What is the best medicine for men who cannot take it?

Male sexual dysfunction can be improved through drug treatment. Commonly used drugs include PDE5 inhibitors such as sildenafil, tadalafil, and vardenafil. The selection of drugs requires a comprehensive evaluation based on individual health conditions, drug side effects, and doctor's recommendations.

1. Sildenafil:

Sildenafil, a first-line drug for the treatment of erectile dysfunction, enhances blood flow to the penis by inhibiting the PDE5 enzyme. The onset of action takes about 30-60 minutes, and the effect lasts for 4-6 hours. Common side effects include headache and facial flushing, and patients with cardiovascular disease should use with caution.

2. Tadalafil:

Tadalafil lasts up to 36 hours and is suitable for patients who want a natural sex life. Low doses can be taken daily to maintain blood levels. May cause muscle pain and severe hypotension when combined with nitrates.

3. Vardenafil:

Vardenafil works quickly and has little impact on food, taking effect within 15 minutes. It has significant effects on patients with mild ED, but adverse reactions such as visual abnormalities may occur. Patients with abnormal liver function need to adjust the dose.

4. Apomorphine:

Apomorphine acts as a dopamine receptor agonist through the central nervous system. It is suitable for patients with psychological ED, where gastrointestinal reactions such as nausea and vomiting are common. Not to be used in combination with antipsychotic drugs.

5. Testosterone replacement:

For loss of sexual desire caused by testosterone deficiency, hormone levels need to be tested first. Dosage forms such as gels and injections can improve sexual function, but may induce polycythemia. Contraindicated in patients with prostate cancer.

Improving sexual function requires comprehensive conditioning. It is recommended to maintain regular exercise such as brisk walking and squatting to strengthen the pelvic floor muscles.； Eat more zinc-rich foods such as oysters and nuts ； Avoid staying up late and drinking too much alcohol ； Your partner should fully understand and cooperate. If the symptoms last for more than 3 months or are accompanied by cardiovascular abnormalities, you need to go to the men's department or endocrinology department for a systematic examination in time to rule out underlying diseases such as diabetes and hypertension. Do not buy aphrodisiac health products with unknown ingredients on your own to avoid health risks.