The mix of information snippets in the media are confusing, and often wrong. So, here’s the latest research data from the most reputable source, the American Heart Association.
Oral medications are often the first line of treatment for erectile dysfunction. For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects.
➡ Sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra) are taken by mouth and reverse erectile dysfunction by increasing the effects of nitric oxide.
- This increases blood flow and allows you to get an erection in response to sexual stimulation.
How they differ:
- Each medication has a slightly different chemical makeup.
- This affects the way each one works, such as how quickly it takes effect or wears off, and the potential side effects.
- Make sure your doctor is aware of any other medications you take regularly, as this will allow him or her to consider how they may interact or interfere with the erectile dysfunction medication prescribed. He or she will also consider any health problems you have.
➡ Sildenafil (Viagra). This medication is most effective when taken on an empty stomach one hour before sex. It’s effective for up to six hours.
➡ Vardenafil (Levitra, Staxyn). This medication also is most effective when taken one hour before sex and can be taken with or without food. It’s effective for up to seven hours.
➡ Tadalafil (Cialis). This medication is taken with or without food about one to two hours before sex. It’s effective for 36 hours. It can be taken in a small dose daily or in a larger dose as needed.
➡ Avanafil (Stendra). This medication is taken with or without food 15 to 30 minutes before sex, depending on the dose. It lasts up to six hours.
The combination of erectile dysfunction medications and your heart could be dangerous if you:
- Take nitrate drugs — commonly prescribed for chest pain (angina), such as nitroglycerin (Minitran, Nitro-Dur, Nitrostat), isosorbide mononitrate (Monoket) and isosorbide dinitrate (Dilatrate-SR, Isordil)
- Have severe liver disease
- Have kidney disease that requires dialysis
Most men who take oral erectile dysfunction medications aren’t bothered by side effects. When they do occur, they can include:
- Stuffy or a runny nose
- A headache
- Visual changes, such as color tinge to vision, sensitivity to light or blurred vision
- Dizziness and fainting
Rarely, more serious side effects can occur, including:
- Hearing loss or vision loss. Some men have had a sudden loss of hearing or vision after taking one of these medications. If you’re taking an oral erectile dysfunction medication and have a sudden loss of hearing or vision, seek prompt medical attention.
- An erection that doesn’t go away on its own, called priapism, is a rare condition which can be painful and requires medical treatment to avoid damage to your penis.
If you have an erection that lasts more than four hours, seek immediate medical attention.
Men who use nitrates (Nitroglycerine) to treat occasional chest pain should not take them within 24 hours of using Viagra or Levitra as it may cause a dangerous (and sometimes life-threatening) drop in blood pressure.
- Men who use nitrates should not take them within 48 hours of taking Cialis, according to a statement by the AHA, titled “Sexual Activity and Cardiovascular Disease: A Scientific Statement from the American Heart Association. “
*All the erectile dysfunction medicines now carry warnings about the risk.
When Nitrates and erectile dysfunction medicines are combined, there may be a serious and life-threatening reaction.
- Blood Pressure can drop 50, 60 Or 80 points in 30 minutes
- The person may feel light-headed and may faint.
If the drop in blood pressure is severe, it can cause Kidney Failure or a Stroke.
According to the research, the greatest risks are during the hour around, and just after the sexual activity…In fact, the risk increases by 2 or 3 times.
So guys…do not put this off…have “The Talk” (with your Doctor), so you can “Do The Walk”.
Not having to worry about having a heart attack is a seriously good reason!