Pallimed Solutions New Englands Premiere Compounding Pharmacy, Boston, MA

Erectile Dysfunction
About Erectile Dysfunction | Definition and Statistics PDF Print E-mail

Please contact us for more information

ED is clinically defined as the persistent inability to achieve and maintain an erection adequate for satisfactory sexual performance. It is often due to a physical condition that constricts blood flow to the penis. Common causes of ED are stress, fatigue, heart disease, diabetes, high blood pressure, high cholesterol, or prostate problems.

ED is not the same for all men and is much more common than you may think. More than half of all men over the age of 40 have difficulty getting and maintaining an erection.

Erectile Dysfunction is a medical condition; therefore it will not improve in most cases without proper treatment. If you think that you may have ED, we provide a solution. At Pallimed, we specialize in injectible therapies, as well as PDE5 Inhibitors (oral pills such as Viagra), and vacuum therapy devices. Ask your doctor about treatment. Or, tell your doctor about our formulations.

All compounded preparations require a prescription from your doctor.

 
What Causes ED? PDF Print E-mail

Contact us at (781) 937-3344 for more information!

When a man has ED, the nerves or blood vessels in the penis do not work properly. This restrains blood flow thus preventing an erection. No matter what the cause, treatment is usually effective.

 

Common issues that affect blood flow:

Heart Disease: Heart disease is also known as coronary artery disease. For a person with heart disease, blood does not flow as easily throughout the body as it should because the arteries are clogged or narrowed. This may slow blood from getting to the penis and prevent a firm erection.

High Blood Pressure: High blood pressure makes the heart work harder. This puts strain on the blood vessels which then harden and narrow. This can prevent blood from getting to the penis making it more difficult to get or keep an erection.

High Cholesterol: High blood cholesterol can clog your arteries. This can slow blood flow to the penis. As a result, it will affect the quality of your erections.

Diabetes: Diabetes is a condition where there is too much sugar, or glucose, in the blood. Over time, high blood sugar levels can damage the nerve and blood vessels that produce erections. When this occurs, diabetes often leads to ED.

Prostate Problems: The prostate is a small gland near your bladder. It is next to the nerves that are needed for erections. This is why certain treatments for prostate problems can lead to ED.

All compounded preparations require a prescription from your doctor.

 
Viagra® Oral Medications PDF Print E-mail

Contact us at (781) 937-3344 for more information!

Sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are three common phosphodiesterase-5 inhibitors (PDE5 Inhibitors) which are commonly used to treat erectile dysfunction. These medications work by increasing the blood flow to the penis. They are supplied in the form of oral pills and are normally the first form of ED therapy used due to their ease of use and global name-brand recognition.

Due to the popularity of PDE5 Inhibitors, many men are unaware of the additional forms of ED treatment. These medications have approximately a 60% success rate. Accordingly if you are not achieving desired results on PDE5 Inhibitors, you are not alone. Click here to be directed to our section on injection therapy, testosterone replacement therapy, or IntraUrethral gels to learn how to more effectively take control of your ED.

 

All Compounded preparations require a prescription from your doctor.

 
Injection Therapy PDF Print E-mail

Contact us at (781) 937-3344 for more information!

The most commonly prescribed ED therapy - ED oral pills, called PDE-5 Inhibitors, are only effective in 60% of men with ED. Just because one method does not work for you, there is hope. Intracavernosal injections take advantage of the latest scientific discoveries in order to help you and your partner restore sexual intimacy in a discreet, convenient, and most importantly, effective manner.

What is Injection Therapy?

Intracavernosal injection treatments were first discovered in the 1980s when it was found that certain drugs could be injected into the penis to stimulate an erection. This discovery not only led to a greater understanding of how an erection happens, but also offered an effective treatment for men with ED. To have this effect in a very controlled way, the drug should be delivered directly into the erectile body. The most effective way of doing this is by an injection.

How does it work?

Intercavernosal injections will be injected into one of the two corpus cavernosum that run the length of the penis. Avoid visible blood vessels. With each use of the injections, alter the side of the penis, and vary the site of injection. Injection therapy normally uses drugs that will relax the blood vessels feeding blood into the penis allowing the blood flow to increase. At the same time, relaxation of the muscle layers surrounding the erectile bodies allows them to expand preventing the flow of blood out of the penis, and helping to maintain an erection.

Various injections systems are available to help you to prepare and inject your treatment. Injection therapy is usually dispensed as a dry sterile power and diluent, which needs to be mixed before use. It is important that you take time to learn how to administer your injection. Your doctor, nurse, or specialist can help you with this. Most patients find that performing the injection is fairly easy and not painful.

If needed, there are various systems available to assist you with the injection process. At Pallimed, we recommend the Owen Mumford brand Autoject El which is a simple solution for self-injection. Autoject injects the needle to a pre-set depth and delivers the contents of the syringe. It comes equipped with an external indicator which provides confirmation that the full dose has been delivered. For further information, click here to be directed to the Autoject2 website:

http://www.owenmumford.com/om_drugdelivery/Autoject2.html 

What medication is used in injection therapy?

The first drugs commonly used in the UK - papaverine and phentolamine were unlicensed for this form of treatment and have been superseded by licensed drugs that are designed to be more predictable and easier to use. The most commonly used drug is alprostadil. This is identical to a substance called prostaglandin - E1, that occurs naturally in the penis and is involved in the natural erection process. Alprostadil relaxes the blood vessels and muscles in the erectile tissue of the penis allowing increased blood flow, the basis of a normal erection.

How soon after using an injection will an erection occur and how long will it last?

An erection will normally develop in 10 to 15 minutes and should be hard enough for you and your partner to enjoy normal sexual activity again. An erection that lasts for approximately 60 minutes will occur if this form of treatment is effective for you.

What side effects might be associated with injection therapy?

Some men experience penile pain after injecting. In rare cases, a prolonged erection might occur. Some men develop a nodule in the penis, however, this may disappear with a short break from injections. Permanent nodules may occur in a small percentage of men with long term usage. This can sometimes be avoided by alternating the injection site.

Are there any side effects for the partner?

No side effects have been reported in the partner. Alprostadil is normally broken down quickly in the penis.

What conditions prevent a man from using injection therapy?

Injection therapy should not be used in the following conditions: known hypersensitivity (allergy) to alprostadil, an abnormally formed penis, Peyronie's Disease, angulation, cavernosal fibrosis, patients with a penile implant, in patients with diseases that might result in prolonged erections (sickle-cell anemia, leukaemia, or multiple myeloma), or in patients in whom sexual activity is inadvisable.

Ensuring your success.

Occassionally but rarely the men using this medication do not get the desired results. If this medication does not work for you, please inform our pharmacists so that they may discuss with you the proper technique of injecting. If this still does not work, we will consult with your physician in regards to alternative medication combinations that may be more effective.

How can I get injection therapy?

You should discuss this form of treatment with your doctor and then call Pallimed Solutions Pharmacy at (781) 937-3344 in order to fill your prescritpion medication.

All compounded preparations require a prescription from your doctor.

 
Testosterone Replacement Therapy PDF Print E-mail

Contact us at (781) 937-3344 for more information!

Decreased levels of testosterone in the body can cause ED symptoms to occur. Testosterone is the main male hormone, produced in the testicles, and is responsible for sex drive, bone growth, and the development of male sexual characteristics.

Commonly if you experience weight gain, or a loss of muscle mass or hair, you may be experiencing a testosterone deficiency. The best way to determine if this is the cause of your ED issues, it is important to test your testosterone levels. Click here to read more about hormone testing.

At Pallimed, we can prepare testosterone replacement therapy in various forms including topical gels or injections. You should discuss testosterone replacement therapy with your doctor to determine which method is best for you.

Testosterone replacement therapy is not recommended for men who have prostate cancer as it may cause growth in the prostate cells.

All Compounded preparations require a prescription from your doctor.

 



You are here: Home Erectile Dysfunction