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Cialis: Cialis (TADALAFIL), dubbed "Le Weekend Drug" in Europe, is a new treatment for Erectile Dysfunction (ED) from Lilly ICOS LLC. Clinical studies show that Cialis works faster, lasts up to 36 hours and has less side effects than Viagra.

Levitra: Levitra (VARDENAFIL) is one of the latest treatments for Erectile Dysfunction. Levitra acts in the same way as Viagra by blocking an enzyme called PDE-5. Clinical studies show that Levitra works faster and has less side effects than Viagra.

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Viagra: Sildenafil Citrate (brand name: VIAGRA) has revolutionized the way physicians treat men suffering from erectile dysfunction (ED). For the first time, a potent oral medication is available that is able to markedly improve sexual activity in over 80% of men with impotence.

Caverject: Caverject is a penile injection for men for whom other medications are ineffective or contra-indicted. It is injected with a fine needle into the side of the penis where the erection forms (the Corpus Cavernosum). Although this sounds unpleasant, most men find injections virtually painless.

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ERECTILE DYSFUNCTION
Erectile dysfunction (ED) is the inability of a male to attain or sustain an erection sufficient for sexual intercourse. It can be a persistent condition; however, almost half of all men experience ED only occasionally. ED can have physical, psychological, or drug-induced causes. Although some doctors used to believe differently, most researchers and doctors now believe that physical factors are responsible for the majority of ED cases.
 
Several conditions may contribute to ED by impairing blood flow to the penis. These include
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  • diabetes

  • hypothyroidism

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  • chronic alcohol abuse
Depending on the cause, conventional therapy may include psychological and behavioral counseling, treatment of underlying cardiovascular disease, and avoidance of certain medications (such as cimetidine, antihypertensives, and MAO inhibitors). Drug treatments for ED include male hormone replacement therapy (testosterone, DHEA, Sildenafil (Viagra®), and medications inserted or injected into the penis (alprostadil). Penile vacuum devices and surgical options, such as penile implants and vascular repair, are usually limited to those who have not responded to other treatments.

 

Nutritional supplements that may be helpful: Low blood levels of the hormone dehydroepiandrosterone (DHEA) have been reported in some men with ED. In one double-blind trial, 40 men with low DHEA levels and ED were given 50 mg DHEA per day for six months. Significant improvement in both erectile function and interest in sex occurred in the men assigned to take DHEA, but not in those assigned to take placebo. No significant change occurred in testosterone levels or in factors that could affect the prostate gland. Experts have concerns about the safe use of DHEA, particularly because long-term safety data do not exist.

Dilation of blood vessels necessary for a normal erection depends on a substance called nitric oxide, and nitric oxide formation depends on the amino acid L-Arginine. In a preliminary trial, men with ED were given 2,800 mg of arginine per day for two weeks. Six of the 15 men in the trial were helped, though none improved while taking placebo. In a larger double-blind trial, men with ED were given 1,670 mg of arginine per day or a matching placebo for six weeks. Arginine supplementation was found to be particularly effective at improving ED in men with abnormal nitric oxide metabolism. Although little is known about how effective arginine will be for men with ED or which subset of these men would be helped, available research looks promising and suggests that at least some men are likely to benefit.

Herbs that may be helpful: Yohimbine (the primary active constituent in yohimbe) has been shown in several double-blind trials to help treat men with ED; negative results have also been reported, however. Yohimbe dilates blood vessels and may help, regardless of the cause of ED. A tincture of yohimbe bark is often used in the amount of 5 to 10 drops three times per day. Standardized yohimbe extracts are also available. A typical daily amount of yohimbine is 15 to 30 mg. It is best to use yohimbe and yohimbine under the supervision of a physician.

Asian ginseng (Panax Ginseng Extract) has traditionally been used as a supportive herb for male potency. A double-blind trial found that 1,800 mg per day of Asian ginseng extract for three months helped improve libido and the ability to maintain an erection in men with ED. Ginkgo Biloba may help some men with ED by increasing blood flow to the penis. One double-blind trial found improvement in men taking 240 mg per day of a standardized Ginkgo biloba extract (GBE) for nine months. A preliminary trial, involving 30 men who were experiencing ED as a result of medication use (selective serotonin reuptake inhibitors and other medications), found that approximately 200 mg per day of GBE had a positive effect on sexual function in 76% of the men.

Damiana (Turnera diffusa) is a traditional herbal treatment for men with ED. However, no modern clinical trials have confirmed its effectiveness.

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