Erectile dysfunction may improve with exercise
By foxnews.com
Men who have difficulty maintaining erections may benefit from exercise or physical activity, according to a new analysis.
A growing body of evidence has suggested physical activity could improve erectile function, but the authors of the new report say that until now, no one had looked at all the studies together.
The topic is important, they told Reuters Health by email, because the prevalence of erectile dysfunction ranges from 8 percent among men in their 20s and 30s, up to 37 percent among men in their early 70s.
"This sexual disorder can significantly deteriorate quality of life and is often neglected in clinical practice," said the researchers, who were led by Dr. Andre Silva of the University of Porto in Portugal.
For the new study, the researchers searched for randomized controlled trials testing exercise and physical activity as a therapy for erectile dysfunction. They found seven studies published between 2004 and 2013 that included a total of 505 men, who were tracked for anywhere from eight weeks to two years. Average ages ranged from 43 to 69 years.
Altogether, 292 men were randomly assigned to complete aerobic exercises, pelvic floor muscle exercises or a combination of exercises. The other 213 men were not told to exercise.
Erectile function was measured using the International Index of Erectile Function. Scores range from 5 to 25; men with no erectile dysfunction have scores of 22 to 25, and those with the most severe dysfunction score between 5 and 7.
Overall, men who exercised had their scores increase by an average of 3.85 points, compared to men who did not exercise.
Exercises specific to pelvic floor muscles didn't seem to yield a benefit.
Among men with an increased cardiovascular risk, coronary heart disease or prostate removal, however, any type of exercise led to improved erectile function scores.
A take-home message from this analysis is that exercise should have a role in the treatment of erectile dysfunction, said Dr. Landon Trost, who is head of andrology and male infertility at the Mayo Clinic in Rochester, Minnesota.
The results show that exercise can also be used alone or in combination with erectile dysfunction medications, said Trost, who was not involved with the new analysis.
He told Reuters Health that the average increase in erectile function score would likely be similar to what people see with a medication.
"Pills probably do a little better," he said.
Source: http://www.foxnews.com/health/2016/10/19/erectile-dysfunction-may-improve-with-exercise.html
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Wednesday, May 13, 2026
Quetiapine (Seroquel) - Antipsychotics guide
Quetiapine treatment plans often succeed when prescription therapy is paired with practical nonprescription habits that reduce avoidable side effects. While no over-the-counter product replaces antipsychotic medication, careful use of supportive options can improve comfort, routine stability, and long-term adherence. The most useful starting point is sleep structure rather than another sedating product. Quetiapine itself may cause drowsiness, so adding nighttime antihistamines such as diphenhydramine can produce excess next-day grogginess, falls, confusion, or worsened constipation. Instead, many clinicians recommend sleep hygiene steps: fixed bedtime, reduced evening caffeine, and limiting bright screens before sleep. Hydration and fiber support can help with dry mouth and constipation, two common complaints. Patients often benefit from increasing daily water intake, emphasizing vegetables and whole grains, and using a gentle fiber supplement when needed. If constipation persists, a clinician may suggest a brief OTC stool softener strategy, but prolonged self-treatment without review is not ideal. Weight and metabolic effects are another major focus. Home weight checks once weekly, food logging, and moderate activity goals can prevent small gains from becoming clinically significant. Some patients also discuss omega-3 supplements for overall cardiometabolic support, though evidence is mixed and these should be treated as complements, not substitutes. Any supplement should be reviewed to avoid interactions and unrealistic expectations. People with seasonal allergy symptoms should be cautious with sedating allergy products while on quetiapine. Non-drowsy daytime options may be preferable when clinically appropriate. Even then, prescriber or pharmacist review is important because cumulative anticholinergic burden can affect concentration and quality of life. These examples show why over the counter options combined with quetiapine therapy must be selected intentionally. The safest approach is a simple medication list updated at every visit, including vitamins, herbal products, and occasional OTC purchases. That single habit reduces duplicate sedative exposure and prevents many avoidable side effects. Family or caregiver support can reinforce these routines. Setting reminders for meals, hydration, and bedtime consistency helps patients maintain treatment during stressful periods when symptoms fluctuate. For broader medication class education and comparison resources, patients can also consult the antipsychotics reference section and then bring specific questions to their next appointment.
Saturday, May 9, 2026
Trileptal Oxcarbazepine Article
Oxcarbazepine cost planning matters because seizure stability depends on uninterrupted access. Generic versions usually improve affordability, but refill price still shifts based on strength, suspension versus tablets, pharmacy network, and insurance rules. Generic oxcarbazepine often costs less than older brand Trileptal pricing, yet patients can still see large price differences between pharmacies. Getting more than one quote is worth effort, especially for long-term therapy. Mail-order options may lower cost for stable patients, but shipping timing must be managed carefully. Insurance formularies sometimes prefer one dosage form or manufacturer over another. Prior authorization, quantity limits, or higher copays can appear after plan changes. Patients who wait until last pills are gone may end up with dangerous refill gaps. These practical issues make trileptal-oxcarbazepine pricing options part of seizure-care planning, not separate paperwork issue. Prescribers can sometimes redesign strength combinations to lower monthly cost while keeping same total daily dose, but instructions must stay crystal clear to prevent mistakes. Families should watch for quiet signs of cost trouble, such as pill stretching, delayed refill requests, or skipped follow-up appointments. Patients do not always mention money pressure until seizures worsen. Budget review should include lab work too. Sodium checks and follow-up visits are part of safe treatment, and skipping them to save money can cause bigger problems later. Pharmacists can compare cash price, discount card price, and insurance price on same prescription. Keeping record of refill totals helps spot sudden jumps before adherence breaks down. When insurance or job changes are coming, discussing backup options early gives clinic time to solve coverage barriers before medication runs out. For broader support on epilepsy access planning and medication comparisons, patients can review seizure treatment planning resources before next visit. Refill reminders set one week early are simple but powerful protection against treatment gaps, especially when pharmacies need time to order medication.
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