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Comparison Table for ED Medicines

Viagra Cialis Levitra
Manufacturer Pfizer Lilly ICOS Bayer
Date Introduced March 1998 February 2003 April 2003
How does this drug work? Viagra, Cialis and Levitra belong to a class of drugs known as PDE-5 (Phospodiesterase type 5) inhibitors. All three drugs work by blocking the enzyme (PDE5) which is found primarily in the penis. By inhibiting PDE5, the blood vessels in the penis remain relaxed for a longer period which allows for an increased blood flow. Another effect is the "holding" of blood in your penis helping to produce longer-lasting erections. All three treatments are NOT aphrodisiac's and only work when you are sexually aroused.
Dosage 25mg, 50mg and 100mg 10mg and 20mg 5mg, 10mg and 20mg
Which dosage is right for you? Always start with the lower dosage; your doctor will decide which dosage and drug type is most appropriate for you. Your doctor will take into account potential drug interactions, your age, the severity of your erectile dysfunction and any previous history you have had taking impotence treatment. If the lower dose does not prove effective after eight attempts your doctor may advise you to move to a higher dose.
How quickly does it work after taking? 40 Minutes when taken on an empty stomach 30 Minutes 20 Minutes
What is the maxium number of times you can take this drug in 24 hours? Do not take more than once in any 24 hour period Do not take more than once in any 24 hour period Do not take more than once in any 24 hour period
Duration of Effectiveness? 4 - 6 hours 36 hours 12 hours
Reported side-effects? Congestion, Diarrhoea, Flushing, Headaches, Urinary Tract Infection, Bluish Vision. Headache, Myalgia, Dyspepsia, Back Pain Headache, Flushing, Dyspepsia, Nasal Congestion
Contraindications? Any Nitrate based medicine Any Nitrate based medicine, Angina, Hypertension, Hypotension Any Nitrate based medicine
Suitability for women? No No No

Drugs Linked to Erectile Dysfunction

Many innocuous drugs can be linked to ED. There are also a number of prescription and over-the-counter drugs that may cause erectile dysfunction. While these medications may treat a disease or condition, in doing so they can affect a man's hormones, nerves, or blood circulation, resulting in ED or increase the risk of ED.

Examples of medicines that may cause ED are listed below. During your medical questionnaire, it is important to tell your doctor about any drug (legal or illegal) that you are taking so that they have a full picture of your health. Doctor's at Anytime Doctor will not disclose your private information to your GP or the NHS unless you ask them to.

TYPE OF DRUG GENERIC AND BRAND NAMES
Diuretics and Antihypertensives

- Hydrochlorothiazide (Esidrix, HydroDIURIL, Hydropres, Inderide, Moduretic, Oretic, Lotensin)

- Chlorthalidone (Hygroton)

- Triamterene (Maxide, Dyazide)

- Furosemide (Lasix)

- Bumetanide (Bumex)

- Guanfacine (Tenex)

- Methyldopa (Aldomet)

- Clonidine (Catapres)

- Verapamil (Calan, Isoptin, Verelan)

- Nifedipine (Adalat, Procardia)

- Hydralazine (Apresoline)

- Captopril (Capoten)

- Enalapril (Vasotec)

- Metoprolol (Lopressor)

- Propranolol (Inderal)

- Labetalol (Normodyne)

- Atenolol (Tenormin)

- Phenoxybenzamine (Dibenzyline)

- Spironolactone (Aldactone)

Antidepressants, anti-anxiety drugs andantiepileptic drugs

- Fluoxetine (Prozac)

- Tranylcypromine (Parnate)

- Sertraline (Zoloft)a

- Isocarboxazid (Marplan)

- Amitriptyline (Elavil)

- Amoxipine (Asendin)

- Clomipramine (Anafranil)

- Desipramine (Norpramin)

- Nortriptyline (Pamelor)

- Phenelzine (Nardil)

- Buspirone (Buspar)

- Chlordiazepoxide (Librium)

- Clorazepate (Tranxene)

- Diazepam (Valium)

- Doxepin (Sinequan)

- Imipramine (Tofranil)

- Imipramine (Tofranil)

- Oxazepam (Serax)

- Phenytoin (Dilantin)

Antihistamines

- Dimehydrinate (Dramamine)

- Diphenhydramine (Benadryl)

- Hydroxyzine (Vistaril)

- Meclizine (Antivert)

- Promethazine (Phenergan)

Non-steroidal anti-inflammatory drugs

- Naproxen (Anaprox, Naprelan, Naprosyn)

- Indomethacin (Indocin)

Parkinson's disease medications

- Biperiden (Akineton)

- Benztropine (Cogentin)

- Trihexyphenidyl (Artane)

- Procyclidine (Kemadrin)

- Bromocriptine (Parlodel)

- Levodopa (Sinemet)

Antiarrythmics

- Disopyramide (Norpace)

Histamine H2-receptor antagonists

- Cimetidine (Tagamet)

- Nizatidine (Axid)

- Ranitidine (Zantac)

Muscle relaxants

- Cyclobenzaprine (Flexeril)

- Orphenadrine (Norflex)

Prostate cancer medications

- Flutamide (Eulexin))

- Leuprolide (Lupron)

Chemotherapy medications

- Busulfan (Myleran)

- Cyclophosphamide (Cytoxan)

If you experience ED and think that it may be a result of medication you are taking, do not stop taking the medication without first consulting your doctor. If the problem persists, your doctor may be able to prescribe a different medication.

Other substances or drugs that can cause or lead to ED include recreational and frequently abused drugs, such as:

  • Alcohol
  • Amphetamines
  • Barbiturates
  • Cocaine
  • Marijuana
  • Methadone
  • Nicotine
  • Opiates

Aside from the well-known complications that the use and abuse of these drugs can cause, ED is not often mentioned. However, use of these drugs can cause ED. These drugs not only affect and often times suppress the central nervous system, but can also cause serious damage to the blood vessels, resulting in permanent ED.

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is authorised and regulated under the Health and Social Care Act 2008

Care Quality Commission

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