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    If you subscribe to any of our print newsletters and have never activated your online account, please activate your account below for online access. By activating your account, you will create a login and password. sertralin nebenwirkungen If you take a prescription drug for erectile dysfunction (ED), you'll want to do everything you can to make sure it's doing its job. Take a few minutes to learn how to get the most out of your medication. Sometimes eating a big meal right after you take an ED drug may not always be the best idea. If you swallow sildenafil (Viagra) with a high-fat meal, such as a steak dinner, it may take longer for it to work. You can take other ED drugs with or without food, such as: While ED drugs work in similar ways, they're each made up of different chemicals. This can affect how they work, how much time they take to kick in, and the different side effects that you may have. Talk to your doctor about any health problems you have and other medications that you take. It will help your doctor find the ED drug that should work best for you.

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    Most guys know that these meds don’t magically give them an erection. Still, 3 percent of study participants reported they weren’t getting enough sexual stimulation when trying them out. If you’re not aroused, you might as well have just popped a placebo. When you get sexually excited, your brain sends a signal via the nerves down to your penis. This releases a chemical into the muscle of the penis, which then sparks the production of another chemical—the one your ED meds work on to give you a boner. If you’re not aroused, that second chemical wouldn’t form in the first place. Related: The Scientific Reason You Wake Up With Morning Wood “We tell men not to take the drug and expect miracles happening without doing some work—foreplay, things like that,” says Dr. “It will not work unless you have some form of sexual stimulation, be it touch, taste, smell, whatever that is.” Unless you’ve reached the max dosage, don’t assume your meds aren’t going to work for you—an error shared by 31 percent of the study participants. It might be tempting to start at the lowest dose—who wants to take more medication than they need? Myth Some patients don’t realize that the drugs are most effective once someone has used them repeatedly. It seems, for many reasons, that it takes up to 8 uses to assess whether the drug works. Anxiety can be an issue but familiarity with the effects plays a role, as well. In fact, some doctors recommend using the medication to masturbate first so that the effect is not experienced in what might be a pressure situation. Nevertheless, Viagra and other drugs are ineffective for about 15% of patients receiving medications even under the best circumstances. Desire is necessary to kick off the cascade of events that lead to an erection. If there is no desire, whether it is psychological or hormonal, an erection will not occur just because a circumstance seems to warrant one. A low testosterone, or an abnormal thyroid, or even a brain tumor may make it medically less likely that desire will be present.

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