Medical Improvements About one quarter of men suffer from impotence after the age of 65 and this shoots up once they reach 75. Up until about 20 or 30 years ago, impotence was dismissed as being a mental problem with no actual cures being offered barring a cursory ‘pull yourself together man’ statement. Thankfully, we live in a more enlightened age where impotence is routinely studied with more causes and cures discovered each year. There are still more causes than remedies but fortunately, the treatments available for impotence are extremely effective. Avoid Recreational Drugs One tip for those suffering from impotence and wondering what to do: stop taking prescription drugs such as sedatives. The only medication you need to solve impotence worries is Sildenafil Citrate which will be discussed below. Recreational drugs which are illegal (heroin) and legal (alcohol) have just as much of a negative effect on erections as pharmaceutical drugs. Prolactin is a pituitary hormone which seems to be linked with impotence as about 25% of impotent men have excessively high levels of the hormone in their system. Alcohol is known to increase a man’s level of prolactin while the New England Journal of Medicine recently published research which suggests marijuana does the same. Alternative Medication There are a host of herbal remedies such as the African herb yohimbe which is proven to increase a man’s ability to maintain an erection. This herb does not actually increase sexual excitement but it does improve desire while dampening nerves that simulate ejaculation. Yohimbe seems to work best on men who are impotent as it has a much more profound effect on them than on those with a normal sex drive. This herb takes approximately half an hour to start working and then it lasts for hours. Yohimbe contains yohimbine which is used in certain impotence prescription drugs. Viagra and Revatio Viagra is the most popular drug in the world for those suffering from impotence with an estimated 300 million tablets produced per year. Viagra pills are blue, diamond-shaped and are easily identifiable as they have the word ‘Pfizer’ written on one side and the size of the pill engraved on the other. They are available in sizes ranging from 25mg to 100mg. No more than one pill should be taken daily. The most effective time to ingest the pill is between half an hour and four hours before sexual intercourse. Revatio can also be used for impotence though it is commonly used to deal with pulmonary arterial hypertension. These pills are white and round with the recommended daily dosage set at three 20mg tablets per day taken at three separate intervals. A History of Sildenafil Citrate Both Viagra and Revatio are simply different names for Sildenafil Citrate. This drug has a storied history, creating numerous headlines since it was unleashed on the public in 1998. It was actually patented in 1996 before the United States Food and Drug Administration approved the drug as a treatment for erectile dysfunction in March 1998. By the year 2000, Viagra held 92% of the world’s market for impotence pills. Although this share has subsequently dropped, the drug is still the dominant erectile dysfunction pill treatment in the world. Sildenafil Citrate works because it is an inhibitor of PDE5. This results in the blood flow to the penis increasing. Make Your Choice In order to battle impotence, it is important to forget about certain pharmaceutical drugs and concentrate on ones that work such as Viagra. Also, reduce your intake of alcohol and illegal recreational drugs which cause an increase in prolactin, a chemical that helps cause impotence. It is also possible to use Yohimbe and other chemical remedies but Viagra seems to be the world’s favorite choice when it comes to beating impotence.