Drugs for the treatment of erectile dysfunction in men. TOP 5 best

Treatment of impotence involves a complex measure that includes etiotropic (when the cause itself is affected) and pathogenetic (restore the normal functional state of the gonads) therapy. Modern drugs for the treatment of erectile dysfunction in men purposefully and effectively eliminate the disease. The main thing is to choose the right therapeutic course.

According to medical statistics, in 75-80% of cases, erectile impotence develops against the background of another somatic pathology: diabetes mellitus, peripheral atherosclerosis, hypercholesterolemia, kidney and liver diseases, hormonal imbalance, thyroid disorders. And it is important to take this into account during therapy, including in the selection of medicines.

Phentolamine ("Vazomax", "Dibazin", "Regitin")

The agent belongs to the imidazoline group and is a competitive inhibitor of alpha-adrenergic receptors (found in large quantities in small arteries and arterioles). By settling on these receptors, the substance prevents vasospasm in the penis, and also enhances endogenous relaxation effects.

When the drug is injected into the corpora cavernosa of the penis, its maximum concentration in the peripheral blood is reached by the 30th minute, after which it sharply declines. Phentolamine is intended only to improve erection, it does not affect ejaculation and libido.

Contraindications to the drug are:

Since phentolamine slightly lowers blood pressure, its use is acceptable in men with hypertension. It is produced in tablet form of 25 mg (in a package of 30 pieces) and in injectable form (1 ml contains 10 mg of the substance)

Take pills after meals in a single dose - 50 mg (that is, 2 pieces) 3 times a day. The course of treatment is 3-4 weeks. Intracavernous administration of the drug is possible, in this case the dose is selected individually.

Alprostadil (Alprostan, Vasaprostan)

Refers to prostaglandin analogs (a substance that is formed from fatty acids, in particular from arachidonic). This medicine promotes the rapid relaxation of smooth muscle cells and vascular walls in the corpus cavernosum, which ultimately leads to an increase and improvement in local blood circulation. In addition, alprostadil protects cells and tissues from the harmful effects of free radicals and enzymes, activates protein synthesis, and reduces the concentration of cholesterol in the blood.

Indicated as a therapy for vascular, psychogenic or mixed erectile dysfunction.

Not recommended for such diseases:

Alprostadil exists in the form of a solution and suppository, which are used only topically. Suppositories are inserted into the urethra through its external opening located on the head using a special plastic applicator. Before use, it is advisable to empty the bladder so that the remaining small amount of urine in the urethra helps the drug dissolve faster.

Also, in case of impotence, it is possible to inject the drug, when the syringe needle is inserted into the spongy tissue of the penis. It is recommended that this procedure be performed by a medical professional, and the individual dose is adjusted by the doctor.

Start injections with a dose of 2.5 mcg, especially for neurogenic or psychogenic etiology of erectile dysfunction. Sometimes, to achieve a greater effect, the dose may be doubled. You can use alprostadil no more than 3 times a week, and the interval between the introduction of suppositories or solution should be at least one day.

Despite the high cost, most men have tried this remedy on themselves and according to their reviews, in 70-75% of the erection as a result of the treatment fully recovered.

PDE-5 inhibitors (Cialis, Viagra, Levitra)

Classical drugs for the drug treatment of erectile dysfunction in men also include phosphodiesterase inhibitors in their arsenal.

As a result, blood flow in the penis increases and a good erection is achieved.

Any of the presented group drugs are prohibited for men with:

The drug is prescribed in one tablet (from 5 to 100 mg, depending on the active ingredient), preferably at the same time of the day and on an empty stomach. The action begins within 30-60 minutes and lasts from 3 to 72 hours. The course is selected individually by the doctor.

Numerous reviews of men say that the best drug for the treatment of erectile dysfunction in this category is Cialis.

Ali Caps Plus

A new drug for the treatment of erectile dysfunction based on natural ingredients, related to dietary supplements.

It includes:

• long-leaved eurycoma;
• creeping palm;
• Damiana leaf extract.

Regular intake of the drug effectively stimulates the hormonal function of the male sex glands, enhances the production of seminal fluid and increases libido.

Take Ali Caps one capsule in the morning with plenty of water for 30 days. A second course of therapy can be completed after two weeks.

Not recommended for men suffering from insomnia, heart rhythm disturbances, hypertension and atherosclerosis

Impaza homeopathic remedy

Impaza is considered one of the most famous homeopathic remedies that effectively restore male strength. This drug activates a special enzyme, NO synthase, which in turn triggers the production of endogenous nitric oxide. Further, there is an expansion of small vessels in the penis and its strong blood filling.

According to clinical trials, Impaza not only promotes erection, but also increases libido, increases the pleasure of sexual intercourse. For therapeutic purposes, take one tablet at night for at least three months. If necessary, the course can be repeated after a break of 3-4 months.

Among the contraindications are lactase deficiency and hypersensitivity to the components of the drug. According to the reviews, not only high efficiency can be noted, but also the absence of any side reactions.

Treatment regimen for erectile dysfunction in men with drugs

There are three sequential lines of treatment for erectile dysfunction, which differ among themselves by the groups of medications and the method of their administration.

The first treatment regimen for erectile dysfunction with drugs involves the use of selective phosphodiesterase-5 inhibitors (Tadalafil, Udenafil, Sildenafil and Vardenafil).

Their appointment is possible subject to the following mandatory conditions:

• Saved libido.
• The presence of sexual stimulation during the period of accumulation of the main substance in the blood plasma.
• Peripheral testosterone levels are normal.

If the first line is ineffective, the doctor switches to drugs from the second line:

• Papaverine. An antispasmodic agent that expands the corpora cavernosa to a certain level and promotes their increased blood circulation.
• Prostaglandins
• Phentolamine - blocks alpha receptors, which ultimately improves local blood circulation in the penis.

They are injected directly into the urethra or into the corpora cavernosa. The complex use of funds is considered relevant, due to which the effect is achieved faster.

The third line includes surgical reconstruction of penile arteries using balloon grafting or dorsal vein ligation.