ED drug dosing

[azPharmD2B]

How does a prescriber determine which strength of an ED medication to dispense? My coworkers and I have come up with all sorts of serious and comical ways, but I am seriously asking if anyone actually knows.

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[Caverject]

I guess it depends on the hardness...er...difficulty

 

[RxWildcat]

I would guess its dose would be limited if there was a concern about another concurrent disease state that could cause hypotension or some other adverse effect. Other than that, beats me.

 

[patmcd]

I guess degree of ED, experience with other ED drugs, and other health conditions/cause of ED?

 

[pinkyrx]

Since everybody's guessing... I'd guess that you start out with the lowest dose and then increase the dose until the patient achieves satisfactory results.

ETA: My guess was incorrect... most patients start out with Levitra 10mg ( if >65 yo - 5mg), Viagra 50mg or Cialis 10mg and then dose is adjusted from there depending on results.

 

[FruitFly]

Since everybody's guessing... I'd guess that you start out with the lowest dose and then increase the dose until the patient achieves satisfactory results.

ETA: My guess was incorrect... most patients start out with Levitra 10mg ( if >65 yo - 5mg), Viagra 50mg or Cialis 10mg and then dose is adjusted from there depending on results.

start low go slow lol

 

[pinkyrx]

start low go slow lol

 

[bananaface]

Most of the ones I've seen will write for the highest strength available and have people split the tab if they can get by with a lower dose. Lower dose tabs seem to be reserved for the non-pill splitting population who is willing to pay roughly the same price per tab for a lower dose tab.

 

[medicalCPA]

I'm not trying to hijack this thread, but can ED drugs lower your blood pressure? I mean, they should if they are vasodilators. But if that's the case, can they be used for hypertensive patients? Why or why not?

This question probably shows how little I know of drugs...

 

[corbomite]

I think I read on a packet insert that it doesn't typically cause a blood pressure drop unless taken concurrently with other blood pressure medications. But I don't quite understand that because if its a vasodilater it should but who knows? It is also puzzling that drugs like Cialis are only good once in the 36-hour period although the drug is still in circulation. Weird because the drug should still be effective but you only get one shot.

Side note: the other day an insurance sent back a notice that "oral sex medication" not covered. After laughing like a 4th grader in sex ed for twenty minutes the pharmacist had to explain to me that it referred to sex medications to be taken orally.

 

[medicalCPA]

I think I read on a packet insert that it doesn't typically cause a blood pressure drop unless taken concurrently with other blood pressure medications. But I don't quite understand that because if its a vasodilater it should but who knows? It is also puzzling that drugs like Cialis are only good once in the 36-hour period although the drug is still in circulation. Weird because the drug should still be effective but you only get one shot.

Side note: the other day an insurance sent back a notice that "oral sex medication" not covered. After laughing like a 4th grader in sex ed for twenty minutes the pharmacist had to explain to me that it referred to sex medications to be taken orally.

I do not like your pharmacist's definition.

 

[PharmDstudent]

I'm not trying to hijack this thread, but can ED drugs lower your blood pressure? I mean, they should if they are vasodilators. But if that's the case, can they be used for hypertensive patients? Why or why not?

This question probably shows how little I know of drugs...

They make a low dose Viagra called Revatio.