Is a topical cream for the treatment of erectile dysfunction more convenient than Viagra?
Viagra has now been available in the UK for more than 20 years and its introduction in 1998 was groundbreaking for the treatment for erectile dysfunction.
What is erectile dysfunction? It is defined as ‘the inability to achieve or maintain an erection long enough to have satisfactory sexual intercourse. Viagra (sildenafil) was able to provide substantial relief for impotence but sadly it came with some effects that were not acceptable for some potential users.
Viagra does not cause a man to be sexually aroused and it is only effective if you are sexually aroused. When a man becomes sexually excited, the nerves which supply the penis cause nitric oxide (NO) to be released. The NO stimulates an enzyme which in turn produces a messenger called cyclic guanosine monophosphate (cGMP). The cGMP relaxes the smooth muscle cells so that the arteries in the penis dilate and blood can engorge the tissue of the penis more easily. Viagra works by maintaining the levels of sGMP in the smooth muscle cells.
If you are not turned on, the brain will not produce the nitric acid and so the sGMP will not be produced.
Viagra is taken by men 18 and over. It is not for the use of children or women. The active ingredient, sildenafil, is also found in Revatio, a drug given for pulmonary hypertension and can be taken by women and children aged 1 and above
However, Viagra is not suitable for everyone:
If you are allergic to sildenafil
If you are taking nitrates to treat chest pain
You have a serious heart or liver condition
You have recently had a stroke or heart attack
You have low blood pressure (hypotension)
If you have a rare inherited eye condition such as retinitis pigmentosa
In addition, it is advisable to speak to your doctor before taking viagra is you have sickle cell anaemia, have a deformity of your penis or Peyronie’s disease, you have a heart problem and if you have a stomach ulcer or bleeding disorder such as haemophilia.
This leaves a substantial number of men who cannot even try Viagra to treat erectile dysfunction. In addition, there are side effects to consider.
As with many medicines, there are side effects, some common and others less so. For some people, these side effects may be so severe that the side effect is actually worse than the ED.
Common side effects include:
Rarer but more serious side effects include:
In the case of serious side effects, it is imperative that you should stop taking the Viagra and seek medical attention immediately. In very rare cases anaphylactic shock may occur.
Vitaros cream is a cream developed for the topical treatment of erectile dysfunction. Its active ingredient is alprostadil which can also be administered in the form of injection; this chemical is actually produced naturally when a penis becomes erect.
The Vitaros is applied to the opening (meatus) of the penis with a special applicator and should be applied between five and thirty minutes before intercourse. The resulting erection will last 1 - 2 hours but should not be used more than 2 - 3 times a week and no more than once a day.
There are fewer side effects associated with Vitaros because it is not taken systemically. Side effects that it is not likely to cause include:
The result of this is that many more people can consider this cream over Viagra in their treatment for erectile dysfunction.
Find out more about the treatments mentioned in this article below:
Effective for up to 4 hours
For daily or intermittent use
Effective for up to 5 hours
Works in 15-30 minutes
Sildenafil, Tadalafil, Vardenafil
Over the counter treatment
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