What is erectile dysfunction?
When a man can't get an erection to have sex or can't keep an erection long enough to finish having sex, it's called erectile dysfunction or impotence. Erectile dysfunction can occur at any age, but it is more common in men older than 65.

Treatment:
We have several drugs used to enhance libido, which are:

* Viagra (sildenafil)
Viagra is taken by mouth as needed between four hours and one-half hour before sexual activity (about one hour before is most effective). Take only as directed, usually once daily as needed. Sildenafil works along with sexual stimulation to help achieve an erection.

25mg =Ksh per tablet

50mg =1,000Ksh per tablet

100mg =1,150Ksh per tablet

* Cialis (tadalafil)= 1,280Ksh per tablet

* Levitra (vardenafil)= 1,100Ksh per tablet 20mg
It is available in 2.5 mg, 5 mg, 10 mg, and 20 mg tablets and is taken only when needed. Take Levitra no more than once a day.

*Vega:
50mg= 80Ksh per tablet

100mg= 200Ksh per tablet

*Stamina = 55 Ksh per tablet

*Enzoy = 80Ksh per satchet

*Alvoy = 70Ksh per tablet

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Various medications can be used to improve penile blood flow and allow for an erection. A relatively new class of drugs, called PDE5 inhibitors, create increased blood flow by enhancing the levels of nitric oxide in the blood vessels in the penis. The first drug of this new class, Viagra, has received widespread attention and use. More recently, a new drug in this class, Levitra, was approved which functions using the same mechanism. Both drugs require sexual arousal in order to work.
Viagra should be taken on an empty stomach 30 to 60 minutes prior to the desired time of effect. Levitra can be taken, with or without an empty stomach, 30 to 60 minutes prior to sex. About 60 to 70% of men who take the drugs experience longer and more rigid erections. Side effects for both drugs include headaches, flushing, indigestion, dizziness, and stuffy or runny nose. Both drugs may rarely cause blue-tinged vision and diarrhea. Neither drug should be used by patients taking nitrates, such as nitroglycerine, or in patients with recent heart attack or stroke. Neither drug should be taken more than once every 24 hours.

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Drugs that may cause impotence

Impotence caused by medications; Drug-induced erectile dysfunction
Information
Various medications and recreational drugs can have an affect on sexual arousal and sexual performance. It should be noted that what causes impotence in one man may not affect another.
If you think that a medication you are taking is having a negative effect on sexual performance, discuss the matter with your health care provider. NEVER stop taking any medication without first consulting your health care provider, because some medications can produce life-threatening reactions if they are not carefully and slowly stopped or switched appropriately.

The following is a list of medications and non-prescription drugs that may cause impotence:

Antidepressant and other psychiatric medications:
" Amitriptyline (Elavil)
" Amoxapine (Asendin)
" Buspirone (Buspar)
" Chlordiazepoxide (Librium)
" Chlorpromazine (Thorazine)
" Clomipramine (Anafranil)
" Clorazepate (Tranxene)
" Desipramine (Norpramin)
" Diazepam (Valium)
" Doxepin (Sinequan)
" Fluoxetine (Prozac)
" Fluphenazine (Prolixin)
" Imipramine (Tofranil)
" Isocarboxazid (Marplan)
" Lorazepam (Ativan)
" Meprobamate (Equanil)
" Mesoridazine (Serentil)
" Nortriptyline (Pamelor)
" Oxazepam (Serax)
" Phenelzine (Nardil)
" Phenytoin (Dilantin)
" Sertraline (Zoloft)
" Thioridazine (Mellaril)
" Thiothixene (Navane)
" Tranylcypromine (Parnate)
" Trifluoperazine (Stelazine)

Antihistamine medications (certain classes of antihistamines are also used to treat heartburn):
" Cimetidine (Tagamet)
" Dimenhydrinate (Dramamine)
" Diphenhydramine (Benadryl)
" Hydroxyzine (Vistaril)
" Meclizine (Antivert)
" Nizatidine (Axid)
" Promethazine (Phenergan)
" Ranitidine (Zantac)

High blood pressure medicines and diuretics ("water pills"):
" Atenolol (Tenormin)
" Bethanidine
" Bumetanide (Bumex)
" Captopril (Capoten)
" Chlorothiazide (Diuril)
" Chlorthalidone (Hygroton)
" Clonidine (Catapres)
" Enalapril (Vasotec)
" Furosemide (Lasix)
" Guanabenz (Wytensin)
" Guanethidine (Ismelin)
" Guanfacine (Tenex)
" Haloperidol (Haldol)
" Hydralazine (Apresoline)
" Hydrochlorothiazide (Esidrix)
" Labetalol (Normodyne)
" Methyldopa (Aldomet)
" Metoprolol (Lopressor)
" Minoxidil (Loniten)
" Nifedipine (Adalat, Procardia)
" Phenoxybenzamine (Dibenzyline)
" Phentolamine (Regitine)
" Prazosin (Minipress)
" Propranolol (Inderal)
" Reserpine (Serpasil)
" Spironolactone (Aldactone)
" Triamterene (Maxzide)
" Verapamil (Calan)
Among the anti-hypertensive medications, thiazides are the most common cause of ED, followed by beta-blockers. Alpha-blockers are, in general, less likely to cause this problem
.
Parkinson's disease medications:
" Benztropine (Cogentin)
" Biperiden (Akineton)
" Bromocriptine (Parlodel)
" Levodopa (Sinemet)
" Procyclidine (Kemadrin)
" Trihexyphenidyl (Artane)

Chemotherapy and hormonal medications:
" Antiandrogens (Casodex, Flutamide, Nilutamide)
" Busulfan (Myleran)
" Cyclophosphamide (Cytoxan)
" Ketoconazole
" LHRH agonists (Lupron, Zoladex)

Other medications:
" Aminocaproic acid (Amicar)
" Atropine
" Clofibrate (Atromid-S)
" Cyclobenzaprine (Flexeril)
" Cyproterone
" Digoxin (Lanoxin)
" Disopyramide (Norpace)
" Estrogen
" Finasteride (Propecia, Proscar, Avodart)
" Furazolidone (Furoxone)
" H2 Blockers (Tagamet, Zantac, Pepcid)
" Indomethacin (Indocin)
" Lipid lowering-agents
" Licorice
" Metoclopramide (Reglan)
" NSAIDs (Ibuprofen, etc.)
" Orphenadrine (Norflex)
" Prochlorperazine (Compazine)
" Pseudoephedrine (Sudafed)
Opiate analgesics (painkillers)
" Codeine
" Fentanyl (Innovar)
" Hydromorphone (Dilaudid)
" Meperidine (Demerol)
" Methadone
" Morphine
" Oxycodone (Oxycontin, Percodan)

Recreational drugs:
" Alcohol
" Amphetamines
" Barbiturates
" Cocaine
" Marijuana
" Heroin
" Nicotine

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