Can Prescription Drugs Cause Erectile Dysfunction?

The most common side effect of ICI therapy is a prolonged erection. In addition to your prepared questions, don't hesitate to ask additional questions during your appointment. Recovery time varies, but success rates are high. Club drugs and erectile function: Nonsteroidal anti-inflammatory drugs.

Lotensin, Capoten, Zestril, PrinivilCalcium channel blockers: “For blood pressure medications and antidepressants, there are alternatives that most physicians know to prescribe if the man is having ED,” he says. Darren chang, , Dennerstein, L. Heart disease, atherosclerosis, high cholesterol and high blood pressure can all impact the amount of blood flowing to the penis.

  • For example, you may not get an erection so easily if you are tired, stressed, distracted, or have drunk too much alcohol.
  • While many drugs used to treat high blood pressure have been linked to erectile dysfunction, some are much less likely than others to cause problems.

It should initially be administered in the physician's office at the lowest dose and sequentially titrated to an adequate erectile response while monitoring for syncope. These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation. 25–26 Vascular reconstructive surgeries are beneficial in certain groups. What causes impotence? Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions. So, although it may not at first seem connected, a previous head injury can in fact lead to ED. 8 Intra-cavernosal alprostadil is more effective, better tolerated, and preferred by men over the intraurethral form.

  • Drugs such as Sildafenil (Viagara ® ) provide another resource for men with erectile dysfunction.
  • Sexual dysfunction is common in patients on antiepileptic drugs.
  • Although sexual vigor generally declines with age, a man who is healthy, physically and emotionally, should be able to produce erections, and enjoy sexual intercourse, regardless of his age.
  • Alprostadil urethral suppository.
  • The first successful vacuum erection device, or penis pump, was developed by Vincent Marie Mondat in the early 1800s.
  • Drugs that may cause ED are listed below.
  • However, many adverse effects of GHB have been documented.

Lifestyle And Home Remedies

Having erection trouble from time to time isn't necessarily a cause for concern. Always consult with your doctor first! Some men report being helped by an oral medication called yohimbine, which comes from the bark of a tree that grows in India and Africa. If blood flow to the penis is insufficient or if it fails to stay inside the penis, it can lead to erectile dysfunction. In fact, 8 of the 12 most commonly prescribed medications list “erectile dysfunction” as a side effect. If your doctor suspects that an underlying health problem may be at play, however, they may request additional testing. The negative effects of these club drugs on sexual dysfunction have been indirectly determined by the frequent concomitant use of ‘Vitamin V’ (Viagra; Pfizer Inc, Canada) [9]. Because appointments can be brief and there's often a lot of ground to cover, it's a good idea to be well-prepared.

  • If medication is prescribed, is there a generic alternative?
  • 15 Obesity nearly doubles the risk of ED3; one study determined that one third of men who were obese improved their ED with moderate weight loss and an increase in the amount and duration of regular exercise.
  • Infection is the most common cause of penile implant failure and is treatable with antibiotics.
  • A patient will either go home on the same day or spend one night in the hospital.
  • It affects men of all ages but becomes increasingly prevalent with age.


There are several prescription medications (Viagra, Cialis, Levitra) that increase the ability to achieve an erection after sexual stimulation. The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug). Here are some steps that might help: Dopamine has been documented to be a central initiator of erectile function [12]. Also, men with liver diseases or a disease of the retina, such as macular degeneration or retinitis pigmentosa, may not be able to take these medications, or may need to take the lowest dosage.

Chemocare Content

These words are enough to make any man nervous. Hypotensive agents, 2,7 In a number of comparative studies, nebivolol (5 mg daily) was similar to atenolol (50 mg to 100 mg daily), bisoprolol (5 mg daily), and metoprolol (100 mg twice daily) as well as to other classes of antihypertensives. What are other possible causes? Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.

Sexual dysfunction can be caused by physical and emotional factors, or a combination of both.

In contrast, of those who were not told the drug's name or its side effects, only 3% said they experienced ED. The most common side effects are: No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Talk to your doctor to see if you can alter the medication that’s causing your ED toIf you’re experiencing ED. If oral drugs don't work, the drug Alprostadil is approved for use in men with ED. Diabetes contributes to impotence because it can damage blood vessels and cause a type of nerve damage known as peripheral neuropathy. Human sexual response requires several different body functions to work properly and together: A pump then sucks out the air from the container to create a vacuum. With proper training, 75 out of 100 men can get a working erection using a vacuum erection device. As a rule, a psychological cause for the ED is more likely than a physical cause if there are times when you can get a good erection, even though most of the time you cannot.

Continuing Education

An erection is a complex series of events that begins with psychological and/or sensory stimulation. Before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal remedies, get your doctor's OK. To comment on this article, contact [email protected] The following are some of the different types and possible causes of impotence: Penile implants (or penile prosthesis) are a surgical option to treat erectile dysfunction. Mental health conditions like depression or anxiety can negatively impact your libido, making it more difficult for you to become aroused. Viagra, one of the most recognizable drug names in the world, is a brand name of sildenafil.

Endocrine Disorders

For example, spinal injury, following surgery to nearby structures, fractured pelvis, radiotherapy to the genital area, etc. In this case, testosterone replacement therapy might be recommended as the first step or given in combination with other therapies. You should be able to notice an improvement after 6 weeks. Have you ever been diagnosed with a mental health condition?

The main surgical treatment of ED involves insertion of a penile implant (also called penile prostheses). Being overweight can cause — or worsen — erectile dysfunction. Visual and tactile stimulation produces better results. These are located in the feminine hygiene section or birth control section of your pharmacy or drug store. ” Anything that limits or impairs blood flow can interfere with the ability to achieve an erection, no matter how strong one’s sexual desire. Most men experience isolated episodes of erectile failure. University of utah health, we are here to help you with some of the more private things in life. Tadalafil may be taken 2 hours before intercourse and works for 24 to 36 hours, allowing more flexibility for the patient. Image obtained after induction of an erection, 15 min after injection of prostaglandin E1, showing dilated sinusoids (arrows).

Nerve and artery damage can be caused by prolonged cycling, rodeo riding, or use of a rowing machine, resulting in the inability to get an erection.

There are many options available, and while none of them are perfect, some may be a better fit for you than others.

Diuretics and Beta Blockers BP Meds May Cause Erectile Dysfunction

Erectile dysfunction (updated May 2020). Attempts to treat ED date back well over 1,000 years. Some previous research has suggested that opioid medications lower testosterone levels in men, but experts emphasize that "low T" can sometimes be a completely separate condition from erectile dysfunction, said Dr. Firstly, find the pelvic floor muscles. Most insurance plans will pay most of the cost of diagnosis and treatment. About dr. minkoff, the three are chemically very similar, and all have proven very effective. The good news is that ED can usually be treated safely and effectively. This treatment involves surgically placing devices into both sides of the penis.

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Because of changes in regulations, you no longer need a prescription to get sildenafil. Even less strenuous, regular exercise might reduce the risk of erectile dysfunction. The active ingredient in MUSE is alprostadil, a naturally occurring chemical called prostaglandin E1 (PGE1), found in abundance in human seminal fluid. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).

ED after long-distance cycling is thought to be common. Some medicines can affect libido (desire) and others can affect the ability to become aroused or achieve orgasm. US National Library of Medicine.


Not everyone responds to MUSE treatment all the time. Does high blood pressure cause erectile dysfunction (impotence)? Standard erectile dysfunction treatments include oral medications such as: Your surgeon may suggest a lubricant for your partner. What causes ed?, the combination could also increase side effects of tablets. These are most useful if certain mental health (psychological) problems are the cause of, or the result of, ED.

Aside from the medicine, it is important to be aware of the effects of psychiatric problems on the patient's relationship and address the psychosocial issues. You might be better off on a medication less likely to cause a problem. Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Wearing clothes could release more microfibers to the environment than washing them. Write down any symptoms you've had, including any that might seem unrelated to erectile dysfunction.

  • This drug, which needs to be taken every day, has been reported to help about 20 to 25 percent of the men taking it.
  • Some men are able to achieve an erection just 20 minutes after a 200 mg dose, however absorption can be delayed by food.
  • When you make the appointment, be sure to ask if there's anything you need to do in advance.
  • Many of the club drugs have significant sympathomimetic effects that cause significant vasoconstriction, which can lead to erectile dysfunction.


You should not take more than 1 dose in 24 hours. The most common medications used to treat erectile dysfunction are a type of drug called phosphodiesterase type 5 inhibitors (PDE-5 inhibitors or PDE5i). Follow your doctor’s instructions. The most sophisticated (expensive) type can be inflated with an inbuilt pump to cause an erection. Diuretics (pills that cause increase urine flow). Patients who are interested should discuss the risks and benefits (informed consent) of each, as well as costs before starting any clinical trials. The medicine is quickly absorbed into the penis to cause an erection, usually within 10-15 minutes. For patients already at risk for NAION, taking ED medication can raise the risk by lowering blood pressure.

This is prevented from then leaving the penis by the use of an accompanying band.

Ask what you need to do ahead of time. Studies have indicated that Cialis stays in the body longer than other medications in its class. Although in the past it was commonly believed to be due to psychological problems, it is now known that for most men erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis. Get treatment for alcohol or drug problems. What's the best treatment? Lose excess pounds.

They are calcium-dependent, they require calmodulin and reduced nicotinamide adenine dinucleotide phosphate for catalytic activity, and they are competitively inhibited by arginine derivatives. Self-injection lessons should be given in your doctor's office by an experienced professional. One study shows an improvement in erectile quality in 25 percent of men who quit the habit, compared to zero improvement in men who continued smoking. Antihypertensives (high blood pressure drugs). And although it is not an easy thing to talk about, there are trained professionals who can give you good advice about what may be the cause of your current predicament. ED means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. Men who take prescription pain medications for long periods may be at increased risk of erectile dysfunction, a new study suggests. Do not stop any prescribed medication but see your doctor if you suspect this to be the cause.

30 The majority of antipsychotics cause sexual dysfunction by dopamine receptor blockade.