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"If you suddenly start trotting out all your old Victoria's Secret underwear -- or buy some sexy new clothes -- well, that's only going to put more pressure on him, and it's not going to help the ED one bit," says Foley.
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Metabolism (breakdown) of sildenafil is slowed by aging, liver and kidney dysfunction, and concurrent use of certain medications (such as erythromycin--an antibiotic, and protease inhibitors, for HIV). Slowed breakdown allows sildenafil to accumulate in the body and potentially may increase the risk of side effects. Therefore in men over 65, in men with substantial kidney and liver disease, and in men who also are taking protease inhibitors, the doctor will initiate sildenafil at a lower dose (25 mg) to avoid accumulation of sildenafil in the body. A protease inhibitor ritonavir (Norvir) is especially potent in increasing the accumulation of sildenafil, thus men who are taking Norvir should not take sildenafil doses higher than 25 mg and at a frequency of no greater than once in 48 hours.
Talk about your feelings: Sharing the way you feel about each other can make the two of you closer. Open dialogue with your partner about each other's needs and concerns helps to overcome barriers to a healthy relationship.
Take prescribed medications as directed.
Quitting smoking, exercising regularly, losing excess weight, curtailing excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health but also may improve erectile function. Some studies suggest that men who have made lifestyle improvements experience increased rates of success with oral medications.
This agent, which is available in 5-mg, 10-mg, and 20-mg doses, became available in 2003. These lower doses are effective because this agent has a 9-fold increase in selectivity for the specific receptor responsible for NO release in the penis. This agent can act within 20 minutes. Vardenafil has similar efficacy, side effects, and limitations as sildenafil but may be less bothered by food.
Let your partner know that he's not alone. Remind him that ED is a fairly common and very treatable medical condition. ED is not a reflection on his masculinity or a lack of attraction or desire for you. You should also support your partner in any efforts to change his lifestyle (such as encouraging a proper diet, quitting smoking or use of any recreational drugs, etc.) to deal with ED.
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Obesity increases the risk of erectile dysfunction, possibly because of accompanying cardiovascular problems, atherosclerosis - and hormonal changes.
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* Practice Yoga and meditation regularly to keep away anxiety, depression and stress. Meditation and Yoga are best stress busters.
Oral medications include neuropharmacologic agents that are adrenergic receptor antagonists (eg, phentolamine, yohimbine, delequamine), dopamine receptor antagonists (eg, apomorphine, bromocriptine), serotoninergic receptor activators (eg, trazodone), oxytocinergic receptor stimulators (eg, oxytocin), androgens, and PDE inhibitors.
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