Erectile dysfunction (ED)
- Address vascular risk + offending drugs
- PDE5 inhibitor is first-line for most patients
- Tadalafil useful with concurrent BPH
- Needs sexual stimulation; optimize dose/timing
- Nitrates contraindicate PDE5 inhibitors
- Failure → injections, vacuum device or implant
- Consider testosterone only if truly deficient
Use at a glance
- Address vascular risk + offending drugs
Treatment options
- PDE5 inhibitor is first-line for most patients
Safety / pitfalls
- Needs sexual stimulation; optimize dose/timing
- Nitrates contraindicate PDE5 inhibitors
- Failure → injections, vacuum device or implant
Choosing treatment
- Tadalafil useful with concurrent BPH
- Consider testosterone only if truly deficient
Self-check
- What is first-line treatment for erectile dysfunction?
A PDE5 inhibitor.
- What options follow inadequate PDE5-inhibitor response?
Injections, vacuum device, or implant.
Drugs used for this (4)
All clinical uses · Open the interactive console ↗
