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Evidence Lacking to Compare Viagra, Levitra and Cialis

Saturday, November 14th, 2009

For the most part, Viagra, Levitra and Cialis are fine for patients with erectile dysfunction, according to guidelines out today from the American College of Physicians, a big group of primary care docs.

But there’s not much good evidence to allow doctors to figure out which drug is best for which patient, so doctors should base their choice on factors such as patient preference, which may be determined in part by cost, the guidelines say.

“The evidence is insufficient to compare the efficacy and adverse effects” of the drugs because “few head-to-head trials are available,” the guidelines say. This lack of evidence comparing one drug against another is familiar. Companies often launch studies comparing new drugs to placebos, rather than to existing drugs; without head-to-head trials, it can be tough to know how competing drugs stack up.

All of the drugs do have some side effects, including headache, flushing and stomach pain, the guidelines note. And they shouldn’t be taken by certain patients, including those taking nitrate drugs for angina.

The guidelines also said there is not enough evidence to recommend for or against hormonal blood tests (which typically look at testosterone levels) or hormonal treatment for men with erectile dysfunction.

Levitra Side Effects

Tuesday, April 14th, 2009

Natural Treatments for Physical Causes of ED General Exercise & Weight Loss The value of exercise for overall health and well being has been long established, but according to The Harvard Health Professionals Follow-up Study (HPFS) published in the “Annals of Internal Medicine” August 5, 2003, men who exercise 3-5 hours a week have 30% less risk of having erectile dysfunction. Epidemiological studies indicate that physical activity and leanness are associated with a reduced risk for ED. A 2004 study by Italian researchers bolstered these findings, stating, “In our study, about one-third of obese men with erectile dysfunction regained their sexual function after two years of adopting healthy behaviors, mainly regular exercise and reducing weight,” they wrote in the June, 2004 Journal of the American Medical Association (Esposito K et al 2004). According to the researchers, “sedentary men may be able to reduce their risk of erectile dysfunction by adopting regular physical activity at a level of at least 200 calories a day, which corresponds to walking briskly for two miles.” This study also shows that lifestyle changes may not be feasible, or adequate, to reverse established ED in all cases. Fortunately, some safe, natural alternatives are available whose clinical data support their benefits for sex and health.

Pelvic Floor Exercises to Treat ED

A growing body of research further supports exercise specifically targeted to the pelvic area as a means to help men with erectile dysfunction. Once considered only useful for women before and after child birth, hysterectomy, and menopause to restore their muscle tone and urinary continence, increasing evidence is emerging that suggests ED- afflicted men can also benefit. Recent research suggests that pelvic floor exercises are highly effective in helping men with problems developing and sustaining an erection. A study from the University of West of England, Bristol, suggests that the exercises can help both men with erectile dysfunction and premature ejaculation, and also those who experience ‘dribbling’ after urinating. Some antidepressant medications may help with premature ejaculation, but the Food and Drug Administration (FDA,Levitra Side Effects) has not yet approved them for this purpose. Additionally, experts believe the exercises can also help improve the quality of orgasm. The UK-based Impotence Association says the workout may “increase awareness of sexual sensations and enhance enjoyment”.ontraction”. he exercises target the ‘pelvic floor’, which supports the bladder and the bowel. It is s. The Impotence Association states that the exercises strengthen the muscles around the penis, improve the blood supply in the pelvis and thus “enhance orgasmic sensations by strengthening the pelvic muscles that produce ejaculation by their c T made up of layers of muscle that attach to the front, back and sides of the pelvic bone Two pelvic muscles do most of the work – the largest stretches like a hammock

Levitra Vs Cialis

Thursday, October 23rd, 2008

Results of the first prospective trial specifically designed to evaluate erectile function in erectile dysfunction (ED) patients with dyslipidemia show that LEVITRA(R) (vardenafil HCl), used in treating ED, significantly improves the ability of men with ED and dyslipidemia to achieve and maintain an erection for successful sexual intercourse. These data were presented at the Sexual Medicine Society of North America (SMSNA) Fall Meeting held in Chicago, IL. The double-blind, placebo-controlled study is the first study to measure the safety and efficacy of a PDE 5 inhibitor in a cohort of men who all had ED and dyslipidemia. Results from the study of 395 men show that LEVITRA significantly increased rates of penetration (as measured by SEP2 scores,levitra vs cialis) and the ability to maintain an erection (as measured by SEP3 scores,levitra vs cialis) compared to placebo.”ED is associated with high cholesterol, yet many physicians are not treating ED, a life-changing condition,” said Dr. Martin Miner, Clinical Associate Professor of Family Medicine at Brown University’s Warren Alpert School of Medicine. “This study provides further support that LEVITRA can successfully treat ED, even in men with a serious common condition like high cholesterol.”Nearly 70 percent of the estimated 30 million men in the United States who have ED also have other common conditions such as dyslipidemia (including high cholesterollevitra vs cialis), hypertension, or diabetes, which may lead to erectile dysfunction. Previous studies have demonstrated the efficacy and safety of LEVITRA in men with ED who also have high blood pressure or diabetes.

About the Study

In the double-blind, placebo-controlled study, 395 men ages 18 to 64 that had ED and dyslipidemia were randomized to treatment with LEVITRA or placebo for 12 weeks.Men treated with LEVITRA had statistically significant and clinically relevant improvements in SEP2 scores (a rating system that measures penetration) and SEP3 scores (a rating system that measures maintenance of erection) versus placebo (79.1% and 66.7%, respectively, for LEVITRA, vs. 51.9% and 33.8%, respectively, for placebo,levitra vs cialis). IIEF-EF (International Index of Erectile Function,levitra vs cialis) scores also were significantly higher for the LEVITRA group compared to the placebo group. These scores are evaluated based on a patient questionnaire and their daily diary response to specific questions about sexual performance.LEVITRA was well tolerated. Treatment-emergent adverse effects (occurring in = 5% of patients,levitra vs cialis) included headaches (9% for LEVITRA, 1% for placebo,cialis vs levitra) and upper respiratory tract infections (5% for LEVITRA, 3% for placebo).

Background: Erectile dysfunction

Erectile dysfunction (ED) is the consistent or recurrent inability of a man to attain and/or maintain a penile erection sufficient for sexual performance. ED can be a total inability to achieve an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. It is estimated that some degree of ED affects up to 30 million men in the United States.Some of the most common treatments for ED include adjustments to lifestyle and better control of concomitant medical conditions as well as the use of oral medications or other forms of therapy. Treating related health conditions or reducing stress may help maintain erectile function.

About LEVITRA

LEVITRA (vardenafil HCl) is a prescription medicine that is indicated to treat erectile dysfunction (ED). Consistent with the effects of PDE5 inhibition, administration of LEVITRA with nitrates and nitric oxide donors is contraindicated.Caution is advised when PDE5 inhibitors, including LEVITRA, are used concomitantly with stable alpha-blocker therapy, because of the potential for lowering blood pressure.

LEVITRA is not recommended for patients with uncontrolled hypertension (>170/110 mmHg,levitra vs cialis).

In men for whom sexual activity is not recommended because of their underlying cardiovascular status, any treatment for erectile dysfunction, including LEVITRA, generally should not be used.In patients taking certain CYP3A4 inhibitors (eg, ritonavir, indinavir, saquinavir, atazanavir, ketoconazole, itraconazole, erythromycin, and clarithromycin), lower doses of LEVITRA are recommended, and time between doses of LEVITRA may need to be extended. See prescribing information for LEVITRA for dosing guidance.In clinical trials, the most commonly reported adverse events with LEVITRA were headache, flushing, and rhinitis. Adverse events were generally transient.Nonarteritic anterior ischemic optic neuropathy (NAION) has been reported rarely postmarketing in temporal relationship with the use of PDE5 inhibitors, including LEVITRA. Sudden loss of hearing, sometimes with tinnitus and dizziness, also has been reported rarely in temporal association with the use of PDE5 inhibitors, including LEVITRA. It is not possible to determine if these events are related to PDE5 inhibitors or to other factors. Physicians should advise patients to stop use of PDE5 inhibitors, including LEVITRA, and seek prompt medical attention in the event of sudden loss of vision or hearing.

The recommended starting dose of LEVITRA is 10 mg. Titrate up to 20 mg or down to 5 mg based on efficacy and side effects.

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    Levitra Or Cialis

    I always wanted to try Cialis but I’ve always been afraid. I’ll explain, I use levitra and as I noted only sometimes is not working. Since this is an... 

  • Levitra Vs Cialis

    Evidence Lacking to Compare Viagra, Levitra and Cialis

    For the most part, Viagra, Levitra and Cialis are fine for patients with erectile dysfunction, according to guidelines out today from the American College of Physicians,... 

    Levitra Side Effects

    Natural Treatments for Physical Causes of ED General Exercise & Weight Loss The value of exercise for overall health and well being has been long established,...