At the time Viagra got approved in 1988 by FDA, the blue pill became household name along with becoming part of culture. Though nowadays there happen to be loads of less popular drugs for erectile dysfunction on market and that include Staxyn, Cialis, Levitra and the VC of Department of Urology and Chief of Robotics and Minimally Invasive Surgery, Dr David Samadi, at Mount Sinai School of Medicine in the New York City tends to make sense of these choices and also offer advice on selecting the right one.

While age takes over a man, sexual performance could decline due to blockage of blood vessel in the penile tissue as well as lower levels of testosterone. That is what’s seen by Dr Samadi in the patients who are at the age of 50-55 who go to him keeping the hope of getting the suitable medicine for having their function restored.

 He says that it is best not to use this  medication if it could be avoided but sexual dysfunction could affect marriages and also wives, so these medicines are important and also, quite safe. He says that there are many of them now, they work alike but have some differences.

Levitra or Viagra is prescribed typically to the patients at first by Dr Samadi as they act for a short time, lasting for around 4 hours, while the drug Cialis stays in system for a maximum of 24 hours. Different drugs work differently for many different people, therefore it is important to use another drug when one does not work.

He says that it is better to try all 3 at some different times to see which really works well for you.

According to him, taking medication one hour prior to sex and with the stomach empty is critical for its effectiveness. He further says that some men take bigger dinner before taking medication though that leads only to disappointment.

Many side effects which are associated with the use of these drugs tend to be mild, according to him, and include decreased blood pressure, dizziness, headaches and nasal congestion. He advises that if one is considering taking any of these medications along with medicine for blood pressure, one should make sure that his physician knows.

He says that also, if nitrates are taken to treat or prevent chest pain due to coronary artery illness, one couldn’t take medicine for erectile dysfunction. Using both could increase effect of drugs and also lead to notable drop of blood pressure.

It is asserted by Dr Samadi that one has to make sure that no nitrated at all are being taken, which is a contradiction of using these medicines.

Though the probable side effects related to the erections lasting longer than 4 hours, are advertised by commercials, Dr Samadi says that he never has seen such condition and so shouldn’t be feared by men.

He says that he wants the people to get to know the fact that there’re many other good treatments available. He advises people to talk to their urologist and have the care individualized so that it could be seen what is best for them.

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