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Table 3: Hemodynamic Data in Patients with Stable Ischemic Heart Disease after Intravenous Administration of 40 mg of Sildenafil

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YOU NEED JAVASCRIPT TO RUN THIS SITE. PLEASE ENABLE JAVASCRIPT IN YOUR INTERNET OPTIONS. And there's a bonus: heart-healthy changes will boost overall well-being, too, experts say
For many of the 30 million Americans affected by erectile dysfunction, Viagra, Levitra, and Cialis are the first line of ED treatment — and they’re successful for about 80 percent of men. These drugs, called phosphodiesterase-5 inhibitors, are approved by the U.S. Food and Drug Administration (FDA) and work by increasing blood flow to an erection. Common side effects include nasal congestion and headache. Note: If you take nitroglycerin pills for heart disease, you won’t be able to take ED pills, as they can cause a dangerous drop in blood pressure. .

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David F Mobley1, Mohit Khera2, Neil Baum3 1 Department of Urology, Weill-Cornell Medicine, Houston, Texas, USA 2 Department of Urology, Baylor College of Medicine, Houston, Texas, USA 3 Department of Urology, Tulane Medical School, New Orleans, Louisiana, USA Correspondence to Dr David F Mobley, Department of Urology, Weill-Cornell Medicine, 18300 Katy Fwy, Ste 325, Houston 77094, TX, USA; mobleyresearch{at}gmail.com
A detailed medical history, sexual history, and physical exam are warranted to identify causative or reversible factors involved in ED.4 Select laboratory tests (e.g., serum testosterone, serum blood glucose, fasting lipid panel, thyroid-stimulating hormone) may be obtained to identify causative factors of ED. Additionally, a detailed medication history is necessary to identify medications that may be contributing to ED (see TABLE 1).4,5

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Smoking, drinking alcohol and the use of recreational drugs such as narcotics, stimulants and hallucinogens can all affect sexual function. Chemicals from smoking can interfere with blood flow to your penis and damage the lining of the blood vessels or lead to atherosclerosis (hardening of the arteries). It can also affect the smooth muscle tissue that needs to relax to allow blood to flow in. Short-term use of alcohol affects sexual desire, reduces performance and delays orgasm and ejaculation.
The penile implant allows men to achieve an erection through an implanted device. These devices can be effective in restoring sexual activity for a man and his partner. At Yale Medicine, our doctors have specialized experience with placing the penile prosthesis.

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Pomegranate: Juice and extract from this fruit is known for being packed with nutrients. But Espinosa says it can also help arteries expand and remain supple. While no real proof ties it to erectile dysfunction, he suggests it to his patients for its overall health benefits.

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    Strong evidence links a sedentary lifestyle to erectile dysfunction. Running, swimming, and other forms of aerobic exercise have been shown to help prevent ED.

    Geriatrics: Healthy elderly volunteers (65 years or over) had a reduced clearance of sildenafil, resulting in approximately 84% and 107% higher plasma AUC values of sildenafil and its active N-desmethyl metabolite, respectively, compared to those seen in healthy younger volunteers (18-45 years). Due to age-differences in plasma protein binding, the corresponding increase in the AUC of free (unbound) sildenafil and its active N-desmethyl metabolite were 45% and 57%, respectively [see DOSAGE AND ADMINISTRATION, and Use In Specific Populations]
    Currently, three pills (Viagra/sildenafil, Levitra/vardenafil, Cialis/tadalafil) are available and FDA-approved for erectile dysfunction. They are all called phosphodiesterase inhibitors, which means they act by blocking a chemical that stops erections.

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    Patients were excluded if they had no stable sexual partner, penile deformity, other sexual or psychological disorders, or a known history of alcohol or drug dependence. Patients with diabetes, retinitis pigmentosa, a history of stroke or myocardial infarction, or significant cardiac history were also excluded. Treated resting and standing systolic blood pressure was required to be between 90 and 180 mm Hg and diastolic BP between 50 and 110 mm Hg.

    Patients travel from around the globe to to visit our state-of-the-art facility.
    Research shows a link between the sleep disorder and ED. When you get treated for sleep apnea, you may see improvements in your erection problems as well. So if you think you might have sleep apnea, or if you know you have it and aren't doing anything about it, it's time to talk to your doctor.

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    This traveling couple use their renovated school bus to host pop up photoshoots across the country

    usesWhat is Viagra (Sildenafil (Injection)) used for?Pulmonary HypertensionHeart DiseasePulmonary ImpairmentErectile DysfunctionPulmonary Heart or Vascular DiseaseThromboembolic Pulmonary Hypertension
    Cleveland Clinic: "Erectile Dysfunction: Waist Size Matters," "Low Testosterone (Male Hypogonadism)," "Medications That May Cause Erectile Dysfunction."

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    Skin and Appendages: urticaria, herpes simplex, pruritus, sweating, skin ulcer, contact dermatitis, exfoliative dermatitis.

    Cardiovascular: angina pectoris, AV block, migraine, syncope, tachycardia, palpitation, hypotension, postural hypotension, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal electrocardiogram, cardiomyopathy.
    The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

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Our team offers custom treatment solutions for your erectile dysfunction to help you improve your sex life.

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There are several natural methods that you can consider if you are suffering from ED. These methods are safe, tested and tried.

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Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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