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Over The Counter Erectile Dysfunction Medication

over the counter erectile dysfunction medication

What erectile dysfunction pills are available?

In addition to Viagra, other ED drugs available in the United States include avanafil (Stendra), tadalafil (Cialis) and vardenafil (Levitra). These all improve blood supply to the penis. In combination with sexual stimulation, the drugs can produce an erection sufficient to initiate and complete intercourse. There is also a fast-dissolving form of Levitra, called Staxyn, that you put under your tongue.

One ED drug, Cialis, is FDA-approved for use daily in a dose of 2.5 or 5 milligrams. This helps to produce erections on demand and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate.

Types of Treatment

Many treatment options are available for ED management, including:

  • oral medications
  • injectable or suppository drugs
  • medical devices
  • penile implants
  • surgery

Three prescription medications listed as effective by the Mayo Clinic are:

  • sildenafil (Viagra)
  • tadalafil (Cialis)
  • vardenafil (Levitra and Staxyn)

1. L-Arginine

L-arginine, or arginine, is an amino acid found in red meat, poultry, fish, and dairy products that helps expand blood vessels and increase blood flow. “The body uses this semi-essential amino acid as the primary building block for nitric oxide,” explains Harry Fisch, M.D., clinical professor of urology and reproductive medicine at Weill Cornell Medical College/New York Presbyterian Hospital.

2. Vitamin D

Researchers at Johns Hopkins University last year looked at Opens a New Window.  3,400 healthy Americans and found that men who were vitamin D deficient were 32% more likely to have trouble getting it up than those with sufficient levels, even after adjusting for other ED risk factors. In fact, the connection is so common, Walker says D levels are something he always checks in ED patients. Why? The sunshine vitamin is crucial for keeping the endothelial cells that line blood vessels healthy.

3. Yohimbine

Derived from the bark of a West African evergreen tree, yohimbine was the go-to ‘script for a wonky willy prior to the advent of wonder drugs like Viagra, Walker says. “Yohimbine enhances sexual performance both by blocking certain

4. Horny Goat Weed

Despite the name, horny goat weed actually helps improve your erection, not libido.  Botanically known as epimedium, this herb has been used by the Chinese for centuries to treat, among other things, low libido and erectile dysfunction. “A growing body of research shows that isolated icariin—the extract of epimedium—inhibits the enzyme phosphodiesterase-5 (PDE-5) and significantly increases nitric oxide synthase, helping to improve erectile function,” says Fisch

5. Vitamin B3 (Niacin)

A daily dose of niacin improves erectile function, particularly in men with high cholesterol, according to a 2011 study in The Journal of Sexual Medicine Opens a New Window. . The vitamin helps increase blood flow and reduce inflammation—one of the underlying causes of both high cholesterol and erectile dysfunction. “Vitamin B3 is also used to make sex hormones and other important chemical-signal molecules,” says Fisch.

6. Panax Ginseng

Long considered an aphrodisiac by the Chinese, ginseng may do more than just rev your engine. A 2013 South Korean study Opens a New Window. found that taking the herb for just a few weeks improved guys’ performance in the bedroom, including helping them last longer before finishing. Meanwhile, a study in Spermatogenesis Opens a New Window.  found that ginseng can also help make for harder, longer-lasting erections and improve testosterone levels, which in turn boosts libido.

7. Folic Acid

A Turkish study last year Opens a New Window.  found that men with moderate to severe ED had significantly lower levels of folic acid than guys without the problem. The B vitamin has been shown to stimulate nitric oxide, Walker says, which would explain why an absence of it would lead to an absence of an erection.

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