What Causes Poor Erection Despite Taking Viagra?
All of the information requested below was supplied in my original question on 23 November, 2016.
Poor resthosinpnse to Viagra is mostly due to age related atherosclerosis .
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction (ED) and have taken 50 mg of Viagra but failed to get desired erection to have penetrative sex .
The basic cause of ED at this age is generalized atherosclerosis of blood vessels that also involves Penile Arteries that supply arterial blood to erectile tissue in penis resulting in to reduced blood flow and there by Erectile Dysfunction .
Though are taking Amlodepine but do not have any side effects of lowering blood pressure after taking Viagra you can certainly increase the dose to 100 mg as on demand .
If you are taking Amlodepine once daily take it in the morning and take Viagra one hour before only on the day of planned sexual activity .
I would suggest you to get Color Doppler Ultrasound Scanning of Penis done to confirm or rule out vasculogenic cause for your ED.This will help to guide regarding usefulness or efficacy of taking Viagra.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
With the 50 mg dosage I was able to achieve a moderate erection that was more than sufficient to allow me to receive great oral sex, but I would very much like to achieve sufficient firmness/hardness to permit me to engage in vaginal sex also, providing my partner is on top and I am on the bottom, because of the shortness of breath resulting from COPD.
There is no risk in taking 100 mg of Viagra.
Detailed Answer:
Hello
Thanks for follow up .
You can have trial of 100 mg of Viagrar one hour before planned sex .The effect generally last for 4 hours .
The second alternative to Viagra is to take Cialis 5 mg daily in the evening and 10 mg of Cialis on the day of planned sex .If needed you may increase it to 20 mg depending upon hardness of penis after erection .This works better than taking 100 mg of Viagra and has low incidence of lowering blood pressure .
Thanks and Regards.
Dr.Patil.