impotence
at those who are testing it. It consistently induced erections. www.viagraus.com ... clialis apcalis caverta tadalafil sildenafil citrate uprima ...
at those who are testing it. It consistently induced erections. www.viagraus.com ... clialis apcalis caverta tadalafil sildenafil citrate uprima ...

I am in my mid fifties, type 1 diabetic and had heart attack some years ago although very mild. Have a wonderful girlfriend who is as frustrated as me. I would be grateful for any suggestions.
Your diabetes and its effect on the micro-circulation are probably the problem. There are a couple of other ED drugs that may help.
Apomorphine as Uprima works by a different mechanism and is sometimes useful. It has been discontinued in UK, mainly because it made no profit as most people use Viagra but may be available on a named patient basis, as you get free prescriptions it would cost nothing if you could obtain it this way. You would need your GP's cooperation.
Alprostadil Muse is inserted locally,on its own it is not great, but it can be combined with Viagra.
Penile Injections were never really popular for obvious reasons, but they are acceptable to some and may help. A combination of papaverine, phentolamine, and alproastadil reduces side effects, but this is not an easy route.
Don't give up but to move forward you are going to need a GP who is prepared to put time, effort and a bit of research into your management. I hope you find one.
Uprima Precautions Uprima should not be used by patients who take medications containing ingredients that could interact with the brain chemical dopamine. These medications include some anti-depressants and anti-psychotic drugs. Initial clinical tests indicate that patients who take medication containing nitrates have not been adversely affected by Uprima . Although the claim is yet to be validated, and researchers suggest caution should be taken, this would be an advantage for men who take medications containing nitrates for angina and other heart conditions. The PDE-5 inhibitors (Viagra, Cialis and Levitra) work by increasing the levels of nitric oxide in the body, which helps dilate blood vessels in the penis and produce an erection. Therefore, men who take any form of medication containing nitrates (including nitroglycerin) have not been able to sample these newer impotence medications. Uprima is not a permanent "cure" for...