Right now there are a number of new ED meds waiting in the wings. Both the U.K. and Austrailia are getting a couple more new ones.
I have numerous friends who regularly obtain this stuff from India. What is a real crock is that the price from Mexico is not that much more than India and it is made in the United States by the same manufacturers who manufacture the stuff distributed here.
The first thing is to sell their product most of the ED drug manufacturers give away tons of free samples to MD's. This is one of the few drugs that the MD's are still getting this way.
If they are not giving it away it is because they are taking it home. . . . .
There is little doubt that the top three in this area are going to go OTC as soon as it is noticed that the public is being ripped off and that more people are dying from misuse of cough and cold medications than this stuff.
Personally, I have suffered from E.D. for years. I had mixed results with the orals. Sometimes they worked and somethimes they didn't. Sildenafil Citrate and Tadalafil (Viagra/Cialis) are about the same price. The most expensive by a wide margin is Vardenafil (Levitra) and it acts in the same manner as Viagra with the same dangers and side effects.
Unless your E.D. is extremely mild, the orals we have right now are only of limited value. The drug companies have given these drugs far more credit than they are really worth, and they have priced them based not on use but on reputation.
The cheapest route if one truly has E.D. is with little doubt my friends going to the injectables. They are safe if used well, the effects are localized and are not systemic, they act on the structures within the base of the penis that induce an erection. The erections are REALLY good as compared to "just a little help" and the sensations in some men are actually improved.
The problem is that most MD's are extremely incompetent when it comes to this specialized area. In the end the injectable medication and syringes for a year came out to far less money than the orals and the success rate is 100% if the injections are done correctly. The main thing guys is that they are not painful and this is not a problem unless you do them wrong or hit a capillary. Like everything else it was a learning curve. The other thing in my case that came from it was the ability to be multi-orgasmic. I can go for it until the energy to do it runs out.
A six month prescription runs about $450.00. That should be somewhere about 60-70 injections in an average case of E.D. . The secret to this is to buy in bulk. The injectable must be refrigerated.
The usual injectables are"
Caverject, Bi-Mix, Tri-Mix and Quadmix.
Quadmix is a combination of four drugs: Atropine, Papavarine, Phentolamine, and Prostaglandin.
Quadmix is not necessarily stronger than Bi-Mix or Tri-Mix, it depends on the potency of the drugs used in the mix.
The strength of the erection is controlled as a whole by the Prostaglandin and the higher the dosage of Prostaglandin the stronger the erection.
The initial cost of diagnosis through competent MD's is high. The great thing is that you pay it one time and that is the end of it. On U.S. shores the current leader is Boston Medical. The first visit is $2,500., but this gets you one year's worth of meds, the exam and gets you set up on the correct dosage. After that Boston Med renews your scrips and charges are minimal. Once the diagnosis is made and you are used to doing this, ANY MD can renew this over the telephone to a competent compounding pharmacy so you can cut costs even more by going that route.
As far as the orals working, yes they do to a point, but, you can also toss down $17 on occasion and have nothing happen.
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In the United States a couple of medical insurance providers do cover ED medications under their highest level plans. They are not particularly generous and some will cover one pill per week and one of the others is even more stingy thinking that you need sex only once per month.
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I have friends using the off shore stuff with satisfaction, and they seem to be receiving it, but, to me it was the injectable that put a real smile on my face because it exceeded my expectations.
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Good Luck!