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威而鋼是全球首款治療男性勃起功能障礙的藥物,由美國輝瑞藥廠生產研發,上市至今已經有20多年的時間。這20多年來,全球有無數的患者通過服用威而鋼,從而恢復正常的性生活。相信大家即便沒有用過這款藥物,對這款藥物的效果也曾聽說過,但你知道該如何服用威而鋼嗎?
很多患者覺得服用威而鋼有什麼難的嗎?整顆吞不就行了嗎?其實,直接整顆吞也沒錯,但其實威而鋼的用法用量不僅僅只有一種,今天大樹連鎖藥局(https://shop.greatree.tw)藥師就為大家詳細講解一下威而鋼的用法用量,希望可以幫助有需要的患者。
威而鋼作用機制
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在瞭解威而鋼的用法用量前,我們先來簡單的瞭解一下威而鋼的作用機制,看看這款藥物在人體中如何作用?
當患者性興奮時,威而鋼能在海綿體內產生NO→NO進一步活化guanylate cyclase→ cGMP↑→ cGMP使海綿體平滑肌鬆弛,其內動脈擴張→大量血液注入海綿體,陰莖勃起。
因為cGMP很容易被磷酸二酯酶(phosphodiesterase)破壞,所以研製出磷酸二酯酶抑制劑(phosphodiesterase inhibitor, type 5)-威而鋼來抑制磷酸二酯酶活性,以提升Viagra作用時間,加強海綿體平滑肌放鬆及組織充血,增強勃起機能。(段落來源:高點醫護網)
此外,威而鋼的主要成分(西地那非)可以增強人體疲勞以及抗氧化的作用,擴張肺動脈血管、增強氣息流動、降低氧氣消耗,所以也可以將其用於肺水腫、肺動脈高壓等疾病的預防和治療。另外,也有不少學者支出,威而鋼還能夠對女性「性器官血管缺血」導致的性高潮障礙有一定治療效果,也正是以此研發了女性專用的威而鋼-Addyi。
威而鋼兩種用法用量
威而鋼的用法說複雜嗎?其實,一點也不複雜,也就兩種用法用量,一種是按需服用的方式(在性生活前一小時服用威而鋼,讓患者恢復自然勃起),另一種則是治療保養的方式(每天準時準點服用)。而關於市面上常見的威而鋼的劑量有三種,分別有25mg、50mg以及100mg,而這些規格的威而鋼也正是為了滿足患者的不同需求,因為不同的用法所需的劑量也不同。下面,來看看這些用法的詳細用量:
用法一:按需服用的用法用量
從字面就可以看出來,按需服用就是指患者在有性生活需求時才需要服用威而鋼。對於這種用法,我們藥師都推薦大家從50mg這個劑量開始服用,在進行性生活前一小時服用即可生效。而此之後,患者可以根據此時服用威而鋼的效果來與自己的醫師或藥師商討,是否需要對劑量進行更改。
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如果患者選擇按需服用威而鋼的用法用量,那患者在服藥的時候劑量不能超過100mg,這是每日最大劑量(安全劑量),超過這個劑量則無法保證安全性。雖然服用威而鋼的劑量越大效果肯定會更好,但隨之而來的副作用發生幾率也會提高,而且副作用的程度也可能會增強。
而副作用方面,正確使用的情況下,即便出現副作用也都比較輕微,可被身體耐受,但超過安全劑量後,很難保證服藥者不會出現嚴重的威而鋼副作用,例如陰莖異常勃起(連續勃起超4小時)、昏迷/休克等,所以禁止過量服藥。
用法二:治療保養的用法用量
同樣從字面來理解這個用法用量,治療保養的方式可以有效治療陽痿問題,所帶來的效果也比按需服用的方式更好。患者只需要每天準時準點服用威而鋼,就可以讓患者隨時處於熱機狀態,想硬就硬。但需要注意的是,這種用法的劑量不可超過25mg,而且起效所需的時間也比較長,可能需要3-4天後才能完全起效。當然,每個人的體質以及吸收能力有所不同,所以具體時間並不固定。
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雖然這種用法的起效時間會比較久一些,但這種用法的優點也很明顯,可以讓患者獲得更佳、更穩定的效果,而且因為劑量較小的緣故,基本不會發生副作用,即便出現也大多非常輕微,安全性有效性都要比按需服用更高一些。
總結提醒
上述為大家講解的兩種用法用量,患者可以根據自己的需求進行選擇,而藥師的建議是選擇治療保養的方式,這種方式可以更好的控制、改善陽痿問題,而且副作用的發生率也更低。而且,這種用法不會給患者帶來過大的心理壓力,因為某些患者覺得每次行房都要吃藥,總覺得是吃藥了才能勃起,會逐漸形成心理壓力。
而且,治療保養這個用法效果體現上會更好,也最有可能可以根除陽痿問題。當然,具體還是看患者的病情程度以及是否有解決原發病,畢竟陽痿問題更多時候只能進行控制,原發病沒有解決,就很難完全根治陽痿問題。
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勃起功能障礙(ED)一直是「男」言之隱,據統計發現台灣40歲男性有將近半數患有勃起功能障礙,可見有多少男性深受這種疾病的困擾。而且,經常有人苦笑著自嘲「男人40歲只剩一張嘴」,可想而知男性在面臨勃起功能障礙的時候,到底有那麼的無奈。
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很多民眾都以為自己根本不可能患上勃起功能障礙,但實際發生的情況則是非常普遍。就在不久之前,有一位患者來到我們大樹連鎖藥局(https://shop.greatree.tw)咨詢我們藥師:「明明身體沒有其他不舒服的情況,也沒病痛,怎麼就突然無法勃起了?請問是什麼原因導致的?以及有什麼辦法可以治療?」,相信有許多患者都有此疑問,為此今天藥師就為大家講解一下這個話題。
可能導致勃起功能障礙的五大原因
勃起功能障礙在醫學上可以大致分為三大類,分別有器質性、心因性以及混合性。只要患者體內的血管、神經、陰莖、內分泌以及心理活動受到影響,則有可能會出現勃起功能障礙的問題,導致問題出現的原因有以下五種:
- 年齡:儘管許多報導都說年齡與勃起功能障礙的關係不大,但臨床上卻發現,男性年齡越大超炫勃起功能障礙的機率便會增加。
- 身體疾病:患者如果有心血管疾病、糖尿病、肝腎臟功能不全、高脂血症、內分泌疾病、高血壓等慢性疾病,則有很大的概率會伴隨出現勃起方面的問題。
- 精神、心理原因:如果患者有精神、心理方面的疾病,如精神分裂、憂鬱症、狂躁症等,因為這些疾病的治療藥物,也會誘發這些患者出現勃起功能方面的問題。有將近5成以上的憂鬱症患者性慾降低,對性生活提不起興趣;而勃起功能障礙也會誘發焦慮症、憂鬱症,症狀越高則發生勃起功能障礙的幾率就越高。
- 藥物:許多患者本身就有其他疾病,而這些疾病都需要長期用藥來進行控制,尤其實際降糖、降壓、心臟病以及擴血管的藥物,服用這些藥物的患者患病率分別為26%、14%、28%和36%。從臨床上來看,幾乎所有降血壓藥物都會誘發患者出現勃起問題,因為降血壓藥物會令血壓下降,促使陰莖動脈血流量不足,沒有血液的支持便無法順利勃起或維持勃起。
- 不良生活習慣:患者如果長期缺少運動、吸菸、酗酒、熬夜等,則也會導致男性出現不同程度的勃起功能障礙問題。根據國外的研究發現,吸菸可導致動脈性勃起功能障礙,而且可能會協同或增強其他危險因素的作用。另外,吸食毒品也會引發勃起方面的問題。
哪些男性容易患上勃起功能障礙?
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可能會有民眾問,哪些男性容易患上勃起功能障礙?有以下這些情況的人群,患上的概率會比較大:
- 高血壓者
- 憂鬱症患者
- 焦慮症患者
- 恐慌症患者
- 失智症患者
- 巴金森氏症患者
- 多發性硬化症者
- 腦瘤患者
- 高血脂者
- 糖尿病患者
- 吸菸者
- 酗酒者
- 攝護腺疾病患者
- 肥胖者
有以上情況的男性更應該平時注意自己身體的保養,並進行預防,以免到時候出現勃起功能方面的問題。
勃起功能障礙的治療方法
常用的治療勃起功能障礙的方法大致有三種,分別為藥物治療、手術治療以及心理治療,下面來具體看看:
藥物治療
大多情況下,如果患者本身沒有其他疾病,或正在服用某一些藥物,醫師都會建議患者採用口服藥物進行治療,而治療陽痿的藥物有很多,例如犀利士、樂威壯、威而鋼等是一線藥物。這三種藥物各自有各自的有點,例如犀利士藥效可持續36小時,屬於長效藥物;樂威壯服用之後只需15分鐘即可生效,屬於快速起效藥物;而威而鋼則藥效最強,屬於強效藥物。
這三款藥物的優缺點都很明顯,但在正確使用的情況下,安全性和有效性都可以得到保證,是非常不錯的治療藥物。
手術治療
如果患者服用藥物後,確實無法有效勃起,則可能會採用手術治療的方法,而手術治療大致可分為兩種,一種是植入陰莖假體,另一種是血管手術:
- 植入陰莖假體:這種方法需要通過手術將陰莖假體裝置植入陰莖的兩側。假體的類型有兩種,一種是可充氣假體,這種假體可以讓患者控制何時勃起以及勃起時間;另一種則是使用半剛性的假體,通常由硅膠製成,這類假體可以保持堅挺,但也可以彎曲。大多情況下,不會推薦這種方式,除非是已嘗試其他治療方法均告失敗,因為這種方法的滿意度很高,但存在併發症(例如干擾)的風險,而且假體裝置一旦出現問題,還需要進行手術更換。
- 血管手術:在極少數的情況下,醫師會通過繞開供血困難的陰莖動脈來進行治療,這種手術只建議小部分患者接收。因為,這種方法的條件比較苛刻,需要在55歲以下、不抽菸、身體健康。
心理治療
這種方法適合心因性勃起功能障礙患者,對於器質性患者沒有太大作用。因為,心因性導致的勃起方面的問題只能通過心理輔導或咨詢的方式進行改善,也就是俗稱的心病,只要心病解除了,在配合起藥物進行治療,恢復的機率非常大。
但需要提醒大家的是,不同種類的勃起功能障礙問題以及不同程度的治療方法都不一樣,所以患者最好去醫院檢查後,才能知道自己屬於什麼種類的勃起功能障礙,以及知道自己的病情程度,只有這樣才能更好的選擇適合的治療方法。
早洩(PE)全稱早發性射精(premature ejaculation),是一種目前已被列為性功能障礙之一的問題。早洩問題對男性的影響絲毫不亞於陽痿症狀,會令患者在性生活中無法控制自己的射精衝動,極大降低男女方在性生活中的體驗,導致兩性情感受到影響,甚至影響患者生活乃至工作。
必利勁是目前醫學界唯一核准的早洩專用治療藥物,能夠控制、改善、治療早洩問題,為了能讓尚未使用過必利勁的患者們更瞭解這款藥物,本期大樹連鎖藥局(https://shop.greatree.tw)將為各位帶來在dcard論壇上的一則用戶分享,以幫助各位能更好瞭解必利勁這款藥物。
必利勁dcard使用心得分享
各位好,今天帶來本人必利勁的使用體驗。早洩問題帶給我的困擾遠不止於在性生活,不僅導致我被分手,還嚴重影響我的自信心,一度還對我的生活乃至工作造成負面影響。
所以後面下定決定到醫院做檢查,不僅檢查出了確實存在早洩問題,還查到自己有輕微的抑鬱問題。後來服用了必利勁之後才解決我的問題,今天帶來我的使用體驗,希望能對各位有所幫助。
早洩問題帶來的困擾與影響
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依稀記得以前在唸書的時候,總喜歡在宿舍四下無人的時候進行一些不可描述的事情,當時確實很爽,但後來有了女朋友之後才知道慘,起初是堅持不到5分鐘就繳械,後來情況越來越嚴重,直接三分鐘不到就高潮。
自從早洩問題越來越嚴重之後女友就跟我分手,然後我就進入一個惡性循環,一度沒有自信心,嚴重到我生活甚至令我在工作上都受到影響,因為沒有自信一度還感覺自己是個廢物。
第一次使用必利勁的感受
後來下定決心到醫院檢查,順便看了心理醫師,醫師最終幫我開出必利勁這款藥。雖然早就有瞭解過,但我一開始對必利勁的效果還是持懷疑態度,不過在那天晚上吃過之後就打消了所有疑慮。
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記得那天晚上跟朋友一起去品茶,畢竟比較著急想驗證效果。挑選好心儀的妹妹之後,我就迫不及待想驗證效果,由於提前一個小時就已經吃好藥,所以茶妹在挑逗我的時候也不擔心會直接繳械。
那天晚上我打破了有史以來持續時間最長的記錄,直接超過10分鐘。第二次高潮堅持了13分鐘,直接打開了新世界的大門,茶妹也被我攻擊的一直求饒,因為我的老二硬度完全沒問題。
必利勁對我帶來的改變
以前在沒有必利勁之前,我的持續時間最多只能持續不到5分鐘,後來嚴重到不足3分鐘。並且我的方方面面都受到影響,不僅在感情裡無法抬起頭沒有自信,在工作上也頻頻碰壁,那時候只覺得生活沒有絲毫的樂趣,甚至一度感覺自己有抑鬱症。
而在有了必利勁之後,我的所有情況全部都得到了解決,不僅性生活變好了,在感情上也變得非常順利,工作包括生活都持續在變好,可以說是一顆小小的必利勁就解決了我全部的問題。
必利勁使用總結與建議
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自從有了必利勁之後,我重新投入到夜店裡面去,整個人也變得自信了起來。這不僅僅只是帶來性生活裡面的改變,我的整個人明顯能感到變得不同,不僅在工作上順風順水,想要的妹妹也能得心應手的泡到床上,生活裡每天也幹勁十足。
我的情況一直在變好,從未感覺到世界是如此的美好。我的戰績也碩果累累,自從有了必利勁的幫助,我在短短一個月裡,推倒了超過18個妹妹,並且每一個在我們上完床之後依舊對我欲罷不能,甚至有那麼三四提出願意做我的長期砲友。
另外說一下,大部分朋友可能都會買到德國必利勁,這隻藥說實話價格很貴,後面我在朋友的推薦下瞭解到印度必利勁這款藥,不僅價格便宜實惠,效果也與我之前吃的德國必利勁沒有絲毫區別,所以推薦各位可以直接選擇這款印度必利勁。
最後說一句,如果覺得自己有問題或是時間太短,我的建議是低於10分鐘,都可以去使用必利勁這款藥。因為現在妹妹的需求,沒有10分鐘真的沒辦法滿足,不管你有多硬,好了以上就是我的全部分享,希望能幫到各位。
相信大家去藥局買藥的時候,藥師都會叮囑患者藥物應該如何服藥,亦或者是服用藥物的時機,例如餐前服藥、隨餐服用、飯後服藥亦或者是睡前服藥等等。而服藥時機很多時候,就是藥物是否能夠發揮最佳效果的主要因素,如果患者服用藥物的時機不對,那就很有可能會導致藥物效果無法達到預期,或者無效。
很多藥物對用藥時機有要求,而服用威而鋼也不例外。經常有患者來到我們大樹連鎖藥局(https://shop.greatree.tw)咨詢我們藥師這樣的問題:「藥師,為什麼我吃完威而鋼後效果不是特別好?」,相信很多患者在服用藥物時都會遇到這樣的問題,為此今天藥師就為大家解答一下這個問題。
服用威而鋼效果不佳、無效常見的原因
藥師經常在網路上看到這樣的po文,“別人說威而鋼效果很好,為什麼我吃完之後無效或是效果不如預期?”。其實,每當藥師看到這樣的帖文,其實心理大致都有答案了,大概有兩種原因可能會出現這樣的情況,一種是患者的病情過於嚴重,而服用威而鋼劑量太小導致。對於這種情況的患者而言,學會選擇適合自身的劑量顯得非常重要,不懂劑量如何選擇的患者可以參考文章:勃起功能障礙程度自檢方法 | 各程度患者威而鋼劑量選擇。
第二種就是患者服用威而鋼的時機不對,要想威而鋼效果發揮的更好,掌握正確的用藥時機是非常重要的一環。而威而鋼的最佳用藥時機就是空腹服用,大多時候患者在購買藥物的時候,都會提醒患者空腹服用威而鋼,就是怕患者隨意服用,從而出現效果不佳或無效的情況。
因為,像一些藥物或食物會與威而鋼產生交互作用,從而可能使得藥效減弱或延時生效,導致患者在進行性生活的時候,血藥濃度不足或還未完全起效,從而出現效果不如預期或無效的現象。而經過藥師的詳細詢問,文章開頭的患者就是因為沒有空腹服用威而鋼才導致效果不如預期。
為什麼要空腹服用威而鋼?
最好的服用威而鋼的時機就是餐前服藥,因為此時胃裡的東西已經消化的差不多了,等同於空腹服藥。這時服用威而鋼就可以快速被身體吸收,從而促使藥物更快起效。正常情況下,建議患者在服藥前1個小時服藥,或是在飯後2小時,這兩種情況都屬於空腹服藥。
前面也說了,胃裡有食物時服用威而鋼可能會延時生效,如果患者當頓吃的太飽或過於油膩,就會導致藥物無法在第一時間被吸收,而沒有被立即吸收就會導致血液中的藥物濃度不足,從而延長生效時間或是導致效果不佳。
相關文章閱讀：必利勁用法用量詳解：大樹藥局教你正確用藥
需要空腹服用威而鋼的三大原因
患者之所以要空腹服用威而鋼,其實有下面三大原因的考量:
相關文章閱讀：必利勁ptt心得分享：三年早洩患者的救贖之路
- 怕食物影響藥物吸收:食物影響藥物吸收是空腹服用的最主要原因,因為如果胃裡的食物過多,就會讓威而鋼的藥效無法順利從胃壁進入小腸,然後再從小腸進入血液之中。這就會導致藥物效果延遲吸收或不能充分被身體吸收。
- 避免藥物影響胃腸功能:本身在服用威而鋼之後會出現腸道蠕動的情況。而保持空腹服用藥物則可以最大限度避免服用藥物後,出現腸胃不適、噁心、嘔吐的負面影響。
- 臨床最佳服藥時機:每一款藥物在上市之前都需要經過臨床試驗,而臨床試驗的志願者都是採用空腹服用威而鋼來判斷藥物效果,而進食後藥物的臨床療效不夠科學準確,所以為了避免發生未知情況,建議空腹服藥。
總結提醒
其實,要想要更好的發揮出威而鋼原有的效果,那最好是採用空腹服藥的方式。而需要注意的是,空腹服藥不是指肚子餓的狀態,而是指餐前一個小時或飯後二小時,不要等到自己非常餓的時候再服用威而鋼。而在餐前一個小時服用威而鋼,是因為本身藥物已經起效,此時食物也不會對藥效產生影響了,患者無需擔心服藥後食物會影響威而鋼的效果。
相關文章閱讀：心理因素對早洩的影響大嗎？必利勁能否解決問題？
相關文章閱讀：必利勁副作用有哪些？大樹藥局教你正確應對
此外,需要注意的是,服用威而鋼有可能出現副作用,例如頭疼、頭暈、噁心、消化不良等症狀,出現這些副作用不用過度擔心,一般這些副作用不會持續太久,大多一兩個小時內便會消退。如果症狀一直沒有消退,或有愈來愈嚴重的現象時,應當立即聯絡醫師或藥師緊急處理。
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