Author: edquestions

Blood Pressure – Erectile Dysfunction Question:

Taking Amlodipine Besylate 10mg with Viagra?

Doctor Alsayes Answer:

The simple answer is yes; you can take Viagra while taking Amlodipine.
But you should start with the minimum dose of Viagra (25 mg) and you should stop taking it and contact your doctor if you experience signs and/or symptoms of low blood pressure; such as dizziness, lightheadedness, fainting, flushing, headache, or a rapid pulse or heart rate.

I hope this answers your question.

Thanks, Dr. Alsayes

Viagra Question

For the last couple of years, I’ve had increasing difficulty getting and keeping an erection hard enough for penetration. I’ve tried Viagra and all of the other oral ED drugs now on the market, but none of them seems to work for me. What other forms of treatment are available for ED?

Answer

While the oral ED drugs are undoubtedly the simplest way of overcoming the symptoms of erectile dysfunction, they don’t work for everyone, even among those whose impotence is caused by insufficient blood flow to the penis. Perhaps the next best form of treatment for vascular-related ED is penile injection therapy, which has an even higher success rate than Viagra or the other PDE5 inhibitors.

In penile injection therapy, a vasodilating drug — alprostadil, for example — is injected directly into the shaft of the penis, which sounds more painful than it actually is.

The injected drug quickly dilates the blood vessels in the penis and allows blood to quickly flood in and engorge the corpora cavernosa — the twin columns of spongy tissue that are inside the penis and run pretty much through the entire length of the shaft. As this spongy erectile tissue becomes filled with blood, the penis becomes harder until it achieves an optimal erection.

The only major side effect associated with this form of treatment is the risk of developing scar tissue at the injection site. This problem can be minimized by varying the site where you inject the needle.

Erectile Dysfunction Question:

If I Start Using Viagra, How Long Will I Have to Take It Until I Get Well Completely? Apart from Those Mentioned treatments is there any other Treatment for Erectile Dysfunction Besides the Pills?

Doctor Alsayes Answer:

I’m sorry, the first part of your question is not clear to me, I’m not sure what you are referring to.

For the second part of your question; Viagra is used to treat erectile dysfunction (impotence) by relaxing muscles found in the walls of blood vessels and increases the blood flow to the penile tissue leading to an erection.

But you should know that Viagra is not a cure for ED, and it should be taken only when needed, about 30-60 minutes before sexual activity. It can help achieve an erection only in the presence of sexual stimulation, and the erection will not occur just by taking the pill.

I’d suggest you follow your doctor’s instructions and remember to allow 24 hours to pass between doses.

I hope that answers your questions.
Thanks, Dr. Alsayes

Erectile Dysfunction Question:

If I Start Using Viagra, How Long Will I Have to Take It Until I Get Well Completely? Apart from Those Mentioned treatments is there any other Treatment for Erectile Dysfunction Besides the Pills?

Doctor Alsayes Answer:

I’m sorry, the first part of your question is not clear to me, I’m not sure what you are referring to.

For the second part of your question; Viagra is used to treat erectile dysfunction (impotence) by relaxing muscles found in the walls of blood vessels and increases the blood flow to the penile tissue leading to an erection.

But you should know that Viagra is not a cure for ED, and it should be taken only when needed, about 30-60 minutes before sexual activity. It can help achieve an erection only in the presence of sexual stimulation, and the erection will not occur just by taking the pill.

I’d suggest you follow your doctor’s instructions and remember to allow 24 hours to pass between doses.

I hope that answers your questions.
Thanks, Dr. Alsayes

Viagra Question

In my early 30s, I was diagnosed with type 2 diabetes, which I manage to control well with prescription medications. Does being a diabetic make me more likely to develop erectile dysfunction, and does Viagra interfere with the workings of diabetic medications?

Answer

Diabetes, including both types I and II, is a medical condition that often leads to erectile dysfunction, primarily because diabetes causes serious damage to both nerves and blood vessels, both of which play key roles in male sexual function.

Generally speaking, men who have diabetes, regardless of which type, are two to three times more likely to develop ED than men who are not diabetic. Roughly half of all men who are diagnosed with type 2 diabetes will develop ED within 10 years of their diagnosis.

Diabetes is a condition in which the body is unable to properly regulate the levels of glucose (sugar) in the blood. Of the two primary types of diabetes, type 2 is the most common, accounting for 90 percent of all diabetes diagnoses. It most often develops in men and women who are overweight and sedentary, both of which are also risk factors for ED.

Working with your doctor to carefully monitor and manage your blood sugar levels can reduce your chances of developing ED. In some cases, reversing some of the health conditions that led to a diabetes diagnosis can sharply decrease the potential damage the disease has on other body systems.

Erectile Dysfunction Question:

I Use Cialis 5mg Regularly, Sometimes it Works for Me and Sometimes it Does Not. What May Be the Reason? (I don’t drink alcohol) Does this mean I should try a higher dose? Any info helps. Thanks!!!

Doctor Alsayes Answer:

First of all, it’s very important to point out that none of ED medication would ever work without a sexual stimulation. These medications are designed to increase the blood flow in the penile tissue leading to the erection in the presence of sexual desires. So if you are “not in the mood” or stressful or out of focus, you will find these medications useless at these moments.

On the other hand, it can be affected by food or alcohol. For instance, fatty meals are the enemy of Cialis, they can make it harder for the medicine to reach the bloodstream. So make sure you avoid them just before taking the Cialis.

Also, it’s common for the human body to build up a tolerance to drugs. So if you have been using Cialis for a long time and frequently then your body may have built some level of tolerance to the medication and that’s why it’s not effective as it once it was for you. In this case, you may change to a different type, such as Viagra.

I’d suggest you increase the dose first to 10 mg (which actually the recommended dose) and see how your body reacts. Also remember to take it on an empty stomach or two hours after eating the last meal, and 1 hours before the intercourse. Let’s see how that would work.

Thanks, Dr. Alsayes

Erectile Dysfunction Question:

I Use Cialis 5mg Regularly, Sometimes it Works for Me and Sometimes it Does Not. What May Be the Reason? (I don’t drink alcohol) Does this mean I should try a higher dose? Any info helps. Thanks!!!

Doctor Alsayes Answer:

First of all, it’s very important to point out that none of ED medication would ever work without a sexual stimulation. These medications are designed to increase the blood flow in the penile tissue leading to the erection in the presence of sexual desires. So if you are “not in the mood” or stressful or out of focus, you will find these medications useless at these moments.

On the other hand, it can be affected by food or alcohol. For instance, fatty meals are the enemy of Cialis, they can make it harder for the medicine to reach the bloodstream. So make sure you avoid them just before taking the Cialis.

Also, it’s common for the human body to build up a tolerance to drugs. So if you have been using Cialis for a long time and frequently then your body may have built some level of tolerance to the medication and that’s why it’s not effective as it once it was for you. In this case, you may change to a different type, such as Viagra.

I’d suggest you increase the dose first to 10 mg (which actually the recommended dose) and see how your body reacts. Also remember to take it on an empty stomach or two hours after eating the last meal, and 1 hours before the intercourse. Let’s see how that would work.

Thanks, Dr. Alsayes

Erectile Dysfunction Question:

I have a hormonal imbalance which is Gynecomastia and therefore most often loss erection even in the course of having sex and want to know if it will be of help to take viagra considering my situation and any side health issue. thank you

Doctor Alsayes Answer:

As you know, Gynecomastia results from an alteration in the ratio of testosterone to estrogen leading to stimulation of the tissue in the breast.
Viagra doesn’t work by increasing testosterone levels, but rather increasing the blood flow in the penile tissue leading to an erection.

I’d suggest you follow up with your doctor for treatment of your Gynecomastia and have your hormone levels checked, and you may take Viagra if you want; it’s safe.

Don’t worry, Viagra doesn’t affect (improve or worsen) Gynecomastia, however, you should know that among men with Gynecomastia, Viagra was helpful for erectile problems in some of them, but in some others, it wasn’t effective.

Thanks, Dr. Alsayes

Erectile Dysfunction Question:

I have a hormonal imbalance which is Gynecomastia and therefore most often loss erection even in the course of having sex and want to know if it will be of help to take viagra considering my situation and any side health issue. thank you

Doctor Alsayes Answer:

As you know, Gynecomastia results from an alteration in the ratio of testosterone to estrogen leading to stimulation of the tissue in the breast.
Viagra doesn’t work by increasing testosterone levels, but rather increasing the blood flow in the penile tissue leading to an erection.

I’d suggest you follow up with your doctor for treatment of your Gynecomastia and have your hormone levels checked, and you may take Viagra if you want; it’s safe.

Don’t worry, Viagra doesn’t affect (improve or worsen) Gynecomastia, however, you should know that among men with Gynecomastia, Viagra was helpful for erectile problems in some of them, but in some others, it wasn’t effective.

Thanks, Dr. Alsayes