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Men who took the drugs were 4.8 times more likely to have an adverse reaction than men who took a placebo. The most common side effects among men who took the drugs were headache, flushing, and upper respiratory tract complaints and flu-like symptoms. There were no deaths.
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"Furthermore, PDE5 inhibitors can exert direct effects on the retina, and such effects probably account for many of the visual side effects such as blue-tinged vision and light sensitivity that have been reported," they concluded.
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"There is an association between these two conditions, but we still don't know the exact mechanism," Gao said. His team said further research is warranted.
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To bypass roadblocks along the brain-to-penis highway, drugs can be injected or inserted directly into the penis. While some men find this painful to think about, many others find that it can restore a satisfying sex life and is highly effective.
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While there are medications that can help treat erectile dysfunction, both Mydlo and Lipshultz advocated a healthy lifestyle for maintaining good sexual health.
As challenging as erectile dysfunction is on its own, it can also be a warning sign for more serious problems, such as heart disease. Men who experience even mild erectile dysfunction (ED) have about a 25 percent greater risk of heart disease, including heart attack and stroke, than their peers. This means that, for some men, erectile dysfunction is a stronger predictor of heart disease risk than family history, smoking, or high cholesterol levels. And the more severe your ED, the greater your risk of heart disease-related events.
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"Men who have erectile dysfunction but no known coronary disease should be evaluated for occult coronary disease and should be counseled about lifestyle," Sharlip confirmed. "The most important point is that primary-care physicians need to learn to ask whether a patient has erectile dysfunction, because it can be an early sign of heart disease."
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DATA SOURCES: Primary research and review articles were identified through a search of ScienceDirect, PubMed/MEDLINE, and International Pharmaceutical Abstracts (1990–August 2004). The following search terms were used in the Medicine Dentistry and Pharmacology, Toxicology, and Pharmaceutical Sciences subcategories: phosphodiesterase 5 inhibitor, PDE5 inhibitor, erectile dysfunction, sildenafil, vardenafil, tadalafil, prostatectomy, and diabetes. Web of Science (1990–August 2004) was used to search for additional abstracts using the same search terms as above. The package inserts for sildenafil, vardenafil, and tadalafil were also consulted.
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