Best Over The Counter ED Pills (May Update!!) Alternatives To Viagra In 2024
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What distinguishes the various erectile dysfunction medications? Only one in ten men between the ages of 40 and 70 report being completely unable to get an erection, but almost half of them have erectile dysfunction (ED) to some extent.
About 70% of otherwise healthy men experience an erection strong enough to initiate sexual activity after taking an ED medication. Does it matter which of the four erectile dysfunction medications you take? "Yes, there can be differences," acknowledges Dr. Louis Liou, chief of urology at Boston's Cambridge Health Alliance, which is connected with Harvard. "For new patients, I have them try different ones to see what works best."
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Often, your doctor will recommend sildenafil (Viagra) as their initial medication. Its negative effects, interactions with certain medications and foods, and length of time on the market are all well documented. However, health insurance regulations—rather than biochemistry—may prove to be the biggest obstacle to obtaining the ideal ED medication for you.
Insurance companies frequently set a monthly cap on the quantity of prescription drugs you can receive. The out-of-pocket expense for a single medication might be very costly once you reach your limit. "Cost is the biggest barrier in my practice," Dr. Liou states. To acquire the medication you require at a cost you can afford, you will need to collaborate with your doctor.
How Do Erectile Dysfunction Medications Work?
When blood supply to the penis is impeded or restricted, ED frequently results. When aroused, you won't be able to achieve or sustain an erection strong enough for sexual activity if blood can't flow to and from your penis efficiently.
The way ED drugs function is by counteracting or reducing the effect of the factor obstructing blood flow. A PDE5 inhibitor is one of the most often used treatments for ED prescriptions. PDE5, or phosphodiesterase type 5, is an acronym. It's an enzyme that accumulates over time and stops the penis's blood supply from flowing normally.
By using a PDE5 inhibitor, one can more readily achieve an erection by momentarily limiting the effects of PDE5. According to Khoshaba, "these drugs function by augmenting the effects of nitric oxide, a naturally occurring chemical the body produces to relax penile muscles, increase blood flow, and facilitate an erection in response to sexual stimulation."
Less prevalent treatments aim to reduce ED symptoms by enhancing blood pressure and heart health. If conventional PDE5 inhibitors aren't helping you, your doctor might want to look into other therapies. This is due to the fact that ED may serve as a precursor to more serious medical disorders like diabetes or heart disease.
Best Over The Counter Medications For ED
The best course of action for erectile dysfunction can change depending on its underlying cause. Treating the underlying cause of erectile dysfunction is usually the best course of action. The second option is to take oral drugs, such as Levitra® (vardenafil), Cialis® (tadalafil), or Viagra® (sildenafil), which are all more reasonably priced these days.
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The following list of over-the-counter drugs and dietary supplements may be able to alleviate erectile dysfunction symptoms.
Ginseng
Although ginseng is most commonly used as an aphrodisiac, it has many other uses in complementary medicine. More than a hundred men with erectile dysfunction were divided into two groups for an ED study. One group received 350 milligrams of ginseng extract daily, whereas the other group received a placebo. At the conclusion of the two-month experiment, the 350 mg ginseng group reported improved erectile function, increased sexual desire, and increased overall sexual satisfaction. This suggests that ginseng may enhance a variety of sexual activities, but improvements were also shown in the group that received a placebo.
L-arginine
The body produces L-arginine, an amino acid, naturally. Because l-arginine is often turned into nitric oxide, taking a supplement may be able to aid with erectile dysfunction. One neurotransmitter that's crucial for getting an erection is nitric oxide.This chemical messenger is released by the brain when a man feels stimulated, and its function is to widen and dilate blood vessels in order to enhance blood flow. Even with oral drugs, erections are nearly impossible without nitric oxide.
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DHEA
Dehydroepiandrosterone, or DHEA for short, is a hormone steroid that the adrenal glands naturally create in the body. The body can convert this hormone, which is a precursor to testosterone, into testosterone as needed. In certain circumstances, low testosterone is a contributing factor to erectile dysfunction. Higher levels of testosterone can aid to improve overall sexual performance and may help with erectile dysfunction, even if they don't seem to have a direct effect on erections.
Biloba ginseng
This extract has been utilized for millennia in traditional medicine and originates from one of the oldest families of trees. According to one study, it might be helpful for erectile dysfunction brought on by using specific antidepressants, even if it might not be helpful in other cases of erectile dysfunction.
Yohimbe
Strong and constant blood flow to the penis is necessary for erections. Difficulties achieving an erection can be caused by any problems with blood flow, including high blood pressure and atherosclerosis (hardening of the arteries). Yohimbe has been shown to have qualities that may stimulate and enhance blood flow. It is also known to encourage the release of norepinephrine, which can raise heart rate and cause the body to pump more blood through the system.
Pycnogenol
Pycnogenol, which comes from tree bark, and l-arginine, an amino acid that is also slightly higher on this list, seem to share a number of similarities. In actuality, the two might work well together. Forty men with erectile dysfunction, ages 25 to 45, were the subject of one study. They were all given a daily dosage of 1.7 grams of l-arginine for the first month. During the second month, they continued taking l-arginine twice a day but also began taking 40 mg of pycnogenol. An additional 40 mg dose was added each day during the third month. Just 5% of individuals reported having a regular erection after the first month, but that percentage rose to 80% during the second. This percentage increased to 92.5% after the third month. No adverse consequences were noted. The trial did not have a control group, which is a limitation.
What Are The Types of Erectile Dysfunction?
Healthcare professionals classify ED patients into multiple groups:
erectile dysfunction vascular. Causes of vascular ED can include problems with the blood veins that supply blood to the parts of your penis that enable you to get and sustain an erection, as well as problems with the valves that keep blood inside the penis regularly. ED that is vascular is the most prevalent kind.
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erectile dysfunction caused by neurons. Nerve issues that obstruct the transmission of information from your brain to your penis to produce an erection are the cause of neurogenic ED. Trauma, pelvic surgery, radiation therapy, or neurological diseases such as multiple sclerosis (MS), spinal stenosis, and stroke can all cause this.
erectile dysfunction caused by hormones. The term "hormonal ED" describes ED brought on by a low testosterone level or, in certain situations, by thyroid problems.
dysfunction erectile brainwashed. Conditions that impact your ideas, feelings, or behavior are known as psychogenic ED, and they can lead to ED.
How Much Do Erectile Dysfunction Medications Cost?
Even if you're purchasing ED drugs from a pharmacy that accepts insurance, prices can still differ. If you look for the medication you want to buy online, you may find some coupons.
ED drugs, especially the brand-name kinds, can be very costly if you don't have insurance or aren't a subscriber.
For instance, the average cost of a Viagra pill is $70. However, the generic form of Viagra, sildenafil, is available for as little as $9 a pill. These therapies are sold by several services, so make sure you do your homework before committing to a purchase.
By ordering shipments for numerous months, you can save money by subscribing to a service like Hips or Roman.
Summary
While not everyone may safely take prescription drugs, they can be an effective treatment for ED. People can now get the confidential, convenient medical consultations they need to fill prescriptions for ED medicines thanks to telehealth services.
Though there are other options for treating ED besides prescription drugs and supplements, research has not yet shown any over-the-counter medications or supplements that safely or efficiently treat ED. People should speak with a doctor about their alternatives if they have any questions about ED treatment.
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