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Within certain limits, the lower your blood pressure reading is, the better.

There is also no specific number at which day-to-day blood pressure is considered too low, as long as none of the symptoms of trouble are present. Most doctors will only consider chronically low blood pressure as dangerous if it causes noticeable signs and symptoms, such as: Dizziness or lightheadedness Nausea Fainting (syncope) Dehydration and unusual thirst Dehydration can sometimes cause blood pressure to drop.

However, dehydration does not always cause low blood pressure.

Fever, vomiting, severe diarrhea, overuse of diuretics and strenuous exercise can all lead to dehydration, a potentially serious condition in which your body loses more water than you take in. Even mild dehydration (a loss of as little as 1 percent to 2 percent of body weight) can cause weakness, dizziness and fatigue. Lack of concentration Blurred vision Cold, clammy, pale skin Rapid, shallow breathing Fatigue Depression.

Low blood pressure can occur with: Prolonged bed rest Pregnancy: During the first 24 weeks of pregnancy, it’s common for blood pressure to drop. Decreases in blood volume: A decrease in blood volume can also cause blood pressure to drop.

A significant loss of blood from major trauma, dehydration or severe internal bleeding reduces blood volume, leading to a severe drop in blood pressure.

Certain medications: A number of drugs can cause low blood pressure, including diuretics and other drugs that treat hypertension; heart medications such as beta blockers; drugs for Parkinson’s disease; tricyclic antidepressants; erectile dysfunction drugs, particularly in combination with nitroglycerine; narcotics and alcohol. Other prescription and over-the-counter drugs may cause low blood

pressure

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 order viagra pills online acid can cause anemia, which in viagra over the counter canada 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. All of these medications relax muscles in the penis and improve blood flow to treat ED. Although they act similarly, some differences may cause a medical professional to suggest one over the other. If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment. Erectile dysfunction, problems getting or maintaining an erection, is a common condition. Viagra, Cialis, Levitra, and sildenafil all belong to the same class of drugs. These medications relax muscles in the penis and improve blood flow to treat ED.

Although they act similarly, some differences may cause a medical professional to suggest one over the other.

Choosing between them should also come down to which fits best with your lifestyle.

Searching for a simple answer to how to treat your ED can feel a bit like Alice in Wonderland.

You chase after the one answer you need, but it takes a turn just as you’re about to grasp it.

Suddenly you’re down the rabbit hole—in this case, the Internet rabbit hole—and more confused than ever about what treatment is right for you.

You’ve likely run into multiple names of medicines, like Viagra, Cialis, Levitra, and sildenafil, but you’re no closer to a clear answer. It’s a common experience, especially since between 3 and 76.5% of men experience erectile dysfunction globally, according to a 2019 study (Kessler, 2019).

Younger men aren’t immune to erectile dysfunction, more commonly known as ED, either. Roughly 8% of men 20–29 and 11% of men age 30–39 have erectile dysfunction, according to one study that looked at 27,000 men from eight different countries (Rosen, 2004).

But this may only give us a limited idea of the true scope of the common condition as Rosen and his fellow researchers found that in men with ED in their study, only 58% had ever sought help from a medical professional for the condition. If prescription medication is needed to treat erectile dysfunction—which isn’t always the case, as things as simple as dehydration can cause ED—those same names pop up: Viagra, Cialis, Levitra, and sildenafil.

It’s a lot easier to keep straight once you know that all of these fall into the same class of drugs called phosphodiesterase-5 inhibitors (PDE-5 inhibitors), which just means they all work in a similar way. Although erections are surprisingly complicated, these drugs do something simple to help: They all relax muscles in the penis and improve blood flow in order to treat ED. A real, U.S.-licensed physician will review your information and get back to you within 24 hours. Movies and TV shows would have you believe it’s easy, maybe even too easy at times, to get an erection.

But a lot of systems have to work together properly to make one happen, meaning there’s actually nothing easy or simple about it. Ignoring the emotional and psychological aspects of arousal, even the biology of an erection is complex.

But there’s one step in the process where things tend to go wrong, and that’s where these medicines come in. Before an erection can happen, a messenger called cGMP tells erectile tissue to relax, which allows blood to flow in. But at the same time, the blood vessels that take the blood back to your heart get compressed so that more blood is trapped in the penis. The penis is able to relax thanks to an enzyme called phosphodiesterase-5 (PDE-5) that breaks down cGMP, ending the signal to the erectile tissue. If you have too much phosphodiesterase or it takes over too soon, cGMP can’t do its job.

PDE-5 inhibitors block this enzyme from breaking down this important messenger that kick starts cialis viagra sale the blood flow needed to get and maintain an erection.

That’s the goal of all of these medications, though their exact chemical structure and the way that you take them differ. Viagra is a brand name for sildenafil, which is just one type of PDE-5 inhibitor.

The active ingredient is sildenafil citrate, and Viagra comes in three doses (25 mg, 50 mg, and 100 mg).

The Food and Drug Administration (FDA) approved Viagra in 1998, and by the end of 2005, more than 27 million men worldwide (17 million of them in the United States) had been prescribed sildenafil for the treatment of ED (McMurray, 2007).

Viagra is an oral medication taken in anticipation of sex. It can be taken anywhere between buy viagra super active online 30 minutes and four hours ahead of sexual activity.

Though Viagra can start to take effect and help achieve an erection in just 12 minutes, the medication reaches peak levels in your body after 30–120 minutes (Eardley, 2002). It can last in your body for up to four to five hours, but your age, health, and diet all affect the exact amount of time it will work.

Viagra is also most effective when taken on an empty stomach.

The most common side effects of Viagra include indigestion, headaches, facial flushing, back pain, and stuffy nose. Although not as common, it can potentially cause priapism, a persistent and painful erection that can last more than four hours. Other serious, but less common, side effects include hearing loss (which can be sudden), severe low blood pressure, and vision loss, which can be in one or both eyes.

You should not take Viagra if you have low blood pressure, heart problems such as a history of heart attack or chest pain, or uncontrolled high blood pressure. As mentioned, Viagra is the brand name for sildenafil.

“Genuine” Viagra is the medication sold under the brand name, while “generic Viagra” is another term for sildenafil. Sildenafil became available as a generic medication in December of 2017.

Until then, only two companies (Pfizer and Teva Pharmaceuticals) could create this medication.

Now that more companies can produce it, the price of generic sildenafil has been driven down even lower.

Just like the branded version, generic Viagra comes in three doses: 25 mg, 50 mg, and 100 mg. But Viagra isn’t the only brand name prescription medication that uses sildenafil.

Revatio, which comes in 20 mg doses, is approved by the FDA for a completely different purpose than Viagra, though the active ingredient is the same.

Revatio treats pulmonary arterial hypertension (PAH), a condition in which the pressure in blood vessels that carry blood from your heart to your lungs is higher than normal, and some patients with more general pulmonary hypertension (PH) (Barnett, 2006).

Although

Cialis (generic name tadalafil) is another common prescription medication used to treat erectile dysfunction. Similarly to Viagra, Cialis works by blocking phosphodiesterase-5 (PDE-5), making it easier to get and keep an erection, but also improves blood flow. Cialis comes in doses of 2.5 mg, 5 mg, 10 mg, and 20 mg.

Unlike Viagra, the effects of Cialis may take 1–2 hours to kick in but may last up to 36 hours.

There’s also a generic version of Cialis (tadalafil) now available, which may be more affordable than the version sold under the brand name. Though Cialis can be taken as an as-needed treatment for ED at any of the doses, there’s another option for treatment with this prescription.

Daily Cialis is the only treatment of erectile dysfunction that’s taken daily instead of in anticipation of sexual activity. Only 2.5 mg and 5 mg are used as daily doses to treat sexual dysfunction.

Taking the medication daily integrates it into your routine and eliminates the need to plan for sex. Like Viagra, it also should be taken on an empty stomach and may cause side effects such as priapism or sudden vision loss in one or both eyes.

Levitra (generic version vardenafil) is another common erectile dysfunction treatment.

Similar to the other PDE-5 inhibitors, Levitra is taken as needed before sexual activity and comes in four doses (2.5 mg, 5 mg, 10 mg, and 20 mg).

Although half of the medicine leaves your system after four to five hours, the effects of Levitra may last for up to eight hours. Levitra is also the only ED medication that can be taken with food, although a high-fat meal is not advised. A high-fat meal (fat content at or above 55%) can delay the absorption of the medication by about an hour and also decreases maximum blood flow.

Levitra has similar potential side effects to Viagra. Common side effects include headaches, facial flushing, nasal congestion, and upset stomach.

Priapism is a potential side effect, as is sudden vision loss in one or both eyes.

Levitra also increases the likelihood of QT prolongation (a change seen on an EKG), which can sometimes be followed by irregular heartbeats.

Although all of these medications are PDE-5 inhibitors, they all have subtle differences in action. That means a healthcare professional may suggest one over the other for reasons specific to an individual’s health.

It’s also important to discuss the medicines you’re taking with a medical professional as all of these treatments have potential drug interactions such as nitrates.

Daily Cialis allows for more spontaneity in someone’s sex life over oral medications that require planning around sexual activity.

Levitra has a longer duration of action, but you may prefer a short-acting medication if you experience some of the side effects of these prescriptions.

Cost is another factor that may sway your decision.

Sildenafil is the most inexpensive of the treatments, while Levitra tends to cost more. Overall, the decision comes down to many individual factors.

Sildenafil and Tadalafil are the most well-known of all the ED medications.

They are both in a class of medications called ‘phosphodiesterase type 5 (PDE5) inhibitors’ and work in a very similar way. These medicines work in the presence of sexual stimulation.

Once aroused, a natural chemical is released, which the PDE5 inhibitors rely on to work with. Once this natural chemical is released, a chain reaction begins, relaxing the smooth muscle inside the penis. There is then an increase in blood flow into the penis allowing the penis to can become erect.

What’s the difference between Sildenafil and Tadalafil? Sildenafil has been around since 1998, which means a lot is known about the positive effects and also the side effects. It works within an hour of taking the medication and for its full effect, should be taken on an empty stomach.

The effects of Sildenafil generally last for four to five hours.

Viagra was developed by the pharmaceutical company Pfizer and they were the only company that could legally manufacture it until 2013. In 2013, their patent expired which meant that other companies could produce their own erectile dysfunction medications containing the active ingredient sildenafil.

When you see the medication ‘Sildenafil’, you can be assured that it contains exactly the same active ingredient as Viagra.

However, as it is a generic version rather than the brand, it is considerably cheaper. The more common side effects of Sildenafil can include headache, nausea, stuffy nose, flushing and indigestion.

There are also some rarer side effects; you should always read the accompanying leaflet that comes with any medicine before taking it. Sildenafil is taken on an as needed basis, usually at a dose of best site to buy viagra online 50mg. These may be increased to 100mg if the standard dose is ineffective, or lowered to 25mg if mild side-effects are experienced. The dosing may be different depending on your medical history, so your doctor should discuss an appropriate starting dose with you. In 2003, a company named Eli Lilly introduced Cialis as an alternative ED medication. The company had the patent on Tadalafil until November 2017. Similarly to Viagra, now that the patent has expired, other companies are permitted to make their own version of Tadalafil, the active ingredient in Cialis.

Again, as it is a generic version of the brand, Cialis, the medication is considerably cheaper.