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Cialis may have some more serious side effects. People should not use it with guanylate cyclase stimulators or blood pressure medications, as this combination can trigger an unsafe dip in blood pressure. A person who is taking Cialis and has prostate problems should avoid prescription alpha-blockers, as Cialis serves the same function. It will be like an additional dose. People should also avoid certain antifungal medications and antibiotics when taking Cialis.

Anybody who is considering taking medications such as Cialis for ED should always involve their doctor in the decision. If a doctor has told a person to avoid sexual activity due to health problems, they should avoid Levitra. Sexual activity can put extra strain on the heart, especially if it is already weak from heart disease.

People who are taking drugs to treat an abnormal heartbeat should also avoid taking Levitra. The manufacturers of Stendra claim that it has a low rate of side effects. Anyone with any kind of health condition should speak to a doctor before taking Stendra or any of these medications. People can take Stendra with or without food and with up to three servings of alcohol.

It is important not to drink more than three alcoholic drinks, for example, three glasses of wine or three measures of whiskey, as this can lead to adverse effects. All four medications may sometimes cause priapism, an erection that will not go away. If a person experiences an erection lasts for more than 4 hours, they should seek medical attention to avoid lasting damage. In rare cases, these drugs can cause serious side effects, including sudden loss of vision in one or both eyes or sudden hearing loss.

If a person experiences these symptoms, they should stop taking the drug immediately and call their doctor. The other thing a person might consider is the cost and availability of each of these drugs. Some drugs have been around longer and may be more widely available than others.

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He is holding a wine bottle I cried and erectile dysfunction message board fell asleep. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission.

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This content does not have an Arabic version. See more conditions. Erectile dysfunction: Viagra and other oral medications. Products and services. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again. Erectile dysfunction care at Mayo Clinic. Show references Wein AJ, et al.

Evaluation and management of erectile dysfunction. However, as above, it is possible that one medicine will be more or less effective than the others, and therefore it is best to initially try out all three to see which is best. All three have similar side effects — headaches, stuffy nose, facial flushing, stomach ache or back pain being the most common. Some men who have had bad side effects with, say, Viagra will have fewer with Levitra or Cialis, but similarly some find the prolonged side effects of Cialis troubling.

Viagra, Cialis and Levitra should not be taken by men who take medicines or recreational drugs containing nitrates. Cialis should not be taken by men who are on medicines called alpha blockers which are sometimes used to treat prostate problems or high blood pressure. Men who take alpha blockers can use Viagra or Levitra but must allow at least a six hour gap between taking the alpha blocker and Viagra or Levitra.

Viagra, Levitra and Cialis all work in a similar way. They all relax the blood vessels which supply blood to the penis, meaning that more blood can get there when aroused. These medicines are not aphrodisiacs, so you will still need to be sexually stimulated in order to get an erection.

Sildenafil and Spedra are two other major erectile dysfunction medicines which work in a similar way to Viagra, Cialis and Levitra. As outlined above, Sildenafil is the generic version of Viagra, and contains the same active ingredient.

If your ED has a psychological cause, such as stress, anxiety or depression, counselling can be an effective treatment. Sometimes even just talking over the issues with a trained professional can help treat the problem. It can be a while before any effects from counselling are seen, so it is often combined with prescription medicines such as Viagra, Cialis or Levitra which treat ED in the short term.

There are lots of websites offering erectile dysfunction medicines but many supply fake or counterfeit medicines. Apart from the fact that these medicines may not work, there is also the risk of potentially serious adverse effects from taking non-genuine medicines.



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