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Alternatives to Cialis

Vacuum Devices as an Alternative to Cialis
Some men cannot safely take medications for impotence, and these medications are not effective in all men. For these men, devices may be an effective alternative.
 
Various vacuum devices are available that work by creating suction around the penis, drawing blood into the penis. Some models are pumped by hand, while others are battery-powered. Usually, these pump or vacuum devices come with an elastic band that is placed at the base of the penis to keep the blood in the penis after the device is removed. It is a good idea to only use such devices when your healthcare provider recommends them.
 
A good vacuum device should also be approved by the United States Food and Drug Administration (FDA). These approved devices have been carefully designed to limit the amount of suction that is created, which will help avoid injury to the penis from too much suction. There are many devices available (especially on the Internet) that are not FDA-approved and may not be as safe.
 
Surgery
For some men, surgery may be a good option. Vascular surgery can help repair damaged blood vessels, which may help with impotence. Also, surgery can be performed to implant devices that can help a man achieve an erection. Usually, surgery is considered only after other treatments have been unsuccessful.
 
Prescription Medications as Substitutes for Cialis
Fortunately, there are several different prescription medication alternatives to Cialis. Currently, there are a few different Cialis-like medications available. Each has its own particular advantages and disadvantages, and sometimes one medication will work better than others for an individual. These Cialis-like medications (known as phosphodiesterase inhibitors) include:
 
Cialis is a longer-acting medication, compared to Levitra or Viagra.
 
None of these medications should be taken with nitrates (medications for chest pain). For some people, these Cialis-like medications are not effective enough, and some people may not be able to take these medications due to side effects or drug interactions.
 
Another option in such situations is injectable or pellet medications. These medications include:
 
  • Alprostadil injection (Caverject®, Edex®)
  • Alprostadil urethral suppositories (Muse®)
  • Papaverine hydrochloride injection
  • Phentolamine injection.
     
Papaverine, phentolamine, Caverject, and Edex are injected directly into the penis, while Muse is a urethral suppository (a small pellet that is inserted into the urinary opening of the penis). These treatments can be very effective, but are more difficult to take than the oral Cialis-like medications.
 
Lastly, some men with testosterone deficiencies and impotence may benefit from taking testosterone, which comes in many forms, including injections, gels, and skin patches.
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