Erectile dysfunction (ED) is a common problem among men, especially those with diabetes. Diabetes can cause nerve damage and affect blood flow, leading to difficulty getting and maintaining an erection.

However, there are ways to overcome this problem. In this comprehensive guide, we will discuss the causes of ED in diabetics, the best ED pills for diabetics, and other treatments to help overcome ED.

Understanding Erectile Dysfunction (ED) and Diabetes

Erectile dysfunction, also known as impotence, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Diabetes is a chronic disease that affects how the body transforms blood sugar (glucose) for energy. High blood sugar levels can cause damage to the blood vessels and nerves that control erections. This can lead to ED in men with diabetes.

ED in diabetics can also be caused by psychological factors such as stress, anxiety, depression, and relationship problems. These factors can further worsen the physical causes of ED.

The majority of narrative reviews that have looked at the prevalence of erectile dysfunction in men with diabetes concur that it is two- to three-fold more common in these men than it is in the overall population. Up to 75% of men with diabetes have been reported to experience erectile dysfunction, which is age-related and manifests earlier in men with diabetes. [1]

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How Does Diabetes Affect a Man Sexually?

Diabetes can affect a man’s sexual health in several ways.

Firstly, it can damage the nerves that control erections, making it challenging to get or maintain an erection.

Secondly, it can cause damage to the blood vessels, reducing blood flow to the penis. This can also make it difficult to achieve an erection.

Thirdly, diabetes can cause hormonal imbalances affecting sexual desire and performance.

Finally, the psychological impact of living with a chronic disease like diabetes can lead to stress, anxiety, and depression, all contributing to ED.

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How Can a Diabetic Overcome Erectile Dysfunction

The first step in overcoming ED as a person with diabetes is to manage your blood sugar levels. This can help reduce the damage to the nerves and blood vessels that control erections. Eating a healthy diet, exercising regularly, and taking your diabetes medication as prescribed can all help manage your blood sugar levels.

Another critical step is to address any psychological factors that may be causing or contributing to ED. This may involve discussing your feelings, experiences, and concerns with a therapist or counselor. You may also find it helpful to talk to your partner about your ED and how it affects your relationship.

A patient’s long-term compliance with ED therapy depends on his satisfaction. In one international experiment with 3,291 ED-affected males, 47% of the participants identified the treatment’s consistent efficacy with one of the best ED pills for diabetics (vardenafil and tadalafil) as its most significant aspect.

This is crucial for men with DM, who report having a severe and persistent ED, seek medical attention more frequently, and are more likely to stop therapy due to unfavorable outcomes than men with ED but no diabetes.[2]

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Erectile Dysfunction Pills for Diabetics: What to Look For?

There are several types of Erectile Dysfunction pills for diabetics. The most common types are phosphodiesterase type 5 (PDE5) inhibitors, which increase blood flow to the penis. These include sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).

When looking for the best ED pills for diabetics, it is essential to choose a safe and effective medication for diabetics. You should also talk to your doctor about other medications, as some can interact with erectile dysfunction pills for diabetics and cause side effects.

Best ED Pills for Diabetics

The best ED pills for diabetics are safe, effective, and well-tolerated. ED can be treated as necessary with sildenafil, vardenafil, tadalafil, and avanafil. Tadalafil received FDA approval in 2008 for once-daily usage in treating ED, and it was granted a BPH indication in 2011. Additionally approved for PAH are sildenafil and tadalafil, marketed as Revatio and Adcirca. [3]

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Sildenafil (Viagra):

Viagra is one of the most commonly prescribed and is considered one of the best ED pills for diabetics. It increases blood flow to the penis and is safe and effective in men with diabetes. It is a PDE5 inhibitor, and it achieves its function by increasing blood flow to the penis during sexual intercourse.

When using Viagra, the effects begin after 30 to 60 minutes and can last up to 4 hours.

A doctor can prescribe Viagra in doses of 25, 50, or 100 mg per day.

The most frequent side effects (>2%) are rash, back pain, myalgia, flushing, dyspepsia, altered vision, nasal congestion, nausea, and dyspepsia.

Tadalafil (Cialis)

Cialis is one of the best ED pills for diabetics. It is a phosphodiesterase 5 (PDE5) inhibitor, and it is indicated for the following conditions:

• erectile dysfunction (ED)
• the signs and symptoms of benign prostatic hyperplasia (BPH)
• ED and the signs and symptoms of BPH (ED/BPH)

The PDE5 inhibitor tadalafil has the most prolonged half-life (17.5 h), with a 24-36 h duration of action. Additionally, tadalafil can inhibit PDE11, and it has been hypothesized that this interaction causes some of the drug’s side effects, including myalgia and back discomfort. [4]

It has a longer duration of action than sildenafil (it can last for up to 36 hours), which means it can be taken less frequently. This can benefit men who want to be more spontaneous in their sexual activity.

The most frequent side effects (2% or less) are headache, dyspepsia, back discomfort, myalgia, nasal congestion, flushing, and limb pain.

Vardenafil (Levitra)

Levitra is another option as an erectile dysfunction pill for diabetics. It has a similar mechanism of action (PDE5 inhibitor) to sildenafil and tadalafil but may be more effective in men with severe ED. Vardenafil comes in two formulations (a film-coated tablet and an orodispersible tablet).

However, it should be avoided by patients with prolonged QT intervals or males taking antiarrhythmic medications like procainamide, quinidine, sotalol, or amiodarone. [4]

The effects of Levitra, which last for up to 5 hours, can be felt 25 to 60 minutes before sexual activity.

50 mg of sildenafil is equivalent to 10 mg of Levitra. The drug can be purchased as a coated tablet that can be taken with food.

The most common adverse reactions reported ( ≥ 2% of patients) are headache, flushing, nasal congestion, dyspepsia, sinusitis, flu syndrome, dizziness, increased creatine kinase, nausea, and back pain.

Avanafil (Stendra)

Avanafil is a phosphodiesterase 5 (PDE5) inhibitor recommended as one of the best ED pills for diabetics. The initial dosage is 100 mg, which should be taken as needed as early as 15 minutes before engaging in sexual activity.

Avanafil, which was authorized in 2012 for the treatment of erectile dysfunction, is highly selective for PDE5 in comparison to PDE1 and PDE5, and PDE11 PDE isoenzymes.

Lower occurrences of adverse events such as vision disturbances, myalgia, and back discomfort may result from this, improving safety profiles. Although avanafil is typically well tolerated, those with significant liver impairment shouldn’t use it.

Headache, flushing, nasal congestion, nasopharyngitis, and back discomfort are among the most frequent adverse effects (more than or equal to 2%) [4]

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Other Treatments for Erectile Dysfunction in Diabetics

In addition to the above-mentioned best ED pills for diabetics, other treatments can help manage ED in people with diabetes. Vacuum pumps and penile injections are two options that can help increase blood flow to the penis and improve erections.

Lifestyle changes such as losing weight, quitting smoking, and reducing alcohol consumption can also help improve sexual health in people with diabetes. Talking to a therapist or counselor about your feelings and concerns can help manage ED.

Best Ed Pills for Diabetics: FAQs

Is There a Link Between Metformin and Erectile Dysfunction?

Many ask themselves “Can diabetic medication cause erectile dysfunction?”. The answer is: Yes, some diabetic medications can contribute to ED. For example, metformin has been shown to cause ED in some men. It is essential to talk to your doctor if you are experiencing ED while taking diabetic medication.

Which Erectile Dysfunction Drug Works Best With Diabetes?

The best ED pills for diabetics are oral medications like avanafil (Stendra), sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra).

What Is the Fastest Way to Cure ED Using the Best ED Pills for Diabetics?

Oral erectile dysfunction pills for diabetics like Viagra, Cialis, Levitra, Staxyn, or Stendra can help you get results quickly. With the help of these erectile dysfunction pills for diabetics, one can acquire an erection solid enough to satisfy sexual interaction by increasing blood flow to the penis during sexual excitement.

Can a Diabetic Recover From Erectile Dysfunction?

Diabetes patients frequently experience erectile dysfunction. Fortunately, it is usually treatable. Drugs can be helpful but are most effective when used with dietary changes and diabetes care. This could entail better weight management, blood sugar control, and general mental and physical health.

Is There Free Viagra for People With Diabetes?

There is usually no free Viagra for diabetics. However, some pharmaceutical companies offer patient assistance programs that can help reduce the cost of ED medication for those who cannot afford it. Companies like Rex MD will often offer Free Viagra Samples for their new customers.

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Conclusion: Taking Steps Towards Overcoming ED as a Diabetic Using the Best ED Pills for Diabetics

ED can be a frustrating and embarrassing problem for men with diabetes. However, there are many treatments available that can help manage this condition. By managing your diabetes, addressing any psychological factors, and choosing the best ED pills for diabetics, you can take steps towards overcoming ED.

You must talk to your doctor about any concerns or questions about ED and diabetes. They can help you choose the right treatment plan for your individual needs, choose the best ED pills for diabetics and ensure that you are receiving safe and effective care.

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REFERENCES:

[1] – Kouidrat Y, Pizzol D, Cosco T, Thompson T, Carnaghi M, Bertoldo A, Solmi M, Stubbs B, Veronese N. High prevalence of erectile dysfunction in diabetes: a systematic review and meta-analysis of 145 studies. Diabet Med. 2017 Sep;34(9):1185-1192. doi: 10.1111/dme.13403. Epub 2017 Jul 18. PMID: 28722225.

[2] – Kamenov ZA. Comparison of the first intake of vardenafil and tadalafil in patients with diabetic neuropathy and diabetic erectile dysfunction. J Sex Med. 2011 Mar;8(3):851-64. doi: 10.1111/j.1743-6109.2010.02148.x. Epub 2010 Dec 8. PMID: 21143421.

[3] – Huang SA, Lie JD. Phosphodiesterase-5 (PDE5) Inhibitors In the Management of Erectile Dysfunction. P T. 2013 Jul;38(7):407-19. PMID: 24049429; PMCID: PMC3776492.

[4] – Defeudis G, Mazzilli R, Tenuta M, Rossini G, Zamponi V, Olana S, Faggiano A, Pozzilli P, Isidori AM, Gianfrilli D. Erectile dysfunction and diabetes: A melting pot of circumstances and treatments. Diabetes Metab Res Rev. 2022 Feb;38(2):e3494. doi: 10.1002/dmrr.3494. Epub 2021 Sep 21. PMID: 34514697; PMCID: PMC9286480.