Can My Medication Cause Erectile Dysfunction?

But high blood pressure can be life-threatening.

Avoiding medications that negatively affect your chance of attaining an erection, such as heart medications, and certain anti-depressants, is the first step. It also causes secondary amenorrhoea and loss of ovarian function in women and low testosterone in men. If GHB inhibited dopamine release, it would be associated with erectile dysfunction; however, if GHB stimulated dopamine release, then this effect may explain the subjective feelings of increased sexuality in GHB users. Write down a list of questions to ask your doctor. If so, do you currently take any medications or get psychological counseling (psychotherapy) for it? Most men experience isolated episodes of erectile failure. That means daily tracking and recording.

Impotence may be a manifestation of a poor relationship, or a problematic time in a relationship. The four most common ‘club drugs’ include 3,4-methylenedioxymethamphetamine (MDMA: )If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. For instance, if a man is obese, blood flow changes can affect his ability to maintain an erection, which is a physical cause. Men who are taking medications that contain nitrates, such as nitroglycerin, should NOT use Viagra, Levitra, or Cialis. Hypogonadism is a term used to describe what men are experiencing if they are deficient in certain male hormones, especially testosterone. Prostate disease and ED Prostate cancer does not cause ED.

These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation.

Tadalfil and vardenafil come in tablets of 2. Peripheral neuropathy, with involvement of the nerves controlling erections, is commonly seen in people with diabetes. Testosterone is a male sex hormone, essential for a normal erection. Men with high blood pressure can sometimes experience erectile dysfunction but, for many of them, it can be treated effectively. The malleable rods keep your penis firm but bendable. Men most often start having sex with their penile implants by eight weeks after surgery.

Standard erectile dysfunction treatments include oral medications such as: Poorly controlled diabetes and high cholesterol increase the chances of vascular complications, which may lead to ED or other circulatory problems. In most cases, the side effects are linked to PDE5 inhibitor effects on other tissues in the body, meaning they are working to increase blood flow to your penis and at the same time impacting other vascular tissues in your body. Sexual dysfunction in patients with hypertension, summary of recommendations of the Second Joint Task Force of European and other Societies on Coronary Prevention. If a patient has a systemic, skin, or urinary tract infection, this surgery should be postponed until all infections are treated. “Nobody can will an erection! Increasing your level of activity might also further reduce your risk. In the 8th century, men of Ancient Rome and Greece wore talismans of rooster and goat genitalia, believing these talismans would serve as an aphrodisiac and promote sexual function.

Erection can be induced by injecting 10-20 µg of prostaglandin E1, with evaluations of the arterial flow every five minutes for 25-30 min (see image). You may find that open communication is the best way to achieve sexual satisfaction. This includes aspiration of the corpora, followed by intracavernous injection with an alpha-adrenergic agonist such as phenylephrine (Neo-Synephrine). Although sexual activity is unlikely to pose an immediate threat to your health — such as a heart attack — high blood pressure can affect your overall satisfaction with sex. See your doctor if you suspect that you may have a substance abuse problem. Erectile dysfunction: symptoms, diagnosis, treatments, however, a person may be able to treat the underlying cause and reverse symptoms with no medication. One study shows an improvement in erectile quality in 25 percent of men who quit the habit, compared to zero improvement in men who continued smoking.

Its effects on sexual function are multiple.

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Because the arteries to the penis are narrower than those to the heart, you may develop symptoms of erectile dysfunction before you experience any symptoms of heart disease, such as angina. How common is erectile dysfunction? Inflatable devices or malleable rods can be surgically implanted on either side of the penis to help achieve an erection. Generally it takes 30-60 minutes to be absorbed into your system and take effect, lasting four to five hours. The majority of erectile dysfunction cases are curable, as long as the underlying cause is established. Thus, ketamine’s hemodynamic effects include tachycardia, hypertension, arrhythmia and an increase in the cardiac index. Make sure they're prescribed by a doctor or come from a UK pharmacy. Erectile dysfunction, knowing why erectile dysfunction is occurring is important, not just for health reasons but also because of your health insurance coverage. All rights reserved.

  • As a service to our readers, Harvard Health Publishing provides access to our library of archived content.
  • Depending on your particular health concerns, you might go directly to a specialist — such as a doctor who specializes in male genital problems (urologist) or a doctor who specializes in the hormonal systems (endocrinologist).
  • Testosterone replacement therapy may improve energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest in older men who may have deficient levels of testosterone.
  • Whether it be suggesting lifestyle changes, like doing more exercise or reducing your alcohol consumption, or recommending one of the many effective men’s health medications available, your doctor will be able to guide you through the best and most appropriate treatment.


Young adults need to be informed of the risks that these drugs pose to their sexual health. Vascular problems - because an erection is due to blood flow to the penis, men who have problems with blood flow (circulation), or their vascular system, may experience impotence. Impotence can also be caused by a blood clot that prevents enough blood from flowing into the penis to cause an erection. However, ED is now well understood, and there are various treatments available. Topical medicines: You may be asked to change certain food habits, stop smoking, increase workouts or stop using drugs or alcohol.

• An occasional failure to achieve an erection. Chemotherapy medications. Rapidly absorbed, avanafil can reach maximum concentrations after only 30-45 minutes. Side effects of an alprostadil urethral suppository (Muse) can include pain and discomfort, minor bleeding in the urethra, and formation of fibrous tissue inside your penis. Testosterone supplementation is not recommended for men who have normal testosterone levels for their age group due to the risk of prostate enlargement and other side effects.

The following is a list of some medicines and drugs that may cause erectile dysfunction (ED) in men. Do not stop taking your medicines without speaking to your doctor first. Non-invasive treatments are often tried first.

Also, men with liver diseases or a disease of the retina, such as macular degeneration or retinitis pigmentosa, may not be able to take these medications, or may need to take the lowest dosage.

What Are The Risk Factors For Erectile Dysfunction?

Hormonal abnormalities, such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause impotence. How can I improve my erectile dysfunction? The good news is that ED can usually be treated safely and effectively. What to do if you’re already on hypertension medications or considering taking them? Physical exam. This is an irreversible surgical intervention.

Your reassurance that this isn't the case can help. There may be a link between erectile dysfunction and type 2 diabetes. Androgen patches and testosterone replacement may be used under the supervision of an endocrinologist (someone who specializes in hormones). If you’re going through a rough time and you’ve been prescribed an antidepressant (like Paxil, Prozac, Zoloft, and many more), you might be met with a less-than-enthused sexual experience.


We’ve all heard of it. ED is not considered normal at any age, and may be associated with other problems that interfere with sexual intercourse, such as lack of desire and problems with orgasm and ejaculation. Testosterone replacement. Erectile dysfunction (ED), or impotence, is when a man has difficulty getting or maintaining a strong enough erection for sexual intercourse or other sexual activity. Between late March and July 1998, 3. Obesity and metabolic syndrome can cause changes in blood pressure, body composition and cholesterol, which may lead to ED. Talk to your doctor to see if you can alter the medication that’s causing your ED toIf you’re experiencing ED. These are also the first drugs that a doctor is likely to prescribe if you are not able to lower your high blood pressure through diet and exercise.

Because there are so many contributing factors to erectile dysfunction, it’s always a good idea to speak with your doctor and discuss all of your erectile dysfunction treatment options, like prescription medication. Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Not everyone can use these medicines. Never stop taking a medication without your doctor’s consent. It undergoes hepatic metabolism and has a half-life of about four hours.

20, 24 followed by injections of drugs into the penis, as well as penile implants. Even when the transient physical cause has passed, anxiety that it may recur is sufficient to prevent erection. There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. The most physiologically important mediator is nitric oxide.

  • However, use of these drugs is a risk factor for ED.
  • After urination, the medication is administered by inserting the applicator stem into the penile opening (urethra).
  • In those rare cases where a low sex drive and low blood levels of Testosterone are at fault for ED, Testosterone Therapy may fix normal erections or help when combined with ED drugs (PDE type 5 inhibitors).

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This medication is sold under the brand names Propecia and Proscar and is used to treat male hair loss. Sex and antidepressants: when to switch drugs or try an antidote. See your doctor if: Patients who are interested should discuss the risks and benefits (informed consent) of each, as well as costs before starting any clinical trials.

The implant can be bent downward for peeing or upward for sex. Those men convinced it is their medication to blame may find their problems in the bedroom are psychological or a side effect of their clogged arteries instead. Erectile dysfunction and treatment advice, for more details visit our Price Match page. Even if you take the medications, you still need physical and mental stimulation and desire to have an erection. Some people are able to do that through lifestyle changes alone.

Talk to your doctor about the side effects that you’re having. Because of changes in regulations, you no longer need a prescription to get sildenafil. Every year, more than 3 million people in the United States experience ED. Originally published on LiveScience. Viagra is supposed to work for between 30 minutes and four hours; Levitra for 30 minutes to two hours, and Cialis for up to 36 hours. He might also be unable to have a hard erection.

Psychological Causes of ED

As with any surgery, there's a risk of complications, such as infection. This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Graphs representing the color Doppler spectrum of the flow pattern of the cavernous arteries during the erection phases.

Take steps to reduce stress. More worrisome is the increase in high risk sexual behaviour and sexual assault. The most common physical causes of erectile dysfunction are related to circulation and blood pressure. Alprostadil is a synthetic version of prostaglandin E. In fact, according to Sarah Lisovich from CIA Medical, you might not be in the mood at all: This image may contain graphic or objectionable content. Image obtained after induction of an erection, 15 min after injection of prostaglandin E1, showing dilated sinusoids (arrows).

It gives a measurement of the vascular pressure in the corpus cavernosum during an erection. Do you drink alcohol? Physical causes of impotence can include: Recreational drugs: While this results in the body feeling calmer than usual, assisting with depression, the effect also weakens sexual desire and performance,” she says. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor. Erectile dysfunction (ED), sometimes called impotence, is the inability to achieve or maintain an erection. After your doctor checks you for medical problems and medicines that might cause ED, he or she may recommend a medicine to help with it.


You might hate to hear it, but if you’re experiencing the inability to perform, it’s best to cut back on drugs and alcohol significantly, if not entirely. Erectile dysfunction, the resulting increase in blood flow into erectile tissue causes swelling resulting in an erect penis. The majority of effects are due to the drug’s sympathomimetic properties. Statins, for example, have been warned to lower testosterone, raising fears about sexual performance. Romanelli says: High blood pressure can reduce blood flow to the vagina. Although some sources report an 80 percent success rate, the therapy has disadvantages, such as risks of infection, pain, and scarring—fibrosis—in the penis, and it may also cause priapism. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER).

When erection is no longer desired, a valve on the pump is pressed, and the penis becomes flaccid. Phentolamine (2 mg) is often added. The physical side effects of chemotherapy are usually temporary and resolve within one to two weeks after stopping the chemotherapy. ED is not an inevitable part of the aging process.

The study did not follow men over time, so it cannot tease out which came first: If you are experiencing erectile dysfunction from impaired blood circulation, Kegel exercises may help. There are limited advancements erectile dysfunction medications since the development of the popular and effective PDE5i drugs. Parkinson disease medicines:

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The UF College of Veterinary Medicine is Florida's only veterinary college and provides many unique educational programs for students and services aimed at helping pets, wildlife and endangered species. Some of these drugs can interact with prescription drugs and cause dangerously low blood pressure. Glyburide is a sulfonylurea oral medication used in lowering blood glucose in patients with type II diabetes mellitus. For information about the 4th Angel Mentoring Program visit www. Water pills (diuretics). Plan to sell an erectile drug over the counter, a reputable source for where to buy Viagra alternatives is [link]. With a thorough exam, the doctor should be able to determine whether the ED is psychological or physical in nature. The usual dose is between 5 and 40 μg per injection. The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric.


13 Initial dosing and required adjustments should be carried out in the physician's office. Diltiazem, Amlodipine, VerapamilAlpha blockers: If there is a post-operative infection, the implant will likely be removed. Use water based vaginal lubricants such as K-Y jelly, Lubrin, Surgilube or Astroglide, prior to penetration, for vaginal dryness. Postmarketing reports released by the manufacturer indicate infrequent occurrences of priapism. Inside the penis there are two long, cylindrical chambers called the corpora cavernosa, which contain a myriad of blood vessels and tissues, as well as one major artery in each chamber.

Such problems often indicate a structural problem with the penis. Ranked among the top schools of pharmacy nationally, the college supports research, service and educational programs enhanced with online technologies. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment. Low testosterone levels may be the result of a condition called hypogonadism, in which the testicles don’t produce enough testosterone.

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You may also find that you can’t achieve an erection with a certain partner. ICI therapy often produces a reliable erection, which comes down after 20-30 minutes or with climax. ’ This means that erectile function has been normal, but becomes problematic. In general, exercise, particularly of the aerobic type, is effective for preventing ED during midlife.

Upon orgasm, or completion of arousal, the penis becomes limp again. Some men have erectile dysfunction that might be complicated by low levels of the hormone testosterone. The controllable risk factors for arteriosclerosis--being overweight, lack of exercise, high cholesterol, high blood pressure, and cigarette smoking--can cause erectile failure often before progressing to affect the heart. Always consult with your doctor first! The decreased serotonin levels may explain the sensation of increased sexual interest experienced by subjects who use MDMA, but do not explain the associated sexual dysfunction. Find out how you can improve your erections. But while they’re an easy go-to on your way back home from the office, Gittens warns that while they might solve some problems, they could cause others. Tadalafil is an oral PDE5i drug.

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Lifestyle factors like smoking, excessive alcohol consumption, or extreme stress can also contribute to ED. Psychosocial examination. Drugs that may cause erection problems: medlineplus medical encyclopedia, if you need some help shedding pounds, here are 42 fast and easy tips. The great majority of ED cases in diabetic men have a physical cause, such as neuropathy or circulatory problems. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. ED can be caused by a number of factors, including:

Sedatives And Anxiolytics

Brinkley initiated a boom in male impotence cures in the U. If can’t—or don’t want to—take medications to manage ED, your doctor may recommend trying a either a hand-powered or battery-powered penis pump (vacuum device). Like all diabetic complications, ED can occur even when you have followed your doctor’s advice and carefully managed your diabetes. One must interrupt foreplay to use them. Taking nitrates with one of these medications can lower blood pressure too much. Psychological: