Medications for Erectile Dysfunction in Los Angeles & San Francisco, CA
“Oral medications for ED can cause dangerous interactions if you take them with nitrates, which are medications that treat angina or chest pain,” says Dr. Liroff. “ED medicines can also interact with certain heart medications and alcohol.
- Relationship Impact: Successful treatment can improve intimacy and reduce stress.
- Communication: Important to discuss ED and treatment with one's partner.
- Self-Esteem: Effective treatment can significantly improve confidence.
- Performance Anxiety: Medication success can help break the anxiety cycle.
- Partner Satisfaction: Often improves alongside the patient's sexual function.
- Counseling: Couples therapy can be beneficial alongside medical treatment.
- Realistic Expectations: Understanding that medication is an aid, not a cure.
Finally, depending on the drug, you have to take them 15 minutes to two hours before sexual activity, which requires advanced planning.” If oral medications aren’t right for you, injectable ED treatments are a good next step. “With ED injection medicines, you use a thin needle to place medicine directly in your penis,” says Dr.
Dr. Amrinder Singh
“Sometimes ED is linked to a hormonal imbalance or a condition like diabetes, heart disease or depression. Finding the cause of ED is the first step in choosing the best treatment.” Once any health conditions have been addressed, you can move on to treatments to help you get or keep an erection. ED medications improve blood flow to the penis, which helps people achieve an erection. These pills are safe and effective for many people, which is why they remain a first-line treatment. Not everyone should take these medications, however. Liroff. “Up to 85% of men get sex with tablet good results with this treatment, but the main drawback is having to give yourself an injection before sex.” A vacuum erection device, sometimes called a penis pump, creates a gentle vacuum around the penis to create an erection. “Pumps for ED help draw blood into the penis, and then you use a stretchy band to keep the blood in place,” says Dr.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Black | 80mg | 120 + 8 Pills | 264.77€ 252.16€ | |
| Viagra Generic | 150mg | 30 + 2 Pills | 72.32€ 68.88€ | |
| Kamagra 100 mg | 100 mg | 120 + 6 Pills | 330.74€ 314.99€ | |
| Cialis Original | 20mg | 92 + 4 Pills | 377.99€ 359.99€ | |
| Viagra Professional | 100mg | 180 + 4 Pills | 337.30€ 321.24€ | |
| Cialis Generic | 5mg | 180 + 10 Pills | 159.65€ 152.05€ | |
| Cialis Generic | 20mg | 30 + 4 Pills | 68.05€ 64.81€ | |
| Viagra Generic | 150mg | 90 + 6 Pills | 147.18€ 140.17€ | |
| Levitra Generic | 60mg | 20 Pills | 81.30€ 77.43€ | |
| Levitra Soft Tabs | 20mg | 20 Pills | 74.68€ 71.12€ | |
| Kamagra Oral Jelly | 100mg | 110 + 9 Sachets | 334.87€ 318.92€ | |
| Levitra Professional | 20mg | 10 Pills | 62.37€ 59.40€ |
Liroff.
How do oral ED drugs work?
It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider. Erectile dysfunction (ED) affects a significant portion of the male population, and while oral medications like sildenafil, tadalafil, and vardenafil are commonly used, they may not be the best option for every patient. Oral ED options (known as PDE-5 inhibitors) include medications such as sildenafil, tadalafil, vardenafil tablets and vardenafil. They are often the first care plan recommended to patients because of their ease of use.
How Levitra works:
At Olympia, we compound oral medications with the following ingredients: In some cases where these individual ingredients may not appear to be the right strength for certain patients’ needs, combo medications may be prescribed. Olympia offers combination oral tablets such as: [button url=” icon=”rocket” new-tab]…and more! Even with the introduction of combo tablets, some patients may not be good candidates for oral tablets as a whole. Whether it’s due to contraindications or the medications do not respond as expected, this prompts a need for additional care options. For patients who do not respond to or cannot take oral medications, injectable therapy may be considered.
The mental side of sex
There is a variety of terms in which this type of therapy is referred to, including: No matter the terminology used, they all mean the same thing. This method of care is often seen as a viable pathway for patients dealing with more serious cases of erectile dysfunction. When it comes to injectable therapy, one of the most common options prescribed to patients is known as Trimix Injection. Trimix is a compounded injectable medication that typically combines three active ingredients: alprostadil, papaverine, and phentolamine. It is administered via injection into the corpora cavernosa of the penis, also known as the penile tissue, under provider guidance. “The FDA-approved devices work well for about 75% of patients.” One of the newest therapies for ED is known as low-intensity shockwave treatment (LISWT) or shockwave therapy.
- Definition: Inability to achieve or maintain an erection sufficient for sex.
- Prevalence: Affects millions of men, with incidence increasing with age.
- Treatability: The vast majority of ED cases are treatable.
- Not Inevitable: While common with age, ED is not an inevitable part of aging.
- Primary vs. Secondary: Primary (lifelong) is rare; secondary (acquired) is common.
- Situational ED: Occurs only in certain situations, often psychological.
- General ED: Occurs across all situations, often organic or mixed causes.
“Shockwave therapy emits pulses of energy into the tissues of the penis, which generates a natural healing process,” explains Dr. Liroff.
| Brand Name | Generic Name | Dosage Forms | Mode of Action | Typical Dosage |
|---|---|---|---|---|
| Viagra | Sildenafil Citrate | Tablets | Vasodilation via PDE5 inhibition | 50-100 mg as needed |
| Cialis | Tadalafil | Tablets | Long-lasting PDE5 inhibitor | 10-20 mg as needed |
| Levitra | Vardenafil | Tablets | PDE5 inhibition | 10-20 mg as needed |
| Stendra | Avanafil | Tablets | Rapid onset PDE5 inhibitor | 50-200 mg as needed |
“The tissues respond by increasing blood flow, which helps you get an erection.” You’ll likely need about six shockwave treatments, spaced over a few weeks. It may take up to three months to see maximum results.
| Treatment Type | Method Description | Advantages | Limitations |
|---|---|---|---|
| Vacuum Erection Devices | Mechanical pumps to induce erection | Non-invasive, drug-free | Temporary effect, discomfort |
| Penile Implants | Surgical placement of prosthetic devices | Permanent solution | Surgery risks, cost |
| Pelvic Floor Exercises | Kegel exercises to strengthen pelvic muscles | Improves erectile function over time | Requires consistency |
| Counseling and Therapy | Psychological support for ED causes | Addresses underlying issues | Time-consuming, variable results |
“LISWT causes mild tingling, but most patients don’t find it painful,” says Dr. Liroff. “When a licensed provider gives you shockwave therapy, it’s safe and has a minimal risk of side effects.” It’s important to know the difference between true shockwave therapy and counterfeit versions. A similar-sounding treatment known as radial wave therapy (rWT) is available at healthcare clinics and even non-medical facilities. Though it promises results, it has no science to back up its claims.
- Psychological ED: Can be effective if performance anxiety is a component.
- Diabetes-Related ED: Often requires treatment but may be less responsive.
- Post-Prostatectomy ED: Nerve-sparing techniques improve medication success.
- Cardiovascular Disease: Use is possible but requires thorough cardiac evaluation.
- Spinal Cord Injury: Can be an effective treatment option for neurogenic ED.
- Age: Effectiveness may decrease with advanced age due to other health factors.
- Underlying Cause: Success depends on identifying and addressing the root cause.
“Shockwave therapy has data to show that it stimulates blood flow and generates new blood vessels,” explains Dr.
Speak to your provider about ED
As a combination drug, it is compounded in a sterile environment by compounding pharmacies like Olympia. Providers should ensure proper patient education on injection technique, sterile handling, and dosing. Monitoring for adverse events and following up with patients is recommended. In some cases, clinics may recommend dietary supplements such as L-Arginine. This amino acid, when found in the body, supports nitric oxide production, which plays a role in vascular health.
Patient & Visitor Support
As with any additions to a patient’s care regimen, providers should review patient health profiles before suggesting any supplement to ensure there is a fit. Establish protocols for dosing and follow-up. Be advised that compounded products are not approved by the FDA, nor are they evaluated by the FDA for safety, efficacy, or quality. This article was written for informational purposes, and is not intended to replace or substitute for medical advice. Always consult with a medical professional before beginning any medical regimen.
Key takeaways
For clinics and providers looking to expand their ED care options, injectable therapy such as Trimix can be part of a comprehensive solution for patients who need alternatives to oral medications. Interested in learning more about how your clinic can offer injectable ED therapy? Contact us to speak with a representative about protocols, patient education, and support resources. When you think of erectile dysfunction (ED) treatments, pills likely come to mind. Though they were the first ED treatment to be FDA-approved, oral medications are no longer your only option. Liroff. “Radial wave therapy doesn’t have these results, and studies have shown that it’s equal to no treatment.” Penile prosthesis surgery, sometimes called a penile implant, might be an option if less invasive treatments haven’t worked for you.
How RedBox Rx can help
Henry Ford Health urologist Stephen Liroff, M.D., explains the different ED treatments and how to find a solution that works. Before you start treatment for ED, your provider will need to learn more about you. They may perform a physical exam and ask about your symptoms, medical history and lifestyle. “There’s no single ED treatment that’s right for everyone, so getting to know the patient’s needs is important,” explains Dr. Liroff. “There are different types of implants, depending on your needs and preferences,” says Dr.
Other Treatments for ED
Cialis can be taken on a full stomach following meals and the effect of medication may last up to 36 hours. If you do not achieve an erection on 10 mg, higher dosages can be taken, though you must consult your doctor regarding higher doses. Cialis cannot be used with some other medications. Flomax in doses of 0.4 mg is well tolerated. The most common side effects of oral medications for erectile dysfunction include headache, facial flushing and upset stomach.
How to Use Viagra™
A small number of patients taking Viagra or Levitra may complain of a "blue cast" to their vision, sensitivity to light or blurred vision. Cialis does not cause visual side effects. However, back pain and joint aches can occur with Cialis. Although Viagra, Levitra and Cialis have been shown to be effective in many men with erectile dysfunction, they are not effective in patients who have a prostatectomy, unless a nerve-sparing approach was used. These medications must not be used with medications containing nitrate, such as nitroglycerin, Nitrostat, Nitro-Bid, Nitro-Dur, Isordil and Ismo, or Deponit.
Who should not take Cialis:
Drugs Reported to Cause PriapismView a list of medications, drugs and conditions that may cause priapism, a prolonged and often painful erection. Erectile Dysfunction CausesSome conditions are risk factors for erectile dysfunction (ED), including diabetes and heart disease. See a list of conditions and medicines that can cause ED. Penile Injections: A Patient GuideLearn how to administer a penile injection and get answers to common questions, including how the injected medication produces an erection. UCSF Health medical specialists have reviewed this information. Liroff.
| Age Group | Expected Efficacy | Safety Considerations | Notes |
|---|---|---|---|
| 40-50 years | High | Generally safe, monitor comorbidities | Regular health check, dose adjustments possible |
| 51-65 years | Moderate to high | Increased risk of cardiovascular issues | Screening recommended before therapy |
| Over 65 years | Variable | Higher likelihood of side effects | Careful evaluation, start with lower doses |
“See a urologist who has experience in penile implant surgery to discuss your options.” Steer clear of herbal medications and “natural supplements” for ED. No studies have proven that they work, and they could be dangerous. “The FDA doesn’t regulate ED supplements, so you don’t know what you’re getting,” says Dr.
Vision Problems
Long-term safety and tolerability of tadalafil in the treatment of erectile dysfunction. 2004;45(3): 339–344; discussion 344-5. Answer a few simple questions to get the treatment you need. Take 50 mg of Viagra one hour before you are ready to engage in sexual activity. Viagra works best 30 minutes to four hours after taking the pill.
Testosterone Cypionate / DHEA Grapeseed Oil
Viagra also works best on an empty stomach. Do not take the pill after a high-fat meal. If you do not achieve an erection with sexual stimulation, you can increase the dosage of your medication the next time sexual activity is planned. After surgery, most men require doses of 100 mg, or more, of Viagra. Within eight to 12 hours, Viagra is almost completely eliminated from the body.
Conditions We Treat
Take 10 mg of Levitra 30 minutes to one hour before you are ready to engage in sexual activity. Levitra works best 30 minutes to four hours after taking the pill. If you do not achieve an erection, you may need to increase the dosage. Levitra cannot be used with some medications. Take 10 mg of Cialis at least two hours before you are ready to engage in sexual activity.