Posts Tagged ‘Cialis’

Cialis For Erectile Dysfunction AND Prostate Gland Enlargement

September 28, 2014

Many middle aged men have both erectile dysfunction (ED) and benign enlargement of the prostate gland. Now there’s one pill that can resolve both problems.

Studies have demonstrated the satisfactory quality of low dose Cialis, 5mg\day, for treating both medical conditions.

Millions of men have both ED and the enlarged prostate gland. The symptoms of the enlarged prostate gland include getting up at night to urinate, poor stream, frequency of urination, and dribbling after urination. It is believed that Cialis relaxes the muscles in both the penis and the prostate gland alleviating both conditions.

The side effects of daily Cialis include mild backache, flushing, and nasal congestion. Cialis is absolutely contraindicated in men using nitrates or nitroglycerin. Other treatment options for men who can’t use Cialis include a vacuum erection device (VED), self injections of drugs that create an erection prior to sexual intimacy, or a surgical insertion of a penile prosthesis.

Bottom Line:  If you have symptoms of an enlarged prostate gland and ED, speak to your physician about the possible use of daily low dose Cialis.

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Perhaps an Over the Counter Pill For ED (Erectile Dysfunction)

June 1, 2014

Eli Lilly , the manufactures of Cialis, are requesting permission to sell Cialis, the world’s top-selling impotence drug, without a prescription.
The drug in very small daily doses is also approved to treat enlarged prostate glands.
Lilly is requesting approval to sell Cialis over the counter in the United States, Europe, Canada and Australia. It remains to be seen, however, whether regulators will allow Cialis to be sold without a prescription, in view of possible side effects and contraindications such as in men using nitroglycerin for chest pain. Cialis can cause a dangerous fall in blood pressure if taken with nitroglycerin.
The U.S. Food and Drug Administration, needs to be sure patients are able to understand complex aspects of their disease, or exactly when to take the drug to ensure safe use.
Cialis will face competition from cheaper generics in the United States in 2017, when Viagra becomes a generic prescription.
Bottom Line: ED drugs are very expensive, $25-$35 a pill. Financial help may be on the ay if the drugs become generic making the treatment of ED more affordable.

Stendra-Viagra’s New Cousin For the Treatment of Erectile Dysfunciton

February 14, 2014

For the past decade Viagra, Levitra, and Cialis have been the mainstay of oral medications for the treatment of erectile dysfunction or impotence. There’s a new drug on the block, Stendra, whose main claim to fame will be the faster onset of action compared to the three previous drugs.

In published studies in the medical literature, Stendra has an onset of action as early as 15 minutes. The drug can be taken with food or fluids but a high fat meal reduces the rate of absorption and delays the onset of action. Duration of Stendra is the same as Viagra and Levitra at 4-6 hours. Viagra and Levitra report onset at 30 minutes to 1 hour. Cialis is about the same or a little longer, but duration of Cialis is 24-36 hours.
The response or efficacy appears to be similar as the other oral medications, i.e., Cialis, Viagra and Levitra.

The same safety precautions exist: 1) Contraindicated with the use of any nitrates such as nitroglycerin as the use of Stendra with nitroglycerin may drop the blood supply to the hear and risk a serious heart problem; 2) Caution in combination with certain prostate drugs such as Flomax or Rapaflo; 3) Seek help for erection lasting more than 4 hours although I have never seen a man with an erection lasting more than 1-2 hours with the use of any oral medication for the treatment of erectile dysfunction.

The side effects include headaches, facial flushing, nasal congestion, and back pain.

Bottom Line: If a man is looking for a faster onset of action of oral medication for the treatment of erectile dysfunction, then Stendra may be his Holy Grail!

Sex After a Heart Attack

October 3, 2013

A man has a recent heart attack. He is eager to get back in the saddle and remembers the movie, Something’s Gotta Give, when Jack Nicholson, who had a recent heart attack, asks his doctor about when “his best friend” can start getting back into action. He’s told that he has to wait until he can climb two flights of stairs without shortness of breadth or chest pain. Both the man and his partner are concerned if sex trigger could another heart attack.
It is well documented that fewer than 1% of heart attacks come from having sex. It makes sense to think of sex as a form of exercise: If your doctor clears you for physical activity, you’re also likely safe for sex. Remember the two flights of stairs test.
Most men and their partners are uncomfortable broaching the topic with their doctor. Most doctors are comfortable talking about sexual intimacy and you shouldn’t avoid the topic. Often the patient is surprised — or even relieved — that the doctor raises the subject.
Similar to any type of exercise, if you begin to feel symptoms such as chest pain, abnormal shortness of breath, fatigue, dizziness, or palpitations, it definitely makes sense to slow down what you’re doing, whether you’re a man or a woman. If you’re pretty certain it’s angina, which is temporary pain or pressure in the chest when the heart doesn’t get enough oxygen, it might help to take your nitroglycerin.
The exception to that advice is for men who use medication for erectile dysfunction such as Viagra, Levitra, and Cialis — it’s dangerous to take nitroglycerin. Your blood pressure can fall to dangerously low levels, and there’s an increased risk of heart attack and even death. If you’re on an erectile dysfunction drug and have heart-related symptoms during sex, call your doctor.
Bottom Line: Sexual intimacy is important to men at all ages and includes men who have had a recent heart attack. A candid conversation will help you get back to enjoying a sexual relationship with your significant other. Talk to your doctor

Shocking New Treatment For Impotence-Shock Waves Found Effective In Treating ED

June 16, 2013

Shock wave has been successfully used for over twenty years for the treatment of kidney stones. Now a modified shock wave has been used to treat impotence or erectile dysfunction.

A study of twenty men with an average of 50 and who had ED for more than three years were selected to participate. The men had ED on the basis of cardiovascular disease. The treatment consists of using low-intensity shock waves twice a week for three weeks. The men were tested one month later and 15 of the 20 men had significant improvement in their ability to engage in sexual intimacy with their partner.

The men were found to have an increased in blood flow to the penis when comparing the pre-treatment to the post treatment period.

Bottom Line: Yes, drugs such as Viagra, Levitra, and Cialis are effective in the treatment of ED however they only work when the man consumes the medication. Shock waves may be therapeutic and may result in such significant improvement that the man once treated no longer needs to take any medication for his ED. Stay tuned as shock wave to the penis may be just what the doctor orders!

Impotence: When You Can’t Get It Up is Getting You Down

June 3, 2013

Probably nothing devastates a man more than having a failure in the bedroom. Impotence or erectile dysfunction affects nearly 33 million men in the United States. You are not alone. Help is available for nearly every man who has erectile dysfunction.
Diet
According to the Urology Channel’s “Erectile Dysfunction: Natural/Alternative Treatments,” erectile dysfunction can be treated by eating right, drinking plenty of water and avoiding sugar, dairy and caffeine. They recommend to eat whole, fresh, unrefined and unprocessed foods, including vegetables, whole grains, soy, beans, seeds, nuts, olive oil and cold-water fish such as salmon and tuna.
Taking your vitamins can also help; the Urology Channel suggests supplements such as flaxseed, and in particular vitamins C, E and the mineral zinc. These vitamins and supplements help bolster the vascular system, which is an important part of good sexual health.


Exercise
Since sexual health relies on the vascular system, a strong heart plays an important part in treating erectile dysfunction. Aerobic exercises such as power walking, running, bicycling or dancing strengthen the cardiovascular system. A stronger cardiovascular system gives stronger support to the vascular system that supports a healthy erection.
 Kegel exercises–exercises that flex the pelvic muscle– which are helpful in strengthening the ligaments that support an erection. These exercises can also increase blood flow in the pelvic area, which can aid in achieving a strong erection.



Herbs
Herbs which are used in Traditional Chinese Medicine to support healthy erectile function include ginseng, ginger and ginkgo biloba.
 Ginseng helps increase blood circulation, and is typically taken as a dried powder, often as a paste mixed with honey. Ginkgo biloba also increases blood flow in the arteries, which help support the vascular functions that enable a healthy erection.
 Another non-medical option is garlic but the treatment can be tough to take: the trick to getting the most out of garlic is to chew fresh, uncooked garlic very thoroughly. Though it is unpleasant and can be downright painful, this allows your body to absorb powerful natural nutrients through the blood vessels in the mouth. Some of the most powerful ingredients in garlic are destroyed as they travel through the digestive system, and these erectile dysfunction-fighting nutrients are only absorbed while chewing.
One out of two men over age 40 have had difficulty attaining and maintaining an erection sufficient for sexual intercourse, doctors say. And while the numbers are smaller, even some younger men may have difficulty developing an erection.
However, more than at any other time in history, erectile dysfunction is a problem with a solution. Medications and external and internal treatments have improved dramatically, allowing thousands of men to return to healthy sexual functioning. Likewise the stigma has decreased with public awareness.
Over the past 20 years, increased media attention, scores of television ads for medications like Viagra, Levitra and Cialis and starring roles in movies and television shows have moved erectile dysfunction out of the shadows and onto the list of common health concerns.
Erectile dysfunction is often caused by a lack of adequate blood flow, which can be an indicator of a potentially life-threatening health problem such as heart disease, high cholesterol, or diabetes.
Surgeries for prostate cancer, bladder and certain colorectal cancers may result in erectile dysfunction.
Regardless of age or cause, treatment options are the same, depending on the individual.

Men with heart problems and some other health conditions cannot take Viagra, Levitra, or Cialis. These drugs can be fatal for men taking nitroglycerine or any nitrates.
The next level of treatment includes injections and vacuum pumps, both of which can be effective. While the thought of injections is less than appealing to most men, the results are excellent.
If pill and external treatments are not effective, doctors say an internal prosthetic device is an option.
An implant gives the spontaneity and quality of erection that they can’t get with many of the other treatments including pills, injections or vacuum pump. Internal devices or a penile prosthesis are effective continuously on demand, which means a man and his partner can achieve a full erection on demand and within seconds that contains itself as long as they want to have sex.
While these surgeries have been performed since the 1950s improvements in surgical technique and devices are dramatic.
The 30-minute procedure is minimally invasive and usually does not require hospital admission. Men may experience some discomfort for 1-2 days after the procedure.

Men who have the prosthesis have by far the best satisfaction rate for any treatment for erection problems, up into the 99 percent range.

Bottom Line: Erectile dysfunction affections millions of American men. There are solutions both medical and surgical that can help men restore their ability to successfully engage in sexual intimacy with their partners.

The Enlarged Prostate-Spending Too Much Time On the Toilet

June 1, 2013

Normal prostate (L) vs. Prostate gland enlargement (R)

Normal prostate (L) vs. Prostate gland enlargement (R)


Prostate enlargement affects million of American men over age 50 who have symptoms of frequency and urgency of urination, poor force and caliber of the urine stream and getting up multiple times a night to go to the restroom to urinate. The enlarged prostate gland can impact a man’s quality of life. Nearly all men can achieve relief from this common medical problem.

There are several effective treatments for prostate gland enlargement. In deciding the best option for you, you and your doctor will consider your particular symptoms, the size of your prostate, other health problems you may have and your preferences. Your choices may also depend on what treatments are available in your area. Treatments for prostate gland enlargement include medications, lifestyle changes and surgery.

Medications are the most common treatment for moderate symptoms of prostate enlargement. Medications used to relieve symptoms of enlarged prostate include:
Alpha blockers. These medications relax bladder neck muscles and muscle fibers in the prostate itself and make it easier to urinate. These medications include terazosin, doxazosin (Cardura), tamsulosin (Flomax), alfuzosin (Uroxatral) and silodosin (Rapaflo). Alpha blockers work quickly. Within a day or two, you’ll probably have increased urinary flow and need to urinate less often. These may cause a harmless condition called retrograde ejaculation — semen going back into the bladder rather than out the tip of the penis.
5 alpha reductase inhibitors. These medications shrink your prostate by preventing hormonal changes that cause prostate growth. They include finasteride (Proscar) and dutasteride (Avodart). They generally work best for very enlarged prostates. It may be several weeks or even months before you notice improvement. While you’re taking them, these medications may cause sexual side effects including impotence (erectile dysfunction), decreased sexual desire or retrograde ejaculation.
Combination drug therapy. Taking an alpha blocker and a 5 alpha reductase inhibitor at the same time is generally more effective than taking just one or the other by itself.
Tadalafil (Cialis). This medication, from a class of drugs called phosphodiesterase inhibitors, is often used to treat impotence (erectile dysfunction). It also can be used as a treatment for prostate enlargement. Tadalafil can’t be used in combination with alpha blockers. It also can’t be taken with medications called nitrates, such as nitroglycerin.

Laser surgeries use high-energy lasers to destroy or remove overgrown prostate tissue. Laser surgeries generally relieve symptoms right away and have a lower risk of side effects than older surgical procedures such as the TURP or transurethral resection of the prostate that require 3-4 days of hospitalization and requires a catheter for several days after the procedure. Some laser surgeries can be used in men who shouldn’t have other prostate procedures because they take blood-thinning medications.

The laser used in my practice is the green light laser (GLL). It is performed in the hospital or a one-day surgery center. Men go home after the 30 minute procedure with a catheter which is usually removed the day after the procedure.

Less than 1% of patient will experience erectile dysfunction after the procedure, and 1/3 of the patients have retrograde ejaculation after the procedure. Some of the common side effects include mild burning with urination. Although incontinence can occur with this procedure, it is very uncommon, especially when it is performed by an experienced urologist.

For more information on managing the enlarged prostate gland with the green light laser, please view my video on YouTube: http://www.youtube.com/watch?v=r4Qh_mStsUw

Watch Out Viagra, There’s A New Kid, Stendra, on the Erectile Dysfunction Block

December 26, 2012

It was nearly 15 years ago that Viagra was introduced to medical community and men havne’t looked back as this medication turned the sex revolution over on its head. There have been millions of Viagra, Levitra, and Cialis written world wide making it one of the most popular drugs of all time.

Now new erectile dysfunction drug, Stendra, that reportedly works in less than 15 minutes has just received approval from the U.S. Food and Drug Administration.

More than 30 million men in the U.S. are affected by erectile dysfunction (ED). The new drug Stendra, the brand name for avanafil, is the first new erectile dysfunction drug in a decade for this class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors.
Similar to its counterparts, the drug works by helping increase blood flow to the penis. This is potentially the fastest acting of the four of the drugs used to treat ED. Patients taking Stendra are recommended to take the drug 30 minutes before sexual activity but clinical trials have shown the drug works as fast as 15 minutes. Viagra may take an hour to start working.
In clinical trials, 77 percent of men with general ED were able to get erections after taking Stendra, compared with 54 percent of men taking a placebo pill. Stendra resulted in successful intercourse for 57 percent of men with general ED, compared with 27 percent of men on placebo.
According to the FDA, the most common side effects for men taking Stendra were headache, face redness, nasal congestion, cold-like symptoms, and back pain. In rare cases men may get an erection that does not go away after four hours – a condition known as priapism. If that happens, patients should seek immediate medical care.
As with other PDE5 inhibitors, Stendra should not be used by men who also take nitrates commonly used to treat chest pain, because the combination can cause a sudden drop in blood pressure.

Bottom Line: Erectile dysfunction is a common problem affecting millions of American men. Viagra, Cialis, and Levitra are effective but a new drug, Stendra, may have an advantage of faster onset of action.

Libido Letting You Down? Solutions to That Problem

September 1, 2012

For men, Libido is your sex drive and it is different from ability to get an erection or be able to achieve a successful pregnancy. Women’s libido is also different from orgasm or her ability to have an egg unite with a man’s sperm. In women, gynecologic conditions may make engaging in sexual intimacy difficult or painful and ultimately impact her libido.

Libido is the name Freud gave to our sex drive. Libido is a multifactorial situation which is influenced by hormones, psychological and physical factors, romance, and the opportunity for fulfillment. It is normal for libido to decline with age going much faster for women after menopause than for men in middle age, which has about a 1% decline each year. But nearly all couples in their 60s and 80% of couples in their 70s continue to find enjoyment with engaging in sexual intimacy.

Hormonal deficiency is a common cause of deteriorating sex drive in both men and women. The solution is very simple and consists of replenishing the deficiency with testosterone in men and estrogens in women. However, hormones won’t solve the problem if there is some other underlying reason for the sex drive going into the tank.
So what is a man and a women with a loss of severe decrease in their sex drive to do? If you are suffering from fatigue, your sex drive deficiency may be a result of anemia, thyroid deficiency, or kidney disease. A few blood tests will make the diagnosis and help your doctor put your libido back on track.

Next talk to your doctor about all of your medications including, over the counter medicines, herbal medications and supplements. If the problem is related to medications, you can usually note the onset of libido problems that occurred shortly after staring a medication that can plummet your sex drive.

If you have heart disease or have suffered a heart attack and you or your partner is fearful that sex will worsen your cardiac problem or cause another heart attack, speak to your physician. A good rule of thumb is that if you can climb two flights of stairs without chest pain or severe shortness of breadth, then it is probably safe for you to engage in sexual intimacy with your regular partner.

If you are a woman and are going through the menopause, that doesn’t mean that you have bury your sex life forever. As a matter of fact, menopause for many women enhances their sex life as they are no longer worried about conception and fear of pregnancy. Some women do lose their sex drive after menopause and this may be a result of estrogen deficiency. Talk to your doctor about hormone replacement therapy.

I suggest that if you are a woman, try estrogen first. That works for most women as it reduces their hot flashes and pumps up their libido. However, testosterone may also be effective for women in small doses as it is for men who require larger amounts of testosterone in order to restore their libido. Testosterone is available for men and women in a topical gel or a small rice-sized pellet inserted under the skin and replaced every four to six months.

Women may lose interest in sex after menopause because of vaginal dryness (VD). This VD isn’t treated with antibiotics but with topical estrogen creams or vaginal rings impregnated with estrogen or vaginal pellets of estrogen. If a woman can’t take estrogens, then there is always lubricating creams and jellies such as the old standby, K-Y Jelly that alleviates VD and the discomfort associated with the loss of lubrication.

If you are a man and are suffering from erectile dysfunction (ED), this may also impact your sex drive as well. Certainly check your hormones because if low testosterone is the problem, then replacement therapy with gels, injections, or pellets will restore your sex drive 85% of the time.

For both men and women: get lots of exercise. Regular exercise promotes good health. It not only makes you feel good all over, but restores the blood supply to the pelvic area in both men and women.

How about aphrodisiacs?
You will probably receive unsolicited E mails and mail from companies offering an improvement in sex drive and creams and lotions to make a man’s penis bigger. Absolutely none of these studies have withstood scrutiny by medical professionals and probably are a waste of your time and hard earned money. I am an amateur magician and what they have to offer would be real magic if they worked the way the marketing materials described. A loss of sex drive has a problem since the beginning of recorded history and every society and culture have been looking for the magic elixir or potion that can restore the fountain of youth. The ancients have ground up dried beetles (Spanish fly) and rhinoceros horns but to no avail, except that Spanish fly can make you sick. Included in the myths of aphrodisiacs include oysters. They, too, will not restore a man’s libido or potency. According to the FDS, there is no scientific proof that any over the counter aphrodisiacs work to treat decreased libido problems. According to Dr. Ruth Westheimer, “The largest sex organ is not between our legs but between our ears.”

A few words about Viagra, Levitra, and Cialis. These are prescribed medications for the treatment of ED and will not resolve problems with libido or sex drive. The drugs are very effective for ED but will not cure loss of sex desire.

Bottom Line: Problems with a man or woman’s libido is common to many middle aged men or women. Many of the problems are related to hormone deficiency and can be effectively treated.

Viagra Has Competitor -Stendra Provides An Erection In 15 Minutes

May 2, 2012

Look out Viagra – there’s a new erectile dysfunction drug in town.  Stendra  has been approved by the Food and Drug Administration making it the first ED drug to come out in almost 10 years.

Viagra, Levitra, and Cialis are all effective erectile dysfunction drugs but Stendra may work faster-15 minutes!

Men who have a successful result with Viagra, Levitra or Cialis need not change to Stendra.  There are certain advantages and disadvantages to all of these drugs.

A small minority of patients experienced side effects after taking Stendra, which include headaches, flushing, nasal congestion and back pain.

Stendra, like Viagra, Levitra, and Cialis, should be avoided in men using nitroglycerin.