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Sildenafil Citrates - Choosing the Right Treatment for Erectile Dysfunction

It is very important to know how to choose the right treatment to treat erectile dysfunction (ED) if you are suffering from it. This article discusses some of the different options available and how to find the best treatment for your problem. The article also mentions some of the most common problems related to ED and how to treat them.

ED treatment

Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor that has been approved to treat erectile dysfunction. It works by enhancing the relaxant effects of nitric oxide. In addition, it increases blood flow to the penis, which improves erectile function.

Men with ED have been treated with a variety of medications. While some have worked, other approaches have been suboptimal. A comprehensive approach is necessary for effective treatment. This includes counseling, risk factor modification, and a proactive approach. Treatment satisfaction is an important predictor of long-term success.

In this study, men with ED who were treated with sildenafil had significantly better erectile function than patients who were treated with placebo. The sildenafil group showed a greater improvement in the International Index of Erectile Function (IIEF) Q4, IIEF Q3, and GEQ scores.

The most common adverse events were headache, dyspepsia, and flushing. They were transient and mild in nature.

Patients were recruited for a 12-week double-blind, randomized, placebo-controlled trial. After a four-week run-in period, data on sexual function were collected. At week 12 patients visited three times for a comprehensive disease management program. Reeducation included information on patient and partner expectations, proper dosage titration to achieve maximum dosage, and a minimum of eight attempts to assess the efficacy of the drug.

PHARMACEUTICAL HYPERTENSION (PAH) treatment

Sildenafil is an oral drug used for pulmonary arterial hypertension (PAH). The drug was approved by the FDA in 2005. It is a PDE5 inhibitor.

It is typically taken three times a day. However, the exact dose is not established. Some patients experience adverse effects, including headache and anemia. Do not stop taking the medication without consulting your doctor. Taking the medication at the same time each day is recommended. Ask your pharmacist for additional information.

To participate in the study, patients were required to be over 18 years old, on stable background medications, have right heart catheterization within 12 weeks before randomization, and have 6 mmHg of mPAP 25 mmHg. Patients were also excluded if they had PAH associated with any of the following: a scleroderma, scleroderma-like SSc-PAH, histiocytosis X, or Eisenmenger syndrome.

73 treatment-naive, treatment-failure, or treatment-relapsed patients with group 1 PAH were evaluated. They were randomly assigned to a 40 mg tadalafil plus placebo group, an ambrisentan-monotherapy group, or a sorafenib group. The sorafenib group was a 16-week phase Ib single-center open-label study.

Adding sildenafil to the iloprost regimen improved hemodynamics and exercise capacity. It also improved the WHO functional class. This may indicate that the combined therapy may improve outcomes in advanced or failing PAH.

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