Image: Thinkstock, there are some potentially helpful differences between these medications, but price can cialis vs viagra vs levitra limit your choices. About half of men ages 40 to 70 have erectile dysfunction (ED) to some degree, although only one in 10 report a complete inability to have erections. Taking an ED drug produces an erection sufficient to start intercourse in about 70 of otherwise healthy men. Does it make any difference which of the four drugs for erectile dysfunction you take? "Yes, there can be differences says. Louis Liou, chief of urology at Harvard-affiliated Cambridge Health Alliance in Boston. "For new patients, I have them try different ones to see what works best.". Sildenafil (Viagra) is often the first drug your doctor offers. It's been on the market longest and its side effects and the medications and foods it interacts with are well known. The latest drug to be approved, avanafil (Stendra may have fewer side effects than the other drugs. But the main challenge to finding the best ED drug for you may turn out to be health insurance rulesnot biochemistry. It's a common practice among insurers to limit the number of pills you can obtain per month. After you hit your limit, the out-of-pocket cost for a single pill can be as high. "The main obstacle in my practice is the cost. You'll need to work with your doctor to get how does viagra work the pill you need at a price you can afford. In addition to Viagra and Stendra, the two other ED drugs available in the United States are 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 viagra insurance in a dose.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 viagra insurance prostate. How to control the cost, the cost to you for ED drug therapy varies considerably, depending on the pharmacy price, prescription co-pays, and your level of health plan coverage. Nationally, the out-of-pocket cost per pill ranges from approximately 15. Even if private insurance covers it, you may be limited to four doses per month. Here are a few things you can do to contain costs: Shop around, because pharmacy prices vary. Various web-based tools can help you compare prices easily. One of them. Ask your doctor about pill splitting, where you get the pills at a higher dose than you need and divide them. Explore manufacturer discount programs. These allow you to obtain a limited supply of medications not covered by your insurance. How well do they work?
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Viagra going generic
Most experts will tell you that every man will deal with some level of erectile dysfunction (ED) at some point in his life. Many men, especially as they get older, will have it seriously enough that they'll consider seeking some help. The upside is that the vast majority of ED cases can be treated with great effectiveness. For many, it's a simple as taking a pill. Here's what you need to know before you. How to Talk to Your Doctor. Given that ED is such a common problem, don't be too daunted about talking to your doctor about. However, don't expect them to throw you a bunch of free samples right away. First, they are going to want to make sure your erectile issues require medication. They will likely ask about your diet, weight, stress-levels, and sleep. "Making viagra going generic sure the dysfunction is from a medical problem and not necessarily related to anxiety or a psychogenic cause is also important to tease out before to running to give them medicine says. Benjamin Breyer, Chief of Urology at San Francisco General Hospital. Medical history can also be an important factor, especially for men who have had surgery or radiation that could affect functioning. Age and baseline erectile functioning are also important determinants of how various ED treatments viagra going generic will work. Related: 12 Things Every Man Should Know About His Penis. How the Pills Work, you probably already know the names of the most popular pills Viagra, Levitra, Cialis but how do they work? First of all, all increase the effects of nitrous oxide in the body, which relaxes muscles around your penis and allows for increased blood flow. Although they are referred to interchangeably in the common lexicon, there are some differences between these pills. The biggest is how long they last. Cialis is the standout here, as a man can take it well before he thinks he will need it and, if he takes it daily, there is no time delay in terms of when it will work. Viagra and Levitra, on the other hand, have to be taken at least 30 to 60 minutes prior to sex and can last four to five hours. A new pill, Avanafil (Stendra has cut this time down to 15 to 30 minutes and lasts six to 12 hours. Cialis is also the only ED pill that is also FDA-approved to treat benign prostatic hyperplasia (BPH an enlarged prostate condition which can affect urination. So, some men may take Cialis for this reason as well. Overall, these pills are quite safe for most men. Common viagra going generic side effects that exist are pretty mild and Breyer says viagra going generic they often improve over time. "By and large, they are safe. There are common side effects, like headaches, dizziness, flushing, back pain, some guys get runny noses, feeling congested says Breyer. This is particularly good to know, considering men using these treatments will likely use them for the rest of their lives. Erectile dysfunction medications may be ineffective or dangerous for men who take nitrates or blood thinners, and those who have had heart problems, stroke, or issues with their blood pressure. Non-Oral Medications, oral medications work for most men with ED but some may require more potent options. The first of these is a suppository pellet, Alprostadil (Muse which is inserted directly into viagra going generic the urethra (the tube that carries urine and semen out of the penis). In order to use this, a man urinates to lubricate the urethra and then inserts the pellet. This a strong medication and the delivery is much more direct than in oral pills. It is still fairly safe. "Guys tend to tolerate it well, but some men will complain of penile pain or burning afterwards when they urinate says Breyer. Related: 37 Sex Stats You Need to Know.
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