Erectile dysfunction limits the sexual activity of men. At the same time decreasing the risk of cardiovascular complications related to erectile dysfunction. Thanks to the introduction of PDE5 inhibitors significantly expanded the opportunities of erectile dysfunction pharmacological correction, including patients with cardiovascular diseases.

The urgency of the problem of preventing complications once again increased, although PDE inhibitors themselves in general do not affect, but rather improve the condition of circulation. In particular, the taking of the usual dose of Levitra marginally affect the frequency of heart rate and blood pressure at rest and during loading.

This drug is does not worsen the bearing of loads. Moreover in patients with ischemic heart disease (IBS) at the level of loads appropriate sexual acts slowing the progress of myocardial ischemia. The huge international experience of applying PDE5 inhibitors attests to their safety, subject to certain rules.

They were formulated back to 2000 in the form of special recommendations (Princeton Consensus Panel). In accordance with it each patient on whom to appoint PDE5 inhibitors first need to assess the risks associated with cardiovascular diseases (this is routine task for the internist practice).

Only after that depending on the degree of risk may be either encouraged to resume sexual activity, applied to remove erectile dysfunction a medicine drug - PDE5 inhibitor (if low risk) or temporarily (up to a substantial reduction of risk at the expense of treatment) to abandon this (if high risk). In addition, it should be remembered about the dangers of interaction PDE5 inhibitors with some medicines, including often appointed by physicians, cardiologists, and urologists.

This precaution, primarily related to nitrates and donators to NO - they can not take along with PDE5 inhibitors. Alpha blockers can be used in conjunction with erectile dysfunction drugs only with extreme caution.

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