Most Read Articles
Tristan Manalac, 11 Jul 2018
Gestational exposure to grain products fortified with folic acid appears to be linked to a lower risk of psychosis in offspring, according to a recent study.
Pearl Toh, 10 Jul 2018
A dual-hormone artificial pancreas (DAP) with a rapid delivery of insulin and pramlintide in a fixed ratio improves glycaemic control and reduces glucose variability in adults with type 1 diabetes (T1D) compared with first-generation artificial pancreas delivering insulin alone, according to a study presented at ADA 2018.
4 days ago
Chocolate consumption is not associated with risk of coronary heart disease (CHD), stroke or both combined in postmenopausal women free of pre-existing major chronic disease, a study suggests.
Pearl Toh, 5 days ago
More intensive lowering of LDL-C levels was associated with a progressively greater survival benefit than less intensive approach, when the baseline LDL-C levels were ≥100 mg/dL, reveals a meta-analysis of 34 randomized trials.

Low-dose tadalafil improves sexual function in elderly patients with erectile function

10 Jul 2018

Tadalafil appears to effectively improve sexual function with acceptable side effects in diabetic patients with erectile dysfunction (ED), according to a study. However, older patients fare better with the daily low-dose than the on-demand high-dose protocol.

The retrospective study included 63 diabetic patients (average age 60 years) with ED, of whom 31 had received 5-mg tadalafil once a day and 32 had been given 20-mg tadalafil on-demand four times a month over 3 months. Outcomes such as erectile function (assessed using the International Index of Erectile Function [IIEF]), erectile hardness (measured with erection hardness scale [EHS]), ejaculatory function (assessed using the Male Sexual Health Questionnaire [MSHQ]) and lower urinary tract symptoms (LUTS; evaluated using the International Prostate Symptom Score [IPSS]) were assessed at baseline and at months 1 and 3.

Both tadalafil protocols produced improvements in the IIEF scores in all patients aged <65 years but not in those aged 65 years. In other words, the mean IIEF score in patients 65 years improved with low-dose but with on-demand tadalafil.

On the other hand, both treatment protocols improved ejaculatory function, the quality of the hardness of an erection and LUTS independently of age.

Mean MSHQ scores increased from 13.7 at baseline to 16.8 at month 3 with low-dose tadalafil (p=0.001) and from 17.2 to 22.0 with on-demand high-dose tadalafil (p=0.02). Mean EHS scores increased from 1.9 at baseline to 2.9 at month 3 (p=0.001) and from 1.8 to 2.7 (p=0.001), respectively. Finally, mean IPSS scores improved from 12.9 at baseline to 11 at month 3 (p=0.002) and from 9.4 to 8.4 (p=0.03), respectively.

The findings suggest that although both tadalafil protocols equally improve sexual function, as well as the average urine flow rate, ejaculatory function and the quality of an erection, it may be beneficial to give the daily 5-mg dose to older patients who do not benefit from the on-demand 20-mg dose, researchers said.

Editor's Recommendations
Most Read Articles
Tristan Manalac, 11 Jul 2018
Gestational exposure to grain products fortified with folic acid appears to be linked to a lower risk of psychosis in offspring, according to a recent study.
Pearl Toh, 10 Jul 2018
A dual-hormone artificial pancreas (DAP) with a rapid delivery of insulin and pramlintide in a fixed ratio improves glycaemic control and reduces glucose variability in adults with type 1 diabetes (T1D) compared with first-generation artificial pancreas delivering insulin alone, according to a study presented at ADA 2018.
4 days ago
Chocolate consumption is not associated with risk of coronary heart disease (CHD), stroke or both combined in postmenopausal women free of pre-existing major chronic disease, a study suggests.
Pearl Toh, 5 days ago
More intensive lowering of LDL-C levels was associated with a progressively greater survival benefit than less intensive approach, when the baseline LDL-C levels were ≥100 mg/dL, reveals a meta-analysis of 34 randomized trials.