Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
How Much Viagra Can Be Taken For Sexual Dysfunction?
Question: I'm a 62 y.o. male. I have taken 100mgs of viagra successfully in the past, but lately it doesn't work that well. Can I take more like 125mgs or 150mgs.?
Brief Answer:
Could you give me a brief history?
Detailed Answer:
Hi dear.Thanks for giving me an opportunity to answer your query.
Could you please share some more information to help you better-
Since how long have you been taking Viagra?
Has there been a difficulty in erection while on Viagra 100mg?
Has there been a difficulty in maintaining the erection till the end of activity?
Since how long have you been experiencing this difficulty?Was it sudden?
Is there any recent medical or surgical history?
Are you a diabetic?Hypertensive?
Have you been taking any other medication?
Awaiting your reply.
Could you give me a brief history?
Detailed Answer:
Hi dear.Thanks for giving me an opportunity to answer your query.
Could you please share some more information to help you better-
Since how long have you been taking Viagra?
Has there been a difficulty in erection while on Viagra 100mg?
Has there been a difficulty in maintaining the erection till the end of activity?
Since how long have you been experiencing this difficulty?Was it sudden?
Is there any recent medical or surgical history?
Are you a diabetic?Hypertensive?
Have you been taking any other medication?
Awaiting your reply.
Above answer was peer-reviewed by :
Dr. Prasad
just in case you didn't here it is again:
7/11....here's more:
I have taken viagra off and on for 10 yrs. But not that often as I have not been that active sexually. At first I took 50mgs and that worked. Then I had to go to 100mgs and that worked for awhile. Now it doesn't work that well. meaning I can't hold an erection. very frustrating.
I have no recent medical or surgical history.
Not a diabetic and not hypertensive.
I take 50mgs zoloft, 450mgs wellbutrin and 1mg abilify.
I am in good physical condition and work out 6 days a week. I don't drink and don't use recreational drugs, and my weight is normal.
any thoughts?
7/11....here's more:
I have taken viagra off and on for 10 yrs. But not that often as I have not been that active sexually. At first I took 50mgs and that worked. Then I had to go to 100mgs and that worked for awhile. Now it doesn't work that well. meaning I can't hold an erection. very frustrating.
I have no recent medical or surgical history.
Not a diabetic and not hypertensive.
I take 50mgs zoloft, 450mgs wellbutrin and 1mg abilify.
I am in good physical condition and work out 6 days a week. I don't drink and don't use recreational drugs, and my weight is normal.
any thoughts?
Brief Answer:
Identify the cause of sexual dysfunction first
Detailed Answer:
Hello Sir.Thanks for writing me back and sharing the detailed history.
I am very glad that you are physically fit and maintain perfect health.I would not increase the dose directly since it will have adverse effects on your health such as sudden fall in blood pressure or have adverse consequence on your heart function.
According to me the sexual dysfunction is one of the most common side effects due to the antidepressant/antipsychotics medication(Zoloft and Wellbutrin).
Equally important is to know about function of the penis which depend on both nerves supplying and blood vessels feeding it.I would ensure this getting a penile doppler which is one of the preferred tests for sexual dysfunction.If the doppler is negative then I were to attribute sexual dysfunction to the medication & were to switch to others which are less likely to cause sexual dysfunction.I believe this should restore your sex life.
Thus I would prefer identifying the cause(keeping your age and medication as an important factors) instead of increasing the dose of Viagra which is not advisable.
Hope this answers your query.
Identify the cause of sexual dysfunction first
Detailed Answer:
Hello Sir.Thanks for writing me back and sharing the detailed history.
I am very glad that you are physically fit and maintain perfect health.I would not increase the dose directly since it will have adverse effects on your health such as sudden fall in blood pressure or have adverse consequence on your heart function.
According to me the sexual dysfunction is one of the most common side effects due to the antidepressant/antipsychotics medication(Zoloft and Wellbutrin).
Equally important is to know about function of the penis which depend on both nerves supplying and blood vessels feeding it.I would ensure this getting a penile doppler which is one of the preferred tests for sexual dysfunction.If the doppler is negative then I were to attribute sexual dysfunction to the medication & were to switch to others which are less likely to cause sexual dysfunction.I believe this should restore your sex life.
Thus I would prefer identifying the cause(keeping your age and medication as an important factors) instead of increasing the dose of Viagra which is not advisable.
Hope this answers your query.
Above answer was peer-reviewed by :
Dr. Raju A.T
thank you.
I assume there have been people who have taken a higher dose who have not had any adverse affect?
I assume there have been people who have taken a higher dose who have not had any adverse affect?
Brief Answer:
Adverse effect can be lifethreatening at high dose
Detailed Answer:
Hi sir.Thanks for writing me back.
As discussed it is important to know the cause of erectile dysfunction because identifying the cause helps to decide whether to increase the dose (provided the cardiovascular health is perfect) which ideally should be monitored by a physician.Sometimes the adverse effect such as sudden drop in blood pressure can be fatal.Hence, I would monitor all my patients especially above 60 years and on a higher dose.
In case if the dysfunction is due to vascular or neuronal problems there might not be any benefit increasing the dose instead I would prefer alternative treatment (such as suction device therapy).
Hope this answers your query.
Adverse effect can be lifethreatening at high dose
Detailed Answer:
Hi sir.Thanks for writing me back.
As discussed it is important to know the cause of erectile dysfunction because identifying the cause helps to decide whether to increase the dose (provided the cardiovascular health is perfect) which ideally should be monitored by a physician.Sometimes the adverse effect such as sudden drop in blood pressure can be fatal.Hence, I would monitor all my patients especially above 60 years and on a higher dose.
In case if the dysfunction is due to vascular or neuronal problems there might not be any benefit increasing the dose instead I would prefer alternative treatment (such as suction device therapy).
Hope this answers your query.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
