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टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr)

Manufacturer: सन फार्मास्युटिकल इंडस्ट्रीज लिमिटेड (Sun Pharmaceutical Industries Ltd)
Prescription vs.OTC: चिकित्सक द्वारा परामर्श आवश्यक नहीं है

टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr) , एक अल्फा ब्लॉकर है जो एक प्रभावित सपाट और मूत्राशय की बढ़ी हुई मांसपेशियों को आराम करने में मदद करता है। यह सौम्य प्रोस्टेटिक हाइपरप्लासिया (बीपीएच) के लक्षणों को कम करने में मदद करता है जिसमें पेशाब में कठिनाई होती है। अजीब समय पर पेशाब की जरूरत बढ़ जाती है और एक कमजोर धारा।

पुरुषों के लिए एक दवा होने के नाते, टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr) महिलाओं और बच्चों के लिए उपयोग के लिए नहीं है। यह महत्वपूर्ण है कि आप वर्तमान में मौजूद अन्य सभी दवाओं के बारे में चिकित्सक को संक्षेप में बताएं, क्योंकि इससे प्रोजोसिन, सिलोोडोसिन आदि जैसी दवाओं के प्रतिकूल प्रतिक्रिया हो सकती हैं। टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr) अगर आप इसके लिए एलर्जी हो तो लेना नहीं है। यदि आपको जिगर या किडनी की बीमारी है, तो आपको अपने डॉक्टर को पता चलेगा कि आपको कम रक्तचाप से पीड़ित होने या प्रोस्टेट कैंसर का इतिहास है ।

टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr) मौखिक रूप से आपकी चिकित्सा की स्थिति और इलाज के प्रति प्रतिक्रिया के आधार पर खुराक के साथ लिया जाता है। यह महत्वपूर्ण है कि आप प्रति दिन एक ही समय में कैप्सूल लेते हैं। आपके भोजन के तीस मिनट बाद, दैनिक इसे नियमित रूप से लेना अपनी प्रभावशीलता बढ़ाने में मदद करेगा

दुष्प्रभावों में रक्तचाप में गिरावट शामिल होती है। जिससे चक्कर आना या बेहोशी हो सकती है।

पुरस्थ ग्रंथि में अतिवृद्धि (benign prostatic hyperplasia)

अपने इच्छित प्रभाव के अतिरिक्त टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr) कुछ अवांछित प्रभाव भी पैदा कर सकता है। ऐसे मामलों में, आप को तत्काल चिकित्सा का ध्यान रखना चाहिए यह साइड इफेक्ट्स की एक विस्तृत सूची नहीं है। कृपया अपने चिकित्सक को सूचित करें यदि आप दवा के प्रतिकूल प्रतिक्रिया का अनुभव करते है।

कामेच्छा में कमी (Decreased libido)

Moderate Less Common

वीरियम की मात्रा में कमी ( Decreased semen volume)

Moderate Less Common

क्या यह शराब के साथ लेना सुरक्षित है?

शराब के साथ टीएमएससुलोसिन लेना आपके रक्तचाप को कम कर सकता है। यह चक्कर आना या महसूस कर सकता है जैसे आप बाहर निकल सकते हैं, खासकर जब बैठे या झूठ बोलने से उठते हुए।

क्या कोई गर्भावस्था की चेतावनी और सावधानियां है?

फ्लोलाइट डी टैबलेट गर्भावस्था के दौरान उपयोग करने के लिए बेहद असुरक्षित है।
मानव और पशु अध्ययनों ने भ्रूण पर महत्वपूर्ण प्रतिकूल प्रभाव दिखाया है। कृपया अपने डॉक्टर से सलाह लें।

क्या कोई स्तनपान चेतावनी होती है?

मानव और पशु अध्ययन उपलब्ध नहीं हैं। कृपया अपने डॉक्टर से सलाह लें।

क्या इस दवा को खा कर वाहन चलाना सुरक्षित है?

यह चक्कर आना कारण हो सकता है। अगर आपको मशीनरी चलाने या चलाने के लिए सावधानी बरतें।

क्या यह गुर्दे के कार्य को प्रभावित करता है?

हल्के से मध्यम गुर्दे की बीमारी के साथ रोगियों के लिए कोई खुराक समायोजन की आवश्यकता नहीं है। गंभीर गुर्दे की बीमारी के साथ रोगियों में सलाह नहीं है।

क्या यह यकृत के कार्य को प्रभावित करता है?

रोगियों के लिए हल्के से मध्यम लीवर की बीमारी के साथ कोई खुराक समायोजन की आवश्यकता नहीं है। गंभीर जिगर की बीमारी के साथ रोगियों में सलाह नहीं है।
नीचे दवाइयों की सूची है, जो समान संरचना, ताकत और टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr) , के रूप में हैं और इसलिए इसे इसके विकल्प के रूप में इस्तेमाल किया जा सकता है।
अरिस्टो फार्मास्यूटिकल्स प्राइवेट लिमिटेड (Aristo Pharmaceuticals Pvt Ltd)
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ला रेनॉन हेल्थकेयर प्राइवेट लिमिटेड (La Renon Healthcare Pvt Ltd)
डायस लाइफसाइंसेस प्राइवेट लिमिटेड (Dios Lifesciences Pvt Ltd)
इंटस फार्मास्युटिकल्स लिमिटेड (Intas Pharmaceuticals Ltd)
एलेम्बिक फार्मास्युटिकल्स लिमिटेड (Alembic Pharmaceuticals Ltd)
ज़्यडस कैडिला (Zydus Cadila)
टैमडुरा कैप्सूल एमआर (Tamdura Capsule Mr) अल्फा -1 ए के साथ-साथ प्रोस्टेटिक मूत्रमार्ग, मूत्राशय गर्दन, प्रोस्टेट और प्रोस्टेटिक कैप्सूल के भीतर अल्फा -1 बी-एड्रेनोसेप्टर्स के प्रतिद्वंद्वी है। अल्फा 1-एड्रेनोसेप्टर्स उपप्रकार जैसे अल्फा -1 ए, अल्फा -1 बी और अल्फा -1 डी।

Ques: टैमडुरा कैप्सूल एमआर क्या है?

Ans: टैमडुरा कैप्सूल एमआर एक अल्फा-ब्लॉकर के रूप में काम करता है जो प्रभावित प्रोस्टेट और मूत्राशय की बढ़ी हुई मांसपेशियों को आराम करने में मदद करता है। यह बिनाइन प्रोस्टेटिक हाइपरप्लासिया (BPH) के लक्षणों को कम करने में मदद करता है। इसमें डूटास्टेराइड और टेम्सुलोसिन सक्रिय अव्यव शामिल होता हैं। टैमडुरा कैप्सूल एड्रेनालाईन की क्रिया को ब्लॉक करके और मांसपेशियों को आराम करके काम करता है साथ ही डिहाइड्रोटेस्टोस्टेरोन के लिए टेस्टोस्टेरोन के रूपांतरण को रोकता है।

Ques: टैमडुरा कैप्सूल एमआर के उपयोग क्या है?

Ans: टैमडुरा कैप्सूल एमआर का उपयोग बढ़े हुए प्रोस्टेट के साथ पुरुषों में पेशाब करने में परेशानी, तीव्र मूत्र प्रतिधारण, पुरुषों में रोगसूचक सौम्य प्रोस्टेटिक हाइपरप्लासिया, एक बढ़े हुए प्रोस्टेट ग्रंथि की स्थिति और लक्षणों के उपचार और रोकथाम के लिए किया जाता है। रोगी को अवांछनीय प्रभावों से बचने के लिए टैमडुरा कैप्सूल एमआर का उपयोग करने से पहले किसी भी चल रही दवाओं और उपचार के बारे में डॉक्टर को सूचित करना चाहिए।

Ques: टैमडुरा कैप्सूल एमआर के साइड इफेक्ट्स क्या है?

Ans: यह संभावित दुष्प्रभावों की सूची है जो टैमडुरा कैप्सूल एमआर के इस्तेमाल से हो सकते है। यह एक व्यापक सूची नहीं है। इन दुष्प्रभावों को देखा गया है लेकिन हमेशा नहीं होते है। इनमें से कुछ दुष्प्रभाव गंभीर हो सकते हैं, जैसे कब्ज, स्खलन विकार , कमजोरी, डायरिया और अतिसंवेदनशीलता प्रतिक्रियाएं शामिल हैं। इसके अलावा, इस दवा का उपयोग करने से स्खलन, सिरदर्द, त्वचा की खुजली और यौन रोग हो सकते है। यदि इनमें से कोई भी लक्षण अक्सर या दैनिक आधार पर होता है, तो डॉक्टर से तुरंत परामर्श करना चाहिए।

Ques: टैमडुरा कैप्सूल एमआर के स्टोरेज और डिस्पोजल के लिए क्या निर्देश हैं?

Ans: टैमडुरा कैप्सूल एमआर को गर्मी और सूरज के प्रकाश से दूर, कमरे के तापमान पर स्टोर किया जाना चाहिए। इसे बच्चों और पालतू जानवरों की पहुंच से दूर रखें। टैमडुरा कैप्सूल एमआर की खुराक के बारे में डॉक्टर से सलाह ज़रूर करें। रोगी को इसके आगे उपयोग और साइड इफेक्ट्स के लिए डॉक्टर से परामर्श करना चाहिए और अवांछनीय प्रभावों से बचने के लिए उपयोग करने से पहले किसी भी चल रही दवाओं और उपचार के बारे में डॉक्टर को सूचित करना चाहिए।
What are you using Tamdura Capsule Mr for?
benign prostatic hyperplasia
Other
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
More than 2 days
Within a day
Within 2 hours
Within 2 days
Within 6 hours
How frequently did you take this medicine?
Once a day
Not taking on daily level
Four times A Day
Thrice a day
Twice a day
How did you take this medicine?
With Food
With or without food
Empty stomach
What were the side effects of this medicine?
Other
Decreased libido
Decreased semen volume
Impotence
No Side Effects
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Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

लोकप्रिय प्रश्न और उत्तर

I am currently taking tamdura in the night which causes to wake up thrice daily for urination. Could I have the tablet during the day.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
I am currently taking tamdura in the night which causes to wake up thrice daily for urination. Could I have the table...
Stop taking fluids after 7 pm in the evening. It is because of increased fluid intake after 7 pm. It is not because of medicine.
4 people found this helpful

I am 72 years old and is under treatment for Prostrate Enlargement. I am using Tamdura capsule for last six months and now weight of prostrate gland is 37.7 g from earlier 52 .7g & post void residual urine volume is 54 c.c from earlier 93. 1 ml. Now should I discontinue Tamdura capsule and start using Prostagard D. Please advise.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
I am 72 years old and is under treatment for Prostrate Enlargement. I am using Tamdura capsule for last six months an...
Both prostate and tamdura have same mechanism of action. It is upto you. If you are happy with tamdura then continue it.
2 people found this helpful

I am diagnosed with prostate glad for which doctor has prescribed tab. Tamdura daily for regular use. Please advice if I can get remedy with your suggestion and can get rid of my daily dose of medicine. Thanking you.

MS - General Surgery, MBBS
General Surgeon, Delhi
I am diagnosed with prostate glad for which doctor has prescribed tab. Tamdura daily for regular use. Please advice i...
Prostrate gland needs surgery. Medical treatment is temporary. You should plan for surgery for permanent cure.

Due to Prostate enlargement, My father taking Tamdura capsule for the last for the last 3 months. Dr. Told that 25 gm more than normal. To cure it, what is the remedy, by medicine or having operation? My father is 75 years.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Due to Prostate enlargement, My father taking Tamdura capsule for the last for the last 3 months. Dr. Told that 25 gm...
If your father is happy with tamdura let him continue but if after taking tamdura also he has severe bothersome lower urinary tract symptoms then answer is surgery.
1 person found this helpful

लोकप्रिय स्वास्थ्य टिप्स

Priapism - Types and Causes!

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Priapism - Types and Causes!

One of the rare sexual problems to affect men is a condition termed as Priapism. As known to many, a normal flow of blood plays a pivotal role in ensuring a healthy and proper erection of the penis. During an erection, the tissues of the penis (soft and spongy tissues) receive an increased flow of blood (triggered by the relaxation and expansion of the arteries of the pelvis and the penis). However, any abnormality in the flow of blood can affect this erection giving rise to priapism.

Priapism is a sexual disorder characterized by an erection that lasts for an abnormally long time period (at times for close to 4 hours). With such an extended and prolonged erection, priapism results in immense pain and discomfort. The condition can affect all males, irrespective of their age (from newborns to aged people). However, men in their 30's are more susceptible to priapism. The trigger for priapism is not always sexual arousal. A person can also suffer from this condition instantaneously without any sexual excitement.

Ischemic and Non-Ischemic Priapism
Depending on the flow of blood to the penis, priapism can be either

  1. Ischemic Priapism: Here, the blood that flows to the penis and the erection chambers gets trapped there, failing to move out. Also known as Low-Flow Priapism, this painful condition results in prolonged erection (often more than four hours) without being sexually aroused. In Ischemic Priapism, the penile shaft appears stiff and rigid as compared to the penile glans which appear soft and tender.
  2. Non-Ischemic Priapism: This type of priapism arises from the improper regulation of the flow of penile blood. Also known as High-Flow Priapism, the condition is quite rare and can be triggered by an injury to the perineum or the penis that may rupture or damage an artery.

What triggers priapism in males?
As already stated, one of the prime factors responsible for Priapism is the improper flow or regulation of penile blood. There are many factors and medical conditions that can act as a potential trigger affecting the normal flow of blood.

  1. Sickle-cell anemia: Sickle cell anemia is an inherited genetic disorder whereby the red blood cells appear sickle-shaped instead of being round shaped. Sickle-cell anemia can go a long way to trigger priapism, especially ischemic priapism (the sickle-shaped RBCs can be instrumental in blocking the penile blood vessels) in males. Ischemic Priapism can also be an outcome of Leukemia or even Malaria.
  2. Multiple Myelomas, as well as Thalassemia, can also act as contributing factors resulting in Priapism.
  3. Certain medications can also wreak havoc triggering priapism. Some of these medications include:
  4. Priapism can also be triggered by medical conditions such as penile cancer, gout, syphilis, injury to the spinal cord or the penis, alcohol abuse.

Ayurvedic treatment helps to work on its sysmptoms, prevention and treatment of later complications, correcting imbalance, adjusting the immune system and most importantly helps in boosting energy and strong body for better health and quality of life. The purpose of this treatment is not to replace necessary orthodox medical treatment. A combination of both is recommended.

10896 people found this helpful

Treatment of Enlarged Prostate!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Enlarged Prostate!

Treatment of Enlarged Prostate

Homeopathic Treatment of Enlarged Prostate
Acupuncture Treatment of Enlarged Prostate
Conventional / Allopathic Treatment of Enlarged Prostate
Surgical Treatment of Enlarged Prostate
Dietary & Herbal Treatment of Enlarged Prostate
Other Treatment of Enlarged Prostate
What is Enlarged Prostate
Symptoms of Enlarged Prostate
Causes of Enlarged Prostate
Risk factors of Enlarged Prostate
Complications of Enlarged Prostate
Lab Investigations and Diagnosis of Enlarged Prostate
Precautions & Prevention of Enlarged Prostate
Treatment of Enlarged Prostate

Homeopathic Treatment of Enlarged Prostate

Homeopathic medicines for enlarged prostate helps to reduce prostate, painful micturation, repeated urination and bloody urine caused by prostate gland enlargement. Following are some homeopathic remedies which are very effective for enlarged prostate.

Chimaphilia
Sabal serrulata
Staphysagria
Thuja
Hepar sulphuris calcareum
Conium maculatum
Baryta 

Acupuncture and Acupressure Treatment of Enlarged Prostate

Acupuncture treatments are very effective for Enlarged Prostate. The main aim of acupuncture treatment is to balance the disharmony, open the acupuncture channels, reduce inflammation, stop pain & bleeding, shrink prostate and smooth urination. 

Conventional / Allopathic Treatment of Enlarged Prostate

Conventional drug treatments include Finasteride and dutasteride that block a natural hormone that makes the prostate enlarge. Alpha-blockers can also help the symptoms of Enlarged Prostate, even in men with normal blood pressure. Some allopathic drugs are terazosin, doxazosin tamsulosin and alfuzosin

Surgical Treatment of Enlarged Prostate

Surgery usually relieves the obstruction and incomplete emptying caused by Enlarged Prostate.  Following are the types of surgery that are used.

Transurethral surgery
Open surgery
Laser surgery

Dietary & Herbal Treatment of Enlarged Prostate 

Avoid to eat spicy foods or drinking carbonated beverages
Reduce to eat Red meat
Eat foods containing more zinc such walnuts, pumpkin, seeds, safflower seeds and oysters. 
Other Treatment of Enlarged Prostate

Yoga is really helpful to the enlarged prostate. It also helps tone the deep pelvic muscles there by promoting circulation. 

What is Enlarged Prostate?

Enlarged Prostate is a natural condition where the prostate gland slowly grows, causing pressure on the urethra. It is also called as BPH (Benign Prostatic Hyperplasia)

Symptoms of Enlarged Prostate

A feeling of incomplete bladder emptying
Difficulty starting urination
Dribbling’ after urinating
Frequent urination
Burning with urination
Urgency to urinate
A discharge from the penis
Getting up frequently at night to urinate
Straining to urinate
Continued dribbling of urine
Returning to urinate again minutes after finishing

Causes of Enlarged Prostate

Genetics
Hormone imbalance
Cell-growth factor
Zinc deficiency
Obesity
Decreased testosterone level 

Risk factors of Enlarged Prostate

Age
Heredity
Marital status

Complications of Enlarged Prostate

Diabetes
Hypertension
Kidney failure
Bladder stones
Bladder cancer 

Diagnosis of Enlarged Prostate

Physicians to diagnose an enlarged prostate include:

Digital rectal exam.
Urine and blood tests
Ultrasound
Urine flow exam
Cystoscopy 

Precautions & Prevention of Enlarged Prostate 

Urinate when you first get the urge
Avoid alcohol and caffeine, especially after dinner.
Don’t drink a lot of liquid all at once
Keep warm and exercise regularly
Do not take cold and sinus medications
Reduce stress

5 people found this helpful

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

229 people found this helpful

All About Male Pattern Baldness

MBBS, MD - Dermatology
Dermatologist, Gurgaon
All About Male Pattern Baldness

Male pattern baldness is hair loss due to underlying susceptibility of hair follicles to shrink owing to the influence of androgens. It is the most common cause of baldness in men. Typically, hair loss occurs at the vertex and the temples for men, whereas women usually lose hair all over their scalps.

Causes

  1. Male pattern baldness is related to your genes and male sex hormones. It usually follows a pattern of receding hairline and hair thinning on the crown, and is caused by hormones and genetic predisposition.
  2. Generally, baldness occurs when the hair follicle shrinks over time, resulting in shorter and finer hair. Eventually, the follicles do not grow new hair. The follicles remain alive, which suggests that it is still possible to grow new hair.
  3. The typical pattern of male baldness begins at the hairline. The hairline gradually moves backward (recedes) and forms an" m" shape. Eventually the hair becomes finer, shorter, and thinner, and creates a u-shaped (or horseshoe) pattern of hair around the sides of the head.

Treatments

The cheapest way is to hide it by wearing a wig. Medicines that treat male pattern baldness include:

  1. Minoxidil (rogaine) - it is a solution that is applied directly to the scalp to stimulate the hair follicles. It slows hair loss for many men, and some men grow new hair. Hair loss returns when you stop using this medicine.
  2. Finasteride (propecia, proscar) - it is a pill that interferes with the production of a highly active form of testosterone that is linked to baldness. It slows hair loss. It works slightly better than minoxidil. Hair loss returns when you stop using this medicine.
  3. Dutasteride is similar to finasteride, but may be more effective.
  4. Hair transplant - this process consists of removing tiny plugs of hair from areas where the hair is continuing to grow and placing them in areas that are balding. This can cause minor scarring and possibly, infection. The procedure requires multiple sessions.
4179 people found this helpful

Erectile dysfunction

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
Erectile dysfunction

Erectile dysfunction

Alternative names
Impotence; ed
Erectile dysfunction

Erectile dysfunction (ed), formerly called impotence, can affect men of all ages although it is much more common among older men. It is normal for healthy men of all ages to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor.

Causes of erectile dysfunction

Physical causes are the main reasons for erectile dysfunction. They include heart disease, high blood pressure, diabetes, neurological disease, medication side effects, and other health conditions.
Psychological causes of erectile dysfunction include anxiety, depression, stress, and problems in relationships.
Lifestyle factors that increase the risk for erectile dysfunction include smoking, alcohol use, and other substance abuse.
Introduction

Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts.

Erectile dysfunction is not new in either medicine or human experience, but it is not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

The penis and erectile function

The structure of the penis. The penis is composed of the following structures:

Two parallel columns of spongy tissue called the corpus cavernosa, or erectile bodies.
A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine from the bladder through the penis.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels is surrounded by smooth muscles and supported by elastic fibrous tissue composed of a protein called collagen.

Erectile function and nitric oxide. The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect, penis, the following normally occurs:

Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
The smooth muscles regulating the many tiny blood vessels also stay contracted, limiting the amount of blood that can collect in the penis.
During arousal, the following occurs:

The man's central nervous system stimulates the release of a number of chemicals, including nitric oxide, which is essential for producing and maintaining an erection.
Nitric oxide stimulates the production of cyclic GMP, a chemical that relaxes the smooth muscles in the penis. This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis.
This increased blood flow nearly doubles the diameter of the spongy chambers.
The veins surrounding the chambers are squeezed almost completely shut by this pressure.
The veins are unable to drain blood out of the penis and so the penis becomes rigid and erect.
After ejaculation or climax, cyclic GMP is broken down by an enzyme called phosphodiesterase-5 (pde5), causing the penis to become flaccid (unerect) again.
Important substances for erectile health

A proper balance of certain chemicals, gases, and other substances is critical for erectile health.

Collagen. The protein collagen is the major component in structural tissue in the body, including in the penis. Excessive amounts, however, form scar tissue, which can impair erectile function.

Oxygen. Oxygen-rich blood is one of the most important components for erectile health. Oxygen levels vary widely from reduced levels in the flaccid state to very high in the erect state. During sleep, a man can normally have three to five erections per night, bringing oxygen-rich blood to the penis. The primary cause of oxygen deprivation is ischemia -- the blockage of blood vessels. The same blood flow-reducing conditions that lead to heart disease, such as atherosclerosis, may also contribute to erectile dysfunction.

Testosterone and other hormones. Normal levels of hormones, especially testosterone, are essential for erectile function, though their exact role is not clear.

Causes

Over the past decades, the medical perspective on the causes of erectile dysfunction has shifted. Common belief used to attribute almost all cases of ed to psychological factors. Now doctors believe that up to 85% of ed cases are caused by medical or physical problems. Only 15% are completely psychologically based. Sometimes, erectile dysfunction is due to a combination of physical and psychological causes.

A number of medical conditions share a common problem with erectile dysfunction -- the impaired ability of blood vessels to open and allow normal blood flow.

Heart disease, atherosclerosis, and high blood pressure

Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for erectile dysfunction. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ed have a greater risk for angina, heart attack, or stroke.

Erectile dysfunction is a very common problem in men with high blood pressure. Many of the drugs used to treat hypertension (such as calcium channel blockers and beta-blockers) may also cause ed.

Diabetes

Diabetes is a major risk factor for erectile dysfunction. Blood vessel and nerve damage are both common complications of diabetes. When the blood vessels or nerves of the penis are involved, erectile dysfunction can result. Diabetes is also associated with heart disease and chronic kidney disease, other risk factors for ed.

Obesity

Obesity increases the risk for diabetes, heart disease, and erectile dysfunction.

Metabolic syndrome

Metabolic syndrome -- a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance -- is also a risk factor for erectile dysfunction in men older than 50 years.

Benign prostatic hyperplasia

Although benign prostatic hyperplasia (BPH or 'enlarged prostate') does not cause erectile dysfunction, surgical and drug treatments for the condition can increase the risk for erectile dysfunction.

Neurologic conditions

Diseases that affect the central nervous system can cause erectile dysfunction. These conditions include Parkinson's disease, multiple sclerosis, and stroke.

Endocrinologic and hormonal conditions


Low levels of the male hormone testosterone can be a contributing factor to erectile dysfunction in men who have other risk factors. (low testosterone as the sole cause of erectile dysfunction affects only about 5% of men. In general, low testosterone levels are more likely to reduce sexual desire than to cause ed.) abnormalities of the pituitary gland that cause high levels of the hormone prolactin are also associated with erectile dysfunction. Other hormonal and endocrinologic causes of erectile dysfunction include thyroid and adrenal gland problems.

Physical trauma and injury

Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that results in ed. Other conditions that can injure the spine and cause erectile dysfunction include spinal cord tumors, spina bifida, and a history of polio.

Surgery

Surgery for prostate diseases. Radical prostatectomy for prostate cancer often causes loss of sexual function but nerve-sparing surgical procedures reduce the risk of ed. (radiation treatments for prostate cancer also cause erectile dysfunction.) surgical treatments for BPH can also cause ed, but this complication is relatively uncommon.

Surgery for colon and rectal cancers. Surgical and radiation treatments for colorectal cancers can cause ed in some patients. In general, colostomy does not usually affect sexual function. However, wide rectal surgery can cause short-term or long-term sexual dysfunction.

Fistula surgery. Surgery to repair anal fistulas can affect the muscles that control the rectum (external anal sphincter muscles), sometimes causing ed. (repair of these muscles may restore erectile function.)

Orthopedic surgery. Erectile dysfunction can sometimes result from orthopedic surgery that affects pelvic nerves.

Note: vasectomy does not cause erectile dysfunction.

Medications

Many medications increase the risk for erectile dysfunction. They include:

High blood pressure medications, particularly diuretics, beta-blockers, and calcium channel blockers.
Heart or cholesterol medications such as digoxin, gemfibrozil, or clofibrate.
Finasteride (Proscar, generic) and dutasteride (Avodart), which are used to treat benign prostatic hyperplasia (BPH). A lower-dose form of finasteride (Propecia), which is used to treat male pattern baldness, may also cause ed. Erectile dysfunction may persist even after these medications are stopped.
Psychotropic medication used to treat depression and bipolar disorder such as selective serotonin-reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, and lithium. Certain types of antipsychotic medication, such as phenothiazines (like Compazine) and butyrophenones (like haloperidol), can also cause erectile dysfunction.
Gastroesophagelal reflux disorder (gerd) medications, used to reduce stomach acids, such as rantidine (Zantac) and cimetidine (Tagamet).
Hormone drugs such as estrogens, corticosteroids, and 5-alpha reductase inhibitors.
Chemotherapy drugs such as methotrexate.
Psychological causes

Anxiety. Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ed.

Stress. Even simple stress can affect sexual dysfunction.

Depression. Depression can reduce sexual desire and is associated with erectile dysfunction.

Relationship problems. Troubles in relationships often have a direct impact on sexual functioning.

Risk factors

Age

For most men, erectile dysfunction is primarily associated with older age. Nevertheless, ed is not inevitable with age. Severe erectile dysfunction often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of erectile dysfunction.

Lifestyle factors

Smoking. Smoking contributes to the development of erectile dysfunction, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis.

Alcohol use. Heavy drinking can cause erectile dysfunction. Alcohol depresses the central nervous system and impairs sexual function.

Drug abuse. Illicit drugs such as heroin, cocaine, methamphetamines, and marijuana can affect sexual function.

Weight and sedentary lifestyle. Obesity is a risk factor for erectile dysfunction. Lack of exercise and a sedentary lifestyle can lead to obesity and other health problems associated with erectile dysfunction.

Diagnosis

The doctor typically interviews the patient about various physical and psychological factors and performs a physical exam.

Medical history

The doctor will ask about:

Past and present medical conditions, surgeries, and medications
Any history of psychological problems, including stress, anxiety, or depression
Lifestyle factors such as alcohol, drug, and dietary supplement use
In addition, the doctor will ask about your sexual history, which may include:

When problems with sexual function began
The frequency, quality, and duration of any erections, including erections that occur during sleep or on awakening in the morning
The specific circumstances when erectile dysfunction occurs
Details of sexual technique
Whether problems exist in the current relationship
If appropriate, the doctor may also interview the sexual partner.

Physical examination

The doctor will perform a physical exam, including examination of the genital area and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the patient's rectum) to check for prostate abnormalities. It is important to check blood pressure and to evaluate circulation by checking pulses in the legs.

Laboratory tests

Because erectile dysfunction and atherosclerosis are often linked, it is important to check cholesterol levels. Similarly, the doctor may order tests for blood sugar (glucose) levels to check if diabetes is a factor. In some cases, blood tests may be used to measure testosterone levels to determine if there are hormone problems. The doctor may also screen for thyroid and adrenal gland dysfunction. For more sophisticated tests, the doctor may refer the patient to a urologist.

Treatment

Many physical and psychological situations can cause erectile dysfunction, and brief periods of ed are normal. Every man experiences erectile dysfunction from time to time. Nevertheless, if the problem is persistent, men should seek professional help, particularly since erectile dysfunction is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing erectile dysfunction.

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