitra) avanafil (Stendra) About 30 million American men occasionally have a problem with getting or keeping an erection, according to the Urology Care Foundation.

When ED becomes a problem, many men turn to these oral ED medications. However, there are also some key differences, such as when you take them, how long they work, and what their side effects are.

Viagra, Cialis, Levitra, and Stendra are all in a class of cheap viagra near me drugs called PDE5 inhibitors. These drugs work by blocking an enzyme called phosphodiesterase type 5. They also boost a chemical in your body called nitric oxide. This action encourages the muscles in your penis to relax. Relaxed muscles allow blood to flow freely so that when you’re aroused, you can get an erection.

It also helps you maintain the erection long enough to have sex.

Here are the basic features of each of these drugs: Brand name Viagra Cialis Levitra Stendra What’s the generic name of this drug?

sildenafil tadalafil vardenafil avanafil Is a generic version available?

oral tablet oral tablet oral tablet oral tablet What strengths does it come in? 25 mg, 50 mg, 100 mg 2.5 mg, 5 mg, 10 mg, 20 mg 5 mg, 10 mg, 20 mg 50 mg, 100 mg, 200 mg What’s the typical dosage?

50 mg 10 mg (when used as needed); 2.5 mg (when used daily) 10 mg; 5 mg (

for

Around room temperature, between 68°F to 77°F (20°C to 25°C) At 25°C (77°F) At 25°C (77°F) Around room temperature, between 68°F to 77°F (20°C to 25°C) The drugs are available in a variety of doses, ranging from 2.5 milligrams (mg) to 200 mg.

However, taking these drugs after eating a high-fat meal does slow the rate of absorption.

Most of them stay in your bloodstream for about four to five hours.

Cialis is the exception, as it remains in your bloodstream for up to 36 hours. The length of time a drug stays in your system may be important if you’re taking other medications. You shouldn’t take any of these drugs more than once in a 24-hour period.

Viagra, Cialis, Levitra, and Stendra are usually stocked at most pharmacies. In general, most health insurance companies won’t cover their costs.

However, if you have certain medical conditions, your health plan may pay for the drug with prior authorization.

The exact price you pay for any drug will depend on your insurance plan and your pharmacy. Generic versions of Viagra, Cialis, Levitra can cost half as much as their brand-name counterparts, if not less.

The side effects of these medications are mostly similar. Below are the drugs’ most common side effects, according to their manufacturers: Side effect Viagra Cialis Levitra Stendra Stuffy or runny nose x x x x Headache x x x x Dizziness x x Upset stomach x x x Nausea x Indigestion x x Vision changes x Rash x Flushing x x x x Back pain x x x x Pain in the limbs x Muscle aches x x Sore throat x.

Tell your doctor if you have any side effects that linger and don’t go away on their own.

If you have an erection that lasts longer than four hours, call your doctor right away. This condition, known as priapism, is a risk associated with all of these ED drugs.

Unlike Viagra and the other PDE5 inhibitors, Cialis is also approved to treat enlarged prostate.

Both Viagra and Cialis can be taken 30 minutes before sexual activity.

However, Cialis lasts much longer and is noteworthy for the amount of time it remains in your body.

You may feel the effects of the drug up to 36 hours after you take it.

The fact that it comes in a low-dose (2.5 mg) version also means that Cialis can be taken every day.

A daily dose will ensure that the drug’s always in your system.

This side effect isn’t associated with any other oral ED drugs.

Viagra can take 30 to 60 minutes to work in the body, while Levitra takes 60 minutes. Levitra does have fewer common side effects than Viagra, and it isn’t associated with a rash or muscle aches. While vision changes are considered a common side effect of Viagra, changes to color perception are only a rare side effect of Levitra.

Stendra is the newest drug on the market, and no generic version is available for sale yet.

The 100-mg and 200-mg doses can be taken as shortly as 15 minutes before sexual activity.

As a second-generation medication, Stendra also seems to have milder side effects than Viagra and the other PDE5 inhibitors that came before it.

Side effects commonly caused by Viagra — but not Stendra — include dizziness, vision changes, nausea, and muscle aches. The only common side effect caused by Stendra but not Viagra is a sore throat. Each drug comes with the risk of drug interactions.

Since PDE5 inhibitors work on the body in similar ways, Viagra, Cialis, Levitra, and Stendra lead to similar interactions. All four of these drugs interact with: nitrates, such as isosorbide mononitrate (Monoket) and nitroglycerin (Nitrostat) certain blood pressure drugs, such as calcium channel blockers alpha blockers,

which

your

If you have ED, talk to your doctor about Viagra, Cialis, Levitra, and Stendra.

Tell your doctor if you take other over-the-counter or prescription drugs or supplements. Be sure to mention all other health conditions you have.

When used correctly, each of these drugs has been shown to help men with ED.

If you have questions or concerns, talk with your doctor. All of them lead to good results, but it may take a little time and patience to get it right. If one drug doesn’t work or produces unpleasant side effects, you can try another drug. It may also take some trial and error to find the dosage that works best for you.

If you’re not sure that drug treatment is right for you, you can also give natural ED treatments a try.

8 Natural Remedies for Erectile Dysfunction (ED, Impotence) For centuries, men have tried all sorts of natural remedies for erectile dysfunction (ED) -- the repeated inability to get or maintain an erection firm enough for sexual intercourse.