Choosing the Right Pill to Treat ED
You should treat it with the same urgency as a heart attack. Erections lasting longer than 4 hours can cause permanent damage to your erection tissue.Go to MSK’s Urgent Care Center if you’re less than 30 minutes away. Ask the guard at the entrance to the hospital how to get there.Go to your local emergency room if you’re more than 30 minutes away from MSK’s Urgent Care Center.Tell the staff at the Urgent Care Center or emergency room that you’ve had an erection for 4 hours. A healthcare provider should see you immediately. If you aren’t treated quickly, it’s possible that you’ll end up with permanent ED.Give the healthcare provider the priapism card that was given to you to carry in your wallet. You can also have the healthcare provider call us at the numbers listed above.
More men than ever before use erectile dysfunction medication to give their sex life a boost. But do you use it the right way?
Keep calling your APP after each injection until we find the right dose for you. Do not give yourself your next injection until you have reported the result of your last injection. Don’t take more medication than the dose prescribed. Don’t change the dose without speaking to your APP. Don’t take more than 1 injection in 24 hours.
Reduce stress
Don’t give yourself another injection if the medication doesn’t work. Speak with your APP if you aren’t getting the effects you want. Your partner shouldn’t inject you if they did not inject you at your training session. You can inject up to 3 times a week as long as there are 24 hours between each injection. If you’re currently receiving chemotherapy for cancer, ask your oncologist (cancer doctor) when you can safely inject.
How to perform penile injections
Don’t take any other medication for ED without speaking to your APP. Do not go to sleep until your erection is bendable. Do not take the following medications within 18 hours of an injection (before or after):MedicationDoseSildenafil (Viagra)20 mg to 100 mgVardenafil (Levitra)10 mg to 20 mgAvanafil (Stendra)50 mg to 200 mg Do not inject within 72 hours (3 days) of taking tadalafil (Cialis) 10 mg or 20 mg. Tell your APP all of the medications you’re taking, especially if you’re taking one of the following:Medication for depression, or classified as an MAO inhibitor such as phenelzine (Nardil®)A sleep aid, such as trazodone (Oleptro ER®) Medication for depression, or classified as an MAO inhibitor such as phenelzine (Nardil®) A sleep aid, such as trazodone (Oleptro ER®) Your APP will order your supplies for you from a compounding pharmacy. 1 vial (500 units) of ______________________ medication 24 pseudoephedrine HCl (Sudafed®) 30 mg tablets You’ll also need to buy alcohol pads from your local pharmacy. Go to MSK’s Urgent Care Center if you’re less than 30 minutes away. Ask the guard at the entrance to the hospital how to get there.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Gold | 50 mg | 120 + 6 Pills | 281.13€ 267.74€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Generic | 5mg | 60 + 4 Pills | 86.02€ 81.92€ | |
| Kamagra 100 mg | 100 mg | 32 Pills | 121.24€ 115.47€ | |
| Viagra Generic | 200mg | 20 Pills | 61.69€ 58.75€ | |
| Viagra Super Active | 100mg | 120 + 16 Pills | 198.37€ 188.92€ | |
| Tadalista Super Active | 20mg | 120 + 16 Pills | 382.15€ 363.95€ | |
| Cialis Professional | 20mg | 270 + 6 Pills | 623.07€ 593.40€ | |
| Cialis Generic | 5mg | 120 + 6 Pills | 132.92€ 126.59€ | |
| Levitra Soft Tabs | 20mg | 20 Pills | 74.68€ 71.12€ |
Tell the staff at the Urgent Care Center or emergency room that you’ve had an erection for 4 hours. If you aren’t treated quickly, it’s possible that you’ll end up with permanent ED. Give the healthcare provider the priapism card that was given to you to carry in your wallet. If you have had pelvic surgery for prostate or bladder cancer within the past year, your healthcare provider may have told you to take a low dose of sildenafil (Viagra), vardenafil (Levitra), avanafil (Stendra), or tadalafil (Cialis) every night, except on days or nights you plan to inject. This improves the chance that your erectile function sexual enhancement pills will return.
| Country | Approved Brands | Over-the-counter Availability | Prescription Needed | Market Share (%) (approximate) | Notes |
|---|---|---|---|---|---|
| USA | Viagra, Cialis, Levitra | No | Yes | 70% | Widely prescribed, high brand recognition |
| Europe | Viagra, Cialis, Levitra | No | Yes | 65% | Various generics available |
| India | Generic versions available | Yes | Varies | 40% | Increased OTC options |
| Australia | Viagra, Cialis | No | Yes | 55% | Strict prescription controls |
It may also help save erectile tissue. Your response to oral ED medications may improve over the first 18 to 24 months after surgery. Try taking a full dose once a month.
Check with your doctor to see if you need to increase your dose.
Between 5:00 p.m. and 9:00 a.m., during the weekend, and on holidays, call 212-639-2000 and ask to speak to the urologist on call. Go to MSK’s Urgent Care Center at Memorial Hospital (1275 York Avenue, between East 67th and East 68th Streets) if you’re less than 30 minutes away. Go to your local emergency room if you’re more than 30 minutes away from MSK’s Urgent Care Center. If you have an erection that lasts 3 hours and you haven’t talked to your APP, this is a medical emergency. A full dose is one of the following: 100 mg of sildenafil (Viagra) taken on an empty stomach (2 hours before or 2 hours after a meal). 20 mg of tadalafil (Cialis) taken with or without food.
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Priapism can develop without sexual stimulation and doesn’t go away after orgasm. There is a risk of having priapism after penile injection therapy. When you have a full erection, no fresh blood flows into your penis. This means your penis isn’t getting oxygen, which can damage the tissue and lead to permanent ED. If you have an erection at penetration hardness (a 6 or higher on the erection hardness scale) that lasts 2 hours, take 4 (30 mg) tablets of pseudoephedrine HCl (Sudafed).
Side effects
Don’t take extended-release lovegra 100 mg or long-acting tablets, such as Sudafed 12 hour. Ask your pharmacist or APP if you have any questions. The pseudoephedrine HCl will be shipped by the compounding pharmacy along with the vial of medication and syringes, or you can buy it at your local pharmacy. For more information, read the “Pseudoephedrine HCl (Sudafed)” section above.If your erection becomes less than penetration hardness within an hour of taking pseudoephedrine HCl, call your healthcare provider’s office the next day to speak with your APP. You should not use your penile injections again until speaking to your APP.
How do healthcare professionals diagnose erectile dysfunction?
Your APP will make changes to your penile injection therapy medication dose. If your erection becomes less than penetration hardness within an hour of taking pseudoephedrine HCl, call your healthcare provider’s office the next day to speak with your APP. If you have an erection that lasts 3 hours (you still have an erection 1 hour after taking the pseudoephedrine HCl), call your APP and plan to go to MSK’s Urgent Care Center or your local emergency room.Monday through Friday between 9:00 a.m. and 5:00 p.m., call your APP.Between 5:00 p.m. and 9:00 a.m., during the weekend, and on holidays, call 212-639-2000 and ask to speak to the urologist on call.Go to MSK’s Urgent Care Center at Memorial Hospital (1275 York Avenue, between East 67th and East 68th Streets) if you’re less than 30 minutes away. To achieve the best response, you must be: Sexually aroused, either from contact with a partner or from self-stimulation Speak with your APP about how to travel with your injection medication. They can give you a letter explaining your treatment, if needed. If you need a letter, be sure to ask for it before your travel dates. You must be within an hour away from a hospital For information about storing and disposing of your home medical sharps, read our resource How To Store and Get Rid of Your Home Medical Sharps. ReNue Health offers our sexual enhancement tabs as another way to keep you at peak sexual performance.
- First-line treatment: Oral PDE5 inhibitors are the initial standard of care.
- Second-line options: Include intraurethral suppositories or injectable medications.
- Third-line treatments: Penile implants or vascular surgery for severe cases.
- Step therapy: Often starts with least invasive options before progressing.
- Combination therapy: Sometimes used, like testosterone with PDE5 inhibitors.
- Treatment algorithm: Based on patient preference, contraindications, and cost.
Our two custom tabs have been designed to combat performance issues and erectile dysfunction. The “Blue Dynamo Tab” is for daily use, while the “Red Rapid Tab” is ideal for 30 minutes before sex. You can expect to receive more quality erections, an increase in sex drive and stamina.
Surgical treatments
Your APP will call the Urgent Care Center so they know to expect you. Your APP will give you more instructions during your call.Go to your local emergency room if you’re more than 30 minutes away from MSK’s Urgent Care Center. Your APP will give you more instructions during your call. Monday through Friday between 9:00 a.m. and 5:00 p.m., call your APP. We know these will be a huge hit, so make sure to call today so you can receive the complete sexual improvement package from Dr.
What is genital herpes?
Your injection medication can’t be ordered from your local retail pharmacy (such as CVS, Rite Aid, Duane Reade, or Costco). They’ll be ordered from a specialty compounding pharmacy approved by MSK. Please call your APP when your supplies run low. They’ll order more supplies for you and will let you know if refills are included. You’ll need to provide an injection report with each refill request.
Neurological conditions
If refills are included, you can contact the compounding pharmacy directly to set up your billing and shipping. Sometimes, penile injections can cause priapism (an erection that lasts too long). If you have priapism, taking pseudoephedrine HCl can help. Read the instructions in the “Treating Priapism (An Erection That Lasts Too Long)” section for more information. If you want to buy the pseudoephedrine HCl at your local pharmacy, you don’t need a prescription, but the boxes are kept behind the pharmacy counter.
What is the fastest way to cure ED?
Take the pseudoephedrine HCl card that’s hanging on the shelf to the pharmacist (see Figure 4). You’ll have to show a photo ID before the pharmacist gives you the box to purchase. Make sure to have pseudoephedrine HCl with you as long as you’re using the penile injections. If you have problems with your heart, talk with your cardiologist about whether it’s safe for you to take pseudoephedrine HCl. Priapism is an erection that lasts too long. More often than not, men find themselves “let down” by Cialis, Viagra and other oral ED medications.
- Ed tablets have revolutionized treatment for male sexual dysfunction.
- They are often covered by health insurance if prescribed.
- Ed tablets can improve confidence and quality of life when used properly.
- They do not cause permanent cures; effects last as long as the drug is active.
- Ed tablets may interact with certain medications, such as antibiotics.
- Sexual arousal is necessary for Ed tablets to be effective.
- Users should avoid heavy meals before taking Ed tablets to enhance absorption.
- Some individuals may experience mild side effects that subside quickly.
Rob created the ReNue Health Sexual Enhancement Tabs by combining the common Erectile Dysfunction drugs, with other ingredients that make them: Faster acting, since they dissolve under the tongue! More effective, because they bypass the digestive system!
| Question/Myth | Truth/Information | Source / Note |
|---|---|---|
| Do ED tablets enhance sexual performance beyond erections? | No, they mainly facilitate erections, not increase stamina | Medical consensus |
| Are ED tablets addictive? | No, they are not addictive but can be psychologically relied upon | Medical advice |
| Can I drink alcohol while using ED tablets? | Moderate alcohol may be safe but excessive use can impair effectiveness or cause side effects | Clinician guidelines |
| Do ED tablets cause blindness? | Rare cases of vision loss reported; consult doctor if vision changes | Approved by FDA |
| Are generic ED pills as effective as brand-name? | Yes, if approved, they contain the same active ingredients | Regulatory agencies |
Deliver an enhanced sexual experience due to the greater stimulation! A fraction of the cost compared to traditional ED medications!
- Future research: Gene therapy and stem cell treatments are under investigation.
- New drug formulations: Faster-acting or longer-lasting PDE5 inhibitors in development.
- Topical treatments: Gels or creams being studied for less systemic side effects.
- Personalized medicine: Genetic testing to predict best drug and dosage.
- Digital therapeutics: Apps and devices to complement traditional treatments.
- Combination products: Drugs that treat ED and another condition simultaneously.
Take the first steps to improved sexual satisfaction by contacting a ReNue Health Team Member today. They will help answer any questions you may have and schedule your consultation. There are two effective types of medications for erectile dysfunction. TriMix is a unique blend of three medications that have proven to be a safe and effective, alternative treatment option for men who are dealing with erectile dysfunction. TriMix injections are custom-blended to the individual patient. Rob will work with you to compound a formula that is most effective for your particular needs and lifestyle. Unlike oral medications, TriMix injections trigger an erectile response in less than 5 minutes!