When Viagra Isn't Helpful


By webmd.com

There’s a growing trend for young men to try Viagra (or Cialis or Levitra, the other PDE5 Inhibitors) at the first sign of anything that they consider a sexual problem.

It doesn’t even always need to be an erection difficulty (which is what the PDE5 Inhibitors are designed to treat). I’ve had male patients ask for them when they had rapid ejaculation, delayed ejaculation, or low levels of sexual desire. There is a slight connection between lack of sexual desire and a PDE5 Inhibitor. Here it is: If a man also happens to have erection difficulties, he may find that using such a medication will strengthen his sexual desire because he has greater hopes (and probability) for a pleasing experience when using it.

When young men (under 40 years) have a sexual problem, it is most often due to a psychological issue rather than a physical one (there are exceptions, but the percentage is likely under 10%). Sometimes those who are somewhat anxious during sexual interaction are among the first to seek a PDE5 Inhibitor from their doctor — often before they have tried addressing it (even briefly) from a psychological perspective. I would hazard a guess that some young men consider as few as two negative sexual experiences reason enough to seek out this type of chemical help.

There’s also a trend for younger males to want to take PDE5 Inhibitors for sexual enhancement when there’s nothing wrong with their functioning. They’re looking to maximize their sexual experience — and sometimes that of their partner. I’ve sometimes found a blend between the “maximizers” and those who ejaculate quickly. They sometimes hope that they could more easily get another erection or they hope that their erection will be at its fullest (and therefore pleasing to a partner) — even if it is short lived.

In my local weekly alternative newspaper, a journalist tried to see if he could get a prescription for Viagra when he didn’t really have a sexual problem. He reported on his “quest.” He fell into the category of “the curious.” He wanted to know if it would feel any better — sort of the same way that over time people have experimented with having sex while under the influence of other chemicals of all kinds.

I recommend that a male with an erection difficulty seek out a sex therapist for a quick assessment of whether the cause might be physiological or not. The best scenario includes that therapist having a good working relationship with a urologist who is interested in male sexual functioning. The sex therapist can work through what might be contributing psychologically and the urologist can make sure of the bodily health.

Another trend has begun that concerns me as well — the prescription of a PDE5 Inhibitor to any man who asks for it by some physicians. I am well aware that the number of minutes that most physicians tend to spend with each patient is limited (sometimes by their own choice and sometimes by the setting in which they work). Unfortunately, this has led to offering a quick way to have tried to "help" without a careful differential diagnosis.

Some young men take the PDE5 Inhibitor path very early in their sexual difficulties and then grow dependent on it. They then sometimes grow very hesitant to have a sexual experience without it. It makes it somewhat more difficult to treat this from a psychological perspective — which is what is most commonly needed.

Source: http://blogs.webmd.com/sexual-health-sex-matters/2007/01/when-viagra-isnt-helpful.html


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Sunday, June 14, 2026

Naltrexone: Brand Name Medication Guide For Dependence

Naltrexone is the brand name for naltrexone, a medication used in the management of conditions associated with dependence. Brand name medications are pharmaceutical products marketed under a proprietary name by the company that originally developed them. Understanding the relationship between brand name and generic formulations, as well as the conditions for which the medication is approved, helps patients make informed choices about their treatment. Allergy treatment has advanced considerably over the past several decades. Early antihistamines were effective but caused significant drowsiness. Modern second-generation antihistamines provide comparable or superior symptom control without the sedating side effects that limited their predecessors. Other treatment modalities include nasal corticosteroid sprays, which reduce airway inflammation, and allergen immunotherapy, which gradually desensitizes the immune system through controlled exposure to specific allergens over time. The brand name Naltrexone has built a clinical track record through use in a wide range of patients and healthcare settings. Brand versions and their generic equivalents contain the same active ingredient at the same strength, but may differ in inactive ingredients such as fillers, binders, and coatings. In most cases, generic formulations are therapeutically equivalent and offer cost savings, though some patients prefer to stay on a specific formulation for consistency. When prescribed Naltrexone, patients should follow the guidance of their prescribing physician regarding dose, frequency, and duration of therapy. The medication should be stored as directed on the label, typically at room temperature away from heat and moisture. Any unused medication should not be disposed of by flushing down the drain unless the label specifically says to do so, as this can harm the environment. Comprehensive details on Naltrexone and other medications used for dependence are available through https://mednewwsstoday.com/dependence/. This resource provides evidence-based summaries to help patients and healthcare providers stay informed about treatment options in this therapeutic area.
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