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Other prescription and over-the-counter drugs may cause low blood pressure when taken in combination with high blood generic viagra purple pill pressure medications. Heart problems: Among the heart conditions that can lead to low blood pressure are an abnormally low heart rate (bradycardia), problems with heart valves, heart attack and heart failure. Your heart may not be able to circulate enough blood to meet your body’s needs. Endocrine problems: Such problems include complications with hormone-producing glands in the body’s endocrine systems; specifically, an underactive thyroid (hypothyroidism), parathyroid disease, adrenal insufficiency (Addison’s disease), low blood sugar and, in some cases, diabetes.

Severe infection (septic shock): Septic shock can occur when bacteria leave the original site of an infection (most often in the lungs, abdomen or urinary tract) and enter the bloodstream.

The bacteria then produce toxins that affect blood vessels, leading to a profound and life-threatening decline in blood pressure. Allergic reaction (anaphylaxis): Anaphylactic shock is a sometimes-fatal allergic reaction that can occur in people who are highly sensitive to drugs such as penicillin, to certain foods such as peanuts or to bee or wasp stings. This type of shock is characterized by breathing problems, hives, itching, a swollen throat and a sudden, dramatic fall in blood pressure. 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. The staff and providers at WHS Urology are proud to have built a reputation for delivering quality urology care with sincere friendliness and compassion. Our goal is to provide the highest quality medical care to our patients in a timely, professional and pleasant manner. We deliver comprehensive state of the art medical and surgical treatment of the urology system.

We believe that a prompt diagnosis, early intervention and prevention are essential for the care and treatment of the urology system.

WHS Urology offers a comprehensive array of diagnostic and surgical treatments to residents of the tri-state area with a convenient location in Washington County. If you have any questions or concerns, please contact our office at (724) 229-2424. Visit Back2BU for the latest updates and information on BU's response to COVID-19. Students can find additional information in the Undergraduate Student Guide and Graduate & Professional Student Guide. Goals Center for Sexual Medicine Faculty and Staff Make an Appointment For Health Care Professionals Training Opportunities. The most common sexual dysfunctions in men include lack of interest, premature ejaculation and erectile dysfunction.

The latter affects 52% of men between the ages of 40 and 70, including mild, moderate and complete forms of ED. Organic or physical causes for sexual dysfunction in men include vascular, hormonal and neurologic factors.

Concerning vascular causes, the risk factors for atherosclerosis (including smoking, high blood pressure, diabetes (diabetics do not respond well to pills like sildenafil (Viagra)) and high cholesterol are ALSO risk factors for erectile dysfunction. Since a straddle injury or use of a narrow saddle can obstruct and impair arteries to the penis, bicycle riding is also considered a risk factor for erectile dysfunction. Little attention has been paid to endocrine factors.

Testosterone modulates desire, arousal and orgasmic function.

Concerning the orgasmic response, testosterone modulates the integrity of genital sensory receptors. Concerning the arousal response, decreased testosterone blood levels can influence the efficacy of sildenafil (Viagra). If the sildenafil response is not reliably improving erection, the physician should first check if the patient is taking the pill correctly. The physician should also check the patient’s testosterone level. One investigator in Italy gave testosterone to patients with low testosterone who did not respond to sildenafil (Viagra).

When daily testosterone was given, subsequent sildenafil (Viagra) use resulted in IIEF (the International Index of Erectile Function questionnaire used to determine erectile function) scores improving significantly.

Other risk factors for erectile dysfunction include neurologic problems (multiple sclerosis, stroke), depression and medications for treating diabetes, hypertension, heart disease and depression.

There are many oral therapies for erectile dysfunction, but the only approved medication in the US is the PDE 5 enzyme inhibitor sildenafil (Viagra). Unapproved therapies, some of which are available in the US and some elsewhere, some of which have data to prove efficacy and some not, include tadalafil (Cialis), vardenafil (Levitra), yohimbine, phentolamine, trazodone, apomorphine and neutraceuticals.

PDE5 inhibitors act to relax penile erectile tissues with sexual stimulation thus enhancing your ability to get an erection. Sildenafil (Viagra) is effective for all sorts of erectile dysfunction in 69% of people. In some cases the erection is not hard enough, sometimes sildenafil (Viagra) just doesn’t work. Structurally vardenafil (Levitra) is similar to sildenafil, while tadalafil (Cialis) is very different. Vardenafil (Levitra) is almost 10 times more biochemically potent than sildenafil, therefore a lower dose is needed to facilitate the penile erection, potentially resulting in less side effects.

Selectivity is the ability of the drug to attach to the specific enzyme PDE 5 found in penile tissues.

Vardenafil (Levitra) is more selective than sildenafil and tadalafil (Cialis) to PDE5, which again means a lower dose is needed with potentially less side effects. Tadalafil is very specific for PDE5 and is also very specific for the enzyme PDE11. Unfortunately, we don’t know much about PDE11, which is found in the heart, in the pituitary gland in the brain and in the testicles. Pharmacokinetics, half-life, is how long the medication stay s in the blood.

Sildenafil (Viagra) has a

half-life

The drawback is if you need nitrates after using tadalafil (Cialis), this medication lasts a long time in your blood stream and may place you at a higher risk.

Younger people might do well treated with tadalafil, (Cialis) while older people with other health issues might be better off using sildenafil (Viagra) or vardenafil (Levitra) but more data are needed.

The side effects of vardenafil (Levitra) are potentially less than sildenafil (Viagra), but more data are needed. In a recent study on men with erectile dysfunction and diabetes, vardenafil (Levitra) improved their erectile dysfunction. Tadalafil (Cialis) is as effective as sildenafil (Viagra), and vardenafil (Levitra) with similar side effects except for back pain that occurs occasionally with tadalafil, probably because of the long half-life. Many people stop taking drugs because they are experiencing side effects, they no longer have a partner, or they are worried about safety. Sexual activity is not a major contributor to the risk of a heart attack. Sexual activity, with or without sildenafil (Viagra) increases the chance of an MI during sexual activity sildenafil citrate pills for sale by only 0.1%. If pills fail, there are vacuum devices, Muse, injections, bypass surgery and implants. The patient making a presentation has had penile bypass surgery. In addition he takes testosterone and sildenafil as needed..

This is a classic example of why people with ED need complete care: a psychological exam, history and physical exam, and diagnostic studies with long term follow-up care. Patients with ED should not just be prescribed sildenafil (Viagra) and then be lost to follow-up. Some men with erectile dysfunction, or ED, find they can return to an active sex life by treating an underlying condition, such as high blood pressure, or with counseling and lifestyle changes. But others find they may need medication to get and keep an erection. The FDA has approved several prescription drugs you take orally to treat ED. All of these work by relaxing your muscles and boosting blood flow to your penis, making erections easier to get and maintain.

They are: Caution: Do not use these ED medications if you take nitrates, such as nitroglycerin or a similar medicine, for chest pain. The combination can cause dangerously low blood pressure. These medications all work similarly to each other. However, there are subtle differences in how long they stay effective and how quickly they begin to work.

Levitra takes about 30 minutes to start working and the effects last a little longer than Viagra, about 5 hours. It contains the same active ingredient as Levitra and can begin working in about 15 minutes. Viagra takes around 30 minutes to become effective and lasts about 4 hours. Cialis lasts much longer -- up to 36 hours in some cases.

Stendra can start doing its thing in as little as 15 minutes, and its effects last up to 6 hours. You may find that one works better for your schedule or that there are differences in the side effects for you.

But these medications work the same basic way, so you’re likely to have similar results. Again, do not use these ED medications if you take nitrates, such as nitroglycerin or a similar medicine, for chest pain. But there are other situations that may make these medications unsafe as well.

Before you take Viagra or one of the others, tell your doctor: If you are allergic to any medications, including other ED medications About any prescription or nonprescription medications you take, as well as any herbal and dietary supplements If you are scheduled for surgery, even dental surgery If you take alpha-blockers for blood pressure or prostate problems.

These can lower your blood pressure when taken with ED pills.

Always follow the directions on your prescription label carefully.

Also, make sure to ask your doctor or pharmacist to explain anything you don’t understand.

If you’ve had a heart attack, stroke, or life-threatening irregular heart rate within the past 6 months, you should discuss other options with your doctor. You should also avoid these medications if you have uncontrolled high or low blood pressure or if you get chest pain while having sex. You may get: • A headache • Upset stomach or heartburn • Feeling of warmth • Nasal congestion • Changes in vision (lights tinged with color, glare) Warnings. You may need emergency treatment if you get an erection that lasts for more than 4 hours and happens without any sexual excitement.