Medications for Erectile Dysfunction: Everything You Need to Know

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Erectile dysfunction (ED) is a common problem affecting millions of men around the world. Fortunately, there are several effective treatments, including medications, which are one of the most commonly used options. In this article, we'll explain the main types of ED medications, how they work, and what you should consider before using them.

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What is Erectile Dysfunction?

Erectile dysfunction is defined as the persistent inability to achieve or maintain an erection sufficient for sexual activity. This condition can be caused by physical, psychological, or a combination of both. In addition, ED can be indicative of other, more serious health conditions, such as heart disease or diabetes, so it's important not to ignore symptoms.

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Types of Erectile Dysfunction Drugs

1. Phosphodiesterase type 5 (PDE5) inhibitors

These are the most common medications for ED. They work by increasing blood flow to the penis and are highly effective. Among the most used are:

• Sildenafil (Viagra): The best-known medication for ED, ideal for occasional use.
• Tadalafil (Cialis): It stands out for its long duration (up to 36 hours), allowing more flexibility.
• Vardenafil (Levitra): Offers faster action, ideal for those who need immediate results.
• Avanafil (Sandra): A newer medication that works quickly and with fewer side effects.

2. Hormonal Therapy

In some cases, ED can be caused by low testosterone levels. For these men, the testosterone replacement therapy can be an effective solution.

3. Injectable Drugs

For cases where oral medications are not effective, there are injectable options such as prostaglandin E1, which is administered directly into the penis to cause an erection.

4. Vacuum Devices

Although they are not medicines, vacuum devices are also an option. They help promote an erection by increasing blood flow to the penis through suction.

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How do these medications work?

PDE5 inhibitors work by blocking an enzyme that breaks down a key chemical in the body: cyclic GMP. This substance is crucial for relaxing the muscles of the penis and allowing for greater blood flow, facilitating an erection. It is important to remember that these medications require sexual stimulation to work properly.

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Considerations and Side Effects

Although these medications are generally safe, they can have side effects. Among the most common are:

• Headaches
• Facial redness
• Indigestion
• Vision problems (in rare cases)

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It is essential to consult a doctor before starting any treatment for ED. This ensures that the medication is safe for your situation and that it doesn't interfere with other health conditions or medications you're taking.

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Conclusion

Erectile dysfunction is a treatable condition and should not be a cause for shame. It's important to seek medical help to get an appropriate evaluation and receive the safest and most effective treatment based on individual needs. Avoid over-the-counter treatments or unsupervised products, as they can be dangerous, even if promoted as “natural.” With the right treatment, many men can regain their sex life and improve their overall well-being.

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Dr. Heriberto Barreto

Chief Medical Officer of Dzeus