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How to choose PDE5 inhibitors?

AASraw

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Oct 22, 2017
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Choosing the right PDE5 inhibitor can depend on a variety of factors, including the patient’s overall health, the presence of other conditions, their lifestyle, and their individual response to medication. Here is a general guide to choosing a PDE5 inhibitor for reference, but remember to always consult with a healthcare provider to make the best choice for individual needs.

Patient ConditionRecommended PDE5 InhibitorReason
A desire for fast onset timeAvanafilFastest onset among the PDE5 inhibitors
Middle-aged and elderly with ED and chronic diseases (hypertension, hyperlipidemia)SildenafilAverage pharmacokinetic parameters, less stimulation to the body
Middle-aged and elderly with ED and vascular endothelial dysfunction (e.g.diabetes)TadalafilLong duration of action, can improve vascular endothelial function and urinary tract symptoms over time
Middle-aged and elderly with ED, no vascular diseasesVardenafilMild effect, quick onset, low bioavailability, few adverse reactions
Middle-aged and elderly with ED, vascular endothelial dysfunction, sildenafil ineffectiveAvanafilHigh blood concentration, a strong effect
Young and middle-aged with ED, no obvious organic etiologySildenafilEffective for ED caused by psychological factors
Abnormal visual function and EDTadalafilNo visual abnormalities among adverse reactions
Postprandial medication preferenceAvanafil, VardenafilAbsorption rate not easily affected by food

Notes: This information about PDE5 inhibitors is provided for general informational purposes only and does not constitute medical advice. The choice of a PDE5 inhibitor should always be made in consultation with a healthcare provider who can take into account the individual’s overall health, other medications being taken, and the specific nature and severity of the erectile dysfunction. While these medications can be effective in treating erectile dysfunction, they also have potential side effects and risks, and they are not suitable for everyone. Certain health conditions and other medications may interact with PDE5 inhibitors, leading to potentially serious adverse effects. Always seek the advice of a healthcare provider for any questions you may have regarding a medical condition.
 
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