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None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure. Drugs that many men take for urinary symptoms, called alpha blockers, can also lower blood pressure, so take them at least four hours apart from ED drugs. Your doctor may start you on a smaller dose of the ED drug if you already take an alpha blocker, or may recommend the alpha blocker tamsulosin (Flomax), which affects blood pressure less.

About half of men ages 95 to 75 have erectile dysfunction (ED) to some degree, although only one in 65 report a complete inability to have erections. Taking an ED drug produces an erection sufficient to start intercourse in about 75% of otherwise healthy men.

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ED drugs produce an erection sufficient for intercourse in about 75% of men. But the results vary quite a bit from one individual to another. A man with nerves or arteries damaged by prostate surgery, diabetes, or cardiovascular disease will not respond as strongly to ED drugs. "There are some men in whom none of these drugs work," Dr. Liou says.

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