Erectile Dysfunction (ED)

Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Most men experience this at some point in their lives, usually by age 40, and are not psychologically affected by it. Some men, however, experience chronic, complete erectile dysfunction (impotence), and others, partial or brief erections. Frequent erectile dysfunction can cause emotional and relationship problems, and often leads to diminished self-esteem. Erectile dysfunction has many causes, most of which are treatable, and is not an inevitable consequence of aging.

Incidence and Prevalence The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections. These various definitions make estimating the incidence of erectile dysfunction difficult. According to the National Institutes of Health in 2002, an estimated 15 million to 30 million men in the United States experience chronic erectile dysfunction.

All products sold are brand name products - not generics - unless otherwise stated.

Alprostadil
Alprostadil is derived from a natural substance, prostaglandin E1, and acts by opening blood vessels. It is an effective treatment for some men.
  Befar topic gel by Nexmed.
  Muse A system for inserting a pellet of alprostadil into the urethra is marketed as MUSE. The system uses a pre-filled applicator to deliver the pellet about an inch deep into the urethra at the tip of the penis.

PDE5 Inhibitors
These drugs have a mechanism of action that targets factors specific to the penis. They blocks the enzyme phosphodiesterase-5 (PDE5), which in turn maintains levels of cyclic GMP. This chemical, produced in the penis during sexual arousal, relaxes smooth muscles and increases blood flow.
  Cialis
  Tadarich (Generic Cialis) by Richie Laboratories.
  Levitra
  Kamagra (Generic Viagra) - (Sildenafil Citrate) by Ajanta Pharma of India.
  Silagra (Generic Viagra) - (Sildenafil Citrate) by Cipla.

Other Agents
Uprima is tablet, taken under the tongue, causes a sexual signal in the brain to trigger an erection, although it is not an aphrodisiac.
  Uprima (Apomorphine) by Abbot Laboratories.
An oral form of phentolamine (Vasomax) has been developed that may be of some benefit for men with mild impotence. The drug is not as effective as sildenafil (Viagra) and it has more side effects. However, Vasomax works faster and it does not interact with nitrates.
  Phentolamine Generic Vasomax branded as Herivyl by Libbs

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