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PDE-5 inhibitors (Viagra, Cialis, Levitra) are excellent but they probably won't do much in cases of psychogenic ED.

I've battled sexual performance anxiety for many years and today I can safely recommend these two oral treatments: phentolamine mesylate and apomorphine.

Phentolamine is my personal favorite. It is not an anxiolytic but it blocks sympathetic action in the penis. You take it as needed, 30 min before sex. I used to combine phentolamine with Cialis but there is an extra risk of side effects: headaches, tachycardia, nasal congestion.

Apomorphine is another treatment that deserves more recognition. Unlike Viagra, which only works locally, this one is a centrally acting drug that increases dopamine levels in the brain.

Always consult your doctor before you decide to try any new treatment or supplement.

I have a question for you Flavio. If you are just by yourself, masturbating, does your psychogenic ED prevent you from having an erection for the whole session?

Drawoverfade wrote:I have a question for you Flavio. If you are just by yourself, masturbating, does your psychogenic ED prevent you from having an erection for the whole session?

No that never happens, unless I'm feeling extremely depressed.

My case was different, it's called coital anxiety: losing my erection just before penetration. I believe oral phentolamine is excellent in these cases because it stops sympathetic action in the penis.

Where can you buy the phentolamine pills from, what brand is best and do they ship to the United States?

Aristotle wrote:Where can you buy the phentolamine pills from, what brand is best and do they ship to the United States?

I ordered apomorphine from The ED Clinic and it should arrive very soon, check out my thread in the General section.