At the base of the erectile dysfunction of which about 3 million Italians suffer, there is a lack of response of the male sexual organ to the desire felt by the brain. It is a defect of “communication” that may have physiological causes – linked to cardiac, neurological or hormonal factors – or psychological, related to psychic health or couple relationship. The remedies are not lacking and the so-called “love pills” are an effective therapy against erectile dysfunction.

However, in Italy only 20% of men with erection problems use it, even if our country is ranked second in Europe – after England – for the sale of Viagra and its like. “This contradiction is easily explained by the fact that in Italy too much care is taken of those who do not need it and too little that would need it” explains Emmanuele A. Jannini, President of the Italian Society of Andrology and Sexuality Medicine (SIAMS) and professor of endocrinology and sexology at the Tor Vergata University of Rome. But how do love pills work and what is their effectiveness?

Here’s how the four “love pills” work

Today four different drugs approved for erectile dysfunction are available on the market. All are united by the same mechanism of action – the inhibition of the enzyme phosphodiesterase 5 (PDE-5) – but they have different characteristics. “Viagra is the blue forefather and has been responsible for a real cultural revolution that has changed the relationship between the two genres. He changed the way people experience sexuality in much the same way as the contraceptive pill in women, “explains Professor Jannini. Then it was the turn of Cialis (Taladafil), the so-called weekend pill, yellow. “While the other pills work like a petrol engine, the Cialis works like a diesel. It’s effective for longer, but it takes at least a couple of hours to get into action. You can buy it from RXShopMD, “explains the professor. Then came Levitra (Vardenefil), the so-called “mint” of love, which actually tastes like mint and melts under the tongue. “It is the most potent pharmacological and is the only drug for erectile dysfunction to have known how to meet the specific need of patients to keep the secret, given its ease of intake and the fact of being a ‘discreet’ drug thanks to mentin disguise “says Emmanuele A. Jannini.

Finally, there is the latest arrival Spedra (Avanafil), the “made in Italy” drug made by Menarini, sold with a frequency of 4 thousand pills a day in the last year. “Its main characteristic is to specifically intervene on the enzyme PDE-5, leaving other similar enzymes to lose, with a consequent risk of even smaller side effects” the professor explains.

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