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ED Problems and Generic Viagra Question:

I have been having ed problems for a while.. I recently had got a script of generic viagra from my pharmacy. Tried it once, Can’t say it worked well because I was eating at the time. I’ve been wondering the best option to use or the best option in general. I’ve been purging somewhat for a couple of weeks. Next time I want to try it on a completely empty stomach. Do you think it’ll do its job? Also is anything above 125mg safe?

Thanks, James

DOCTOR ALSAYES ANSWER:

Actually, it is recommended to take the Viagra on an empty stomach or at least two hours after eating the last meal, and 1 hour before the intercourse.
It takes around 30-60 minutes for Viagra to make the effect, but this duration can be affected by food or alcohol.

You should know that eating any meal before you take Viagra would cause it to make the effect more slowly. Also, fatty meals are the enemy of Viagra, they can make it harder for the medicine to reach the bloodstream.
So if you take Viagra right before the sexual activity it won’t work very well, also if you had some wine or just had dinner before taking the Viagra that will make it take more time to work so you see the results later on at night.

Yes, in most cases oral ED medications (like Viagra or Cialis) can solve the issue, but you should start with the minimum dose of Viagra (25 mg), if the effect was not noticeable, then you can try Viagra 50 mg the next time.

I hope this answers your question.

Levitra Dosage Question:

Can I take another dose of Levitra 20 mg 12 hours after taking a previous dose?

Thanks, Hazza

DOCTOR ALSAYES ANSWER:

Hello Hazza,
No, Levitra should not be taken more than once daily. Doses should be taken at least 24 hours apart. Taking Levitra more than once per day or above the recommended dose will increase the risk of having side effects.

I hope this answers your question.

Levitra Dosage Question:

Can I take another dose of Levitra 20 mg 12 hours after taking a previous dose?

Thanks, Hazza

DOCTOR ALSAYES ANSWER:

Hello Hazza,
No, Levitra should not be taken more than once daily. Doses should be taken at least 24 hours apart. Taking Levitra more than once per day or above the recommended dose will increase the risk of having side effects.

I hope this answers your question.

Adderall and ED QUESTION:

I take Adderall 25 mg twice daily. I can’t get hard and if I do it doesn’t stay hard. My gf thinks it’s her and it not. How can I fix this problem before I lose the love of my life?

Thanks Justin

DOCTOR ALSAYES ANSWER:

Hi Justin,
Erectile dysfunction is a well-known side effect for men taking Adderall, mainly because the medication is constriction of certain blood vessels in the body, directing blood away from the extremities, and increasing the blood supply to other parts of the body, which means that there is a decrease in blood flow to the penis. However; this is temporary.

Typically, once the effects of the medication have worn away, sexual desire and performance return to what was normal for you.

Kindly check with your doctor, because here you have 2 options, either changing the Adderall dose or replacing it with another medication that is unlikely to affect your sexual life, OR trying one of the oral ED medications (like Viagra or Cialis).

I hope this answers your question.

Adderall and ED QUESTION:

I take Adderall 25 mg twice daily. I can’t get hard and if I do it doesn’t stay hard. My gf thinks it’s her and it not. How can I fix this problem before I lose the love of my life?

Thanks Justin

DOCTOR ALSAYES ANSWER:

Hi Justin,
Erectile dysfunction is a well-known side effect for men taking Adderall, mainly because the medication is constriction of certain blood vessels in the body, directing blood away from the extremities, and increasing the blood supply to other parts of the body, which means that there is a decrease in blood flow to the penis. However; this is temporary.

Typically, once the effects of the medication have worn away, sexual desire and performance return to what was normal for you.

Kindly check with your doctor, because here you have 2 options, either changing the Adderall dose or replacing it with another medication that is unlikely to affect your sexual life, OR trying one of the oral ED medications (like Viagra or Cialis).

I hope this answers your question.

Penile Implants QUESTION:

I was thinking about having penile implant surgery, are they safe and will sex be satisfying?

Thanks, Mark

DOCTOR ALSAYES ANSWER:

Hello Mark,
The penile implants usually used when there is a clear medical cause for ED and when the problem is not improving naturally or with other medical treatments.

There are 2 main types of these implants; semirigid and inflatable. Each type works differently and has various pros and cons.
In most cases, patients report a satisfaction rate of 80%-90% with penile implants as they have erections suitable for intercourse.

However, the placement of penile implants requires surgery, and no surgery is totally free of possible complications or risks, and in this case, they may include:

• Uncontrolled bleeding after the surgery possibly leading to re-operation
• Infection
• Scar tissue formation
• Erosion (tissue around the implant may break down)
• Mechanical failure (The implants consist of many parts that could malfunction, however, the 10-year device survival is between 60 and 80 percent)

I hope this answers your question.

Klonopin and ERECTILE DYSFUNCTION QUESTION:

I’ve been on Klonopin, 2 MG twice a day, since October and suffering from ED for the first time ever. I’m 46. I take Viagra but it seems to do very little. Are there any other options? I’ve been in several romantic settings and couldn’t perform. Very frustrating because that’s never happened before.
Thanks
Zane

DOCTOR ALSAYES ANSWER:

Hello Zane,
Erectile dysfunction is more common when taking Klonopin. Kindly check with your doctor, because here you have 2 options, either changing the Klonopin dose or replacing it with another medication that can be known to cause less effect on ED, OR trying a higher dose of the oral ED medications (like Viagra or Cialis). It can help in this case by increasing the blood flow to the penile tissue thus leading to a better erection. For example, if you tried the dose of Viagra -25 mg and it didn’t cause much success then you may try a dose of 50mg.

Yes, there are other ED treatment options but, in your case, you won’t need that since most probably your issue is related to the medication you are taking (Klonopin)

I hope this answers your question.

Plenty of adults suffer from hypertension. Statistics show that one of every four American adults suffers from the condition. Unfortunately, it is closely linked to erectile dysfunction (ED). Bringing your blood pressure to a normal level may help you to have a healthy sex life.

Testosterone hormone is responsible for sex drive in men. High blood pressure may lead to a reduction in the production of the hormone which may lead to low sex drive.

The flow of blood and blood pressure has a significant impact on your ability to get and maintain an erection. Hypertension and ED have endothelium dysfunction in common. They both cause a disturbance of endothelium and the result is an increased contraction of the vascular smooth muscle. There has been some evidence to suggest that erectile dysfunction is an early sign of high blood pressure. PDE-5 inhibitors which are used to treat erectile dysfunction may be useful in improving blood pressure. It is, however important to note that the connection between the two conditions is not entirely clear.

What Causes Erectile Dysfunction?

Erectile Dysfunction occurs when there is an increase or an unhealthy response to contractile stimuli including ET-1 and Ang II. It may also occur when there is low production or response to the stimuli that is responsible for promoting penile VSM relaxation. Other factors include high sensitivity to vasoconstrictor molecules and poor responsiveness to vasodilatory mediators.

If you use β-blockers in the treatment of hypertension, they may cause ED. According to studies, treating hypertension with β-blockers is likely to cause ED and impotence.

The most significant link between high blood pressure and ED is endothelial dysfunction. They may be different conditions but they are closely connected. Most factors that cause hypertension also cause ED. If you suffer from either of them, consult a doctor to get the right treatment.