Erectile Prescribing

Erectile dysfunction, or ED, is a common sexual health condition where you:

• Can’t get an erection
• Can’t maintain an erection long enough for sex

It’s normal to have occasional difficulties with erections, but if it happens frequently, it could be a sign of ED.

ED is very common:

• Around 52% of men aged 40–70 experience ED.
• 40% of men aged 40 and 70% of men aged 70 are affected.
• Younger men can also experience ED—2.3% of men in their 30s have it.

Despite its prevalence, many men don’t seek help due to embarrassment or cultural reasons.

Symptoms of ED include:

• Difficulty getting an erection
• Trouble maintaining an erection during sex
• Erections that are not as firm or require more stimulation
• Reduced sex drive

ED can have various causes:

• Physical conditions: Diabetes, high blood pressure, hormonal imbalances, heart disease, and more.
• Psychological conditions: Stress, depression, anxiety, or relationship issues.
• Medications: Some medications, like beta-blockers or antidepressants, can cause ED.
• Lifestyle factors: Smoking, excessive alcohol use, poor diet, lack of exercise, or high BMI.

Treatment options include:

• Prescription Medications:
  • Sildenafil (generic Viagra) – Works in 30–60 minutes; lasts 4–6 hours.
  • Tadalafil (generic Cialis) – Works in 30 minutes; lasts up to 36 hours.
  • Tadalafil Daily – Low-dose, daily treatment for spontaneous readiness.
  • Vardenafil and Spedra – Other fast-acting options.
• Non-Medical Options:
  • Lifestyle changes like regular exercise, a healthy diet, and stress management.
  • Pelvic floor exercises (Kegels).
  • Counseling for psychological causes.
  • Penis pumps or implants (for severe cases).

ED may be curable if the underlying cause can be treated, such as improving lifestyle habits or managing chronic conditions like diabetes. If it can’t be cured, ED can often be managed effectively with medications or other treatments.

Yes, most ED medications are safe for long-term use under medical supervision. Studies show sildenafil and tadalafil are safe and effective over extended periods.

To determine the cause:

1. Get a check-up for underlying health conditions (e.g., diabetes, high cholesterol).
2. Review medications with your doctor to identify potential side effects.
3. Evaluate your lifestyle—poor diet, smoking, or lack of exercise can contribute.

Common side effects include:

• Headaches
• Flushing
• Indigestion
• Nasal congestion
• Visual changes (blurred vision, sensitivity to light)

Most side effects are mild and temporary. Always read the Patient Information Leaflet included with your medication.

Generic ED medications (like sildenafil) are much more affordable than branded options, offering the same results at a lower cost.

Effectiveness varies, but PDE-5 inhibitors are generally highly effective:

• Sildenafil: Effective for 82% of men.
• Tadalafil: Effective for 86% of men.
• Vardenafil: Effective for 80% of men.