What medicine should the elderly take if they can't get an erection?

Erectile dysfunction in the elderly can be improved through drug treatment. Commonly used drugs include phosphodiesterase 5 inhibitors such as sildenafil and tadalafil, androgen replacement drugs such as testosterone undecanoate, and proprietary Chinese medicines such as Compound Xuanju Capsules. The specific medication should be selected after evaluation by a professional doctor, and avoid taking it by yourself.

1. Sildenafil:

As a representative drug of phosphodiesterase 5 inhibitors, sildenafil improves erectile function by enhancing blood flow to the corpus cavernosum of the penis. It is suitable for psychogenic or mild organic erectile dysfunction, but it is contraindicated for those with severe cardiovascular disease or those who are taking nitrate drugs. Side effects such as headache and facial flushing may occur during medication.

2. Tadalafil:

A long-acting phosphodiesterase 5 inhibitor that lasts for 36 hours and is suitable for elderly patients who want a natural sex life. It has a certain effect on erectile dysfunction caused by chronic diseases such as diabetes, but attention should be paid to the interaction with antihypertensive drugs. Patients with abnormal liver function need to adjust the dose.

3. Testosterone undecanoate:

For older men with low testosterone levels, it can improve sexual desire and erectile function. Serum testosterone levels need to be measured first, and prostate-specific antigen and hematocrit need to be monitored for long-term use. Not recommended for patients with prostate cancer or severe heart disease.

4. Compound Xuanju Capsules:

Chinese patent medicines contain ingredients such as black ant and epimedium, which have the effect of warming the kidneys and aphrodisiac. It is suitable for erectile dysfunction caused by kidney yang deficiency, with slower effects but fewer side effects. Do not eat raw or cold food while taking it. Use should be suspended when you have a cold or fever.

5. Alprostadil:

Prostaglandin E1 preparations administered to the urethra are suitable for patients who are ineffective or have contraindications to oral medications. There may be local pain or burning sensation in the urethra, so you need to master the correct administration method. Use with caution in patients with severe penile deformity or coagulation disorders.

In addition to drug treatment, elderly patients with erectile dysfunction are advised to maintain moderate exercise such as brisk walking and Tai Chi to improve blood circulation.； Eat more zinc-containing foods such as oysters, nuts, and dark vegetables ； Control basic diseases such as high blood pressure and diabetes ； Strengthen emotional communication with your partner to reduce psychological stress. Regular andrology follow-up visits are conducted to evaluate the treatment effects and avoid blind use of health products or folk remedies. People with cardiovascular disease need to weigh the risks and benefits of medication under the guidance of a doctor.