Hello everyone, I am a clinician who has been practicing for many years. Speaking of Viagra, many male friends will smile shyly, because it can solve the "unspeakable secret" of many male friends. What does this unspeakable implication mean? I also do not sell guanzi, in the clinic we call it "erectile dysfunction", the so-called harmonious sex life is the basis of the emotional stability of couples, so when the male sexual function problems are not only the woman is not satisfied, which will have a greater impact on the physical and mental health of male patients, because this is a more obscure topic, in fact, everyone does not know, this has become one of the common clinical diseases and high incidence. Are we helpless about erectile dysfunction? Today I am here to solve this problem for you, please follow me to continue to read.
<h1 class="pgc-h-arrow-right" data-track="2" > first determine if you count erectile dysfunction! </h1>
Erectile dysfunction, which refers to the persistent inability of the penis to achieve and maintain sufficient erections for satisfactory sexual intercourse, is receiving increasing attention in contemporary society. Will you think it is quite novel when you hear this word? In fact, this disease has existed thousands of years ago. The early literature of Chinese medicine called it "Yin Impotence" and "Tendon Impotence" (Neijing), and some texts have a name called "Buju", and Zhang Jingyue of the Ming Dynasty began to use the disease name "Impotence" in the "Jingyue Quanshu" and continues to use it to this day. This is a chronic disease that affects physical and mental health, not only affecting the quality of life of patients and their partners, but also a growing body of evidence-based medical evidence that erectile dysfunction is an early symptom and red flag for chronic diseases such as "cardiovascular disease".
● Then this erectile dysfunction is actually graded, according to the severity, can be divided into mild, moderate, severe three levels. According to the U.S. MMAS survey data, the proportion of erectile dysfunction in men aged 40 to 70 years old is the largest, accounting for about 52%. The incidence of mild, moderate, and severe erectile dysfunction was 17.2%, 25.2%, and 9. 6%。 And the average 8.8-year follow-up study found that the annual incidence of erectile dysfunction per 1000 people was 25.9 cases, and in the 40-49-year-old, 50-59-year-old, and 60-69-year-old population, the annual incidence per 1000 people was 12.4, 29.8, and 46.4, respectively. Therefore, the market for drug treatment of erectile dysfunction is very huge, I believe you can also see that many pharmacies like to engage in a big word newspaper drug advertisement posted in the most eye-catching position.
<h1 class="pgc-h-arrow-right" data-track="42" > which is better to use sildenafil or tadalafil? Can it be used for a long time? Will it be addictive? </h1>
●The current first-line drug for the treatment of the disease is a "type 5 phosphodiesterase (PDE5) inhibitor", which is well known as sildenafil, tadalafil, and valdenafil. The XX Ke, X Go, XX Da, and XX Forces that you usually see in the advertisements are all trade names, which are essentially the three types I mentioned to you above. In terms of drug mechanism, tadalafil is the only PDE5 inhibitor approved by the US Food and Drug Administration (FDA) and the State Food and Drug Administration of China (CFDA) for the treatment of erectile dysfunction once a day due to its long half-life of "17.5 hours".
Tadalafil tablets drug instructions
●Daily long-term, regular treatment not only dilutes the connection between patients taking drugs and sexual life, and enhances the psychological benefits of patients, but also provides a possibility for improving vascular endothelial function (the common pathogenesis of erectile dysfunction and its underlying chronic diseases) and realizing the management of chronic diseases of erectile dysfunction. I say it more bluntly that the treatment plan of "tadalafil 5 mg once a day" is well received in the industry, that is, in 2018, the Andrology Branch of the Chinese Medical Association and the Sex Medicine Branch of the Chinese Society of Sexology organized clinical front-line experts, combined with the national, internal and external literature and the clinical experience of domestic experts, jointly discussed and formulated.
Sildenafil tablets drug instructions
●Therefore, this is also the most widely used clinically, and the other two sildenafil and valdenafil are relatively short due to their similar molecular structure, respectively, about 2.6 ~ 3.7h, 3.9h. It is based on this feature that these two drugs need to be taken at a time of relatively close sexual activity. This is also the difference between them and other dalafil, so he can take dalafil every day to maintain an effective therapeutic concentration, and also allow the medication to be taken separately from sexual activity. Then when it comes to the characteristics of these three drugs, I believe that everyone understands that there is no addiction in long-term use, and the drug can be stopped at any time, and there is no withdrawal symptom. Like some patients with severe erectile dysfunction, there are guidelines recommending sildenafil in combination with low-dose tadalafil.
Valdenafil tablets drug instructions
<h1 class="pgc-h-arrow-right" data-track="43" > how to safely use "Viagra"? </h1>
It is true that there is no addiction, and it can be eaten for a long time, but there are some drug contraindications that we must understand before eating. Some people taking tadalafil daily may have headaches, dyspepsia, stomach bloating, back pain, flushing, myalgia, diarrhea, etc., we should not be nervous and afraid, a large number of clinical data show that the incidence of these adverse reactions is low and the vast majority of them are mild symptoms, so keep calm. Note that if you need to take some nitrate drugs such as isosorbide mononitrate and nitroglycerin for a long time due to cardiovascular disease, you cannot take Viagra, which is an absolute contraindication to drugs. Of course, if you are allergic to the ingredients in Viagra, you can't take it. In addition, if the interaction between α-blockers (eg, phenolbenzamine, piperazosin), antihypertensive drugs, and strong inhibitors of CYP3A4 should be taken into account when taking them at the same time, and the safety of medication should be taken care of. Therefore, Viagra should be taken regularly under the guidance of andrologists and must not be abused! No abuse! No abuse!
<h1 class="pgc-h-arrow-right" data-track="44" > comprehensive summary</h1>
With the continuous progress of our society, people's sexual concepts and living standards are also changing. For now, people's sexual life is no longer simply for the purpose of breeding offspring, but more attention to the process and quality of sexual life to meet the pleasures between husband and wife. However, the incidence of severe erectile dysfunction is also increasing year by year, which has a direct impact on the sexual life of couples, and is also one of the main reasons for the breakdown of couples' feelings, and will further increase the psychological burden of patients. Therefore, when there is a disharmony in sexual life, it is not only the man's reason, the woman should not dislike the other party, but should understand and encourage the other party, give confidence, and actively seek formal treatment is the right solution.
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