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Therefore, the dose and frequency of tadalafil has to be lowered in the following examples:Medications such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), ritonavir (Norvir), and indinavir (Crixivan) can slow the breakdown of tadalafil. Therefore men taking these medications should not take more than 10 mg of tadalafil and should not take tadalafil more frequently than every 72 hours. Common side effects of testosterone replacement therapy include local irritations, prostate enlargement, breast tissue enlargement, aggravation of breast and prostate cancers, depression, elevation of red blood cell count (polycythemia), or worsening of congestive heart failure. Certain medications can alter the gonadal function, including thiazide diuretics, some seizure medications, long-acting oral opiate pain medications, antipsychotic medications, and oral steroids. buy cialis online cialis online
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Lifestyle: smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing. See also Tobacco and health. propecia canadian pharmacy propecia canadian pharmacy How common is erectile dysfunction? Most men have occasional times when they cannot get an erection. For example, you may not get an erection so easily if you are tired, stressed, distracted, or have drunk too much alcohol. For most men it is only temporary, and an erection occurs most times when you are sexually aroused. However, some men have persistent, or recurring, ED. It can occur at any age, but becomes more common with increasing age. About half of men between the ages of 40 and 70 have ED. About 7 in 10 men aged 70 and above have ED. Can Sexual Problems Be Prevented? While sexual problems cannot be prevented, dealing with the underlying causes of the dysfunction can help you better understand and cope with the problem when it occurs. There are some things you can do to help maintain good sexual function: Follow your doctor's treatment plan for any medical/health conditions. Limit your alcohol intake. Quit smoking. Deal with any emotional or psychological issues such as stress, depression, and anxiety. Get treatment as needed. Increase communication with your partner. propecia canadian pharmacy Is the patient taking medications that can contribute to erectile dysfunction?