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one more MEQ - a_antibody
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03-17-2007, 08:16 PM
55 male /Dm 2 gave history of erectile dysfuntion , what's the next step of management .......
a. psychotheraphy b.assure him...... c. give viagra.
03-17-2007, 08:29 PM
From these choices the answer is C.
Initial management of secondary erectile dysfunction due to vascular causes is proper management of the underlying disorder. Therefore, optimal treatment of his hypertension, diabetes, cessation of tobacco, and treatment of underlying hyperlipidemia are all very reasonable approaches. In this patient, cessation of medications that may be adding to the problem (such as beta-blockers and HCTZ) are also recommended if acceptable alternatives are available. ACE inhibitor usage in diabetic patients is very appropriate and this class of agents is rarely associated with erectile dysfunction. There are several specific treatment options available for this patient. Selective phosphodiesterase type-5 inhibitors (sildenafil/Viagra, vardenafil/Levitra, and tadalafil/Cialis) have become drugs-of-choice for many men with erectile dysfunction. With sexual stimulation causing the release of nitric oxide into the penile smooth muscle, these agents inhibit phosphodiesterase type-5. |
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