How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45241
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

I seem to have solved my ed problem with viagra and whilst

Resolved Question:

I seem to have solved my ed problem with viagra and whilst I can get an erection I now have difficulty in achieving a climax which is frustrating. Is there some medication that can help me.
I have read about amyl nitrate but I am not sure whether the use of that is advisable.
Leslie
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.
This is Dr. David

some medicaitons like SSRI agents like zoloft or paxil can affect climax

also low testosterone levels could be the problem.

also advanced age and damage to your nerves from diabetes can cause problems with climax.

are you on any medications which can affect climax?

how much viagra are you taking?
Customer: replied 1 year ago.

Sorry for the delay, problems with my computer.

I am taking one daily of the followingthe following Atenolol 25MG tabs, Atenolol 50 MG tabs, Venaxx 75mg caps, Venaxx 150 mg caps, Pantoprazole gr ec 20mg tabs, Gliclazide 40mg tabs, BetmigaMR 25 mg tabs, 2 daily Metformin mr 1000mg tabs, when required Sldenafil 50mg tabs.

please let me know if any of these would cause problems with my sex experience.

I have for some time beren unhappy with the extent of my medication and have asked for a review of my medication but that has not happened.

Leslie

Expert:  Dr. David replied 1 year ago.
Venaxx is venlafaxine, also called Wellbutrin here in the USA
it is used to treat anxiety or depression symptoms and can negatively effect your sexual function and can delay climax

Cyproheptadine is an antihistamine with antiserotonergic properties that has been reported for over a decade to reverse antidepressant-induced sexual dysfunction

talk to your doctor about this option

let me know if you have other questions.

if done for now, please leave positive rating above the chat box so I can get credit for helping you today

we only get credit for helping clients after positive feedback

you can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-dr-david/

Thanks for using JustAnswers.com
Customer: replied 1 year ago.

Dear Dr. David,

Thank you, ***** ***** helpful reply, I will certainly speak to my doctor about the alternative medication you suggested.

. In my original question I raised the subject of Amyl Nitrate which I understand is an experience enhancer which I understand some people with similar problems to mine use as a solution. I know nothing about this and would be obliged if you would let me have some pearls of wisdom.

Leslie

Expert:  Dr. David replied 1 year ago.
I would not use amyl nitrate. it can be dangerous

it is also used as an inhalant drug that induces a brief euphoric state, and when combined with other intoxicant stimulant drugs such as cocaine or ecstasy, the euphoric state intensifies and is prolonged

once the drugs wear off, a common side effect is a period of depression or anxiety, colloquially called a "come down"

amyl nitrite is sometimes used to combat these negative after-effects

I wouldn't use it. it can be dangerous

let me know if you have other questions.

if done for now, please leave positive rating above the chat box so I can get credit for helping you today

we only get credit for helping clients after positive feedback

you can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-dr-david/

Thanks for using JustAnswers.com
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45241
Experience: Board Certified Physician
Dr. David and 5 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions