Three-Month Treatment for Erectile Dysfunction Medications - Urology

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One month of treatment?


Hello Doctor: I previously inquired about an erection issue, and the physician prescribed the following medications: 1.
CIALIS 5MG (half a tablet), 2.
PAPAVERINE HCL TABLETS 30MG, 3.
Trental, and 4.
Mesyrel 0.5.
I have had four follow-up visits and have been taking the medication for a month, during which my erection has been normal.
The testosterone report shows a reference range of (1.66-8.77) with a result of 6.27.
The doctor indicated that I should continue the treatment for three months.
I would like to ask if stopping the medication after three months will lead to a recurrence of the issue.
What is the mechanism of action for this medication treatment?

Xiao Cai, 20~29 year old female. Ask Date: 2015/09/21

Dr. Xu Weikai reply Urology


Xiao Cai: Hello, regarding the effects of medication, you can look it up online; major hospitals, pharmaceutical companies, and the National Health Insurance Administration all have detailed information on medications, and you can even find the package inserts.
After using the medication for three months, theoretically, the tissues related to your erection should be ready and stable.
As for whether you will have difficulties after stopping the medication, I don't think any doctor can provide a definitive answer.
After all, everyone's body is different, and responses to medication can vary.
The mechanism of action of the medication primarily involves increasing circulation, dilating the blood vessels related to erection, and increasing resistance in the ejaculatory duct, among other effects.
If you have further questions, feel free to ask again, and we can discuss and research together.
Online responses should only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/09/21

More Info


When it comes to the treatment of erectile dysfunction (ED), the medications prescribed to you—Cialis (Tadalafil), Papaverine, Trental (Pentoxifylline), and Mesyrel (Mesoridazine)—each play a specific role in managing the condition. Your doctor has recommended a three-month treatment plan, which is a common approach to allow sufficient time for the medications to take effect and for you to assess their efficacy.


Understanding the Medications
1. Cialis (Tadalafil): This medication is a phosphodiesterase type 5 (PDE5) inhibitor. It works by increasing blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection. Cialis has a longer duration of action compared to other PDE5 inhibitors, which allows for more spontaneity in sexual activity.

2. Papaverine: This is a vasodilator that helps to relax blood vessels and improve blood flow. It is often used in combination with other treatments for ED, particularly in cases where PDE5 inhibitors are not effective.

3. Trental (Pentoxifylline): This medication improves blood flow by decreasing blood viscosity and increasing red blood cell flexibility. It is sometimes used in patients with vascular issues contributing to erectile dysfunction.

4. Mesyrel (Mesoridazine): While primarily an antipsychotic, it may have some effects on mood and anxiety that can indirectly influence sexual performance. However, its role in ED treatment is less direct compared to the other medications.


Duration of Treatment
The recommendation to continue treatment for three months is based on the understanding that it may take time for the medications to fully exert their effects and for you to experience consistent improvement in erectile function. During this period, your body may also adjust to the medications, and any underlying issues contributing to ED may be addressed.


Concerns About Stopping Medication
You raised a valid concern about whether stopping the medications after three months would lead to a recurrence of erectile dysfunction. The answer is that it can vary significantly from person to person. Some individuals may find that their erectile function improves and remains stable even after discontinuing medication, particularly if the underlying causes of their ED have been addressed (such as psychological factors, lifestyle changes, or improved cardiovascular health). Others may experience a return of symptoms after stopping the medication.


Importance of Follow-Up
It is crucial to maintain regular follow-ups with your healthcare provider during and after the treatment period. They can monitor your progress, adjust dosages, or explore alternative treatments if necessary. If you experience any side effects or have concerns about your treatment plan, do not hesitate to reach out to your doctor.


Lifestyle Modifications
In addition to medication, lifestyle changes can significantly impact erectile function. Regular exercise, a healthy diet, maintaining a healthy weight, reducing alcohol consumption, and quitting smoking can all contribute to improved erectile health. Psychological factors such as stress, anxiety, and depression can also play a significant role in ED, so addressing these through counseling or therapy may be beneficial.


Conclusion
In summary, the three-month treatment plan for erectile dysfunction medications is designed to provide sufficient time for the medications to work and for you to evaluate their effectiveness. While there is a possibility of experiencing erectile dysfunction again after stopping the medications, individual responses can vary widely. Regular communication with your healthcare provider and making lifestyle adjustments can enhance your overall sexual health and well-being. If you have further questions or concerns, please consult with your doctor for personalized advice.

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