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It can also result from other conditions or as a side effect of certain medications or cancer treatments. If you’re having difficulty getting or maintaining an erection, it’s a good idea to schedule an appointment with a healthcare provider for further discussion.

Medication Type Interaction Notes Effect
Nitrates Severe hypotension risk Dangerous decrease in blood pressure
Alpha-blockers Can cause additive blood pressure lowering Dizziness, fainting
CYP3A4 Inhibitors Increased sildenafil levels Potential for increased side effects
Other PDE5 inhibitors May lead to overdose or severe side effects Avoid combining with other PDE5 drugs

In many cases, ED can be the first symptom of another underlying problem, including heart disease.

  • Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor.
  • It has a typical onset of action within 30-60 minutes.
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  • Be aware of potential side effects like vision disturbances.
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It’s important to talk to a healthcare provider if you have problems getting and maintaining an erection.

  • Sildenafil enhances nitric oxide activity in blood vessels.
  • OTC products may be less potent or have different formulations.
  • Always follow the recommended storage instructions.
  • Some OTC products claim to be " Viagra alternative."
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Healthcare providers separate ED into several categories: Vascular ED includes causes that affect the blood vessels that send blood to the tissues in your penis that allow you to get and maintain an erection, or the valves in the penis that normally hold blood inside. Vascular ED is the most common type of ED.

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While you may experience side effects from your medication, most are mild and temporary. Your body may just need some time to get used to the effects of ED medication, so give it a few tries before making any adjustments. Erectile dysfunction (ED) is the inability to get or maintain an erection long enough to have sexual intercourse. There are many different causes, which may include conditions that affect your blood vessels, neurological conditions, mental health conditions and injuries. A healthcare provider can diagnose and treat erectile dysfunction.

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Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Erectile dysfunction (ED) is a type of penile disorder. It affects your ability to get and maintain an erection firm enough for sexual intercourse.

More common

Your feelings play a major role in getting and maintaining an erection. Feeling relaxed, confident and aroused is essential. But it’s normal to sometimes have erection issues. Erection problems can occur if you feel nervous, anxious, frustrated or tired. Drinking alcohol and/or using substances can also sildenafil white have an effect. Neurogenic ED occurs as a result of nerve problems, which prevent signals from traveling from your brain to your penis to create an erection. This can happen because of trauma, pelvic surgery, radiation therapy or neurologic conditions like stroke, spinal stenosis and multiple sclerosis (MS).

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Hormonal ED refers to ED that happens as a result of testosterone deficiency, or in some cases as a result of thyroid issues.

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Breaking Barriers in Prostate Cancer CareProstate Cancer and Health EquityLearn about prostate cancer disparities in Black men and how screening, access to care, and advocacy can make a difference. Learn about prostate cancer disparities in Black men and how screening, access to care, and advocacy can make a difference. Digestive HealthElizabeth Ward, RD, MSRegistered dietitian nutritionist Skin CareMary Alice Mina, MDDouble board-certified dermatologist As a leader in digital health publishing for more than 25 years, WebMD strives to maintain the most comprehensive and reliable source of health and medical information on the internet. We recognize the responsibility that comes along with being the most well-known and trusted health information platform — and we take that responsibility seriously by: 01Charging our content creators to practice journalistic principles of excellence and provide objective, accurate, and balanced reporting 02Maintaining editorial independence and transparency into how we protect the integrity of our content 03Regularly reviewing and updating our content by working with our network of more than 100 doctors and health experts UHS offers many convenient locations throughout Chicagoland and the surrounding Chicago suburbs. Learn about Plans & Benefits that can be used at UHS locations throughout Chicago & surrounding areas.

Side effects

UHS has doctors specializing in wide range of medical services. Search our physician database by name or specialty UHS Prioritizes the Health and canadian sildenafil citrate Education of all it’s staff and members. We are described as many things, such as — a Voluntary Health Services Plans Corporation; a multi-specialty medical group; a not-for-profit health plan; or a staff-model managed care plan. Maybe it is simply best to call us “Union Health Service” or “UHS” — a tradition of providing high quality and cost-effective benefits to groups covering Chicago-area union members. Although the term “ED” is often associated with a complete inability to get an erection sufficient for sex, the reality of erectile dysfunction is that it can vary hugely in severity.

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Can get a normal erection, but find it difficult to maintain it during sex Can get a normal erection, but find it difficult to maintain it during sex Find it difficult to get an erection every time you want to have sex Find it difficult to get an erection every time you want to have sex Can’t get an erection at all, even when you’re sexually stimulated Can’t get an erection at all, even when you’re sexually stimulated A Hims medical provider will help determine which treatment is most appropriate for you. All of the active ingredients in our treatments are approved by the FDA based on extensive, high-quality clinical trials. These trials have uniformly demonstrated that ED medications are safe and effective for the vast majority of men. Learn more in our guide to the safest drug for erectile dysfunction.Our guide on how to know if you have ED goes more into detail about common signs that you’re affected by erectile dysfunction. Most ED medications take 15 min to 1 hour to “kick in” and start producing a noticeable effect on your ability to develop and maintain an erection, so make sure you’re timing your specific dosage accordingly. Providers and medical researchers estimate that erectile dysfunction affects over 50% of males between the ages of 40 and 70.

Pharmaceutical Forms

This includes mental health conditions, such as depression or anxiety. Negative experiences in the past can also affect a person’s current sexual functioning. Speaking with a mental health professional, such as a counselor or psychologist, can A person should speak with a healthcare professional if they are experiencing ED on a regular basis. If they would rather not speak with a doctor, people may wish to try home remedies, such as regular exercise, reducing alcohol intake, and avoiding smoking. They may also prefer to speak to a mental health professional and try talk therapy for ED.

36 HRS

It is important to note that ED medication and natural remedies for ED can cause serious side effects. There is also a risk of interaction with existing medications. Therefore, a person should always speak with a doctor before consuming anything to treat ED. There is some evidence to suggest the following natural remedies may be good for erectile dysfunction: Ginkgo biloba, ginseng, yohimbine, and horny goat weed are herbs that may have similar effects to Viagra. Almost all cases of erectile dysfunction are treatable.

Serious Side Effects

A fast way to treat erectile dysfunction is by using a vacuum device or erectile dysfunction ring, or taking prescription medications that increase blood flow to the penis. There are many possible ways to treat the symptoms of ED, and the best options depend on the underlying cause. Where possible, a person should talk with a healthcare professional before taking any new supplements or OTC medications, as they can have side effects and interact with existing medications. The FDA does not approve OTC ED medications, which may be dangerous. A person should consider using prescribed treatments for ED or speaking with a doctor about alternative options. And those numbers may be higher — many don’t seek help for the condition due to embarrassment or shame.

Side Effect Severity Common Symptoms Frequency (%) Precautions
Headache Mild to Moderate Throbbing pain, dizziness 10-15 Hydration, avoid alcohol
Flushing Mild Warmth, redness of face 8-12 Avoid hot environments
Nasal Congestion Mild Stuffed nose 5-10 Saline sprays can help
Vision Changes Mild to Rare Bluish tint, light sensitivity 1-2 Seek medical help if severe

Only sometimes being able to get an erection before sexual intercourse. Being able to get an erection before sexual intercourse but not being able to maintain it during sexual intercourse.

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Requiring a lot of stimulation to maintain an erection. There are many possible causes of ED, including conditions that affect your: Your circulatory system includes the blood vessels that carry blood throughout your body.