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Suggest Alternative Medicine For Erectile Dysfuction

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Posted on Thu, 2 Apr 2015
Question: I use zetia10mg atorvastatin 40mg metoprolol25mg every night. I used 20mg of cialis last night for the first time and it did not work. an you tell me why? I am 72 years old.
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Answered by Dr. Michelle Gibson James (35 minutes later)
Brief Answer:
may need to try viagra or levitra

Detailed Answer:
HI, thanks for using healthcare magic

The maximum dose of cialis is 20mg so unfortunately it cannot go any higher than this but you can try the alternative medication.
Some persons react differently to the medication so it is possible that viagra or levitra may work better for you.

Viagra has varying doses from 25 mg to 100mg

Levitra dose varies from 5mg to 20mg.


Erectile dysfunction can be due to : (1) the blood supply to the area- which can be affected by high blood pressure, high cholesterol,diabetes, smoking, vascular disease

(2)nerve supply to the area-eg diabetes nerve disease, stroke, ms, other meds that can also nerve disease

(3)adequate levels of particular hormones particularly testosterone.

Your high blood pressure and cholesterol are likely involved in your ED.

In some persons with blood supply related causes, if the damage to the blood vessels is severe then the medication is not able to work but you can try the alternatives first.

There are also other treatment options that are not used as commonly that may be considered if viagra or levitra do not work

I hope this helps, feel free to ask any other questions
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Alternative Medicine For Erectile Dysfuction

Brief Answer: may need to try viagra or levitra Detailed Answer: HI, thanks for using healthcare magic The maximum dose of cialis is 20mg so unfortunately it cannot go any higher than this but you can try the alternative medication. Some persons react differently to the medication so it is possible that viagra or levitra may work better for you. Viagra has varying doses from 25 mg to 100mg Levitra dose varies from 5mg to 20mg. Erectile dysfunction can be due to : (1) the blood supply to the area- which can be affected by high blood pressure, high cholesterol,diabetes, smoking, vascular disease (2)nerve supply to the area-eg diabetes nerve disease, stroke, ms, other meds that can also nerve disease (3)adequate levels of particular hormones particularly testosterone. Your high blood pressure and cholesterol are likely involved in your ED. In some persons with blood supply related causes, if the damage to the blood vessels is severe then the medication is not able to work but you can try the alternatives first. There are also other treatment options that are not used as commonly that may be considered if viagra or levitra do not work I hope this helps, feel free to ask any other questions