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I'm a pharmacist and thought this would be a helpful topic concerning Erectile Dysfunction and other similar problems such as penile numbness, retrograde ejaculation, etc.
This list of advice is not exhaustive, but thought it'd be helpful.


Precautions to Take.
1. Maintain a healthy weight. Being overweight leads to diabetes, HBP and higher cholesterol. Exercise helps.
2. Diabetes and HBP are the big factors in likelihood of Erectile Dysfunction. Diabetes causes nerve damage to penis and HBP causes circulation problems.
3. Do not ever smoke or quit if you do. Smoking messes up circulation. side note, smoking can also decrease penis size as you age.
4. Alcohol use/abuse
5. Testosterone level. as you age, it obviously lessens. Low T causes lower libido, ED, and numbness in the penis. (lifting weights helps increase testosterone)

Medications that cause ED.
1. all beta-blockers.
2. all benzodiazepines... valium, tranxene, xanax, etc
3. Most antidepressants... (although a few are used to treat premature ejaculation but can cause ED)
4. Hydrochlorothiazide (most common BP/Fluid med to cause ED) and other fluid pills.
5. all opioids
6. H1 (Benadryl, etc) and H2 antihistamines (Tagamet, Zantac, Pepcid),,,,,,,,,,,,,, Options: Flonase instead of oral allergy med. Prilosec rather than Zantac, etc.
7. Many other blood pressure meds... methyldopa, Hydralazine, reserpine, enalapril, captopril, prazosin, verapamil, and many others.
8. Parkinson's medications.
9. Many meds to treat Prostate enlargement. Proscar (finasteride) being the worst. it is a testosterone blocker. but also Flomax causes problems.
10. Statins lower testosterone.
** quite a few others, not an exhaustive list.

Alternatives.
1. If you are experiencing ED from a blood pressure medication, ask the doctor if Valsartan would be right for you. Valsartan not only doesn't cause ED but actually improves erectile function. I have advised quite a few of my customers to switch to this and their ED was cured.
2. Instead of oral antihistamines, use flonase nasal spray.
3. Instead of Pepcid or Zantac, take maalox or Prilosec.
4. Instead of Flomax to treat urine flow due to Prostate problems, switch to Cialis 5mg daily use. It will treat the same urine flow problem but without the ED and retrograde ejaculation problems.


Prescription Meds for ED.
1. Viagra. Should be taken on an empty stomach 1 hour prior to sex or it will delay the effects of the medication for hours. Do not eat a large meal before or after taking until after sex. All the blood your penis needs will go to your stomach/intestines.
2. Cialis. Similar advice about empty stomach and not eating a big meal before sex. Although, it may begin working within 30 minutes, peak effect is about 2 hours after taking. You only need to take it every couple of days though, if you're taking 20mg because it has a long half-life. (stays in body longer)
* Cialis 5mg daily use can help prostate and ED at same time, though for more serious ED a larger dose may be needed.
* Cialis also can remove the plaque and pain from Peyroenie's Disease, but usually has no effect on the bent penis.
3. Testosterone replacement therapy. If your testosterone is very low, Cialis and Viagra may not be effective enough. Low T complicates the problem due to lower libido, penile numbness, and ED. you will possibly be sent to an endocrinologist, urologist, or the "Men's Clinic" for this therapy.

Other options to treat ED.
1. Low Testosterone. Weight lifting and strenuous exercise helps. Losing weight helps a lot.
Supplements to increase testosterone.
A. Fenugreek- helps with mild-moderate Low-T and also helps with insulin resistance... weird side effect. armpits, sweat and ejaculate will smell very much like maple syrup.
B. Zinc, Vitamin D, Magnesium, DHEA,
C. Ashwagandha- most studied and medical studies actually recommends as effective.

2. Nitric Oxide Boosters- for circulation associated ED. best to take 1-2 hours before sex.
* Viagra and Cialis make your blood vessels more sensitive to nitric oxide, so nitric oxide boosters may give an additive effect.
A. L-Arginine
B. Citrulline

3. Foods that may help.
A. Watermelon is touted as "natural viagra". it's not really, but 2.5 cups of watermelon will have a therapeutic level of Citrulline.
B. Pomegranate- slows down conversion of Testosterone. so in effect boosts testosterone. Juice called POM is your source.
C. Ginseng- you can put a packet of ginseng tea in your coffee or simply drink the tea.
D. Avocados
E. Dark Chocolate.
F. Ginger

Having a good looking wife or girlfriend or both helps.

Good info sir

thanks. Trying to be informative to help folks understand and maybe help.

What about ginger as another natural idea?



YES. I realize there will be a picture of Tine Louise soon showing up here.

This was a considerate post on your part. Merry Christmas.

Ginger Snappers?

anecdotally it has been shown to help. it is considered a nitrous oxide booster and increase in leutenizing hormone for T production. Animal studies ++, human studies are kind of lacking.
But, I'll add it to the list because it does increase vasodilation in the body.
There's a huge list of foods purported to aid in erection ability, one i didn't mention is oysters because of the zinc content. but you'd have to eat many every day.

Sure to be criticized for mentioning it, but fasting has been PROVEN to increase testosterone.

As they say about Viagra, "Viagra is just like going to Disneyland: a two hour wait for a two minute ride."

L.W.

Your bragging now

I'm sure it does temporarily because your blood supply is not going to your intestines.

ED meds are not as effective if you eat a large meal either before or just after taking them.

I just use rhinoceros horn.

AN old man once told me he didn't need Viagra. All he needed was a new duck on the pond occasionally. LOL

I just wear talismans of rooster and goat genitalia.

I like to keep things simple.......

If you've got a product you want to sell, it pays to advertise!

L.W.

There is this thing that happens with all your systems and hormones at a certain point because of fasting. It is a survival of the species trait. If the body thinks it is dying from starvation it will supercharge all systems to survive and reproduce.

Or BOTH!



lol