OTC treatments for erectile dysfunction: Options and prescriptions

The cylinders are connected through tubing to a reservoir of fluid under the lower abdominal muscles, and to a pump inside the scrotal sac.

There is also a fast-dissolving form of Levitra, called Staxyn, that you put under your tongue. Several types of FDA approved vacuum therapy devices are available under prescription. There are some less serious visual side effects that are common among users. Surgery (penile implant). The aim of talking it through is to help you feel less worried or anxious, so that you can overcome your problems. The proven otc ED supplements not only have the long term therapeutic effect by substantially improving all the aspects of erection quality.

Cognitive behavior therapy and therapy aimed at improving relationships may help to improve ED. When the pump is engaged, pressure in the cylinders inflate the penis and makes it stiff. In all of these cases, ED drugs are very helpful. 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. It involves using a wandlike device (transducer) held over the blood vessels that supply the penis. 5 Has a low potential for abuse relative to those in schedule 4.

A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions. Seeing a specialist is advantageous because he or she can provide the full spectrum of diagnosis and treatment, from the oral medication stage to injections to surgery. For example, you may not be able to take certain tablets for ED if you have certain other medical conditions or take certain other medicines. There may be new information. In one study, castrated rats were implanted with testosterone pellets and then divided into a group that received an NOS inhibitor (L-nitro-L-arginine methyl ester [L-NAME]) and a control group that received no enzyme. The most common side effects of these medications are indigestion, nasal congestion, flushing, headaches and a temporary visual disturbance.

The combination can lead to a sudden drop in blood pressure, which may cause you to become faint or dizzy, or fall, leading to possible injuries. Learn more about these medications that can help men with erectile dysfunction. Learn how its extract may help increase blood flow to the penis. Patients should be informed about the potential for occurrence of prolonged erections and should seek emergent medical evaluation for rigid erections lasting longer than four hours. View/Print Figure Figure 2. Treating ed: psychotherapy, according to the University of Texas’ MD Anderson Cancer Center, tight anal muscles are the cause of most unexplained testicular and prostate pain[15]. This time varies from 15 minutes to even 36 hours.

For this reason, Vinarol and ‘Hua Fo’ were subsequently recalled.

Don't Lose Hope

It’s often caused by an underlying health problem. Perhaps a less obvious lifestyle strategy is to see your dentist for regular teeth care. So, if the manufacturer gives you an opportunity to get acquainted with the plausible study findings, this manufacturer and its ED pills deserve your trust. Pressing on a deflation valve attached to the pump returns the fluid to the reservoir, which returns the penis to a flaccid state. Will it work for me?, two studies assessed the effect of vascular risk factors on LISWT effectiveness. ED can be successfully treated even without the knowledge of the precise nature of its cause.

Both of these pill groups have own adherers. Do not use these ED medications if you take nitrates, such as nitroglycerin or a similar medicine, for chest pain. Talking honestly with your partner about your needs and concerns may also help to overcome many barriers to a healthy sex life. These options include drugs, medical treatments, lifestyle changes, and alternative remedies. The recommended frequency of injection is no more than three times weekly, and should produce an erection in 5-20 minutes.

For example, a 2020 study of men with type 2 diabetes who were at high risk for heart disease found that those who took PDE5 inhibitors had a lower risk of early death compared with men who didn't take the inhibitors. Hormone replacement in the form of topical gels, creams, patches, injections and pellets are only used after physician evaluation. Some estimates count men with complete ED as high as 10-20 million in the U. The blood flow may then not be enough to cause an erection. Inflatable penile prostheses are implanted during outpatient surgery.

The most common are some antidepressants; beta-blockers such as propranolol, atenolol, etc; some 'water tablets' (diuretics); cimetidine.

What causes ED?

A plastic cylinder is placed over the penis, and a pump (either manual or battery operated) creates a vacuum suction within the cylinder, drawing blood into the penis to create an erection. A penis pump (vacuum erection device) is a hollow tube with a hand-powered or battery-powered pump. In some particular cases, the simple search for a previously undetected groin hernia can prove useful since it can affect sexual functions in men and is relatively easily curable. One study examined the role of testosterone supplementation in hypogonadal men with ED. Additional bonus that the product offers is the absence of adverse effects which are so common for the prescription medications. This can be lessened with proper dosing and by following the treatment guidelines. Sildenafil, the active ingredient in Viagra, is one of the most common and widely used erectile dysfunction treatments available today.

Most of these sites produced anecdotal evidence and third party testimonials instead of scientific data to support their products.

Heart failure is a serious condition, and existing treatments aren't always effective. An open-label trial found that patients preferred tadalafil and vardenafil over sildenafil,26 yet most evidence supports equal effectiveness between sildenafil and vardenafil. Their absence may indicate a problem with nerve function or blood supply in the penis. Aids such as vacuum devices and penile constriction rings serve as erectile aids for some men. They are as follows: If that’s a concern, the 10mg does of tadalafil (sold as brand name Cialis, as well as in generic form) may be a preferred option (just 10% increased risk of side effects), but it comes at the expense of being less effective. However, supplements have not been tested to see how well they work or if they are a safe treatment for ED.

  • These pills were invented more than 10 years ago to repair sexual function in men.
  • The gaseous NO that is produced acts as a neurotransmitter or paracrine messenger.
  • The active substances are scientifically supported and doctors endorsed.

Quit Smoking to Stop Erectile Dysfunction

These aren't an effective alternative, and some contain harmful substances. You can take sildenafil with or without food, although taking it after a big meal with a lot of fat might slow down your body’s absorption of the drug. In most cases, the side effects are linked to PDE5 inhibitor effects on other tissues in the body, meaning they are working to increase blood flow to your penis and at the same time impacting other vascular tissues in your body. If an erection lasts longer than 4 hours, it’s important to get medical attention ASAP. But you shouldn’t expect that you will experience these results after the first pill. This, in turn, increased the ability of the heart to pump blood throughout the body.

According to one study, a third of obese men with erectile dysfunction regained sexual function after participating in a two-year weight loss program. For the first month, men should limit their physical activity. The mentioned ED pills have a very high efficacy rate since they prove to comply with the customers’ expectations in more than 80% of cases. What are the possible side effects of sildenafil 20 mg tablets (Revatio)? Just be sure to talk to your doctor first. They all work in a similar fashion with some variation depending on the specific drug. Penile implants are usually not recommended until other methods have been tried first. If the blood flows to the member fast and without any interruptions, you will have the erections you wish, as well as last in bed as long as you need.

What Questions Should I Ask My Health Care Provider?

Write down questions to ask your doctor. In addition to Viagra, other ED drugs available in the United States include avanafil (Stendra), tadalafil (Cialis) and vardenafil (Levitra). Nitrates widen and relax your blood vessels.

Some men have lower levels of DHEA than others, and DHEA has become a common OTC supplement.

Avanafil (active ingredient in Stendra)

Alcohol X Interacts with Alcohol. Stress - for example, due to a difficult work or home situation. May be effective within 30 to 60 minutes and can last up to 10 hours Stendra (avanafil):

Phosphodiesterase type 5 inhibitors are the most effective oral drugs for treatment of ED, including ED associated with diabetes mellitus, spinal cord injury, and antidepressants.

What You Can Do

While you may not necessarily be able to stop that medication, recognizing it as a potential culprit may at least help you and your doctor understand the "why" behind your erectile dysfunction. It is very important for people with other health conditions, or who are taking additional medicines, to always speak to their doctor before taking any type of supplement. It is simply not scientifically known at this point. Your doctor will consider your particular situation to determine which medication might work best. Other symptoms of a low testosterone level include a reduced sex drive (libido) and changes in mood. Lab tests, these allow you to obtain a limited supply of medications not covered by your insurance. Vacuum devices may weaken ejaculation but, in most cases, the devices do not affect the pleasure of climax, or orgasm. But the use of cream can cause much more troubles than you may imagine.

Is my erectile dysfunction most likely temporary or chronic? For instance, if you have heart disease, your heart may not be healthy enough for sex. Don't assume you have a long-term problem. Men with ED are at increased risk of coronary, cerebrovascular, and peripheral vascular diseases. Penile vascular surgery is not recommended for older men with hardened arteries. Artery reconstruction. Urethral suppository: ED can also be associated with bicycling due to both neurological and vascular problems due to compression.

5 mg, 5 mg, 10 mg and 20 mg. Make sure you get the right prescription and dose. Child and adolescent psychiatry, we used the medical record-linkage system of the Rochester Epidemiology Project to identify cases of α-synucleinopathies in Olmsted County from 1991 to 2020. It's of great value to have the first shot in the doctor's office before doing this on your own.

They found major design flaws in all of the studies, concluding that "the evidence is insufficient to suggest that acupuncture is an effective intervention for treating ED.
  • Both can have a significant effect on your sex life.
  • One option doesn’t even require you to leave your own home to visit a doctor!
  • Alpha blockers tend to be less likely to cause this problem.
  • While not a conventional therapy, an emerging treatment for erectile dysfunction is low-intensity shockwave therapy.
  • Some supplements that are marketed as “natural” may even contain drugs.
  • Most often, one small surgical cut is made.
  • According to the FDA, lab tests show that nearly 300 of the supplements or foods marketed to enhance sexual function contain undisclosed drug ingredients.


Examples include papaverine, alprostadil and phentolamine. [[menustrings_.choose_language_label]], along with erectile dysfunction treatment, the doctor may recommend managing the illness, being more physically active, or losing weight. ED isn’t a natural part of aging, but the risk of experiencing it does increase as men get older. Vardenafil (Levitra, Staxyn).

Cavernosal (abnormal arterial inflow) - Possible causes include vascular disease, diabetes mellitus, Peyronie’s disease and age. But, he says, mild ED -- including the feeling that "you're not as hard as you could be" -- often responds to natural remedies. Erectile dysfunction, //globalcomment. Vision changes are the least common. The first thing your doctor will do is to make sure you're getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction.

Also talk to your health care professional if you are taking alpha-blockers to treat prostate enlargement. With the implant, men can control firmness and, sometimes, the size of the erection. However, they also have some differences, ranging from shorter or longer half lives to different side effect profiles. Its biologic half-life is only 5 seconds. Learn more on our Physical Activity and Exercise page. Retinitis pigmentosa is a disease that affects the retina. However, in contrast, a recent systematic review of published studies, the authors concluded that overall, the addition of testosterone to PDE-5 inhibitors might benefit patients with ED associated with testosterone levels of less than 300 ng/dL (10. )There are a number of non-surgical and surgical options that can help a man regain normal sexual function.

Erectile Dysfunction Treatment and Prevention

Alprostadil when placed in the urethra is effective in 2 out of 3 men with ED. In this case, the healthcare practitioners choose the branded medications for their patients. Psychological therapies: Priapism – a condition where the erection will not go away – can also occur. UCSF Health medical specialists have reviewed this information. So, before you stock up on over-the-counter supplements for ED, speak with your doctor. What is erectile dysfunction?, medical personnel treating active-duty and former service members should be aware of what could "increasingly become a more important public health problem," they added. Though erectile dysfunction treatment options may include ED medication and surgery, there are also noninvasive erectile dysfunction remedies that may help.

Tadalafil (Cialis). Related videos, after a 4-week break, the 2 groups received active treatment once-weekly for 5 weeks. Food and Drug Administration (FDA) has issued several statements warning consumers about the safety of such goods. Avanafil is a fast-acting medication, taking effect in just 15 minutes. The main surgical treatment of ED involves insertion of a penile implant (also called penile prostheses). There are also several OTC dietary supplements claiming to be natural erectile dysfunction (ED) medications. As mentioned above, ED is often a marker that heart disease or other cardiovascular diseases may soon develop. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Though acupuncture has been used to treat male sexual problems for centuries, the scientific evidence to support its use for erectile dysfunction is equivocal at best.

The incidence of the latter is 40% in men aged 45 years and older. If this treatment is insufficient, then intra-cavernosal injections of phenylephrine should be performed with hemodynamic monitoring to watch for severe hypertension, tachycardia, or arrhythmia. When you attempted sexual intercourse, how often was it satisfactory for you? Judging by all of the ads for products like Cialis, Viagra and Levitra, a lot of men are having a hard. They also cannot be taken with nitrates or Adempas (riociguat), a medication used to treat pulmonary hypertension. The device has three parts:


If you notice a sudden decrease or loss of eyesight, talk to your doctor right away. You can use it as needed up to three times per week. Marketed in the U. The pellet is about the size of a grain of rice and dissolves to increase blood flow to the penis, creating an erection. That’s because among the really effective pills there are too many non-prescription products that can’t be called safe.

The pellet contains a similar medicine to that used for the injection treatment. The most commonly reported side effects include facial flushing, headaches, stuffy nose and heartburn. For instance, many men have occasional times when they cannot get, or maintain, an erection. In a triple-blind clinical study of the product over the course of eighty-four days, VigRX was found to effectively and safely increase the participant’s ability to get and maintain an erection and to achieve successful penetration with their partners.

This type of device is sometimes referred to as penis pump and may be used just prior to sexual intercourse.

There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. Don't view occasional erection problems as a reflection on your health or masculinity, and don't automatically expect to have erection trouble again during your next sexual encounter. A one month supply of this highly effective pill retails for about sixty dollars, which is considerably cheaper than many other enhancement products on the market today. Magnetic resonance angiography (MRA) This is similar to magnetic resonance imaging. Accessibility links, this might be a better option for men who want to stay erect longer but don’t want an erection that lasts for hours. “The main surgical therapy is the penile prosthesis implantation,” he explains.

Erectile dysfunction: Viagra and other oral medications

ED is sometimes called impotence. Diagnosis of male pattern baldness, how can I treat erectile dysfunction? Lemonaid’s ED service https: Be sure to talk about PDE5 inhibitors with your doctor, making sure that they know your entire medical history and all other medications and supplements that you take.

  • However, evidence shows that this surgery is often not successful in the longer term, so it is now rarely used to treat this problem.
  • The worldwide incidence of ED is projected to rise higher than 322 million by 2025.

Erectile Dysfunction Treatment Options

The ability to achieve and maintain a full erection depends not only on the penile portion of the process but also on the status of the peripheral nerves, the integrity of the vascular supply, and biochemical events within the corpora. ED medication is very effective and can improve your quality of life, but you should be aware of some potential side effects. These causes typically require serious medical aid. Talk to your health care provider if you think that a drug is having a negative effect on your sexual performance.