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Oral medications right now consist of ***, Cialis and Levitra. And I do not have recommendations
of which one or one specific one. I do have knowledge from my patients that some work
better for some people, some work better for others. If you read about them, they should
all work the same. The keys that I would tell people about, making the oral medications
work for them, that frequently health care providers may not include in their instructions,
are a lot times the oral medications work best on an empty stomach. Some people say
they can have steak and potatoes and three glasses of wine, and their oral medication
works fine. Other people know that if they eat that, then their oral medication is not
going to work. The other very important thing to know about tryng oral medications is it’s
not like it’s said on TV and joked about, you take the pill and you wait, because it’s
actually an exchange of nitric oxide at the cellular level that medicines work. So for
people with spinal cord injury, you want to take the pill, you want to wait 20 to 30 minutes
and then stimulate the ***. If stimulating the *** is penetration, ***, oral
sex, it’s the skin to skin contact and stimulation of the *** that’s going to maximize the
benefit of the medication. And in fact, the medicine shouldn’t work unless you stimulate
the ***. But again, a lot of times health care providers who prescribe these medicines
forget to tell the patient that. So trial it on an empty stomach, trial it with stimulation
of the *** and remember that is going to work about 80-percent of the time. Now one
of the common questions people say, “Well, how long do you have an *** for?” Generally,
probably 30-40 minutes, again remembering that the stimulation it’s what’s going
to help. People also talk about the fact that the commercials say for Cialis is good for
up to 36 hours. Generally the best response is within that 20-30 minute stimulate, they
get the best response. Many patients with spinal cord injury may get a later response,
but generally they say it’s not as good as the immediate one. And that’s for people
with spinal cord injury.