How To Use CBD Oil For Erectile Dysfunction

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Pure Craft CBD offers CBD Oil 1000mg & 2000mg flavored CBD tinctures, CBD Gummy Bears, CBD Oil for Dogs and more! Discover Pure Craft CBD PURE CRAFT BLOG There is no research that CBD, a natural substance from the cannabis plant, may help treat ED, but it may help address anxiety.

CBD Oil For Erectile Dysfunction

About 30 million men in the US experience erectile dysfunction (ED). If you’re one of those 30 million, it’s exasperating when your body just isn’t responding like it used to.

So you’ve perused the interwebz for help and stumbled upon lists of CBD oils claiming to improve your sex life. But do they work? How can you tell fact from fiction?

At Pure Craft, we believe in sharing solid info. So, if you’re ready to bone up on CBD for ED info, here’s what we know so far — according to science.

What Is Erectile Dysfunction?

Erectile dysfunction is defined as having trouble getting or keeping an erection for sex. A lot of men experience problems with erections every now and then — and that’s not necessarily cause for alarm.

But, if it’s happening consistently — it could be erectile dysfunction. Though, only your doctor can let you know for sure.

Why does erectile dysfunction happen, and can CBD help? To understand how CBD might help, let’s first go over the potential causes for ED.

What Causes Erectile Dysfunction

The frustrating thing about erectile dysfunction is that it can be caused by purely psychological reasons (e.g., anxiety) or physiological reasons (e.g, nerve damage), or both!

Potential Physical Causes of ED

  • Older age
  • Obesity
  • Heart disease and high blood pressure
  • Substance use
  • Sleep issues
  • Low testosterone

Many health issues — like high blood pressure and high blood sugar — reduce blood flow to the penis, making it difficult to get and maintain an erection. So it’s no surprise that getting regular exercise and eating a balanced diet can help reduce your chances of developing erectile dysfunction.

Possible Psychological Causes of ED

  • Mental health issues like anxiety and depression
  • Relationship issues
  • Stress

It can be confusing since the root cause of your erectile dysfunction might be an emotional stressor, or it might be an issue with blood flow to the penis. It could also be a sign of a serious chronic illness like heart disease or diabetes. Bottom line — if you’re concerned, talk to your doctor.

Now, can CBD oil help with any of this? Here’s what we know today.

Does CBD Oil Help Erectile Dysfunction?

So far, there’s not enough evidence to claim that CBD oil is therapeutically effective for erectile dysfunction. With no FDA approved medication, we can’t say CBD oil will cure or treat ED.

But, what we do know is that CBD oil does offer many potential benefits for health and wellness. CBD might help manage some of the physical and mental or emotional causes of erectile dysfunction.

CBD & Physical Causes of ED

The research on CBD shows a whole lot of promise for numerous health concerns, many of which are risk factors for erectile dysfunction. Here are several physical causes of ED that may be alleviated with CBD.

  • Obesity. Several studies have shown that CBD (and the other cannabinoids found in broad-spectrum CBD) have the potential to produce anti-obesity effects.
  • Heart disease. Research has found that CBD may reduce blood pressure and improve blood flow in the arteries.
  • Sleep issues. There’s evidence supporting CBD’s ability to help improve sleep disorders like insomnia.
  • Substance misuse. A few clinical studies show that CBD is beneficial against drug addiction.

So, CBD might help reduce the severity of these issues. In turn, that may alleviate some of the symptoms of erectile dysfunction.

Erectile Dysfunction & Anxiety

Frequently, erectile dysfunction is caused by performance anxiety.

Anxiety is a big libido killer. When you’re in your head, it can be impossible to be present and enjoy the moment.

This can cause a vicious cycle of anxiety leading to lackluster performance, and lackluster performance leading to more anxiety. Talk about a nightmare.

And it’s not always performance anxiety that can snuff your libido. Any form of anxiety, life stress, or emotional distress can play a huge role in causing you erectile dysfunction.

You might already know that after a stressful day of work, you don’t really feel “in the mood” for anything except for some TV and sleep. In general, the more stress and anxiety in your life, the more at-risk you are to experience some sexual dysfunction.

CBD & Anxiety

But not all hope is lost. Because of the awesome scientists out there studying up on this little compound, we’ve learned that CBD may significantly reduce anxiety. Hurray!

Studies have looked to CBD as a potential treatment for:

  • Generalized anxiety disorder
  • Social anxiety disorder
  • Panic disorder
  • Post-traumatic stress disorder
  • Obsessive compulsive disorder

While there’s no research on CBD that specifically targets sexual performance anxiety, tons of studies have found that CBD helps reduce overall anxiety.

This means CBD might help you relax, de-stress, and maybe feel less inhibited when it comes sex. When you feel more at ease, you’re less likely to have sexual performance issues.

CBD vs. THC

You may have also heard about CBD’s pal THC. THC is another cannabinoid found in the cannabis plant. Research has found that CBD consistently helps to decrease anxiety, while THC at high doses has the potential to increase anxiety.

But you can avoid any of the potential unwanted effects of THC by opting for a broad-spectrum CBD oil over full-spectrum. With broad-spectrum hemp-derived CBD, you get all the benefits of hemp’s complex blend of cannabinoids, terpenes, and flavonoids — without THC.

How To Buy CBD Oil for Erectile Dysfunction

Let’s face it, there are lots of products flooding the market each day. It’s hard to know which to choose!

Here are some markers of quality:

  • Products with high bioavailability for faster and more effective absorption
  • CBD oil that’s free from harmful fillers and unknown ingredients
  • Third-party lab testing that shows what’s in the product
  • Organically grown, domestic hemp

Opting for a high-quality CBD oil means it’s more likely to be safer, more effective, and a better value.

How To Use CBD Oil for Erectile Dysfunction

While there are no standard dosages or bottle sizes for CBD oil, your product should have a few pieces of information on the label. That label should have everything you need to know from what’s in your CBD oil to how much to take.

You’ll see things like:

  • Serving size
  • Servings per bottle
  • CBD per serving
  • Ingredient list
  • Suggested use
  • How to store

CBD oils take about 30 minutes to take effect. When using CBD oil for erectile dysfunction, try taking it 30-45 minutes before sex. Simply follow the directions to fill the dropper and place the oil under your tongue and hold for 30 seconds. Holding the oil under your tongue allows it to be absorbed directly into your bloodstream for faster absorption.

CBD gummies and CBD softgels are also popular ways of taking CBD. They just take a little bit longer — up to 2 hours — for you to feel the effects. That’s because they go through your digestive system before ending up in the bloodstream. So, if you want a more gradual release of CBD — gummies or softgels are the way to go.

There is little research on the impact of consistent, long-term use of CBD and sexual function in men. What little there is suggests that CBD may improve certain underlying factors — like blood flow to the penis — while it could have a negative effect on other factors — like testosterone levels. This is a tough nut to crack — best bet is to figure out the source of your ED and discuss with your doctor if CBD is a good thing to add to your treatment plan.

The Hard Truth About CBD Oil & Erectile Dysfunction

While ED is a common struggle for many, it can still be frustrating.

The good news is, CBD oil might help with your sexual function. While we don’t know enough about how CBD directly impacts erectile dysfunction, we know it could address some of the physical and mental factors that contribute to ED, such as:

  • Fighting against obesity and heart disease
  • Helping you catch some more Zzzzz
  • Helping combat substance addiction problems
  • Boosting your mood and calming your nerves

Attending to these factors could translate into being more at ease and having more fun in the boudoir.

So, if you find yourself feeling stressed out in the bedroom, you might consider giving CBD oil a try. Remember to take it 30-45 minutes ahead of time, and enjoy the ride.

How to use CBD oil for erectile dysfunction

If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment.

Erectile dysfunction or ED is a hot topic, and many people are confused about what the issue entails and which remedies—if any—actually work. One popular, albeit controversial, treatment strategy involves using cannabidiol, aka CBD, a molecule found in hemp and marijuana that doesn’t make you feel high but may offer other benefits.

See also  CBD Oil Green Bay

Read on to learn whether CBD oil for erectile dysfunction or sexual performance anxiety works and how to use it.

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How does CBD for erectile dysfunction work?

Unlike THC, CBD doesn’t appear to alter consciousness or cause a person to feel “high.” Currently, it is only FDA-approved to help treat seizure disorders. However, there is ongoing research into the potential benefits of CBD for anxiety, chronic pain, and other health conditions. CBD may also have anti-inflammatory and anti-cancer properties, but these are still being studied (Meissner, 2022).

Scientists don’t fully understand how CBD works, but they suspect it affects certain brain chemicals. Cannabinoids like CBD work by interacting with the body’s endocannabinoid system (ECS). This system involves the whole body and may play a role in pain, memory, movement, appetite, metabolism, and immune system function (Sheikh, 2022).

Here are four ways CBD oil may help with erectile dysfunction:

1. Could lower general anxiety and stress

Some research suggests that CBD may benefit people with anxiety disorders and brain diseases like Alzheimer’s and Parkinson’s (Meissner, 2022). Anxiety can sometimes affect sexual performance and sex drive, so if CBD is beneficial for anxiety disorders, it may help with ED too.

Researchers have found that CBD works on serotonin receptors in the brain. Serotonin can affect a person’s anxiety and fear levels, which is why CBD could lower general stress and anxiety levels (Blessing, 2015).

2. May decrease performance anxiety

Sexual performance anxiety can be caused by relationship problems, a negative body image, fear of disappointing your partner, or pressure to have an orgasm. Since CBD may help lower anxiety levels, it could, in turn, decrease performance anxiety (Blessing, 2015).

According to a variety of studies and preclinical evidence, CBD shows promise to help people with:

If a person’s performance anxiety stems from any of those issues, the studies suggest CBD could help (Blessing, 2015).

What is an erection, and how does it work?

3. Could lower blood pressure

CBD has the potential to lower blood pressure in people with increased heart rates, according to one study from 2017 (Jadoon, 2017).

When blood pressure is lower, it can improve circulation, which may allow more blood to flow to the penis.

4. May improve sleep

Lack of sleep can wreak havoc on the body. If you’re not getting enough rest, it could contribute to erectile dysfunction (Cho, 2018).

Anxiety and stress can often cause sleep disturbances, which is why CBD could help you get a good night’s rest. Some studies suggest that CBD may have therapeutic potential for insomnia (Babson, 2017). In a different study of 72 adults with either anxiety, poor sleep, or both, sleep scores improved with CBD use for 66.7% of the participants (Shannon, 2019).

If a lack of sleep is causing your ED, using CBD for sleep could be helpful.

Can CBD help with ED?

While there’s not a ton of research on the topic of CBD as a treatment for ED, one study found that there are ECS receptors involved in male fertility. And while some studies suggest that cannabis may be indirectly associated with erectile dysfunction and may cause ED in young habitual cannabis users, more research on CBD is needed (du Plessis, 2015).

Some research has shown that CBD may help reduce anxiety for some people (Shannon, 2019). Because anxiety may play a significant role in erectile dysfunction or even cause erectile dysfunction, CBD oil for erectile dysfunction may be a helpful tool. However, more research is needed in this area.

CBD for anxiety: dosage, benefits and side effects

How to use CBD oil for ED

How to use CBD oil will depend on the form you have. You can swallow liquid oils or put them under your tongue and let them absorb that way. You can swallow pills or capsules the same way you would other medications. You may need a special vaporizer or inhaler to use the vaporized forms.

CBD oil comes in many forms, including (Bruni, 2018):

  • Liquid oils
  • Pills or capsules
  • Liquid oils that you swallow or edibles
  • Chewing gum
  • CBD inhaler
  • Creams

You can use CBD for ED by incorporating one or more of these CBD products into your daily routine. Keep in mind that CBD isn’t a magic fix for ED. You’ll want to experiment with different products to see what works best for you. Eating a gummy or taking a CBD capsule may produce quicker results. However, it varies from person to person and depends on the CBD dosage, type, and other factors.

Dosage

The FDA doesn’t approve most CBD products, so accurate dosage guidelines are hard to come by.

The drug, Epidiolex, is a CBD-based treatment used for seizures associated with Lennox-Gastaut syndrome. It’s recommended that people start at a dose of 5 milligrams per kilogram of body weight per day (mg/kg/day). After one week, users can increase their dose to 20 mg/kg/day, depending on their reaction to the drug (DailyMed, 2022).

If you don’t know how much CBD to take, start with a low dose, and work your way up from there over time.

Potential risks or considerations of taking CBD

If you’re considering taking CBD in an attempt to treat erectile dysfunction or any other medical condition or health issue, it’s important to understand the potential risks involved. The US Food and Drug Administration (FDA) has approved one cannabis-derived and three cannabis-related drug products, all of which require a prescription (FDA-a, 2020):

  • Epidiolex for the treatment of seizures associated with Lennox-Gastaut syndrome, Dravet syndrome, or tuberous sclerosis complex (DailyMed, 2022)
  • Syndros and Marinol for the treatment of anorexia associated with weight loss in people with AIDS and nausea/vomiting in people receiving cancer chemotherapy (FDA, 2017; DailyMed-a, 2021)
  • Cesamet for the treatment of nausea/vomiting in people receiving cancer chemotherapy (DailyMed-b, 2021)

Because the FDA doesn’t generally regulate CBD products, it can be difficult to determine the quality of the products you’re getting. It can also be difficult to know what form of CBD (i.e., CBD oil, gummies, CBD capsules, etc.) may work best for you.

Using any drug without this knowledge can cause a host of unwanted side effects that are difficult to predict without guidance or regulation.

Is erectile dysfunction reversible? In most cases, it’s treatable

Potential CBD side effects

CBD side effects may vary from person to person. A few possible side effects include (FDA-b, 2020):

Other benefits of CBD

CBD has plenty of potential benefits, and they’re not all specifically for ED. Some of these benefits include:

  • Pain relief
  • Mental health and wellness assistance
  • Performance anxiety
  • Improved sleep
  • Anti-inflammatory properties
  • Antioxidant properties
  • Anti-nausea

While there are no studies explicitly demonstrating the benefits of CBD on ED, there are studies that indicate CBD may be helpful in the treatment of other conditions. Evidence suggests CBD could be a beneficial treatment for multiple anxiety disorders, but additional research is needed (Shannon, 2019).

Researchers also believe CBD may help slow down messages sent to the brain, change calcium levels in brain cells, and decrease brain inflammation, all of which may help prevent seizures (Maroon, 2018).

Animal studies indicate other potential benefits of CBD, such as its anti-inflammatory potential to treat arthritis pain. But more research is necessary to understand how these benefits could translate to humans (Hammell, 2016).

6 best CBD gummies for anxiety

What causes erectile dysfunction?

Erectile dysfunction can have many causes. Some of these include (NIH, 2017):

Other treatment options for ED

CBD may not be an approved treatment for ED, but there are several other treatment options available.

Medication

After lifestyle modifications, the first line of treatment for ED is usually oral medications taken before sexual intercourse. These drugs are known as PDE-5 inhibitors, and the most common one is sildenafil (brand name Viagra; see Important Safety Information). Other PDE-5 inhibitors include (Krzastek, 2019):

  • Tadalafil (brand name Cialis; see Important Safety Information)
  • Vardenafil (brand name Levitra)
  • Avanafil (brand name Stendra)

Lifestyle changes

Certain lifestyle changes and improvements can also have a positive effect on ED. The following lifestyle habits have all been shown to contribute to ED (NIH, 2017):

  • Lack of physical activity
  • An unhealthy, unbalanced diet
  • Cigarette smoking

Taking actions to modify these behaviors and health conditions may have a major impact.

What is horny goat weed? Does it work?

Managing underlying health conditions

Certain health conditions could cause ED. Some of these include (Krzastek, 2019):

Natural supplements

There are also some natural supplements, herbs, and vitamins that may or may not benefit ED. Some of these include:

  • Horny goat weed: A traditional Chinese medicinal herb often used to treat fatigue and low sex drive. Animal and lab studies have shown that horny goat weed contains a substance called icariin, a mild PDE-5 inhibitor, but it’s unclear if these benefits translate to humans (Anand Ganapathy, 2021).
  • Yohimbine: Some research suggests that Yohimbine, the active ingredient in yohimbe bark, may work better than a placebo to treat ED (NIH, 2020).
  • Vitamin D:Vitamin D deficiency may contribute to problems with erections.
  • Vitamin B3: Some research has shown vitamin B3 supplementation may help increase penile blood flow (Crafa, 2020).
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In general, research on vitamins and natural supplements is limited, so it’s best to work with your healthcare professional to treat ED.

What is CBD?

CBD, or cannabidiol, is a natural substance called a cannabinoid. It comes from the cannabis plant, which is part of the Cannabaceae family. CBD is one of two main cannabinoids; the other one is delta-9-tetrahydrocannabinol (THC).

Cannabis plants with higher levels of THC are classified as marijuana and are controlled substances (FDA-b, 2020). Cannabis plants with very low THC are classified as hemp. CBD can be found in both marijuana and hemp.

Marijuana and depression: does weed make you depressed?

What is erectile dysfunction?

ED is when a person cannot get or sustain an erection long enough to have sex.

Can you naturally cure erectile dysfunction?

There are natural remedies for ED such as CBD, horny goat weed, vitamin D, and vitamin B3. However, there is not enough evidence to say that these natural methods will cure ED.

How do you use CBD for sex?

You can take CBD in a variety of forms, such as tinctures, gummies, and liquids. Taking CBD before sex could help reduce anxiety, which may be causing your ED. CBD could also help increase blood flow to the penis by potentially lowering blood pressure.

Does CBD help with arousal?

CBD could help with arousal by lowering anxiety and stress levels, which can help you relax.

References

  1. Anand Ganapathy, A., Hari Priya, V. M., & Kumaran, A. (2021). Medicinal plants as a potential source of phosphodiesterase-5 inhibitors: a review. Journal of Ethnopharmacology, 267, 113536. doi:10.1016/j.jep.2020.113536. Retrieved from https://pubmed.ncbi.nlm.nih.gov/33137431/
  2. Babson, K. A., Sottile J., & Morabito, D. (2017). Cannabis, cannabinoids, and sleep: a teview of the literature. Current Psychiatry Reports (4), 23. doi:10.1007/s11920-017-0775-9. Retrieved from https://pubmed.ncbi.nlm.nih.gov/28349316/
  3. Blessing, E. M., Steenkamp, M. M., Manzanares, J., & Marmar, C. R. (2015). Cannabidiol as a potential treatment for anxiety disorders. Neurotherapeutics, 12(14), 825-836. doi: 10.1007/s13311-015-0387-1. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4604171/
  4. Bruni, N., Della Pepa, C., Oliaro-Bosso, S., et al. (2018). Cannabinoid delivery systems for pain and inflammation treatment. Molecules(Basel, Switzerland), 23(10), 2478. doi:10.3390/molecules23102478. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30262735/
  5. Cho J. W. & Duffy, J. F. (2018). Sleep, sleep disorders, and sexual dysfunction. World Journal of Men’s Health. 37(3), 261-275. doi:10.5534/wjmh.180045. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30209897/
  6. Crafa, A., Cannarella, R., Condorelli, R. A., et al. (2020). Is there an association between vitamin d deficiency and erectile dysfunction? A systematic review and meta-analysis. Nutrients, 12(5), 1411. doi:10.3390/nu12051411. Retrieved from https://pubmed.ncbi.nlm.nih.gov/32422943/
  7. DailyMed-b. (2021). Cesamet- nabilone capsule. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=83c7ac15-ece9-47de-b83c-d575544fa449
  8. DailyMed. (2022). Epidiolex- cannabidiol solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8bf27097-4870-43fb-94f0-f3d0871d1eec
  9. DailyMed-a. (2021). Syndros- dronabinol solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a7801c70-995d-46a2-91ee-141ef427c6b5
  10. du Plessis, S. S., Agarwal, A., & Syriac, A. (2015). Marijuana, phytocannabinoids, the endocannabinoid system, and male fertility. Journal of Assisted Reproduction and Genetics, 32(11), 1575–1588. doi:10.1007/s10815-015-0553-8. Retrieved from https://pubmed.ncbi.nlm.nih.gov/26277482/
  11. Hammell, D. C., Zhang, L. P., Ma, F., et al. (2016). Transdermal cannabidiol reduces inflammation and pain-related behaviours in a rat model of arthritis. European Journal of Pain(London, England), 20(6), 936–948. doi:10.1002/ejp.818. Retrieved from https://pubmed.ncbi.nlm.nih.gov/26517407/
  12. He, C., Wang, Z., & Shi, J. (2020). Pharmacological effects of icariin. Advances in Pharmacology(San Diego, Calif.), 87, 179–203. doi:10.1016/bs.apha.2019.10.004. Retrieved from https://pubmed.ncbi.nlm.nih.gov/32089233/
  13. Jadoon, K. A., Tan, G. D., & O’Sullivan, S. E. (2017). A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study. JCI Insight; 2(12), e93760. doi:0.1172/jci.insight.93760. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5470879/
  14. Krzastek, S. C., Bopp, J., Smith, R. P., & Kovac, J. R. (2019). Recent advances in the understanding and management of erectile dysfunction. F1000Research, 8, F1000 Faculty Rev-102. doi:10.12688/f1000research.16576.1. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30740217/
  15. Maroon, J. & Bost, J. (2018). Review of the neurological benefits of phytocannabinoids. Surgical Neurology International, 9, 91. doi:10.4103/sni.sni_45_18. Retrieved from https://pubmed.ncbi.nlm.nih.gov/29770251/
  16. Meissner, H. & Cascella, M. (2022). Cannabidiol (CBD). StatPearls. Retrieved on Aug. 12, 2022 from https://www.ncbi.nlm.nih.gov/books/NBK556048/
  17. National Institute of Diabetes and Digestive and Kidney Diseases (NIH). (2017). Symptoms & Causes of Erectile Dysfunction. Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes
  18. National Institute of Diabetes and Digestive and Kidney Diseases (NIH). (2020). Yohimbine. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK548703/
  19. Ng, C. F., Lee, C. P., Ho, A. L., & Lee, V. W. (2011). Effect of niacin on erectile function in men suffering erectile dysfunction and dyslipidemia. The Journal of Sexual Medicine, 8(10), 2883–2893. doi:10.1111/j.1743-6109.2011.02414.x. Retrieved from https://pubmed.ncbi.nlm.nih.gov/21810191/
  20. Shannon, S., Lewis, N., Lee, H., & Hughes, S. (2019). Cannabidiol in anxiety and sleep: A large case series. The Permanente Journal, 23, 18–041. doi: 10.7812/TPP/18-041. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30624194/
  21. Sheikh, N. K. & Dua, A. (2022). Cannabinoids. StatPearls. Retrieved on Aug. 12, 2022 from https://www.ncbi.nlm.nih.gov/books/NBK556062/
  22. Sooriyamoorthy, T. & Leslie, S. W. (2021). Erectile dysfunction. StatPearls. Retrieved on Aug. 12, 2022 from https://www.ncbi.nlm.nih.gov/books/NBK562253/
  23. U.S. Food and Drug Administration (FDA-a). (2020). FDA and cannabis: research and drug approval process. Retrieved on Aug 12, 2022 from https://www.fda.gov/news-events/public-health-focus/fda-and-cannabis-research-and-drug-approval-process
  24. U.S. Food and Drug Administration (FDA). (2017). Marinol: highlights of prescribing information. Retrieved on Aug 12, 2022 from https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/018651s029lbl.pdf
  25. U.S. Food and Drug Administration (FDA-b). (2020). What you need to know (and what we’re working to find out) about products containing cannabis or cannabis-derived compounds, Including CBD. Retrieved on Aug 12, 2022 from https://www.fda.gov/consumers/consumer-updates/what-you-need-know-and-what-were-working-find-out-about-products-containing-cannabis-or-cannabis

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Important Safety Information for Sildenafil (Viagra)

What are the most important things I need to know about VIAGRA® (sildenafil citrate) 25 mg, 50 mg, and 100 mg tablets and generic VIAGRA®?

Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate emergency medical attention.

  • VIAGRA® and generic VIAGRA® can cause serious side effects. Serious, but rare, side effects include:
    • an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, seek emergency medical attention right away. If it is not treated right away, priapism can permanently damage your penis.
    • sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking VIAGRA and call your healthcare provider right away if you have any sudden vision loss
    • sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking VIAGRA and contact a doctor right away

    Who should not take VIAGRA® or generic VIAGRA®?

    Do not take VIAGRA® or generic VIAGRA® if you:

    • Take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level
    • Are allergic to sildenafil, as contained in VIAGRA® and REVATIO®, or any of the ingredients in VIAGRA® or generic VIAGRA® tablets.
    • Are a women or a child

    When should I call my primary provider?

    Call your primary provider right away if you:

    • Have an erection that lasts longer than 4 hours
    • Experience a sudden loss of vision in one or both eyes
    • Experience a sudden decrease in or loss of hearing
    • Experience chest pain, dizziness, or nausea during sex
    • Take too much Viagra or sildenafil citrate

    If you are experiencing a medical emergency, call 911 or seek immediate medical attention.

    What are the most common side effects of VIAGRA® and generic VIAGRA®?

    The most common side effects are:

    • headache
    • flushing
    • upset stomach
    • abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision
    • stuffy or runny nose
    • back pain
    • muscle pain
    • nausea
    • dizziness
    • rash

    What should I tell my Roman-affiliated provider before taking VIAGRA® and generic VIAGRA®?

    Before you take VIAGRA® or generic VIAGRA® , tell your healthcare provider if you:

    • Have or have had heart problems such as a heart attack,irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure
    • Have had heart surgery within the last 6 months
    • Have pulmonary hypertension
    • Have had a stroke
    • Have low blood pressure, or high blood pressure that is not controlled
    • Have a deformed penis shape
    • Have had an erection that lasted for more than 4 hours
    • Have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia
    • Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
    • Have ever had severe vision loss, including an eye problem called NAION
    • Have bleeding problems
    • Have or have had stomach or intestinal ulcers
    • Have liver problems
    • Have kidney problems or are having kidney dialysis
    • Have any other medical conditions

    Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

    VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works, causing side effects.

    Especially tell your healthcare provider if you take any of the following:

    • Medicines called nitrates
    • Medicines called guanylate cyclase stimulators such as Adempas® (riociguat)
    • Medicines called alpha-blockers such as Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of VIAGRA® with alpha-blockers can lead to a drop in blood pressure or to fainting
    • Medicines called HIV protease inhibitors, such as ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or atazanavir sulfate (Reyataz®)
    • Oral antifungal medicines, such as ketoconazole (Nizoral®) and itraconazole (Sporanox®)
    • Antibiotics, such as clarithromycin (Biaxin®), telithromycin (Ketek®), or erythromycin
    • Other medicines that treat high blood pressure
    • Other medicines or treatments for ED
    • VIAGRA® contains sildenafil, which is the same medicine found in another drug called REVATIO®. REVATIO® is used to treat a rare disease called pulmonary arterial hypertension (PAH). VIAGRA® should not be used with REVATIO® or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil])

    Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death.

    What is the FDA-approved use of VIAGRA® and generic VIAGRA®?

    VIAGRA® (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).

    Roman-affiliated doctors may prescribe VIAGRA® or generic VIAGRA® for the treatment of premature ejaculation (PE), if they believe in their medical judgment that it is an appropriate course of treatment. While this is not an FDA-approved use of the drug, the American Urological Association has included the use of sildenafil citrate in the treatment of PE in its Guideline on the Pharmacologic Management of Premature Ejaculation.

    You are encouraged to report negative side effects of prescription products to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

    Please see the full Prescribing Information for complete safety information.

    Product names referenced herein are trademarks of their respective owners.

    Important Safety Information for Tadalafil (Cialis)

    What Is The Most Important Information I Should Know About CIALIS® (tadalafil) and generic CIALIS®?

    • CIALIS® and generic CIALIS® can cause serious side effects. Serious, but rare, side effects include:
      • An erection that won’t go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis, including the inability to have erections.
      • Changes in vision. Color vision changes, such as seeing a blue tinge (shade) to objects or having difficulty telling the difference between the colors blue and green.
      • Sudden decrease or loss of vision. In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including CIALIS® and generic CIALIS®) reported a sudden decrease or loss of vision in one or both eyes. It is uncertain whether PDE5 inhibitors directly cause the vision loss. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including CIALIS® and generic CIALIS®, and call a healthcare provider right away.
      • Sudden loss or decrease in hearing. Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in people taking PDE5 inhibitors, including CIALIS® and generic CIALIS®. It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking CIALIS® and generic CIALIS® and contact a healthcare provider right away.
      • ED is a condition where the penis does not fill with enough blood to harden and expand when a man is sexually excited, or when he cannot keep an erection. A man who has trouble getting or keeping an erection should see his healthcare provider for help if the condition bothers him.
      • CIALIS® and generic CIALIS® help increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis decreases, and his erection goes away. Some form of sexual stimulation is needed for an erection to happen with CIALIS® or generic CIALIS®.
      • CIALIS® and generic CIALIS® do not:
        • Cure ED
        • Increase a man’s sexual desire
        • Protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your healthcare provider about ways to guard against sexually transmitted diseases.
        • Serve as a male form of birth control
        • Take CIALIS® or generic CIALIS® exactly as your healthcare provider prescribes it. Your healthcare provider will prescribe the dose that is right for you. Do not change your dose or the way you take CIALIS® or generic CIALIS® without talking to your healthcare provider.

        Who Should Not Take CIALIS® or generic CIALIS®?

        Do not take CIALIS® or generic CIALIS® if you:

        • Have severe liver disease. Tell your doctor if you have mild to moderate liver disease as you may need dosage reductions.
        • Have severe kidney disease. Tell your doctor if you have mild to moderate kidney disease as you may need dosage reductions
        • Take any medicines called “nitrates”
        • Use recreational drugs called “poppers” like amyl nitrite and butyl nitrite
        • Take any medicines called guanylate cyclase stimulators, such as riociguat
        • Are allergic to CIALIS®, tadalafil or ADCIRCA®, or any of its ingredients

        When should I call my primary provider?

        Call your primary provider right away if you:

        • Have an erection that lasts longer than 4 hours
        • Experience a sudden loss of vision in one or both of your eyes
        • Experience a sudden decrease or loss hearing
        • Take too much CIALIS® or generic CIALIS®
        • Have an allergic reaction to CIALIS® or generic CIALIS®
        • Symptoms of an allergic reaction may include:
        • Rash
        • Hives
        • Swelling of the lips, tongue, or throat
        • Difficulty breathing or swallowing

        Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above.

        If you are experiencing a medical emergency, call 911 or seek immediate medical attention.

        What Should I Tell My Roman-affiliated Provider Before Taking CIALIS® and generic CIALIS®?

        Tell your Roman-affiliated provider about all your medical problems, including if you:

        • Have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack. Ask your healthcare provider if it is safe for you to have sexual activity. You should not take CIALIS® and generic CIALIS® if your healthcare provider has told you not to have sexual activity because of your health problems.
        • Have pulmonary hypertension
        • Have low blood pressure or have high blood pressure that is not controlled
        • Have had a stroke
        • Have liver problems
        • Have kidney problems or require dialysis
        • Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
        • Have ever had severe vision loss, including a condition called NAION
        • Have stomach or intestinal ulcers
        • Have a bleeding problem
        • Have a deformed penis shape or Peyronie’s disease
        • Have had an erection that lasted more than 4 hours
        • Have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

        Tell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

        Especially tell your healthcare provider if you take any of the following:

        • Medicines called nitrates
        • Medicines called guanylate cyclase stimulators, such as riociguat (Adempas®), used to treat pulmonary hypertension
        • Medicines called alpha blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), 4 Jalyn® (dutasteride and tamsulosin HCl) or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. If CIALIS® or generic CIALIS® is taken with certain alpha blockers, your blood pressure could suddenly drop. You could get dizzy or faint.
        • Other medicines to treat high blood pressure (hypertension)
        • Medicines called HIV protease inhibitors, such as ritonavir (Norvir® , Kaletra® )
        • Oral antifungals such as ketoconazole (Nizoral® ), itraconazole (Sporanox® )
        • Antibiotics such as clarithromycin (Biaxin® ), telithromycin (Ketek® ), erythromycin (several brand names exist. Please consult your healthcare provider to determine if you are taking this medicine).
        • Other medicines or treatments for ED.
        • Tadalafil is also marketed as ADCIRCA® for the treatment of pulmonary arterial hypertension. Do not take both CIALIS® or generic CIALIS® and ADCIRCA®. Do not take sildenafil citrate (Revatio®, Viagra®) with CIALIS® or generic CIALIS®.

        Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death.

        What are the most common side effects of CIALIS® or generic CIALIS®?

        The most common side effects with CIALIS® and generic CIALIS® are:

        • Headache
        • Indigestion
        • Back pain
        • Muscle aches
        • Flushing
        • Stuffy or runny nose

        What is the FDA-approved Use of CIALIS® and generic CIALIS®?

        CIALIS® and generic CIALIS® are prescription medicines used to treat erectile dysfunction (ED), symptoms of benign prostatic hyperplasia (BPH), or both.

        Roman-affiliated doctors may prescribe CIALIS® for the treatment of premature ejaculation (PE), if they believe in their medical judgment that it is an appropriate course of treatment.

        You are encouraged to report negative side effects of prescription products to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

        Please see the full Prescribing Information for complete safety information.

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