5 Common Medications That Can Cause Erectile Dysfunction

Take a drug to improve your mood, but risk cutting off your sexual interest and capabilities at the same time.)

There are strong connections between taking the medication Adderall and erectile dysfunction. Taking nitrates with one of these medications can lower blood pressure too much. Each injection is dosed to create an erection lasting no longer than an hour.

If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressor, events, and relationship issues that may be causing your erectile troubles. Often prescribed to treat prostate cancer, these medications can cause ED and decreased libido along with many other side effects. Depression is a feeling of sadness, loss of hope, or helplessness. However, the failure to achieve an erection more than 50% of the time generally means that there is a problem and treatment is needed. Some men have erectile dysfunction that might be complicated by low levels of the hormone testosterone.

  • Depression and anxiety are associated with increased risk for impotence.
  • If the problem persists, your doctor may be able to prescribe a different medication.
  • Talk to your doctor to see if you can alter the medication that’s causing your ED toIf you’re experiencing ED.
  • Attempts to treat ED date back well over 1,000 years.
  • If you’re ready to stop living in embarrassment about your sexual function, become an advocate for yourself and your own health and talk to your doctor.
  • ED is a complicated problem and multiple factors may be triggering it.

An unexpected error has occurred. Penile implants: What is erectile dysfunction (ED)? Many patients with mild anxiety or insomnia don’t need benzodiazepines at all. 25–26 Vascular reconstructive surgeries are beneficial in certain groups. The process involves premature and unusually severe hardening of the arteries.

Mental health conditions like depression or anxiety can negatively impact your libido, making it more difficult for you to become aroused. Sometimes the link between high blood pressure drugs and ED is psychological. While it is true that some older men may need more stimulation, they should still be able to achieve an erection and enjoy intercourse. Erectile dysfunction. 36 When comparing psychosocial interventions versus alprostadil injections and vacuum pump devices, no differences in effectiveness were found. The rings are placed around the penis, one at the tip of the penis and the other at the bottom (base) of the penis. Do you use any illegal drugs?

  • These are a final option reserved for men who have not had any success with drug treatments and other non-invasive options.
  • Aerobic exercise, such a jog or even a brisk walk, can also help the blood to circulate better and can help improve ED in men who have circulation issues.
  • Many advances have occurred in both diagnosis and treatment of erectile dysfunction.
  • You should not take more than 1 dose in 24 hours.

Strategies To Manage Sexual Dysfunction

Performance anxiety is a form of psychogenic ED, usually caused by stress. The implant can be bent downward for peeing or upward for sex. The most common types of medication that are linked to ED include antidepressants, anti-ulcer drugs, tranquilizers, and diuretics—which help the body get rid of sodium and water, and are used to treat heart failure, liver failure, and certain kidney disorders. Questions remain about the effects on men’s health of riding a bicycle.

There are several related drugs now available that can support an erection in men with erectile dysfunction. The loss of erectile capacity can have a profound effect on a man. Also like all diabetes complications, ED is less likely to occur with good blood sugar control. Do your erectile problems occur only sometimes, often or all of the time? The amount of each drug used can be changed based on the severity of your ED, by an experienced health professional. These medical treatments should NOT be used by women or children. The most common treatment is surgical.

Urine tests (urinalysis).

Does Erectile Dysfunction Mean Poor Libido?

Distinguishing between a psychological and physical cause will help a urologist determine the best treatment option. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection. Aside from the well-known complications that the use and abuse of these drugs can cause, ED is not often mentioned. Treatment for sexual enhancement, a radiologist or urologist interprets the images. The effect is reversible and is most likely caused by direct suppression of nerve signals or possibly by changes in hormonal signaling. ED means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. The study looked at prescriptions for ED drugs as a marker for erection problems, but it's possible some men had erection problems and were not treated with drugs. The following is a list of some medicines and drugs that may cause erectile dysfunction (ED) in men.

8 , 9 , 11 – 14 The AUA and World Health Organization recommend limited diagnostic testing in men with ED. These are placed within the erection chambers of the penis and can be inflated or deflated using a cable that passes through them. Treatment for erection problems depends on the cause, genetics may also play somewhat of a role, although lifestyle factors are also almost always involved. Common adverse effects of intracavernosal alprostadil include penile pain, edema and hematoma, palpable nodules or plaques, and priapism.

  • Have you ever been diagnosed with a mental health condition?
  • An estimated 70% of men who have side effects from high blood pressure medicine stop taking it.
  • What to do if you’re already on hypertension medications or considering taking them?
  • If a man is on blood thinners, then he may need to talk with a medical expert about stopping the medications for elective surgery and healing.
  • For example, switching from an SSRI to Wellbutrin (bupropion) seems to help alleviate arousal and interest issues that are common in people who take SSRIs.
  • During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
  • After your doctor checks you for medical problems and medicines that might cause ED, he or she may recommend a medicine to help with it.

ED can be a side effect of many common drugs, such as blood pressure medications and antidepressants.

Contrary to popular belief, however, aging does not cause ED. The effects of these latter drugs are longer lasting (up to 36 h). Ask what you need to do ahead of time. Some options include Lexapro (escitalopram), Paxil (paroxetine), and Prozac (fluoxetine). Rarely is low testosterone responsible for impotence.

Hormonal abnormalities, such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause impotence. Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. The sexual partner may also be interviewed to determine expectations and perceptions encountered during sexual intercourse. Antidepressants. Supplement your libido., asian ginseng can raise blood pressure and may cause irritability and insomnia.). “Men who develop ED while on such medications commonly attribute their symptoms to the medications. Before you start a course of treatment, be sure to tell your doctor about any drugs or supplements you may be taking and keep an eye out for side effects.

Additionally, Wellbutrin helps in the treatment of stopping the use of smoking. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included). Other conditions that may contribute to erectile dysfunction include Parkinson’s, multiple sclerosis, Peyronie’s disease, sleep disorders, smoking, alcoholism and drug abuse.

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The greatest medical risk factors for erectile dysfunction include diabetes mellitus, heart disease, hypertension and having a decreased high-density lipoprotein level. When erection is desired, the unit is activated by either squeezing or bending, depending on which of the two types of self-contained prostheses is used. You remove the tension ring after intercourse. In general, exercise, particularly of the aerobic type, is effective for preventing ED during midlife. It is also known as Prinivil or Zestril. What are the physical causes of erectile dysfunction? 5% of the patients had a good tolerance of their sexual dysfunction [68]. Nitric oxide produced from endothelial cells after parasympathetic stimuli triggers a molecular cascade that results in smooth muscle relaxation and arterial influx of blood into the corpus cavernosum.

– For psychological causes of erectile dysfunction, psychotherapy can be beneficial. Multiple sclerosis, Parkinson’s disease, and spinal cord injuries are among the neurological conditions that may lead to impotency. The current first-line treatment for ED, the oral PDE5 inhibitor, was introduced by Pfizer in 1999. Have you been feeling depressed?

However, they should become easier over time. There are many less-invasive and less-expensive options, and surgery should be considered only as a last resort. In determining a physical (or organic) cause, your health care provider will first rule out certain medical conditions, such as high blood pressure, high cholesterol, heart and vascular disease, low male hormone level, prostate cancer, and diabetes, which are associated with erectile dysfunction. The doctor will examine the testes to make sure they are in the proper location in the scrotum and are normal in size. Psychological states :

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Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow. Talk to your doctor if you have any side effect that bothers you. Here is a long list of drugs that can contribute to ED: A wide range of physical and psychological conditions can lead to ED, including high blood pressure, heart disease, diabetes, anxiety, depression and lifestyle factors such as alcohol and illicit drug use and smoking. Write down a list of questions to ask your doctor. Implants have a high degree of satisfaction among men who have tried and failed more-conservative therapies. Similarly, in men with a history of arterial trauma, surgical intervention can restore erectile dysfunction.

ED and high blood pressure often go hand in hand. In many cases, psychological issues develop into performance anxiety which, in and of itself, becomes a self-fulfilling prophecy. If so, how much? Lisinopril is an ACE inhibitor medication used in the treatment of high blood pressure. The sedative and muscle-relaxant properties of benzodiazepines are thought to lessen sexual interest, excitement and sensation. 9 million men. Customer reviews, to distribute their product, dubbed Hard Candy, they selected exclusive clothing boutique Fred Segal in upscale Beverly Hills as their first outlet and then expanded to other trendy local salons. The cut is either above the penis where it joins the belly, or under the penis where it joins the scrotum.

Not everyone can use these medicines. Viagra takes at least 15 min to 1 h to work, and once male orgasm occurs there is a refractory period just as in the normal male sexual response cycle. Some medicines can affect libido (desire) and others can affect the ability to become aroused or achieve orgasm. Make a list of all medications, vitamins, herbal remedies and supplements you take. You can achieve this by stopping mid-stream two or three times the next time you urinate. Discuss an exercise plan with your doctor.

Sexual Function

They'll carry out basic health checks, such as taking your blood pressure. What condition is this common while remaining underdiagnosed and, in many cases, untreated? A 2020 study published in the American Journal of Medicine noted the risk of impotence increases with age. In addition, the following factors, either alone or in combination, may also cause erectile dysfunction: “Nobody can will an erection!

Psychological impotence is where erection or penetration fails due to thoughts or feelings; this is somewhat less frequent, on the order of about 10% of cases.

Understanding impotence Impotence occurs when you are unable to achieve an erection, maintain an erection, or ejaculate on a consistent basis. Classifieds, without enough vitamin D, you may not produce the amount of nitric oxide that your blood vessels need for optimal function. The surgeon may reconstruct the arterial blood supply, or remove veins when the cause is due to leakage. It is not meant to be used as medical advice or in medical decisions.

These drugs need to be taken prior to engaging in sexual activity. These are also the first drugs that a doctor is likely to prescribe if you are not able to lower your high blood pressure through diet and exercise. Melatonin, in doses from 3 milligrams to 10 milligrams before bedtime, for instance, sometimes helps to reestablish healthy sleep patterns. In addition, regular smoking and alcohol use can contribute to ED. What are other alternatives? Although sexual vigor generally declines with age, a man who is healthy, physically and emotionally, should be able to produce erections, and enjoy sexual intercourse, regardless of his age. Vascular surgery:

Taking certain medications can also increase your risk for ED.

Erectile Dysfunction Treatment: Buyer Beware

Your doctor can explain the risks and benefits of each treatment and will consider your preferences. Treatment depends on the underlying cause. In contrast, of those who were not told the drug's name or its side effects, only 3% said they experienced ED. Results indicate that no significant change in erectile function occurred in any of the treatment groups compared with the placebo groups. When the problem is insufficient blood flow, vasodilators (such as nitroglycerine ointment) can be applied to the penis to increase penile blood flow and improve erections.

The good news: The most common side effects of IU alprostadil are a burning feeling in the penis. Do not stop taking your medicines without speaking to your doctor first. In addition, Viagra is slightly less effective if taken with food; Viagra can also cause temporary abnormalities of color vision.

Has your relationship with your sexual partner changed recently? Penile biothesiometry This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis. These can include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. First-line therapy for ED consists of lifestyle changes, modifying drug therapy that may cause ED, and pharmacotherapy with phosphodiesterase type 5 inhibitors.

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The medications vary in dosage, how long they work and side effects. If your blood pressure still can’t be managed, then your doctor might switch to a drug that's less likely to or a combination of medications might work better to control high blood pressure and without a high risk of erectile dysfunction. If oral drugs don't work, the drug Alprostadil is approved for use in men with ED. Do not abruptly stop taking your Zoloft; this can cause uncomfortable withdrawal symptoms and possible harmful side effects. Moving towards the ideal treatment for erectile dysfunction, and it can maintain an effective plasma concentration in humans for up to 36 hours, no need to care about when and where you are going to have sexual intercourse, helping to awaken the confidence of ED patients. Drug-induced impotence. Oral medications are a successful erectile dysfunction treatment for many men.

Inflatable devices allow you to control when and how long you have an erection. You can check whether the pharmacy is licensed using this list of Verified Internet Pharmacy Practice Sites (VIPPS). Firstly, find the pelvic floor muscles. Erectile dysfunction may be an unpleasant condition that no one really wants to talk about, failing to acknowledge it won’t make the problem go away.

According to Research, these are some drugs that do NOT cause ED:


9 million adult men in the U. Testosterone replacement therapy is available in an oral and injectable form, cream or gel, and as a skin patch. In this case, testosterone replacement therapy might be recommended as the first step or given in combination with other therapies. Physicians make a diagnosis of erectile dysfunction in men who complain of troubles having a hard enough erection or a hard erection that does not last long enough. Talk with your doctor or other health care provider about lowering your dose (sexual side effects are often dose-related) or whether nondrug therapies might work just as well or better for you than a drug.

One of the most common complications of diabetes is neuropathy, or nerve damage.

It’s used interchangeably with erectile dysfunction (ED). Navigation menu, our study in human endothelial cells showed an increase in ADMA levels by ≈30%, an elevation that is reported to significantly increase MACEs in humans. Because arousal starts in the brain, psychological issues can be a significant contributing factor to erectile dysfunction. Side effects can include mild bleeding from the injection, prolonged erection (priapism) and, rarely, formation of fibrous tissue at the injection site. “Rejoyn” is an inexpensive, nonprescription alternative to the vacuum-actuated devices. About 60% of cases of erectile dysfunction have a physical basis.

Doctors may inject a "contrast agent" into the person's bloodstream that causes vascular tissues to stand out against other tissues.
  • This combination therapy called "bimix or trimix" is stronger than alprostadil alone and has become standard treatment for ED.
  • Your partner might see your inability to have an erection as a sign of diminished sexual interest.

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Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Sexual stimulation is needed first to cause the release of nitric oxide from your penile nerves. On average, men with erectile dysfunction do not have lower testosterone levels in their blood, but administration of androgen to men with this problem can increase their sex drive and their erection capacity. Sildenafil and vardenafil can cause these side effects: With the implant, men can control firmness and, sometimes, the size of the erection. Rarely, a doctor may perform an angiogram (injecting a dye into the arteries that supply the penis and taking X-rays to look for areas of narrowing of the arteries) in cases in which possible vascular surgery could be beneficial. ED can also be associated with bicycling due to both neurological and vascular problems due to compression.

19 In these patients, it may be difficult to distinguish the effects of the illness on sexual function from the effects of the drugs used for treatment.

If you have high blood pressure, you usually don't have to live with a loss of sexual satisfaction. Prostate cancer drugs. Depression is another cause of ED and is closely related to erectile dysfunction. 16 Patient education should be aimed at increasing exercise, losing weight to achieve a body mass index (BMI) less than 30 kg per m2, and stopping smoking.

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Tubing joins these cylinders to a pump placed inside the scrotum (between the testicles). The study also did not ask participants whether they had diabetes, a condition also known to increase the risk of ED. If sexual side effects persist, ask your doctor about other medication options. 13 Supplementation is also associated with improved satisfaction with erectile function and sexual desire. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. Peyronie’s Disease: A common cause of erectile dysfunction (impotence) is damage to the lining of the arteries to the penis, so that they fail to open up and let the blood in to strengthen an erection.

Tests for underlying conditions might include: The best way to treat erectile dysfunction without medication is by strengthening the pelvic floor muscles with Kegel exercises. It should initially be administered in the physician's office at the lowest dose and sequentially titrated to an adequate erectile response while monitoring for syncope. Many men who do not respond to oral PDE5 inhibitors can be ‘rescued' with ICI. 5 mg, 5 mg, 10 mg and 20 mg. With this method, you use a fine needle to inject alprostadil (Caverject Impulse, Edex) into the base or side of your penis.

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A specialist may be a better choice. If a patient has a systemic, skin, or urinary tract infection, this surgery should be postponed until all infections are treated. If you haven’t been able to achieve an erection in the past, you may fear you won’t be able to achieve an erection in the future.

When erection is no longer desired, a valve on the pump is pressed, and the penis becomes flaccid. This can cause anxiety, which might make erectile dysfunction worse. Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. 27 PDE5 inhibitors are generally well tolerated, with mild transient adverse effects of headache, flushing, dyspepsia, rhinitis, and abnormal vision. The incidence increases with age and affects up to one third of men throughout their lives. Performance anxiety. 26 Some sources show that vascular reconstructive surgeries are viable options for some people.

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Therefore, psychological conditions that activate the sympathetic system, such as fear, anxiety, or sudden intense stimuli, will tend to inhibit erection. The symptoms of erectile dysfunction include difficulty achieving an erection, trouble maintaining an erection and a reduced interest in sex. ” Additionally, ED could be a sign of a serious, even life-threatening complication, such as congestive heart failure or kidney disease. You use a special applicator to insert the suppository into your penile urethra. If we know not much as changed in our daily lives situationally (ex. )30 The majority of antipsychotics cause sexual dysfunction by dopamine receptor blockade. About 25 percent of ED cases are caused by drugs.

However, some men with low testosterone continue to produce healthy erections.


Diabetes is often associated with erectile dysfunction. If you experience ED and think that it may be a result of the medication you are using, do not stop taking the medication. ED is also associated with smoking, as well as with men who have undergone radiation treatment or surgery for the treatment of prostate cancer. Priapism is most commonly treated with aspiration of blood from the corpus cavernosum under local anesthetic. Share with each other the types of sexual activity you enjoy most. However, erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time. Premature ejaculation is a male sexual dysfunction characterized by:

If you are trying to access this site from the United States and believe you have received this message in error, please reach out to [email protected] It is the inability to get an erection long-lasting enough, or firm enough, for penetrative sexual intercourse. It really does happen to everyone. Alprostadil urethral suppository. Almost any disease or condition can affect erectile function by altering the nervous, vascular, or hormonal systems. With lifelong premature ejaculation, the patient has experienced premature ejaculation since first beginning coitus.

These medications amplify that signal, allowing some men to function normally. Because appointments can be brief and there's often a lot of ground to cover, it's a good idea to be well-prepared. Thiazides are the most common cause of erectile dysfunction among the high blood pressure medicines. When you attempted sexual intercourse, how often was it satisfactory for you? 13,28 In men with hypogonadism, testosterone supplementation is superior to placebo in improving erections and sexual function. One study looked at men newly diagnosed with heart disease, but without ED, who started treatment with the beta blocker atenolol (Tenormin). This causes hyperprolactinaemia with subsequent suppression of the hypothalamic–pituitary–gonadal axis and hypogonadism in both sexes.


High blood pressure medications that can cause sexual dysfunction as a side effect include: They'll also examine your genitals to rule out any obvious physical cause. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. The devices are reliable, but in the case of mechanical malfunction, the device or a part of the device will need to be replaced surgically. 2 The economic impact of ED is multifactorial, with direct costs that include physician evaluation, pharmacotherapy, and diagnostic testing, and indirect costs that include lost time at work, lost productivity, and effects on the man's partner, family, and coworkers. This can be done with a home blood pressure monitoring device for convenience. The recommended maca dosage, hyperthyroidism, doctor will refer you in year, in erectile dysfunction maca private. This means less blood is able to flow to the penis.

Alternative Therapies

How do you rate your confidence that you could get and keep an erection? Involve your sexual partner. You are not alone; others have faced these difficulties. ” Talk with your doctor or other health care provider.

Recreational drugs, drinking alcohol, and smoking may damage the nerves and blood supply needed for normal erection. You might need more direct touch to your penis to get and keep an erection. 17 Up to 70% of patients with depression have sexual dysfunction, which can affect any phase of sexual activity. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection:

When you had erections with sexual stimulation, how often were your erections hard enough for penetration? Fears that it will happen again might lead men to avoid sex — and affect the relationship with their sexual partner. With your doctor’s help, you can determine the best course of treatment to restore sexual function. Take these steps to prepare for your appointment: When reading more into the study, we find out that yes tramadol does help in treatment for premature ejaculation, but it is also linked to causing tramadol induced erectile dysfunction. Physical exam. Self-injection lessons should be given in your doctor's office by an experienced professional.