Male Impotence Treatment – How To Get Rid Of Male Impotency

Male impotency can be defined as male’s incapability to achieve a child or to make a woman pregnant. In this way, the fatherhood is just a dream and not a reality anymore for a man who is labeled as impotent. There are many reasons that a man is not capable to ejaculate healthy sperms. There are also other reasons that can make a man infertile.

Most people define male impotency as incapability to have normal erections. Erectile dysfunction is called as male impotency many-where; however, erectile dysfunction is not the only cause that can make a man, infertile. Low sperm count, not producing sperms at all, premature ejaculation, low motility sperms, abnormal sperms are all a part of male impotency in one or the other way.

Male impotence treatment includes doing some therapies externally and internally. Externally, there are many lotions, gels, creams, oils, sprays and other applications that can deliver their contents (generally, they are packed with extracts of the herbs those are natural aphrodisiacs) deep into the male reproductive organs and enhance them, nourish them to perform their best.

On the other hand, internally male impotence treatment is achieved using some natural aphrodisiac herbal extracts in the form of pills and capsules. There are some manufacturers who have come up with granules those are recommended to take with lukewarm milk. However, a long period of therapy is advised to have better and fruitful results. Herbs such as Asparagus, Shilajit, Mucuna, Butea, Indian gooseberry, Tribulus are reported to be very beneficial in treating low sperm count, erectile dysfunction, premature ejaculation and other male sexual issues. They are available as pills and capsules to consume. It is better to refer the leaflet for the dosage and ingredients.

Cheap Cialis Pharmacy

In case of male impotency due to erectile dysfunction, the market is full of specially designed devices, toys and supplements. The devices help in engorging the blood in the penis and retain it for required period. This way, such devices treat male impotency. Penis ring, penis pump etc are well known toys or accessories that have been successfully used to treat male impotency.

There are other techniques and exercises that help man to get rid of male impotency. Kegel exercise is also said to be very beneficial. Such exercises help the pelvic muscles to get strengthen and hence may also be beneficial in erectile dysfunction up to certain extent. Pranayama is also good for treating various health ailments including premature ejaculation i.e. male impotency. This helps in improving the blood circulation throughout the body and also in the male reproductive systems and organs.
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In case of erectile dysfunction caused due to some mental stress, holistic approach and brain calming techniques may be preferred. Holistic exercises such as yoga, Pranayama and meditation are said to be very beneficial as male impotency treatment. They help in calming down the aggressive brain and helps in bringing down the stress, anxiety and other mental worries without any complications and affecting other bodily systems.

Tadalafil and Its Variant: Generic Cialis

Cialis (Tadalfil) is in a class of drugs called phophodiesterase inhibitors. FDA approved Tadalfil – Cialis in 2003 for the treatment of men who experience difficulty having and maintaining an erection.

Cialis (Tadalfil), an oral treatment for Erectile Dysfunction (ED) in men, is a selective inhibitor of cyclic quanosine monophosphate (cGMP) – specific phophodiesterase type 5 (PDE 5).

Cialis is available in the form of tablets which contains 5, 10 or 20 mg of Tadalfil and inactive ingredients like croscarmellose sodium, hydroxpropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulphate, talc, titanium dioxide and triacetin.

Recommended dose of Cialis in most patients is 10mg taken prior to sexual intercourse. Both Cialis and Viagra work in the same way, by helping blood vessels in the penis to relax allowing blood to flow into the penis causing an erection.

Cialis is slightly different from the other ED drugs available in the market as it may work up to 36 hrs after dosing.

Cialis is available online with various sites offering cheap Cialis. Forzest is the Indian answer to Cialis and is manufactured by Ranbaxy Laboratories Ltd. Forzest is same as Tadalfil and is also known as Generic Cialis.

When a doctor prescribes and while buying it on the net there may be a choice between a brand – name medicine and the generic version of that medicine.

Generic Cialis is available online and one can buy generic Cialis from these legal sites. There are variants of Generic Cialis available in the market – they are called generic Cialis or canadian Tadalafil. They have the same composition as the branded Cialis. One can buy generic drugs as they only may look different because in the US, FDA does not allow it to look the same. Colors, flavors and certain other inactive ingredients may be different but the core ingredient remains the same.

As most of the drugs fall under the patent law many companies are lining up to manufacture generic forms of the brand name drugs going off patent. Many Indian companies are in the race for regulatory approval to introduce medicines in the highly lucrative North American market.

Many Chinese companies are also scaling up capabilities so that they could also foray into the generic market. All these companies need to file DMFs (drug masters file) before the US FDA detailing confidential information about manufacturing, processing and storing of drugs. They contain information about what is usually referred to as the active pharmaceutical ingredient (API), the core component of a drug. DMFs are also meant to support abbreviated new drug applications (ANDA). An ANDA approval is required to register generic versions of patented medicines that generate huge potential for what are often called ‘copycats’ of the drugs going off patent.

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How ED Can Be Teaching You Things About Your Body and Mind You Need to Know

Erectile dysfunction is not the end of the world it used to be. Since Cialis was introduced several years ago, the subject of erectile dysfunction has come out of the closet. Some men are more willing to discuss the issue with their doctor and that’s a good thing. My concern is that too many doctors simply prescribe a little blue pill without looking for other issues both physical and mental.

Erectile dysfunction can be an early warning sign of heart disease or diabetes. It can be caused by hypertension or high levels of cholesterol. It can be caused by lifestyle issues such as smoking, drinking alcohol excessively, taking drugs or even riding a bicycle for long periods. Some medications interfere with getting an erection as well. Your level of physical fitness may also be an issue. Are you a couch potato? Are you overweight?

There are also emotional issues that can cause erectile dysfunction such as stress, anxiety, depression, etc. If you have performance anxiety, you may end up with erectile dysfunction. It you have too much stress in your relationship or at work, you could have a problem. Depression can cause erectile dysfunction and some medicines taken for depression may cause a problem as well.

There are any number of areas that can cause the problem so simply throwing a pill at it seems a little premature. You should look for the underlying cause instead of taking the most expedient way out. I know this is difficult because what men want most is to be able to perform in the bedroom. To heck with the cause, just fix the problem so I can have sex.

Erections are caused when enough blood flows into the penis. This is caused physically and by your brain giving your system the signal that you are getting excited and it’s time to perform. Okay, that’s a little over simplified, but you get the point. Anything that interferes with that blood flow physically or mentally will cause erectile dysfunction. Cheap Cialis is an efficient way to overcome any manifestation of ED, visit cheap pharmacy.

My recommendation is that you look for the underlying cause in addition to taking a pill for a temporary solution. You may find that you don’t need a pill at all and then you can regain your ability to have spontaneous sex instead of scheduled sex. Isn’t that worth looking into?

Long Lasting Male Impotence Pill

Impotence is a common sexual condition in men. It can be both distressing as well as frustrating for men and their sexual partners. However, the approval of Cialis provided a new medical hope for impotent men who can have sex at all hours of the day and night with the help of this treatment pill.

Cialis Super Active for erection problem

The effects of one Cialis Super Active pill lasts for about 24 hours, according to its manufacturer. Men can take its recommended dosage about 30 minutes to one hour before the start of sexual activity. After that, it’s necessary to have sexual stimulation, whether physical or mental. The effects of Cialis become visible within 30 minutes after taking the dosage and during its long lasting period of time, you can achieve erection anytime. However, erection can occur only if you are sexually excited.

The main ingredient in a Cialis Super Active pill is tadalafil, which helps regulate the blood supply to the penis and its surrounding areas. You can easily achieve and maintain an erection with the help of Cialis dosage, temporarily though it may be.

You need to remember that Cialis cannot cure erectile dysfunction nor it can increase your sexual desire. It is a prescription drug that only helps you temporarily treat your impotence condition. It should be taken only if the doctor has prescribed it you.

What is the genuine prescribed dosage of Cialis?

The dosages of canada cialis are available in strengths of 5 mg, 10 mg, and 20 mg tablets. Your doctor can prescribe you the right and suitable dosage after examining your medical condition. It is advisable not to take any dosage of canada online cialis without the doctor’s permission.

Are there any side effects?

Yes, there are some common as well as uncommon side effects of Cialis, which is a prescription pill. The most common side effects are headache, indigestion, back pain, and muscle aches. Among its rarest side effect is pripiasm, which is associated with all impotence treatment drugs. It is when men suffer from a continuous erection that lasts for more than four hours, possibly causing permanent damage to the penis.

What are the symptoms of erectile dysfunction?

The main symptom of erectile dysfunction is the inability to achieve or maintain an erection, which is necessary for completing sexual intercourse. There is millions of men worldwide living with this condition that often results in breaking relationships.

Erectile dysfunction is more commonly known as impotence. It is caused by both physical as well as psychological causes. Cialis dosages can help treat this condition temporarily, irrespective of its causes. The physical causes of erectile dysfunction are some conditions such as diabetes, kidney disorders, high cholesterol, heavy smoking, alcoholism, drug abuse, pelvic surgery, and even side effects of some prescription drugs.

The psychological causes of erectile dysfunction are stress, anxiety, depression, sexual boredom, performance anxiety, or even due to problems in relationship. You should tell the doctor in detail while doing a consultation as it helps in recognizing the main cause of erectile dysfunction.

Erectile Dysfunction Causes and Its Treatment

Erectile dysfunction – serious sexual condition in men

Erectile dysfunction or impotence as it is more commonly known is essentially, the inability to attain or sustain an erection firm enough to enable any sexual activity to take place.

What are the primary causes of erectile dysfunction in men?

Any erectile dysfunction problem can potentially occur due to both physical and psychological factors. Furthermore, it is in fact quite ordinary to experience a loss of an erection to some degree. This can possibly result from excess stress levels due to stress. However, if this occurs regularly then it is advised that you seek medical advice.

Some physical causes of erectile dysfunction are diabetes, kidney disorders, high cholesterol, or hardening of the arteries. Erectile dysfunction can also occur as a direct result of smoking, alcoholism, drug abuse, side effects of some prescription drugs, and surgery in the pelvic area.

The psychological causes of erectile dysfunction are stress or anxiety due to a variety of factors. In addition, depression, sexual boredom, performance anxiety, problems within the relationship, and excess worry can lead to erectile dysfunction.

How can you treat your erectile dysfunction problem?

During the last decade, a large number of impotence treatments have been developed. The majority of sufferers are able to seek treatment preceding their participation in a full medical consultation, where a doctor will make an informed decision on the most suitable course of treatment.

The treatments available are vacuum pumps counselling, injections, transurethral therapy, hormone treatment, and even surgical treatment.

Viagra Super Active was the first oral impotence treatment drug to be launched a decade ago by the manufacturer; Pfizer. This course of treatment comes in tablet form, and is designed to be taken up to 30 minutes prior to any sexual activity.

In relation, cialis super active is an additional form of medication that is designed to be taken orally, for the treatment of impotence. This course of treatment has grown in popularity, mainly due to the fact that results can be seen for up to 36 hours. In relation, this pill has also earned the name the ‘weekend pill’ due to its long lasting effects.

Levitra is the latest pill for impotence treatment. Its effects can last for about 12 hours and is generally the most suitable pill for those men who suffer from impotence, especially the older men.

All these oral treatments work in the body by increasing the flow of blood in and around areas of penis. Due to the smooth blood circulation in the penis, erection happens easily however, if you are not sexually excited, then it won’t occur. For erection to happen, sexual stimulation is very necessary, irrespective of the drug you take.

Erectile dysfunction is a sexual condition that cannot be left untreated. Many relationships get strained due to it and can be frustrating for both the partners. So, if you feel embarrassed to talk to the doctor about this condition, then take the online route, as there are many reliable sources that provide consultation for impotence over the internet. You should, however cannot afford to live with this condition.

Impotency: How Self Hypnosis Can Help With Impotency

There are steps you can take to assure that you get the help with impotency that you require. Hypnosis for impotence is a wonderful guide that can support your efforts. Impotence self-help begins with your mind and your behaviors will follow suit.

Impotence Self Help

The first step in your self-help approach to overcome impotence is to visit your physician. This can help you sort through your problem, focusing on possible physical reasons for the condition. Erectile dysfunction may be associated with possible medical problems.  Treat Erectile Dysfunction with our canadian cialis pharmacy.

It is very important to seek advice from your physician in case you need medical intervention for a health problem. You can augment your medical treatment with self-hypnosis for maximum results. This comprehensive approach can yield excellent results.

Over Thinking

Part of the problem with impotency is that it is often a matter of thought. The more you think about the impotent condition, the more likely you are to focus on the negative feelings associated with it. Frustration and anxiety can be overwhelming and these emotions have a serious impact on your body.

When you take too much time running impotent thoughts through your mind, you freeze your emotional state into panic and anxiousness. Your body has automatic physical responses that lead to impotent responses. The core problem is thought processes because they develop the emotions that lead to the negative physical response.

Help With Impotency

You can overcome your impotence using the guidance of self-hypnosis. This approach is ideal because it works on three different levels. You address your negative thought processes. The new thinking patterns are adopted by your subconscious mind.

Since your subconscious adopts the new thinking patterns, you do not have to worry about dealing with the problem on a conscious level. Your subconscious mind is also responsible for emotional responses and sensations. You mange to deal with the negative emotions in a relaxed state, allowing your body to experience heightened sensation, which leads to appropriate physical responses.

Hypnosis for Impotence

The right session can make all the difference in your experience. There are many recordings available but it helps to find one that is created by a renowned professional. Following are ideas to help get you started. Order cialis soft tabs for treat impotence now.

An excellent recording by renowned hypnotherapist, Steve G Jones M. Ed is available here – Help With Impotency. This session is masterfully recorded and it offers the support you need to overcome your condition. Another outstanding selection si available here – Hypnosis For Impotence. This composition is by legendary hypnotherapist, Duncan McColl, who offers his decades of experience in each of his sessions. Other helpful recordings can be found here – Impotence Self Help. Simply follow the links for more information.

Erectile Dysfunction or Impotence

Number of health condition that can affect the lives of many males, one is known as Erectile dysfunction. Erectile dysfunction normally refers to the disability to get a satisfactory erection of the penis for satisfactory sexual activity. This situation has also been called as impotence. However, an erectile dysfunction is more frequently seen in men who are older than 65, but it can take place at any age.

Here is some of the most significant factor that can have an effect on the reproductive system of the men causing erectile dysfunction.

There is a clear bigger threat of erectile dysfunction as people produce in their lives, confirm one of the studies at nutrition and epidemiology department at the Harvard School of Public Health in Boston. There is a method to stoppage the onset of erectile dysfunction, and that is important.

These ways match powerfully with ways to prevent or stoppage other chronic health troubles such as cardiovascular disease and diabetes. That means males require relying on the old methods of exercising, keeping their body lean and keep away from smoking.

There will be an age dependent raise but, also, alteration of threat issues can affect one’s sexual function. Losing weight, quitting smoking and doing more exercise are connected with better sexual health and sexual activities. This was exposed by experts of Male Sexual Health, fertility and Microsurgery at New York University Medical Center.

Erectile dysfunction is a regretful difficulty for both; the man and his partner to endure, as sex is a natural and most likely mandatory part of today’s life. This difficulty can take its toll on men’s confidence and can discourage a partner from wanting to take a sexual activity in her mate. What here, significant to note, is that erectile dysfunction require not be a very serious medical problem. An infrequent difficulty to retain an erection is ordinary and a lot of cases of treating erectile dysfunction in sexual treatment contain trouble in the relationship, which can be resolved by talking feelings out.

If erectile dysfunction leftovers for longer than 2 months then it can be measured as a serious problem and it requires a doctor appointment. Contrary to what a number of of the people believe, sexual desire will not go away with higher age and men who are fit and energetic should not be experiencing problems with erectile dysfunction particularly if they want a better sexual life.

Cialis Pro, boasted as a miracle drug, is one that has a number of unfortunate side effects as other allopathic medicines do have. There are number of ways, which a man can do to stop erectile dysfunction from rising without seeking drug treatments, surgery or mechanical devices as some men have chosen.

Psychological is suggested by sexual experts only if erectile dysfunction is caused by a number of troubles such as stress, anxiety or depression. Or else, effective prevention remedies for erectile dysfunctions are relatively simple. These simpler methods contain regular exercise and definite methods that can lead to better health.

If a man is smoking, he should get rid of this deadly habit. Researchers say that even alcohol, other instruction or illegal drugs might have to be limited so that the body can recuperate. Usually, performing certain exercise often helps to prevent erectile dysfunction and get better body health in many other ways as well. Appropriate and improved dieting may also be suggested, with more fruits and vegetables, which can act as natural herbal aphrodisiacs. They are also less in sugar and fats. Some of the naturopaths recommend rising the hours of your sleep routine may also help your body to relax and relieve some extra anxiety.

Erectile dysfunction can be treated in a safer way and you can almost certainly keep away from the use of any medication. Impotence is treated by doctors according to its fundamental cause. The following method are usually adopted:

• Counseling – Most of the men do not undergo from impotence itself but they undergo from either depression or nervousness that causes the impotence. A good counselor with excellent communication abilities can put them at no difficulty and more confident about their sexual activities. During the process, the cooperation of opposite partner is also very vital.
• Medication – A number of of the medications are skillful to treat erectile dysfunction.
• Correction – If the erectile dysfunction is because of a physical deficiency in the male organ – penis; such as the male organ curve, then this case is usually treated surgically.

They are as follow:

• Trazodone
• Sildenafil citrate or widely known as cialis super active
• Yohimbine hydrochloride
• Dopamine
• Serotonin

Most of these medicines work by the mechanism that allows the male organ to become distended with blood and therefore, cause an erection. However, there are some groups of experts, who say that these medicines work by a placebo effect, i.e. they will make patient to believe that the medicines will work, rather than actually producing any pathological outcome.

Vacuum pump for penis

This is an outside vacuum pump, which will create an engorged penis with achievement attractively approaching about 90 percent. Here, a penis ring will keep up this state, although it must be removed later than not more than half hour. The erection is not as rigid or as hard as compared to a natural erection; drugs or injections, when they work, may be preferred. Numbers of researches have shown that the level of approval of users and their partners to be vary variable, even when medicines and injections do not work; according to one study, about 20 percentages of men who tried a high-priced pump decided to proceed to buy one. Other studies give you an idea about higher percentages of satisfied users.

In number cases, usual and recurrent use of these vacuum pumps can finally get better the degree of erection of the penis possible without use of the pump. However, claims of cheap “penis pumps” that they will lastingly increase the utmost penis size should be viewed with caution.

Although most of the males experience episodes of erectile dysfunction from time to time, he can take number of these steps to reduce the events of erectile dysfunctions:

• He should exercise on a regular basis.
• Keep away from and decrease stressors and so stress
• Sufficient sleep and rest.
• He should deal gently with depression.
• Keep away from the use of alcohol and any other similar drugs.
• Avoid smoking.
• He should see the doctor for standard check-up.
• He should contain number of dairy products that work as natural aphrodisiacs.

Injections For Erectile Dysfunction That Truly Work!

One of the most embarrassing problems that members of the human male species encounter is erectile dysfunction, the inability to have an erection even when the penis is being sexually stimulated by a partner. Erectile dysfunction is one of the reasons why romantic relationships fizzle – the importance of regular and successful sexual intercourse in the hierarchy of things need not be questioned. Obviously, erectile dysfunction must be treated – and fast. If you are suffering from this medical condition, you might want to consider getting injections for erectile dysfunction.

Canadian Cialis Super Active

Erectile dysfunction injection usually consists of three different medications combined together in a mixture. These medications are alprostadil, papaverine hydrochloride, and phentolamine mesylate, which all come in a variety of brand names. Once these medications are mixed, they are injected into the side of the penis using a tiny needle. The dose of medication can be adjusted to give an erection that lasts according to your desired length of time. Some men find the thought of injecting a needle into their penis disturbing. However, you should know that injections for erectile dysfunction are rarely painful. In fact, if the thought of a needle in your penis becomes unbearable, you could request for the use of an auto-injector, a device for injections in which the needle is hidden.

So, what exactly does an injection do to make you have an erection? The medications injected into the side of your penis have the necessary properties to make the muscles surrounding the blood vessels in your penis relax. This allows the blood flow into your penis increase, producing an erection that lasts for at least 30 minutes up to an hour – or longer, if you wish. The length of time your erection lasts will depend on the amount or dose of medication you inject. A doctor may give you an injection right in his office to check your system’s response to the medication(like  cialis super active). There are certain medications that produce allergic reactions in some men. Although they have a proud record of an 85% success rate, you must know that, like other medicine-bound solutions, injections for erectile dysfunction have their share of negative side effects.

It is not unusual for men suffering from erectile dysfunction to become excited over a proposed solution. Sometimes, however, over excitement can lead to disastrous results. Injections, especially those that contain the wrong dose of medication, can result in priapism, a prolonged erection that is painful and one of the worst side effects of injections for erectile dysfunction. There have been recorded cases in which an erection produced by an injection lasted longer than four hours. You may want to have an erection so bad, given your medical condition, but a long-lasting erection that isn’t relieved immediately can damage tissues inside your penis, leaving it permanently out of use.

Other side effects of injections for erectile dysfunction include pain (ranging from mild to moderate), bruising, and fibrosis, which is the development of scar tissues in the penis. About 50% of injection users in one study reported feeling pain; however, pain has not stopped men from continuing the use of injections. Doctors recommend injecting the medication slowly to reduce the amount of pain or avoid it entirely. It is important to seek the advice of a health professional. It is strongly suggested to try natural treatments first; these are effective and painless.

Tired of erectile dysfunction ruining your sex life? Learn how you can become bigger today for free using a proven Injections for Erectile Dysfunction.

Effective Ways to Improve Male Libido

Every man wants to keep his libido high to enjoy his love life. But many things in our daily life can decrease male libido. The low activity lifestyle reduces our stamina and makes the muscles and circulatory system weak. With low activity lifestyle we become prone to the risk of all types of diseases and sexual dysfunction problems. In this article we will discuss some problems contributing low libido and ways to improve it.

For most men, sexual dysfunction problems like impotence and erectile dysfunction are the biggest threat by canada cialis. Lets have a look at some obvious problems that can make your sex life miserable.

1. Drinking and smoking are known killers of libido so you need to stop or cut down this habit. You can’t simply counteract these if you are doing them to excess.
2. Another major cause of low libido is obesity. If you are over weight and unfit your body simply does not function to its optimum. This will low your energy levels and desire. You don’t need to go to the gym for hours simply walk briskly, take the stairs rather than the elevator and get on a healthy natural diet and cut out processed foods.
3. Many people who have low libido think it must be low testosterone levels but this is rarely the case. Fact is, most men’s testosterone levels are fine and this is not a problem for most men who lack libido.
4. Age is another important factor in decreasing sex desire. Male libido and age are linked but you can fight back and can get your sex life back, regardless of your age and best of all you can do it naturally.

You can improve male libido and gain more confidence satisfying your partner. Foods that increase male libido and sperm volume have zinc like oysters, nuts, bean, and whole grains. Buy canadian cialis from our online canada pharmacy.

Comparison Of Sexual Dysfunction Medications

Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70.

In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction.

Viagra, Levitra and Cialis

Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors.

Canadian Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc.

Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation.

Cheap cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC.

The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug.

Mechanism of Action

PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body’s response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area.

Effectiveness of PDE-5 Inhibitors

All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%.

Pharmaceutical Forms, Onset of Action and Duration of Effect

Viagra 100mg and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences.

Viagra: 25 mg, 50 mg 100 mg tablets

Onset of action: 30 minutes (effect delayed if taken with food)

Duration of action: 4 to 5 hours

Levitra Online: 2.5 mg, 5 mg, 10 mg, 20 mg tablets

Onset of action: 25 minutes (effect delayed by fatty meal)

Duration of action: 4 to 5 hours

Cialis: 5 mg, 10 mg, 20 mg tablets 

Onset of action: 16-45 minutes (effect NOT delayed by food)

Duration of action: 36 hours

All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis 20mg works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis 20mg has a slower onset of action and longer duration of action, which is attributed to its longer half-life.

Patients who wish for spontaneity may opt for Cialis 20mg, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects.

Dosage

The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body’s ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day.

Possible Side Effects 
Although all three drugs are generally well tolerated, side effects are still possible.

Most common side effects: 

• Viagra: facial flushing, headache, indigestion
• Cheap Levitra: facial flushing, headache
• Cialis: headache, indigestion

Less Common Side Effects: 

• Viagra: altered vision, dizziness, nasal, congestion
• Levitra: indigestion, nausea, dizziness, nasal congestion
• Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness

Precautions and Contraindications

All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates.

Alpha-blockers 
Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. The 25 mg dose of Viagra has not been shown to significantly decrease blood pressure and in patients who take 25 mg of Viagra, use of any of the alpha-blockers is considered safe.
Levitra Online is contraindicated in patients taking alpha-blockers.
Cialis is contraindicated in patients taking alpha-blockers, except for tamsulosin (Flomax).

Since both Viagra and Levitra have moderate vasodilatory and hypotensive effects, they should not be given in the presence of marked arterial or orthostatic hypotension, and should only be administered with caution in aortic stenosis or hypertrophic obstructive cardiomyopathy.

Men who have had a heart attack or stroke within the past 6 months and those with certain medical conditions (e.g., uncontrolled high blood pressure, severe low blood pressure or liver disease, unstable angina) that make sexual activity inadvisable should not take Cialis. Dosages of the drug should be limited in patients with kidney or liver disorders.

Conclusions

The differences between the 3 drugs are not great. All appear to be effective and safe. Levitra has less side effects compared to Viagra and lasts about the same time as Viagra in the body. Cialis has few side effects and lasts longer in the body. This allows increased spontaneity and less frequent dosing than either cheap levitra online or Viagra. However, the longer half-life of Cialis imposes increased risk for drug interactions.