Brief Answer:
Further necessary information and clarification

Detailed Answer:
Dear
Thanks for contacting with your health concern and after reviewing your health query, I am of the following opinion:

1. Do let me know the name of the drugs, which were given to increase Serotonin in the brain (they are classified under SSRIs (selective serotonin reuptake inhibitors), and ED (erectile dysfunction) is their ADR ( adverse drug reaction).

2. Due to the effect of those insomnia medicine, you did developed ED as side effect for which you are taking Mojoboost (Tadalfil) and Afropil (as a natural herbal formula to manage low libido and erectile problem).

3. Before I can explain the management aspect, do let me know the following:

- Apart from ED, is there any problem with PE ( premature ejaculation) and/or loss of libido?
- Any performance anxiety/undue stress?
- Any history of diabetes/high blood pressure?

4. Start with perineal exercises: while urinating, stop the flow of urine start again , stop and start again (4-5 times)

5. Do let me know whether, Gir Cow Ghee will be available with you, since the drugs which I usually prescribe, give best results with this Natural Ghee preparation. (If not available, do let me know so that I can send it from my clinic), and you can use it with the Ayurveda Medicines purchased from the local Pharmacy.

Dr. Munish
Consultant Physician
Naimittika

Direct online link: bit.ly/drmunishsood

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Brief Answer:
Further necessary details

Detailed Answer:
Dear
Thanks for reverting back.

1. All the three mentioned drugs apart from other side effects, have one thing in common: SEXUAL DYSFUNCTION, and is reversible after stopping/ withdrawal from the drug(s).

PS. Sexual function will not completely return to normal after the discontinuation, and can persist for months, years.

2. ED makes it clear that other problems which interfere with sexual intercourse and reproduction, and problem with ejaculation/orgasms are not involved.

3. TAKE: milk and milk products, ghee, makhan, cheese, curd, black grapes, pears, raisins, dates, almonds, walnut, pomegranate, carrot, banana, apricots, musk melon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas,garlic, bottle gourd.

AVOID: sour and cold substances, tobacco [in any form], brinjal, tandori roti, red chilies, heavy and food which require long hours to digest, jaggery and its items, deep fried food.


4. Management.


I.. Vigomax capsules [Charak]: 1 capsule daily with breakfast or at bed time.
PS. Recent studies indicate Vigomax was effective in restoring sexual function in men with ED of varied etiologies.

ii. Tentex forte tablets [Himalaya]: 2 tablets twice daily for 3-4 weeks. treatment may be prolonged depending upon the response.
PS. is a non hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, the antis tress, adaptogen action of tentex forte helps alleviate anxiety associated with sexual desire.

iii. take tablet mentat [himalaya] 2 tab twice a day [since ED is a psychosomatic disorder] thus tranquility of mind is important.

PS. PSSD (Post SSRI Sexual Dysfunction) can be Psychological, but in your case it is actually Pharmacological in origin.

Iv. As said earlier that these medicine(s) work best with Gir Cow Ghee (especially having A2 protein), thus let me know whether you want half kg or 1 kg Ghee.

Dr. Munish
Naimittika

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