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Reports of abnormal vision were rare, it occurred in less than 0.1% of patients using tadalafil. Doctors at the Rambam Medical Centre in Haifa, Israel, recruited 20 men with an average age of 56 to take part in the trial. The investigators found that the erectile dysfunction rate was 93 cases per 1000 persons per year among NSAID users compared with just 35 cases among nonusers. The problem does not go away with self-care measures -- effective treatments are available viagra canada online Return to top The primary concern with oral therapy for erectile dysfunction has centred on cardiovascular-related adverse events.42Because PDE-5 inhibitors promote vasodilation, they inherently have the potential to cause hypotension. The concern has been greatest in elderly patients with pre-existing cardiovascular disease. buy propecia Correspondence to Carmine Gazzaruso, MD, IRCCS Maugeri Foundation Hospital, Internal Medicine Unit, Via Ferrata 8, 27100 Pavia, Italy. E-mail email@example.com Competing interests You should connection to your doctor or denote predicament if erection lasts more than 4 hours. The extended erection can make damages to the penis. Erectile Dysfunction Causes Because as many as 25 percent of cases of erectile dysfunction are due to medication side effects,4 the patient's drug therapy should be reviewed. Common pharmacologic causes of this disorder include antihypertensive drugs, most notably the centrally acting agents, beta blockers and diuretics. Antipsychotic and antidepressant drugs are also frequently implicated. Other drugs that can cause erectile dysfunction include spironolactone (Aldactone), cimetidine (Tagamet) and finasteride (Proscar).5,7 Excessive alcohol intake, heroin use and cigarette smoking are also known causes (Table 2).4,7,8 Injecting medications into the corpora cavernosae (intracavernosal injections), Meanwhile, the federal government announced last month that it is giving $30 million to researchers across the country over the next two years in an aggressive push to advance knowledge about BPA and end the debate about its safety. What will the future bring for erectile dysfunction? Depression, guilt, worry, stress, and anxiety all contribute to loss of libido and erectile dysfunction. If a man experiences loss of erection, he may worry that it will happen again. This can produce anxiety associated with performance and may lead to chronic problems during sex. If the cycle is inescapable, it can result in impotence. Psychological factors in impotence are often secondary to physical causes, and they magnify their significance.