Help! My Viagra does not work!

What to do when your PDE5I does not work like it should…

 

Are you in this situation? You have been suffering from Erectile Dysfunction (ED) for some time and finally got down to seeing your doctor. After giving you a thorough check up, your doctor decided to prescribe you one of the PDE5Is (i.e. Viagra, Cialis, Levitra or a generic brand).

 

You wait till the moment is right and finally pop a pill. But Oh No! Things don’t quite go according to plan. Your erection still is not as good as you want it to be. Your Viagra does not work!

 

These are a few things you can take note of:

1. It does not always work on the first time

All the medicines Viagra, Cialis, Levitra have a cumulative effect. In other words, the second time you try the pill the effect will be better than the first, the third will be better than the second and so on.

Usually most people will experience the full maximum effect of the pills after about 6 to 8 tries. You should use the pill at least 1 time a week for the benefits to build up.

2. Make sure the dose is right

The highest doses of the 3 different medicines are:

  1. Viagra (or equivalent generics) 100mg
  2. Cialis 20mg
  3. Levitra 20mg

Sometimes, your doctor might start you on a lower dose because of various reasons. If this does not work, talk to your doctor about increasing the dose.

By the way, Cialis also comes in a 5mg dose which is to be taken daily. If your doctor has prescribed this to you, you should expect the effects to kick in only after 5 days on the pill.

 

3. Watch what you eat

Always try to take the pills on an empty stomach for best effect. A full stomach, especially oily food, reduces the absorption of the medicine.

Also, alcohol causes you to lose your erection. So if you are having a really heavy drinking session, don’t expect the pills to work too well.

 

4. The same things don’t work the same for the same people

The 3 medicines Viagra, Cialis and Levitra come from the same family but they have their differences. So you would expect some to work better for some people than others.

In other words, if you have tried Viagra and it does not work for you, you might want to try Cialis or Levitra. They may work better.

 

5. It could be your other pills

Some medicines can cause erectile dysfunction as a side effect. The most common ones are the ones that are used to treat High Blood Pressure.

Check with your doctor if your medicines cause ED and if they do, check with him if you can change it to a medicine that does not.

 

6. Beware of generics

Viagra lost its patent very recently. So now there are many different brands of generic Viagra available.

Although most generics are of good quality, there are some that are not as good. If you are using a generic medicine and find that it does not work, you should try the original medicine before deciding if it works for you or not.

 

7. What is your T level?

Low Testosterone is a very common problem especially if you are overweight or have a medical problem like diabetes or high blood pressure.

If your Testosterone is low, your medicines to treat ED may not work as well. Speak to your doctor about checking your Testosterone levels.

 

8. Going to the bathroom much?

If you are going to pass urine very frequently, or wake up 2 times or more at night to go to the toilet, you may have what doctors call ‘Lower Urinary Tract Symptoms’. This may be due to prostate or bladder problems. This can all cause ED.

After you treat this, your ED will improve.

 

If you have tried everything above and the pills still do not work for you, you are really left with 3 options.

1. Medicines that are injected into the penis. This is actually quite easy to do and not as painful as you think.

2. Electro Shock Wave Treatment (ED). This is a painless treatment were shock wave are shot into the penis to induce the penis to make new and healthy blood vessels.

3. Penile implants. Plastic tubes are surgically inserted into the penis with a pump in the scrotum. Pumping the scrotum will cause an erection.

Videos Related to Erectile Dysfunction:

1.) What is Electro Shockwave Treatment for Erectile Dysfunction?

What are the causes and treatment for erectile dysfunction?

 

If you have any questions or are interested in any of the above treatment, please contact us.

 

Questions?

1.) Dr. Tan and Partners @Novena


Men’s Health & Sexual Health Clinic

Dr. Tan Kok Kuan is currently practising in Men’s Health & Sexual Clinic @Novena Medical Centre

Address:
Novena Medial Centre
#08-31, 10 Sinaran Drive
Singapore 307506

Telephone:
+65 6397 2095

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
8.30 a.m to 5.30 p.m.

Saturday
9.00 a.m. to 1.00 p.m

Sunday and Public Holiday
Closed

2.) Dr. Tan and Partners @Somerset


Men’s Lifestyle Clinic

Address:
Orchard Building
#10-08, 1 Grange Road
Singapore 239693

Telephone:
+65 6262 0762

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
10.00 a.m to 2.00 p.m. and
3.00 p.m. to 7:00 p.m.

Saturday
9.00 a.m. to 1.00 p.m

Sunday and Public Holiday
Closed

3.) Dr. Tan and Partners @Robertson


Men’s Health & Anonymous HIV Testing Clinic

Anonymous HIV Testing in Singapore:
(Don’t require any identification, such as passport, NRIC or contact details during registration. )

Dr Deepa and Dr Jonathon Ti are currently practising at @Robertson Branch

Address:
11 Unity Street
#02-07, Robertson Walk
Singapore 237995

Telephone:
+65 6238 7810

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
8.00 a.m to 9.00 p.m.

Saturday & Sunday
9.00 p.m. – 2.00 p.m.

4.) Dr. Tan and Partners @Scotts


Men’s Health Clinic

Dr. Justin Sii & Dr. Elaine are currently practising at our Men’s Health Clinic @Scotts Medical Centre

Address:
9 Scotts Road,
#06-06, Scotts Medical Centre
Singapore 228210

Telephone:
+65 6694 2348

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
8.00 a.m to 5.00 p.m.

Saturday
8.00 a.m. to 12.00 p.m

Sunday & Public Holiday Closed