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Smoking and erectile dysfunction: findings from a representative sample of Australian men This oral agent has been available for many years. It has both a central and a peripheral effect. Its efficacy has been questioned because even in properly conducted, well-controlled studies, yohimbine is only slightly better than placebo. A renewed interest in this agent has occurred, particularly when combined with sildenafil or some of the other oral agents. "The key to curing more prostate cancer is to give higher does of radiation," observed Horwitz. "And over the last few years, more and more men have been getting higher dose radiation, because the radiation oncology community knows that dose matters and that low dose radiation is just not effective compared to high dose. And this study shows that we have the ability to give these high doses in different ways, and in all these ways, men do very well." As of May 1999, postmarketing reports of sildenafil have not resulted in a change by the FDA concerning the safety of the drug. Although several patients have died after receiving prescriptions for sildenafil, it is unclear how many of these deaths resulted from appropriate use of the medication. Between late March and July 1998, 3.6 million outpatient prescriptions for sildenafil were dispensed. During the same period, 69 patients in the United States died after the confirmed use of sildenafil. No cause of death could be found in 21 of these cases. Of the remaining 48 deaths, 46 were attributed to cardiovascular events. Twelve of the men who died had taken nitroglycerin, either prescribed or self-administered. Postmarketing studies are continuing.18 A patient who has been advised not to have sex for medical reasons clearly should not be given a prescription for sildenafil. Study in China is likely to bring further scrutiny of the common chemical Restless Legs Linked to Erectile Dysfunction Erectile dysfunction can be embarrassing to discuss not only with a health care provider but with also with a partner. It often causes men to withdraw from those who care about them, which puts a serious strain on relationships. Oral treatment Some authors advocate measuring prolactin and free testosterone levels as part of the initial evaluation.4,5 The value of this routine testing is uncertain, however, because the incidence of endocrinopathy presenting as erectile dysfunction is reportedly only 2 percent.8 A reasonable strategy is to obtain a free testosterone level in all men aged 50 and older and in those younger than 50 who have symptoms or signs of hypogonadism such as decreased libido, bilateral testicular atrophy or a reduced amount of body hair.9 The prolactin level should be measured if the free testosterone level is low, the patient has a substantial loss of libido or a prolactinoma is suspected on the basis of a history of headache with visual field cuts.10 Measurement of luteinizing hormone levels can be reserved for use in distinguishing primary from secondary hypogonadism in men with low testosterone levels.9 Warning 13 Common Sex-Drive Killers HealthDay Reporter FRIDAY, Oct. 5 (HealthDay News) -- Few men may realize it, but if they're having problems achieving or sustaining erections, it may signal underlying heart trouble. Treatment Oral therapy A new study is showing that recreational use of Viagra is growing rapidly in men under 45 years of age. From 1998 to 2002, the use of Viagra in men under forty-five tripled, says the study, which looked at 5 million insured American males. What this study indicates is that Viagra is being used as a recreational drug, not as a drug to treat a medical condition. Thus, it belongs more in the category of pot, crack, heroin, or meth rather than being a medicinal pharmaceutical. Alprostadil (Caverject Injection, Edex Injection, MUSE Pellet) brand cialis sale

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