Erectile Dysfunction

Question 1

Risks of ED

Answer 1

Sedentary lifestyle

Obesity

Smoking

Question 2

What does ED increase risk of

Answer 2

Cardiovascular dysfunction

Question 3

First line treatment for ED

Answer 3

Phosphodiasterase type 5 inhibitor (avanafil, sildenafil, vardenafil) etc

Question 4

What is a long acting ED drug

Answer 4

Tadalafil

Question 5

SE of the phospdiasterase type 5 inhibitor

Answer 5

Vasodilation, headaches, GI, vision problems, arrhythmias etc

Question 6

Contraindication of the -afils

Answer 6

Recent Mi, stroke, BP below 90

Question 7

When is a patient considered a non responder to the afils

Answer 7

The patient should have recieved 6 doses at a max dose with sexual stimulation before being classed as a non responder

Question 8

Second line of ED

Answer 8

Alprostadil under careful medical supervision

Question 9

What is associated with alprpstadil

Answer 9

Priapism (prolonged erection) - seek medical attention if more than 4 hours

Question 10

What is the patient and carer advice for alprostadil

Answer 10

Condoms

Reduce exposure to child beating age

Question 11

Interactions of the -afils

Answer 11

Nitrates, CCB, alpha blockers