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    Film-coated tablet: 10 mg PO ~1 hour before sexual activity; may be increased to 20 mg or reduced to 5 mg, depending on effectiveness and tolerance; not to exceed 1 dose/day Orally disintegrating tablet (ODT): 10 mg PO placed on tongue ~1 hour before sexual activity; not to exceed 1 dose/day 10-mg ODT not interchangeable with 10-mg film-coated tablet; ODT provides higher systemic exposure at same dose; if higher or lower doses are required, film-coated tablet should be prescribed Anatomic deformation of penis, cardiovascular disease, left ventricular outflow obstruction, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, multidrug antihypertensive regimens, retinitis pigmentosa, conditions predisposing to priapism, concomitant use of CYP3A4 inhibitors Avoid in patients with congenital QT prolongation or those taking class IA or III antiarrhythmics Use in combination with other treatment for erectile dysfunction has not been studied and is not recommended Not to be taken with other phosphodiesterase (PDE)-5 inhibitors (eg, sildenafil, tadalafil) Concomitant use of alpha blockers increases risk of hypotension May increase risk of rare sudden vision loss attributed to nonarteritic ischemic optic neuropathy; if vision problems arise, discontinue, and contact physician Risk of sudden hearing loss Sexual stimulation causes nitric oxide to be released in corpus cavernosum, and nitric oxide activates guanylate cyclase, which in turn increases cyclic guanosine monophosphate (c GMP), thus causing smooth-muscle relaxation; PDE-5 inhibitors enhance smooth muscle-relaxing effects of nitric oxide in corpus cavernosum by inhibiting degradation of c GMP The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. Auf dieser Seite erfahren Sie, was Sie erwartet, wenn Sie zum ersten Mal wegen Erektionsstörungen zu einem Facharzt (Urologen) gehen. Die Kosten für alle erforderlichen Untersuchungen im Rahmen der Diagnostik werden von den gesetzlichen Krankenkassen voll übernommen (siehe dazu auch "Kostenübernahme für die Diagnose der ED"). Manche Ärzte verschreiben bei Erektionsstörungen nach kurzem Gespräch Cialis, Levitra oder Viagra und sehen bei einer zufriedenstellenden Wirkung dieser Medikamente keinen weiteren Handlungsbedarf. In Anbetracht der Tatsache, dass Potenzstörungen ein erstes, frühes Symptom einer noch nicht erkannten Krankheit sein können, ist dieses Verhalten nicht akzeptabel. Suchen Sie sich in so einem Fall zur Feststellung der Ursachen Ihrer Potenzprobleme einen anderen Arzt! Manchmal wird auch behauptet, dass ein oder mehrere Versuche mit Cialis, Levitra oder Viagra Teil der Diagnostik sind. Misserfolg dieser Versuche lässt sich keine diagnostische Aussage ableiten (Weiske 2003). Eine gründliche Diagnose von Potenzproblemen hat folgende Bestandteile: 1.

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