men taking erythromycin or ketoconazole should not take more than 5 mg of vardenafil in a 24-hour period;men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in a 24-hour period;men with moderately severe liver disease also should not take more than a 5 mg dose of vardenafil in a 24-hour period;men taking the protease inhibitor (for the treatment of HIV/AIDS) indinavir (Crixivan) should not take more than 2.5 mg of vardenafil in a 24-hour period; andmen taking another protease inhibitor ritonavir (Norvir), erythromycin, or ketoconazole, should not take more than 2.5 mg of vardenafil every 72 hours.
First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina .
If it happens suddenly but you're still stiff early in the morning and can get an erection while masturbating, that suggests your mind is involved. There could be something going on physically, too.
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John Hopkins Bloomberg School of Public Health: "18 Million Men in the United States Affected by Erectile Dysfunction."
L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing blood flow.
In addition, the following four diseases can lead to erectile dysfunction by interfering with blood flow or nerve impulses throughout the body. Cardiovascular disease Atherosclerosis (hardening of the arteries) Kidney disease Multiple sclerosis
The doctor will perform a complete physical examination, to check for abnormalities in the penis, scrotum, and testicles. To check for heart disease the doctor will take your blood pressure, measure your heart rate, and order a blood test to check your level of cholesterol. Your doctor will do a digital rectal examination to feel the size, shape, and consistency of the prostate, and if necessary check the level of prostate-specific antigen (PSA) in your blood. To check for diabetes the doctor may order a test to measure the level of glucose in your blood. It could also be necessary to assess your testosterone levels in the morning. This is also done with a blood test.
Many things that men do on an ordinary day sabotage sexual performance. Once a man realizes the impact that these factors have on his ability to achieve and maintain erections, he can adapt his habits.
So, whilst Erectile Dysfunction treatment with medication may be helpful, it’s important to remember that staying fit and active, and performing Kegel Exercises can be natural ways to improve symptoms.
AtherosclerosisDiabetes High blood pressureChronic kidney diseaseHeart diseaseMultiple sclerosisPeyronie’s diseaseProstate cancerInjury to the penis or surrounding organs
Your doctor may switch you to another medication to see if that resolves the issue.
It is also more common in older patients, but is not, itself, a natural consequence of aging.
Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.
Your blood test results will be displayed in an easy to read format and any readings that aren’t optimal will be highlighted clearly. Your results will also be reviewed by a clinician who can offer advice based on the outcome of your test.