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As of May 1999, postmarketing reports of sildenafil have not resulted in a change by the FDA concerning the safety of the drug. Although several patients have died after receiving prescriptions for sildenafil, it is unclear how many of these deaths resulted from appropriate use of the medication. Between late March and July 1998, 3.6 million outpatient prescriptions for sildenafil were dispensed. During the same period, 69 patients in the United States died after the confirmed use of sildenafil. No cause of death could be found in 21 of these cases. Of the remaining 48 deaths, 46 were attributed to cardiovascular events. Twelve of the men who died had taken nitroglycerin, either prescribed or self-administered. Postmarketing studies are continuing.18 A patient who has been advised not to have sex for medical reasons clearly should not be given a prescription for sildenafil.
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Telephone number to call if severe drug side effects or complications develop:
Pills like Viagra, Cialis or Levitra may not be working for these men, but they mistakenly rule out using injection therapy for erectile dysfunction, because surprisingly little information has been published about the individual experiences men are having with the use of ED shots - at least until today.
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Thyroid function test: One of the thyroid hormones' functions is to regulate the production of sex hormones, and a deficiency in these hormones may contribute to or cause ED.
Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. There are several ways that erectile dysfunction is analyzed:
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Duplex ultrasound is used to evaluate erectile tissue. It is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring of erectile tissue. An erection is induced and the ultrasound is used to see vascular dilation and measure blood pressure in the penis.
Apomorphine is used in the control of Parkinsonís disease. It is delivered as a subcutaneous injection and it is used for Parkinsonís because it is a dopamine agonist. In other words, it improves the levels of the neurotransmitter that is most affected in Parkinsonís disease.
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Documented hypersensitivity; concurrent or intermittent use of alpha-blockers (eg, doxazosin, terazosin, prazosin), with the exception of tamsulosin (Flomax) 0.4 mg/d
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"What is very hot these days is what we can do to rehabilitate people who develop erection problems after prostate cancer surgery or radiation therapy," Sadeghi-Nejad said. "Anything you can do to increase oxygenation in the penis will help get patients back to normal."
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A. From a practical point of view, a VED is one of the best ED treatments available. It's very effective, works for almost everybody, and is very inexpensive over the long haul. There are no serious side effects when used properly, and it can be utilized whenever an erection is desired. About half of the men who purchase the device like it and keep using it. I've found that the VED works for about 90 percent of my patients but working and liking to use it are two different things altogether.
ED treatment drugs have a high placebo response: if a good result is expected, any highly praised, and often expensive, treatment can be effective. Reputable drugs can also benefit from the same effect.
Metabolism (breakdown) of vardenafil can be slowed by aging, liver disease, and concurrent use of certain medications (such as erythromycin, ketoconazole (Nizoral), and protease inhibitors). Slowed breakdown allows vardenafil to accumulate in the body and potentially increase the risk for side effects. Therefore, in men over age 65, with liver dysfunction, or who are also taking medication(s) that can slow the breakdown of vardenafil, the doctor will initiate vardenafil at low doses to avoid its accumulation. For example:
"You have to treat this the way you would any other non-life threatening issues in your relationship, and just calmly discuss it," says Downey.
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