Drugs to improve erectile dysfunction

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

The treatment of impotence implies a complex measure, including etiotropic (when the cause itself is affected) and pathogenetic (restoring 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 other somatic pathologies: 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 process of selecting medications.

Fentolamine ("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). Settling on these receptors, the substance prevents spasm of blood vessels in the penis, and also enhances endogenous relaxation effects.

When the drug is injected into the cavernous bodies 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 suffering from hypertension. Available in tablet form of 25 mg (pack of 30 pieces) and in injection 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. Perhaps intracavernous administration of the drug, in this case, the dose is selected individually.

Alprostadil ("Alprostan", "Vazaprostan")

Refers to analogues of prostaglandin (a substance that is formed from fatty acids, in particular from arachidonic). This medicine contributes to the rapid relaxation of smooth muscle cells and vascular walls in the cavernous bodies, which ultimately leads to an increase and improvement in local hemocirculation. 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.

It is not recommended to take with such diseases:

Alprostadil exists as a solution and suppository, which are applied only topically. Suppositories are inserted into the urethra through its outer 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 tissues of the penis. It is recommended that this procedure is carried out by a medical professional, and the individual dose is selected by a doctor.

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

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

PDE-5 inhibitors ("Cialis", "Viagra", "Levitra")

Classic drugs for the medical 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 drugs of the group is prohibited for men with:

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

Many 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:

• longleaf eurycoma;
• creeping palm tree;
• Damiana leaf extract.

Regular use of the drug effectively stimulates the hormonal function of the male gonads, enhances the production of seminal fluid and increases sexual desire.

Ali Caps is taken one capsule in the morning with a sufficient amount 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 disorders, hypertension and atherosclerosis

Impaza is a homeopathic remedy

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

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, one can note not only high efficiency, but also the absence of any adverse reactions.

Scheme for the treatment of erectile dysfunction in men with drugs

There are three consecutive lines of treatment for erectile dysfunction, which differ from each other by groups of medications and the method of their administration.

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

Their appointment is possible under the following prerequisites:

• Retained libido.
• The presence of sexual stimulation during the period of accumulation of the main substance in the blood plasma.
• Normal testosterone levels in peripheral blood.

If the first line turned out to be ineffective, the doctor switches to drugs from the second line:

• Papaverine. Antispasmodic, which expands the cavernous bodies to a certain level and contributes to their increased blood supply.
• Prostaglandins
• Phentolamine - blocks alpha receptors, which ultimately improves local blood circulation in the penis.

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

The third line includes surgical reconstruction of the arteries of the penis using balloon plastics or dorsal vein ligation.

Pills for impotence

The accelerated and intense rhythm of the information age cannot but affect the reproductive health of men. Wrong lifestyle, frequent stress, physical activity lead to problems in intimate relationships, diseases of the genital organs. With age, hormonal changes occur in the male body, it is the physiological cause of erectile dysfunction. An effective remedy for the treatment of erectile dysfunction are impotence pills.

What is impotence

The physiological inability of the penis to come into a state of excitement, to keep it for some time, is called impotence. In medical practice, the term erectile dysfunction is more common. In a more understandable language, this ailment can be called sexual impotence. The causes of the pathological condition are violations:

• organic;
• psychogenic;
• vascular;
• neurogenic.

An erection is a complex physiological process, which is a chain of successive complex neurohumoral reactions. The signal for their beginning is a nerve impulse in the structures of the brain of a man. It ensures the entry of hormones into the blood. They stimulate active blood flow to the male genital organ, which leads him to an erection. Its duration depends on the individual characteristics of the man, his state of health, psychological factors, age.

Erectile dysfunction occurs at any stage of the violation of the neurohumoral circuit. Classify organic, psychogenic and mixed erectile dysfunction. Organic is associated with a violation of the conduction of a nerve impulse - there is a sexual desire, but there is no physical opportunity to realize it. With psychogenic pathology, a nerve impulse does not occur, there is no libido. The most common type of impotence is mixed dysfunction, in which organic and psychogenic mechanisms are associated with each other.

Men who have intimate problems are reluctant to seek medical help.This behavior complicates the situation, but impotence can be cured. The earlier the causes of sexual impotence are established and treatment is started, the more likely it is to maintain men's health for many years. Not all symptoms of impotence indicate the presence of the disease. Such a reaction of the body of a man may be associated with psychological problems, a violation of the hormonal background. The reasons must be established by the doctor.

Medicines for impotence in men

The following manifestations are the reason for visiting a doctor:

• Erectile ability is reduced or absent. A man of reproductive age, in the presence of a strong sexual desire, is not able to bring the sexual organ into a state of erection.
• Insufficient erection. A man cannot reach the right penis consistency for sexual intercourse.
• The time of intercourse is short, ejaculation does not occur in most of them.
• Ejaculation occurs prematurely.
• The absence of an erection of an involuntary nature, which is normally observed in the morning hours or during a night's sleep.
• Sexual impotence is associated with a lack of libido.

If you have one or more symptoms for a long time, you should consult a specialist. Pharmacology offers numerous modern remedies for impotence. They are designed taking into account the causes of the disease, the age of the patient, the stage of the disease. With their help, it is possible to achieve an improvement in erection, they restore male sexual health. Popular drugs for erectile dysfunction in men can be conditionally divided into two groups according to the way they affect the reproductive system:

• The action of the drug is to increase potency, prolonged sexual arousal, increased sensuality during orgasm.
• The drug has a therapeutic and prophylactic effect.

These pills are prescribed to enhance erection and treat erectile dysfunction, regardless of the stage of the disease. The drug stimulates the blood supply to the penis, providing a quick and long-lasting erection. Cialis is used to treat prostatitis and adenoma. The onset of a therapeutic effect depends on the degree of development of pathological processes. The maximum concentration of the active substance occurs after 30 minutes and lasts up to 8 hours. The effect of the tablets decreases gradually.

The drug is contraindicated in case of individual intolerance to the main active substance, with severe pathologies of the cardiovascular system, diseases of the kidneys, liver. Tablets should not be taken by boys under 18 and women. Cialis is not used simultaneously with drugs containing organic nitrates, alpha-blockers.

Among the many drugs for the treatment of erectile dysfunction, Viagra is the most famous pill for the treatment of impotence in men. The active substance ensures the rapid onset of an erection, its duration, enhances the sensations during orgasm. Take pills an hour before intimacy no more than once a day. The active substance is better absorbed on an empty stomach. Contraindication is hypersensitivity to the components of the drug. For patients with pathologies of the liver and kidneys, the dosage is reduced. Pills are not prescribed for women and boys under 18.

Levitra has a powerful therapeutic effect, and is prescribed for men who cannot achieve an erection and maintain it for sexual intercourse. The tablets are taken with or without food. In addition to hypersensitivity to the active components of the drug and age up to 16 years, interaction with other drugs (nitrates, nitric oxide donators, some antiviral drugs) is a contraindication.

Erectile dysfunction can have a psychogenic, organic and mixed nature of occurrence. Impaza - pills for male impotence, which are prescribed regardless of the type of disease. This drug has no contraindications for patients with cardiovascular pathologies taking nitrates. The drug is recommended for men who have manifestations of age-related hormonal changes.

To achieve an erection, dissolve 1 tablet approximately 2 hours before sexual intercourse and 1 more tablet an hour before it. The drug is taken occasionally for this purpose. For the treatment of menopausal syndrome in men, a therapeutic course is carried out for 12 weeks. Tablets are taken every other day in the evening. With a possible sexual intercourse during the therapeutic course, you should take 1 tablet an hour before it. The therapeutic effect lasts up to six months.

To stabilize the condition, treat menopausal disorders of a vegetative-vascular nature, a second course is carried out. Tablets have a stimulating effect on the production of testosterone. The composition of the drug includes natural purified antibodies.Side effects and interaction with other drugs have not been identified. There are no contraindications, except for hypersensitivity to the active substances of the drug.

Dapoxetine

Premature ejaculation causes discomfort in intimate relationships. For lovers of prolonged sex, the activator Dapoxetine has been developed. This tool helps to increase the duration of sexual intercourse by 3-4 times. The drug has no analogues among other drugs that can prolong sexual pleasure. To ensure the effect, take the pill shortly before sexual intercourse. Reviews of many men indicate that half the dose is enough. The tablets have a preventive effect on the manifestation of Premature ejaculation.

Dapoxetine is categorically contraindicated in men with diseases of the heart, blood vessels, liver, with a pronounced reaction to lactose and its components. It should be used with caution in diabetic patients. You can not take a stimulant at the same time as alcohol, antibiotics, sleeping pills, painkillers, medications that are prescribed for mental disorders. Weak Side effects are extremely rare in the form of indigestion and intestines, headache, dizziness.

Means to enhance potency in old age

Age-related causes of impotence in men are physiologically justified. In old age, the choice of the drug should be approached very carefully. Hormonal changes affect the functioning of many physiological systems. Especially these manifestations affect the work of the cardiovascular system. Impotence pills are the best remedy in old age, they are inexpensive and help a man maintain sexual functions.

Other drugs for impotence should be selected taking into account contraindications for existing chronic diseases. Medicines can only be used if there is sexual desire. The attending physician should choose the drug. Before taking even popular drugs, it is recommended to undergo an examination and get advice on the features of therapy to enhance potency.

The best cure for impotence

Sexual health disorders are common among the stronger sex, regardless of age. Pharmacologists have developed numerous drugs for the treatment of impotence in men. By the strength of the therapeutic effect, Cialis surpassed Viagra. Levitra has a complex effect - healing and stimulating. In addition to effective drugs, it is worth using other methods aimed at eliminating erectile dysfunction.

You can not neglect the rules of a healthy lifestyle. Harmonious relations with a woman are of great importance for the preservation of men's health. It is necessary to abandon promiscuous sexual contacts, frequent self-satisfaction. It is good to add medicinal plants to the intake of medicines, which contain substances that stimulate sexual activity. For example, eleutherococcus, nuts, golden root. Prevention is the best cure for impotence.

Price of impotence pills

The best drugs that are used to increase potency, contribute to the restoration of sexual functions, are used to prevent impotence, are presented in the table:

Treatment of erectile dysfunction in men - preparations for external and internal use with instructions

An important part of the psychological and physical health of a man is the normal functioning of the reproductive system. In the conditions of modern life, more and more representatives of the stronger sex are faced with a deterioration in potency. This manifests itself in the form of erectile dysfunction, in which the erection weakens or completely disappears. Frequent stress, sedentary lifestyle, physical overload - all this affects potency. One of the ways to restore it is drugs from certain pharmacological groups.

What is erectile dysfunction in men

Impotence, or erectile dysfunction, is a condition of a man in which he cannot perform a full-fledged sexual intercourse. With such a pathology, the penis has insufficient hardness, cannot become excited and hold it for some time. A simpler name for impotence is impotence. A man's potency is influenced by many factors:

• neurogenic;
• psychogenic;
• organic;
• vascular.

An erection is a complex physiological process consisting of a system of successive reactions. As a result of a nerve impulse in the brain, hormones are released into the blood, which regulate its flow to the penis. Erectile dysfunction in men occurs when there is a violation at one of the stages of erection formation. Depending on the causes, impotence happens:

• Organic.It develops due to a violation of the conduction of a nerve impulse, in which there is a sexual desire, but there is no physical possibility of its realization. The causes may be diabetes mellitus, arterial hypertension, hypogonadism (decrease in testosterone concentration).
• Psychogenic. The nerve impulse does not reach the brain, which reduces libido.
• Mixed. It is formed as a result of the action of psychogenic and organic factors.

Adequate therapy is prescribed by a doctor only after diagnosis. The specialist clarifies the clinical picture by asking the patient about the symptoms and the time of their appearance. At this stage, a confidential conversation with a doctor about sexual life is important. To confirm the diagnosis, ultrasound, biothesiometry, MRI, hormone tests and the study of erections at night are used.

The treatment regimen is prescribed taking into account the cause of sexual impotence. There are the following methods of treatment of erectile dysfunction in men:

• physiotherapy treatments that stimulate the penis;
• normalization of lifestyle in the form of a diet and giving up bad habits;
• psychotherapy through group, family or personal counseling;
• taking medications that enhance potency.

If psychological factors are the cause of impotence, then to restore erectile function, it is important to establish understanding between sexual partners. If you can not cope with the problem on your own, then the man is recommended to contact a psychotherapist. Another mandatory condition for treatment is the normalization of sleep and rest. As for the diet, fatty, fried, flour, sweet should be excluded from the diet. Instead of this food, it is recommended to add the following products to the menu:

• dates;
• onion, garlic;
• vegetable oils;
• nuts;
• sour cream;
• rosehip tea;
• celery;
• carrots;
• tomato;
• honey;
• goat milk.

Drugs for the treatment of erectile dysfunction in men

In the fight against erectile dysfunction, different forms of drug release are used. The choice of certain drugs depends on the severity of the condition and the individual characteristics of the man. If psychological factors have become the cause of impotence, then the treatment is carried out mainly by local means. There are the following drugs for impotence:

• Urethral. Designed for insertion into the male urethra using a special applicator. The procedure is carried out immediately before sexual intercourse for 10 minutes.
• Injection. The drugs used are injected into the penis with a thin needle. This procedure stimulates blood flow, which provides a stable erection for 1-2 hours.
• Oral. It is presented in tablets and capsules that are taken orally. Erections are stimulated by the vasodilating action of drugs.
• Locals. These include cream, patch, gel, ointment and spray, which are used to apply directly to the groin area. The advantage of such funds is the absence of a systemic effect on the body of a man. Candles for rectal and intraurethral administration can also be attributed to local ones.

The first line of choice for impotence is pills. They are intended for oral use in a certain dosage. The active substances of the tablets have side effects and contraindications, which must be considered by the doctor when prescribing. Taking into account the effect on the body, all tablets are divided into two main groups:

• Central action. They are represented by selective alpha-blockers, NO-synthase activators, testosterone preparations, dopaminergic receptor agonists (Apomorphine). Such drugs directly affect the central nervous system.
• Peripheral action. These include phosphodiesterase type 5 inhibitors, intracavernous injections, prostaglandin E1 analogs, non-selective alpha-blockers. The listed funds do not affect the central nervous system, but its other links.

Phosphodiesterase type 5 inhibitors

These pills for the treatment of impotence in men are the first line of choice. The effect of phosphodiesterase inhibitors lasts 4-36 hours, depending on the active ingredient of the drug. The tonic effect is manifested 30-60 minutes after taking the pill. Examples of such drugs:

• Levitra. The active ingredient is vardenafil. This substance enhances the local action of nitric oxide, which is released during sexual stimulation. The standard regimen is 10 mg in 25-60 minutes. before sexual contact. The maximum frequency of application is 1 time per day. The advantage of Levitra - affects only the arteries that carry blood to the genitals. In addition, when erectile function is restored, the drug can be stopped without fear of the negative consequences of withdrawal.Minus Levitra - it does not cure impotence, but only stimulates an erection every time you want to have sex.
• Cialis. Contains tadafil - a substance that relaxes the smooth muscles of the arteries and increases blood flow. In addition to erectile dysfunction, Cialis is used for lower urinary tract symptoms in men with benign prostatic hyperplasia (BPH). In case of frequent sexual activity (more than 2 sexual intercourses (PA) per week), the dosage is 5 mg daily at the same time. If PA occur less frequently, then you need to take 20 mg immediately before intimacy. Pros of Cialis: acts after 20 minutes, the use of the drug is not associated with food intake. Minus - the possible development of mental dependence on the drug.
• Viagra. The basis of the tablets is sildenafil, which increases blood flow to the penis. Indication for use - erectile dysfunction due to vascular or nervous disorders. Viagra requires sexual stimulation to be effective. The starting dose is 50 mg 1 hour before sexual activity, preferably before meals. Viagra begins to act after 30-60 minutes and retains the effect for 4 hours. The advantage of these pills is that they affect only the natural mechanisms of erection formation. The disadvantage of Viagra is that its effectiveness decreases when taken on a full stomach. The medicine can not be used in renal and hepatic insufficiency.

NO-synthase activators

These drugs for erectile dysfunction in men belong to the homeopathic group. Most of them are based on purified human antibodies that are involved in the secretion of NO - nitric oxide. Such substances enhance the action of NO-synthase - a substance that affects blood circulation. This helps to relax the vascular spaces and fill the cavernous bodies of the penis with blood. Examples of NO-synthase activators:

• Afalaza. Contains antibodies to NO-synthase and prostate-specific antigen. Afalase has a therapeutic and prophylactic effect in prostate adenoma, increases the rate of blood flow in the vessels of the penis. The medicine is additionally used for dysuric disorders, erectile dysfunction, acute and chronic prostatitis, autonomic disorders during menopause in men. Dosage - 2 times a day, 2 tablets in the morning and evening. The advantage of Afalase is a minimum of contraindications (hypersensitivity to its composition). The disadvantage is that it should not be taken with meals, only half an hour before it.
• Impaza. Contains only antibodies to endothelial NO-synthase. Indications for use: reduced potency, impotence, vegetative disorders during male menopause. To periodically stimulate an erection, you need to take 2 tablets once 1-2 hours before sexual intercourse. The standard dosage, depending on the severity of erectile dysfunction, varies from 1 pc. in 48 hours up to 2 pcs. 2 times a day. To stabilize potency, it is recommended to undergo a 12-week course of treatment. The advantage of Impaza is that its action persists for 2 years after the end of therapy. In addition, it does not affect blood pressure indicators. Disadvantage - contains lactose, therefore it is contraindicated in case of lactose intolerance.

Selective a-2-blockers

Erectile dysfunction pills from this group selectively block the action of norepinephrine on postsynaptic a1-adrenergic receptors, which play an important role in the regulation of the sympathetic nervous system. Such drugs are used in urology because of their ability to affect the smooth muscle cells of the prostate.

The result of taking selective alpha-blockers is a violation of the transmission of vasoconstrictor impulses, which leads to an increase in the time of sexual intercourse. Representatives of similar drugs for erectile dysfunction:

• Yohimbine. Based on the active substance of the same name, obtained from the bark of the Corynanthe tree. It has a psychostimulating effect, enhances potency, restores sexual activity and impaired erectile function. Used to treat male menopause, bladder atony, impotence. You need to take tablets 1-3 times a day, 1-2 pcs. while eating. The advantage of Yohimbine is its natural composition. Among the shortcomings, side effects can be noted: anxiety, pressure drops, frequent urination, dyspepsia, abdominal pain.
• Trazodone. This drug belongs to the group of antidepressants and serotonergic receptor antagonists. It reduces feelings of anxiety, but does not affect sexual function. Indication for use - erectile dysfunction of a psychogenic nature. The disadvantage of Trazodone is the possible development of priapism (painful erection not associated with sexual arousal). The initial dosage is 100 mg per day. In the future, it is increased by 50 mg every 3-4 days until a therapeutic effect is obtained.

Non-selective a-blockers

Medications from the group of non-selective alpha-blockers act on alpha1- and alpha2-adrenergic receptors. These drugs prevent the passage of vasoconstrictive impulses along adrenergic synapses, thereby causing dilation of arterioles and precapillaries. This helps to stimulate blood circulation in the penis. In addition, non-selective alpha-blockers improve urodynamics in BPH. Among these medicines in the treatment of impotence are used:

• Fentolamine. It has vasodilating and antispasmodic effects. Inside, the drug is taken after meals, 0.05 g 3-4 times a day. Treatment lasts 3-4 weeks. Plus Phentolamine - a quick effect. Disadvantages: causes severe and persistent arterial hypotension, lasts about 4 hours, which requires several doses per day.
• Vasomax. This is a biologically active complex, which is used for the prevention and treatment of cardiovascular diseases. The medicine contains extracts of licorice root, Baikal skullcap root and dihydroquercetin. Vasomax lowers cholesterol levels in the blood, strengthens the walls of blood vessels, improves heart function. Dosage - 3 capsules a day half an hour before meals. First, take 1 pc., Then the dose is increased. The course of treatment is 3 weeks. The advantage of Vasomax is its natural composition, the disadvantage is that it is not a drug.

Herbal medicines

The category of herbal remedies includes dietary supplements and homeopathic preparations. Their effectiveness in erectile dysfunction is due to natural ingredients: Korean ginseng, yohimbe bark, rose rhodiola and other biostimulants. Herbal remedies help with impotence of a psychogenic nature. Examples of such drugs:

The listed drugs are more often prescribed for depression, fatigue, constant stress. These are the main reasons why there is a weak erectile function in young people. The main advantage of all herbal remedies is that the composition is harmless compared to drugs. More well-known dietary supplements for improving erection include:

• Thor's Hammer. These are drops based on monkfish liver, extracts of northern moss, Antarctic krill, extracts of invertebrate littorions. They increase the production of testosterone, restore libido and brightness of sensations during intimacy, relieve fatigue and irritation. You need to take 3-5 drops per day. The course is 5 days, then a 5-day break, after which the cycle is repeated. The total duration of treatment can be up to six months. Of the shortcomings of the remedy, only side effects stand out: nausea, vomiting, allergies.
• Gold horse. Contains an extract of ginseng, seahorse, sow thistle and silkworm leaves, orthosiphon stamens. It is a powerful psychogenic stimulant, has a tonic effect, increases libido. Dosage - 1-2 tablets 2 times a day. The disadvantage is that while taking the drug, the urine becomes bluish or greenish.

Intracavernous injections

In addition to pills, injections are used to treat impotence. They are injected directly into the cavernous bodies of the penis, which is why the injections are called intracavernous. Such procedures help men with erectile dysfunction of a physiological or psychogenic nature. The effect of injections is vasodilatation and increased blood circulation in the penis. Erection after injection lasts 30-90 minutes.

The highest results are shown by complex injections of Phentolamine and prostaglandins E1 (synthesized by the prostate gland). In addition to these funds, the following are used for injections:

• Papaverine. Based on the component of the same name. Relaxes the smooth muscles of the internal organs, reduces their tone. A serious disadvantage of this remedy are side effects: prolonged erection up to 4 hours, pressure surges, hematomas. To reduce the risk of their occurrence, the dosage of papaverine hydrochloride is reduced to 1 ml.
• Alprostadil. It is an analogue of natural prostaglandin E1. Intracavernous agent is used at 5-10 mcg once a week. After the injection, the action of Alprostadil lasts about 5 hours. The disadvantage of the drug is side effects in the form of edema, bruising and pain at the injection site. Advantage - begins to act after 5-10 minutes. Self-injection treatment at home begins with a dose prescribed by the doctor, and no more than 1 time in 24 hours and 3 times a week.