Are Erectile Dysfunction Drugs Really Different From Each Other?

You may be aware that there are three erectile dysfunction medications available. These are Viagra, Cialis, and Levitra.  The basic premise for how each one works is the same.  Each of these treatments works by increasing blood flow to the penis to help men get an erection.  Each of these prescription drugs also is taken orally.

However, these three treatments – Viagra, Cialis and Levitra – all work in different ways because all of them contain a different active ingredient. You may respond better to one active ingredient than to another, thus making it more feasible for you to take something different than your buddy down the street.

For example, the active ingredient in Viagra is sildenafil citrate. Cialis contains tadalafil. And, Levitra’s is vardenafil.  And while each of these medications works on the same premise of increasing blood flow to the penis, there are a few differences in how this end result is achieved.  One of these differences is the time it takes for the medication to become effective.  Viagra and Levitra work in about thirty minutes.  Cialis is faster and takes around fifteen minutes.

Another difference is the duration of the effectiveness.  Viagra will generally last about four hours.  Levitra’s effectiveness is about five hours.  And the longest of the three, Cialis, can last up to thirty-six hours.  Your discussion with your doctor can help you determine which of these is the best for your individual situation.

You should also discuss side effects with your doctor.  Almost every type of medication can have side effects.  These are no different.  However by discussing your erectile dysfunction with your doctor and finding the treatment that is right for your situation, your side effects – if any – are certainly manageable.

Diabetes and Erectile Dysfunction

A number of studies have linked diabetes with erectile dysfunction. According to these studies, anywhere from half to three-quarters of diabetic men will suffer from some degree of erectile dysfunction. There is any number of reasons for this.

Diabetes patients must carefully manage blood sugar levels. High blood sugar can damage nerves and blood vessels. Damage to nerves can result in a loss of sensation. Damage to blood vessels can decrease the flow of blood to the penis. The damage caused by diabetes will not only contribute to erectile dysfunction but can also result in blindness, loss of sensation in the extremities, pain, tingling and deafness. Many diabetics also have high blood pressure, which further exacerbates the problem. Since anything that affects the blood flow may also contribute to erectile dysfunction, many of the drugs prescribed for diabetes and high blood pressure will also have an impact.

Type I diabetes happens when your body does not produce or cannot process insulin at all. Type II diabetes is the most common and happens when your body produces an insufficient amount of insulin or cannot process it correctly.

There is a major rise in obesity rates on the United States, and has been for many years. Naturally, diabetes cases have also risen dramatically. If you are able to control your diabetes with proper diet and regular exercise, there is every reason to believe erectile dysfunction can also be handled in this manner.

Drugs used for the treatment of impotence (Viagra, Cialis, Levitra) have proven effective and relatively safe for men with diabetes. However, it is important to consult with a qualified medical professional before taking any medication.  The combination of discomfort some men have about discussing erectile dysfunction and the ease of obtaining Viagra online may tempt some men to “self-medicate.” This is never a good idea.

High Blood Pressure and Erectile Dysfunction

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Because blood flow affects a man’s ability to get and maintain an erection, high blood pressure (hypertension) can be a contributing factor to erectile dysfunction. You must treat your high blood pressure before you can treat erectile dysfunction.

Unfortunately, since they impact blood flow, some drugs that treat high blood pressure may also cause or contribute to erectile dysfunction. Many men who experience erectile dysfunction, or other side-effects for that matter, will stop taking the medication. This is especially true when the high blood pressure itself was causing no noticeable problems. People can suffer from high blood pressure for years without obvious symptoms.

Here are just a few examples of blood pressure drugs that may contribute to erectile dysfunction:

  • Angiotensin Converting Enzyme (ACE) Inhibitors: These help to increase blood flow by widening blood vessels.
  • Beta Blockers: These can change the body’s response to certain nerve impulses which can lower heart rate.
  • Alpha Blockers: These also work by changing response to nerve impulses. In this case, the impulses to blood vessels. Alpha Blockers are usually used in conjunction with other drugs.
  • Calcium Channel Blockers: These work by increasing the supply of oxygen to the heart and relaxing blood vessels.
  • Angiotensin II receptor blockers (ARBs): Angiotensin II contract the muscles around blood vessels, causing narrowing of the vessel and an increase in pressure.  ARBs block the effect of Angiotensin II.

If you believe your blood pressure medication is causing erectile dysfunction, you should consult with your doctor. You should absolutely not stop taking any medication on your own accord. The solution may be as simple as adjusting dosage. Trying alternative drugs may also help. You may have to accept that results won’t be immediate. Don’t assume it is the drugs. It may be your high blood pressure and not the drugs that care causing the problem, in which case, getting your blood pressure under control is the only real solution.

Alternatives to Viagra

Arginine is an amino acid that is produces by the human body and can also be found in many foods, especially meat and dairy products. Although the body produces Arginine naturally, it can be given as a supplement. Arginine is known to enhance blood flow so it can be helpful for men whose erectile dysfunction stems from a cardiovascular cause.

Arginine does not work the same was a Viagra. Viagra is normally taken only before anticipated sexual activity. Arginine is taken regularly regardless of sexual activity. The recommended dosage is usually one gram three times a week. Men who have successfully used Arginine have reported improved erections in about six weeks.

Like any drug, you should consult with a doctor before taking Arginine. Any drug that affects blood flow can be dangerous for persons with cardiovascular disease or high blood pressure. It is an especially bad idea to take Viagra while also taking Arginine as it can lead to a dangerous drop in blood pressure.

DHEA (Dehydroepiandrosterone ) is another popular supplement being used by some to treat erectile dysfunction. DHEA is a steroid hormone that is created by the adrenal gland. DHEA is then converted by the body into sex hormones (Testosterone and Estrogen). Although produced by the body, DHEA can also be manufactured artificially.

Insufficient adrenal gland hormones have been suggested to cause a number of quality of life issues including sex drive, hence the use for erectile dysfunction. Only a doctor can tell if you don’t have sufficient adrenal gland hormones, so you should never take DHEA without a doctor’s supervision. Insufficient adrenal gland hormones can also cause a number of other health issues, including heart disease, Alzheimer’s disease, psychological disorders, and other.

DHEA also has any number side effects. Because it is a hormone, it can lead to early male pattern baldness, breast development in men, and cause sexual and psychological issues.

Erectile Dysfunction and Exercise

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The sale of drugs that treat erectile dysfunction has risen dramatically over the years. Erectile dysfunction is an incredibly frustrating problem that has a major impact on quality of life, so the use of Viagra or Levitra or Cialis should be perfectly acceptable when necessary. However, popping a pill can just be quick fix. It is important not to ignore the underlying causes of erectile dysfunction. Instead of a pill, sometimes what a person really needs in a complete change of lifestyle.

The United States has a well-known obesity problem. It is often referred to as an epidemic. There is also a well-established link between obesity and erectile dysfunction. Another contributor to erectile dysfunction is diabetes. Diabetes and obesity often go hand in hand.

Diet is a very important consideration. Anything that affects the blood flow can contribute to erectile dysfunction. Therefore, a high-fat, high cholesterol diet will result in plaque buildup on the walls of arteries. This not only leads to erectile dysfunction but to a number of other health issues, including high blood pressure, cardiovascular disease and, ultimately strokes and heart attacks.

Exercise is a necessary part of a healthy life. It will not only help to stave off erectile dysfunction later in life of a whole host of other health problems. It will not only help you live longer but it will keep you younger longer. That doesn’t mean you need a complex or overpower exercise regimen. Just physical activity on a regular basis. It seems obvious but tends to be overlooked in a world where no one seems to have time to do anything but sit in front of a computer for both work and recreation. The best choices are activities that impact the cardiovascular system such as walking, running, swimming, and aerobics. Sex is good for that too.

When Viagra is Not the Solution

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While the introduction of such drugs as Levitra (Vardenafil), Cialis (Tadalafil), and Viagra (Sildenafil) have been a major boon to men suffering from erectile dysfunction, it is important to explore all options. All drugs can have side effects of one sort or another and some can be quite dangerous. Many drugs can interact with other drugs in negative way. In the case of Viagra, for example, doctors warn against taking it alongside any drug with Nitrates. These drugs can be dangerous to men with diabetes, heart disease or high blood pressure.

One of the dangers of painkillers is that they may mask a symptom rather that treat the underlying cause. There is a similar danger in using these drugs to treat erectile dysfunction. Erectile dysfunction can be a symptom of a different condition. Because erections are effected by blood-flow, people with heart trouble and high-blood pressure may also suffer from erectile dysfunction. Viagra may treat that one symptom of the underlying cause is still and can be quite dangerous without treatment.

Diabetes and obesity are also factors in erectile dysfunction. If diabetes or obesity is the primary contributing factors for a patient, he would be far better off focusing on that. Often times, losing weight, taking exercise and eating better will not only make the patient healthier but also improve erections. Unfortunately, a person already unmotivated to lose weight is likely to seek the quick fix of a pill.

Erectile dysfunction can also have psychological causes. There was a time not too long ago when most cases of erectile dysfunction were thought to be the result of psychological factors.  These days, most sources estimate about 15% of erectile dysfunction cases are primarily or entirely psychological in nature. Nevertheless, in these cases, Viagra is still a quick fix and doesn’t solve the real problems underneath.

Erectile Dysfunction Drugs and Insurance

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It has a long fight, both in courts of law and the court of public opinion, to get health care insurance plans to cover erectile dysfunction (ED) drugs like Cialis, Levitra, and Viagra. By no means to all plans have this benefit but considerably more than even five years ago. Unfortunately, a combination of increasing health care costs and a bad economy is causing considerable backsliding. There is a mad dash to eliminate anything and everything possible to save money.

Here is just one example. In 2005, the Milwaukee School District removed drug that treat erectile dysfunction in an attempt to reduce costs. According to the district, the estimated savings from this cut is $786,000 per year. Of course, eliminating any drug, service or treatment will save money, so why pick on ED drugs? A representative of the district claimed the drug is just too prone to abuse. Too many patients without a medical need were getting prescriptions and taking ED drugs recreationally.

It is undoubtedly true that the drug is being taken by many men without a medical need. This has been true almost since the day the drug was invented. It is also true that doctors will provide patients prescriptions for medically unnecessary drugs and then bill health care plans. This has been true long before Viagra showed up on the scene. The problem with this stance is that the same thing is true of painkillers. Prescription painkillers are a massive problem in this country but the Milwaukee School District hasn’t suggested making those illegal.

The really issue here is medical necessity. It is much easier to do something passive like denying a benefit than to do something active like verifying medical necessity.

In any case, the Milwaukee School District may not save as much money as they hoped. In 2010, Milwaukee Teachers’ Education Association files a law suit against the district.

Impotence: Doctor’s view

Impotence is also known as erectile dysfunction. Many people want it to discuss with their doctors but other feel hesitated talking or discussing about it. In medical terms professional calls it ED (Erectile dysfunction). Impotence is also described as sexual problems that interfere with sexual intercourse or reproduction system, such as lack of sexual disorder and problems with proper or premature ejaculation. But to clarify the term of impotence which is a bit different from other sexual problems, the professionals gave it the name erectile dysfunction. Your hormones, blood vessels, nerves and muscles must work together and properly to cause an erection. The signal of erection comes through brain and nervous system starts passing up the signals and then it is the work of blood vessels to flow the blood properly to the body part for better erection and when it is not done in a proper manner, person feels sexual problems, and due to this, one can get the result of impotence. Other causes of impotency are bad lifestyle choices, surgery, injury, certain medicines, psychological conditions etc. The diseases that can cause impotency are diabetes, kidney diseases, continual alcoholism, vascular diseases, and neurological diseases.

Many people cannot judge that their improper erection can be a cause of impotence. The person who is going through impotence must consult to his doctor because it is a medical problem and it can be cured. One can take his partner to doctor’s session devised particularly for this problem for a better solution because many doctors say that impotence is easier to treat when both partners are involved in these sessions. Doctors say that impotence is mainly caused by lifestyle choices like use of alcohol, smoking, and other evil wrong doings. There are many treatments for impotence but doctors say that it is better to ask the partner that in what way of treatment he/she is comfortable.

Sexual Issues: Gender View

Sexual issues now a day’s growing with both men and women. The sexual problems with men are erectile dysfunction, impotence, premature ejaculation etc. There are many names of the problems related to men’s sexual issues but these three are major. The erectile dysfunction is also called and known impotence and is also defined as the inability to achieve and or maintain an erection suitable for intercourse. Some physical factors like nerve disorder, blood flow affect it and some psychological factors like stress, depression and anxiety to perform better in sexual intercourse. If one wants to about its sexual problems than there are some blood test, sensory testing, vascular assessment, and for its cure you can take some medical treatment, medication, hormones supplementation, psychological therapies, education and communication. But in last few years awareness of male health is increased. Now men openly discuss and search about their sexual problems.

The main cause of women sexual issue is the lack of satisfaction and confidence to please their partner. The sexual issues especially the sex related problems can be because of health problems and it can be cured by some medication or conversation with the partner. The major factor with any women is that they do not like to talk with their partner or they hesitate to talk about their sexual issues. It has been observed now that women have started discussing about their sexual issues with their partners for better sex life and good health because it is an essential part of human life, it is a natural procedure and no one can deny it. Some more aged men and women hesitate to talk about this topic because they think their age factor is a big reason for it. But experts say that age is not a reason, it can happen at any age time.

Impotence: The psychological view

Impotence is a somewhat broad term which is often referred to as erectile dysfunction and is a problem which can occur by any of the cause which interferes with the sequences of the events which take place during an erection. Some of the most common causes that support impotence, other than health disorders include damage of nerves, diabetes and diseased arteries. Most of the clinical cases of impotence are to be treated with the oral medication or the medicines are too injected through the penis. Moreover to this, the term impotence is also associated to the disorders which interfere in sexual activities and reproduction.

The erection is followed as the brain sends the nerve impulses to the penis as it senses sexual stimulation or the time of arousal of the penis. A touch, a sense to make ready for sexual activity, an erotic thing seen or heard which excites or simply a dream about sex can bring the erection. Thus, the nerve impulses make a heavy blood flow in the penis to make erection. So, healthy nervous and blood vascular system is must for erection, the persons lacking the above requirements can face the problem of impotence or erectile dysfunction. Clotted blood vessels in men and other neural disability due to diabetes can also lead to impotence. Lifestyle factors such as being overweight, regular smoking habit, being alcoholic and physically in-activeness is also contribution to impotence.

The diseases like diabetes, renal disorder or kidney dysfunction, chronic alcoholism, multiple sclerosis, atherosclerosis, cardiovascular diseases and neural disorders tend to possibility of impotency. It can be treated through oral medicines, improvement in life style, regular exercise and sometimes by surgical processes of artery reconstruction and blocking of veins, however the surgical processes are not effective for a long time therefore are rarely done.