Erectile Dysfunction Therapy Medications

Viagra Sublingual

Sublingual is a method the medication administers into your body.  The medicine diffuses into the blood through tissues under the tongue; it is faster and more potent.

What is Viagra™?

Viagra (sildenafil citrate) is the first approved non-surgical treatment for erectile dysfunction (ED) that does not have to be either injected or inserted directly into the penis to achieve and maintain an erection. The oral medication was approved by the US Food and Drug Administration (FDA) for prescription sale in 1998.
Diabetes, heart disease (high cholesterol), high blood pressure, nephritis, and liver disease may cause ED. Consider the following:

  • Diabetes is one of the more common medical causes of ED. More than half of all men ages 65 and older with diabetes also have ED to some degree.
  • Heart disease is the most common disease linked to ED. It can be an early sign of heart disease.
  • Two out of three men with high blood pressure also have ED to some degree.

The most common side effects of Viagra include:

  • headache
  • facial flushing
  • nausea
  • nasal congestion

The less common side effects of Viagra include:

  • dizziness
  • abnormal vision, blurred vision
  • sensitivity to light
  • bladder pain
  • cloudy or bloody urine
  • pain on urination

How does Viagra work?

For a man to achieve an erection, the muscles of the penis relax and allow blood to flow and pool in a part of the penis called the corpora cavernosa. Viagra relaxes the smooth muscles of the penis, allowing this area to fill with blood. For Viagra to work, sexual stimulation is necessary.

Viagra is effective in most patients, but the rate of improvement depends on the cause of ED. Viagra does not increase sex drive (libido), and it does not affect the orgasm.

Always consult your physician for more information.

Cialis Sublingual

Tadalafil is a PDE5 inhibitor currently marketed in pill form for treating erectile dysfunction (ED) under the name Cialis. Tadalafil belongs to a group of medications called phosphodiesterase type 5 inhibitors. It is used to treat erectile dysfunction (male impotence). It helps to achieve and maintain an erection sufficient for sexual activity to occur. It does this by allowing more significant blood flow into the penis when a man taking the medication is sexually aroused. It works only with sexual stimulation and does not increase sexual desire.
Tadalafil is also used to treat symptoms of benign prostatic hyperplasia (BPH) in men with enlarged prostates. It helps relieve symptoms such as frequent urination, painful urination, or the sensation of not completely emptying the bladder. It does this by relaxing muscles in the prostate and bladder.


Trimix is an injectable three-drug cocktail used to treat erectile dysfunction. The active ingredients in the mixture are usually alprostadil, papaverine, and phentolamine. The injection must be compounded by a pharmacy and administered via intracavernosal injection. Trimix is typically compounded by a pharmacy in a sterile environment and then frozen. The compound is stable for up to 6 months while stored frozen and for one month if stored refrigerated at the time of manufacture.