so if you had to choose between 30 minutes of mediocre sex or actually being able to see out
of both eyes which would you choose and now you can only choose one well if you take generic
cialis or viagra or levitra then this is a real question that you actually have to ask yourself
now if you're taking any of those there's something that you really need to know and
about how this could actually affect your vision long term we know about the short term side
effects but let's talk about the long term so what we're going to do is we're going to go through
the ed meds the popular ones the ones the generics the ones that you can log on to
such and such dot com and go to your local doctor pick up the phone and they will prescribe for you
like they're m ms we're going to go by through each of them one by one along with their stats
and potential side effects then on top of that what we're going to do is i'll show you how these
meds work and how and why they can interfere with your vision and how this can be a problem long
term so we'll discuss who's at the biggest risk to end up blind and then we'll discuss signs that
this is actually happening to you because i want you to know if you're in a dangerous situation
now the first line of treatment for ed straight off is phosphodiesterase type 2 type 5 inhibitors
now these are the first line what that means is before your doctor makes any other suggestions
before he talks about your relationship before he looks at your cholesterol or anything else
the first line that he is supposed to go to that we've been trained to do is take
you straight to the drugs straight to the pde 5 inhibitors we can call them pd5 inhibitors right
so what what does that mean in in long term so before anything else before any test he's just
supposed to prescribe this to you now this drug was first developed to treat pulmonary
hypertension hypertension in the lung system and muscle spasms however its most notable side effect
was a prolonged direction so it soon became the focus and it became used in clinical practice in
1998 the fda approved its use as a clinically effective and safe treatment for ed and really
basically what we're talking about is that we have four major pdi5 inhibitors they're sildenafil and
that's viagra it takes about an hour usually lasts about four hours but it can last as long as 12
hours and the common side effects include headache flushing indigestion stuffy nose
nasal congestion cold like symptoms and vision problems then there's taldillophil
this is probably the more popular one right now cialis it takes effects within 20 minutes
should be taken at least a half an hour before intercourse and it can last anywhere between a day
and 36 hours now common side effects for this one are pretty similar headache flushing indigestion
nasal congestion cold like symptoms but there's back pain and muscle pain that can be as a side
effect for on cialis or generic cialis and then there's vardena phil or levitra or staction and
this is the shortest onset of any of the pdei5 inhibitors and it takes effect within 10 minutes
usually lasts 5 to 7 hours but may last up to 12. now their side effects include headache flushing
indigestion nasal congestion cold like symptoms and vision problems vision problems no back issues
or muscle problems usually associated and then the last one the newest one is avendro or styndra
which takes place 30 to 45 minutes and it can last up to five hours now the common side effects
include headache flushing indigestion nasal congestion
cold like symptoms and it is actually the most expensive there aren't any generic versions of
it yet i say yet because eventually there will be now when you become sexually aroused what happens
is your parasympathetic nervous system that's that relaxed system becomes activated now this
neural activity leads to a release of nitric oxide abbreviated n-o now that nitric oxide increases
the production of another molecule called cyclic gmp now cyclic gmp relaxes the smooth
muscles inside the blood vessels or your penis and allows blood flow to increase by about 20 to 40
times that's how you end up getting an erection now pdi5 breaks down cyclic gmp molecules and
actually reverses erections so pdie 5 inhibitors actually pretend to be gmp and block that whole
process so that there's more nitric oxide around and more promoted blood flow that's it and here
is where the problem comes in with vision and potential long-term vision complications
and maybe even blindness yeah it does happen so pde5 inhibitors can cross the blood brain barrier
and the blood retinal barriers and basically what that means is there's a barrier between the
blood and the brain that usually like toxic things we want to keep it out of the brain
we want to keep certain things out of the brain but the pdf e5 inhibitors your cialis your viagras
all of those types of things they can actually cross over the blood-brain barrier and even more
than that go past the blood retinal so the blood eye barrier and actually can partially inhibit
something called pde6 enzymes pde6 is present are present in the retina and i want you to think of
it like this you go to the store somebody says honey go to the store and can you please pick up
some mustard greens you're like sure i can no problem well you go and you get what you think
are mustard greens you pick up five bunches of them and you get home and they're like
this isn't these are mustard greens these are this is kale so what happens is in the retinal
area the pde5 inhibitors have crossed through and now everybody's like oh i see some pd6 pde6 well
i'm going to inhibit that too and unfortunately inhibition of the pde6 is actually what causes
that that's that side effect that you see sometimes when you're taking these products
you know you might end up seeing a blue haze you might end up seeing um blurred vision
regulation of pde6 is in essential for for adaptation and for us to process visual signals
now the stronger the dose the bigger the change in the photoreceptors and the optical nerve so
that's ultimately why some of the main reported side effects of these pde5 inhibitors like
cialis and viagra and their generics are visual changes and the most common visual
side effects are photophobia you know like the sun bothering your eyes and cyanopsia which is when
basically everything is tinted blue and you've got a haze now these visual effects are usually
reversed weeks after you stop the medication but now we have data that suggests that long-term
use of pde5 inhibitors in men is associated with an increased risk for serous retinal detachment
retinovascular occlusion and ischemic optic neuropathy in older gentlemen whoa
yes the studies have basically shown that you can potentially have long-term damage with this now
taking it one step further let's talk about did a study a case control analysis of 213 000 men
and they actually looked at gents from january 2006 to december 2020 and these were regular
users of viagra cialis and all that and they may have had an increased risk especially if
they had hypertension diabetes coronary artery disease and or sleep apnea whoa
that's so many of us right so what this means that when your local online company or your local
doctor prescribes these for you they need to let you know that regular users have an increased risk
of serious eye injury and that you should be aware of this so that you can alert your
physician if you have any visual deficits any vision changes at all so you have to ask yourself
if the 30 minutes of marginal sex is going to be worth a catastrophic eye event that could possibly
lead to blindness if you regularly rely on viagra cialis or their generic equivalent now retinal
vascular occlusion what is this well your retina is a thin layer of tissue that lines the back of
your eyeball it turns light into signals to the brain which then interprets them as sight now when
a vein in the retina or an artery becomes blocked it's called retinal vein occlusional or retinal
vascular occlusion now retinovascular occlusion is kind of painless it's a loss of vision and it
almost happens it usually happens in just one eye at first it's blurring or a loss of vision and it
might be slight but over time it happens and it gets worse over the next few hours and then almost
a complete loss of vision can occur and and this is more likely to occur in people with diabetes
possibly hypertension high cholesterol levels and other health problems that affect blood flow the
same people that we routinely just throw viagra at now serous retinal detachment is where the
retina pulls away from the wall that it's attached to in the back of the eye that's like painless
and it's painless and it's a sudden blurred vision or small changes like new floaters
light flashes dark shadows or kind of like a curtaining effect within the field of vision
diabetics are already at an increased risk for this and so is anyone that's ever had
cataract surgery or a family history of having had it right then there's ischemic optic neuropathy
it's a sudden loss of vision due to a decreased or interrupted blood flow to the eye's optic nerve
this is like a stroke or a heart attack in the optic nerve now the optic nerve carries visual
information from the eye to the brain where images are interpreted this is also painless
so these are these all suck because if you're like me you don't really think there's a problem unless
there's some pain so you may be walking around with blurred vision and not thinking it's a big
deal but it is so these things are increased in men who are regularly taking meds for ed
but it's happening in men with the greatest risk for ed2 older men older men with hypertension
diabetes coronary artery disease and and the first line of treatment for eating are these drugs so
now you tell me why you shouldn't try things like my e-function smoothies that are designed to help
you naturally stiffen up through go through maybe my stiffness training or to attend my e-function
intensive to use this information in our bundles and these things that you can try first before you
become a regular user of the pda 5 inhibitors you don't want to get stuck on those things
so i'm dr rachel and this is where we explore natural ways to help you optimize so like this
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