Posts Tagged ‘Levitra’

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.

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. 

Sex and The Senior Man-Help Is Available For Men With ED

January 9, 2012

It wasn’t too long ago that erectile dysfunction (ED) was believed to be a natural part of aging.  Nothing could be further from the truth.  Middle age and older men who are healthy and have an opportunity to have sexual intimacy can expect to be successful in the bedroom. 

 Once taboo, ED has emerged from the shadows, thanks in large part to the widespread media attention give to Viagra, Levitra and Cialis. However, a wide variety of treatment options are now available that provide hope for men of any age suffering from ED symptoms. There simply is no reason to suffer in silence, whatever your age.

 Approximately 30 million men in the U.S. suffer from ED. An estimated 50 percent of men at age 50 experience some ED symptoms, and the percentage jumps 10% with each decade in life.

 Most men certainly aren’t willing to accept a decline in our eyesight with age—we use glasses when needed. In much the same way, ED is more than a minor inconvenience and can seriously impact quality of life for men and their partners.

 Related Health Risks

ED is a medical condition and can be an early warning sign of a much more serious condition, such as diabetes, heart disease, elevated cholesterol levels or disease of the blood vessels to the brain, which could lead to stroke. ED symptoms can also be a manifestation of depression.  This makes it even more important to pay attention to your ED symptoms.

 Aside from these physical symptoms, ED can take a serious toll on your overall well-being and mental health, causing strain on your relationships and unnecessary anguish and stress.

 Talk to Your Doctor

Talking to your doctor about your ED symptoms can feel embarrassing or difficult, but there’s no reason to be ashamed or uncomfortable. An active sex life can be just as important to your overall health as is proper nutrition and exercise.

 When you visit the doctor, tell him/her about other medical conditions you may have so you can determine whether your ED may be the symptom of a greater problem. Make a separate appointment to discuss ED, to make sure you have enough time to discuss your concerns. Ask for a referral to a urologist, a doctor who specializes in men’s urinary and sexual health issues.

 Be sure to discuss the all the possible issues surrounding your ED, the hurdles you face in all areas of sexual function, including your ability to get and keep an erection, sensitivity and other issues that may help pinpoint the root cause.

 Treatment Options

For many men, oral medications are not only very safe, but also quite effective. Pills such as Viagra, Levitra and Cialis are effective for about 70% of men. But for those with other health factors, such as cardiac disease, diabetes, oral medication may not be an option, or they may become less effective over time. For these men, there are a number of other treatment options available, including:

  • Vacuum pump therapy, which requires the use of a small pump to mechanically enhance blood flow and create an erection. These devices are totally noninvasive, but they can be somewhat awkward to use and not conducive to spontaneity.
  • Transurethral suppositories are tiny pellets of medication inserted into the urethra opening – a minimally invasive treatment, but still somewhat uncomfortable. This also requires some advance preparation.
  • Injection therapy, while the concept is disturbing to most men at the start, involves the use of a very fine needle to inject medication to produce an erection. Because of both the psychological and physical discomfort, in spite of high levels of effectiveness, many men do not find this to be a long-term solution. About 50% of men who try injections, do not continue their use.
  • Penile prosthetic implants are surgical devices concealed within the body that restore erectile function to as near natural as possible and still allow for spontaneity. While the concept itself is nothing new, the devices and implantation procedures have evolved considerably to make the procedure quicker and easier on the patient. While implants carry the same risks associated with any surgery, implant procedures generally have extremely high success rates and provide an effective solution for many men. Implants may not be for everyone, but they are a viable option to restore erectile function for most men over the age of 50, and they carry a very high satisfaction rate among patients and partners.

 Choosing a treatment that’s right for you depends on a number of factors, including your relationship status, the importance and level of physical intimacy required, and other health issues. Ask your doctor about the success rate and risks with each option and about what you can reasonably expect in the form of results. It’s unlikely that any treatment will restore erectile function back to the way it was in your younger years, especially with advanced age, but ED treatment can allow all men to enjoy and active and satisfying sex life well into their golden years.

 No matter what your age, it’s important to take that first step and talk to your doctor about ED symptoms. It’s never “normal” at any age to not have normal sexual function. With the wide variety of treatment options available, there’s no longer any reason to ignore the problem as a fact of life.

Bottom Line: ED is not a natural consequence of aging.  Help is available and no one needs to suffer the tragedy of the bedroom.

 

Modified article by Gerald Brock. By Healthy Aging Admin Published 09/16/2010 Health News

When Viagra, Levitra and Cialis Do Not Work In Diabetic Men-Other Treatment Options For Erectile Dysfunction

May 27, 2011

Diabetes is a risk factor for developing erectile dysfunction (ED).  However, the drugs that are commonly used to treat ED, Viagra, Levitra, and Cialis, are less likely to be effective in men with diabetes.  That doesn’t mean that your sex life is over.  Many of these men will find improvement in second line treatments such as injection therapy, where a drug, prostaglandin, is injected directly into the penis to increase the blood supply to the tissues that are responsible for an erection.  Also, there are vacuum devices that create a negative pressure around the penis and allows more blood to enter the penis which is then trapped with a special rubber band placed at the base of the penis.  Finally, if second line treatments do not work, there are surgical procedures where a prosthesis is placed in the penis.  This consists of two cylinders that are filled with a salt solution, a reservoir to hold the solution that is inserted behind the muscles of the lower abdomen and a pump that is placed beside the testicle in the scrotum.  By squeezing the pump in the scrotum, fluid transferred from the reservoir to the cylinders in the penis creating a natural erection.  When the man wishes the erection to subside, the pump is squeezed and the fluid returns from the cylinders back to the reservoir and the penis becomes naturally soft.  The procedure for the insertion of the prosthesis takes about 20 minutes and is done on a one-day stay basis not requiring hospitalization.  Most men can begin having intercourse 4 weeks after the insertion of the prosthesis. 

For more information please go to my website, www.neilbaum.com, or refer to the article on the “Dangling Stress Test” at http://www.neilbaum.com/erectile-dysfunction—the-dangling-stress-test.html

 

When Viagra, Cialis, Levitra, Don’t Work

May 24, 2010

Erectile dysfunction (ED) is a serious disorder that affects millions of men – as many as 30 million Americans.  With the aging of the US population, ED will become even more prevalent.  Erectile dysfunction can profoundly impact quality of life and, with the aging trends of the United States population, will become an increasingly important public health problem The likelihood of developing ED increases significantly with age, but this is not an old man’s disease as it also affects younger and middle aged men as well.

And, among those who do seek treatment and receive Viagra, one in three men do not have a satisfactory response. These are cases of drug-resistant erectile dysfunction, or DRED.  Some men find using the drug every time they want to have sexual relations inconvenient, or they don’t like the occasional headaches and other side effects.  What’s worse is when a man tries the drug, it doesn’t work, and he becomes depressed and it affects his marriage and other relationships.  That’s the bad news.  The good news is that there is a cure for ED, including drug-resistant ED, which works for nearly all men who suffer from the tragedy of the bedroom.

Success of the various treatments varies widely. Although the manufacturer of Viagra claims that it is effective in 82% of cases, studies have documented a high percentage of men who do not respond to the drug. Response seems to be somewhat linked to the underlying cause of ED. For example, men with diabetes are less likely to have a positive response than those with high blood pressure.

This leaves a significant population who require other more invasive options for the treatment of ED.  Another group for whom alternative therapies should be considered are those men who are taking nitrates for their angina. For these 6 million men, Viagra, Levitra, and Cialis are strictly contraindicated, since the nitroglycerin and the ED drugs can cause a severe drop in blood pressure.

Other treatment options include pellets of prostaglandin inserted into the urethra, injections of prostaglandin through a tiny needle into the penis, the use of an external vacuum device, and the surgical insertion of a penile prosthesis.

Bottom Line:  ED is a common condition and nearly everyone can be helped.  No one needs to suffer the tragedy of the bedroom.