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Old 10-22-2008, 06:03 AM   #5
Dr Steve
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Quote:
Originally Posted by ChrisTheCop View Post
Surely there have been advances since he started this treatment.
Are there any over the counter substitutes you'd recommend???

The alprostadil therapy works when no other therapy will...I'm assuming he already tried Viagra and Cialis, etc. There really isn't anything over the counter that's worth much. There is this stuff called Yohimbine that is sold at health food stores as a food supplement that people have touted for years as an impotence treatment. From the medical literature:
"The alpha-receptor antagonist yohimbine has been found to be effective in some placebo-controlled trials, but its effectiveness is probably inadequate for treatment of most ED."
Yohimbine can cause drops in blood pressure and all kinds of weird effects, so I wouldn't recommend it, at least not unless a health care provider who knew its effects prescribed it. And why bother, then? We have other drugs that work so much better that they can prescribe.

There's this other stuff called "Horny Goat Weed" that has not been studied well in the medical literature that is also touted. The one article I found on it said it caused mental disorders (hypomania) and fast heart beats (tachycardia). Ugh.
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