What Are The Side Effects of Viagra And Best Alternative In Ayurveda
Abstract
Viagra or sildenafil is consumed extensively worldwide for penile erection during inter course. Erectile dysfunction (ED) is a multifaceted condition which affects males and it is a recurring inability to attain and maintain an erection sufficient for the intercourse. The side effects of Viagra (sildenafil) are very common. Pretentious fall in blood pressure and myocardial infarction (MI /heart attack) can happen. Over 100 cases of serious adverse reactions including >30 deaths have been reported within 4 months of its use(Essentials of pharmacology by K.D tripathi). In Ayurveda there are best alternatives for the treatment of erectile dysfunction and other problems related to male reproductive system. There is shaman chikitsa (palliative treatment) and shodhan chikitsa (Purification treatment) in which panchakarma procedures are done and also administration of herbal preparations to patients is done. There are more than 100 Ayurvedic formulations like churna, leha, ghrita, arishta, tailam which are very well documented in classical texts and are providing very good results without so many side effects.
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Introduction
Viagra or sildenafil is an orally active drug that comes in dosage of 25 mg ,50mg, 100mg tablets and is commonly used for the treatment of erectile dysfunction (ED) and has become very popular in the market globally. But with the concern of side effects of taking it which includes myocardial infarction (MI) and death which are also very well documented from the 98’s is very concerning .The Adverse effects are mainly due to its vasodilator action of nitrates which leads to sudden fall Fall in blood pressure. The deaths occur in men who are older, having cardiac issues or any other underlying conditions and during or after the intercourse. The male health issue is a very emerging problem worldwide Conditions like Erectile dysfunction, premature ejaculation, delayed or impaired ejaculation, Retrograde ejaculation, hypoactive sexual desire disorder i.e Reduced libido, oligospermia, asthenospermia, teratospermia, increased viscosity of semen, pyospermia, impotence, functional impotence etc are seen very commonly in today’s times.
The lifestyle, food habits and conditions in which food is prepared, the use of harmful chemicals and preservatives in it ,disturbed sleeping patterns, use of over the counter medicines is a big cause for these problems. Men are afraid and shy to discuss his problems with the expert physicians.Which is also making it very hard to counsel these patients.
Ayurveda has a very different perspective to see these sexual dysfunctions. A vaidya thinks of the human body as a relationship of systems which are tridoshas(Vata, Pitta and kapha), sapta dhatus and tri mala which defines the functions of the human body. The collaborative efforts of these doshas and their sub- types like apana vayu, ranjak pitta, shleshak kapha and many other parameters in the panch bhautik (Five elements) Shariraris are taken into consideration while treating these conditions.
Side effects of viagra
As Sildenafil is not a cure for erectile dysfunction it is just a maintenance treatment for the condition and people may just have to use it for an extended period without considering the side effects. The overuse of the drug is very common worldwide by which early use and over the counter ability of the medicine is very easy. Which puts the health of many people around the globe with certain conditions at risk. Caution is always advised to patients of liver and kidney disease, peptic ulcers, bleeding disorders.
- Headaches – According to a study, 25% of the patients over all who use the viagra experiences headaches and the percentage might be more with other studies and different geography. The vasodilator effect in patients already suffering from migraine viagra can induce spontaneous attacks in them.
- Nasal Congestion – Viagra which does enhance Nitric oxide (NO), which is also present in nasal mucosa and it is responsible for vasodilation which causes congestion and obstruction there is decrease in nasal air flow in patients who use viagra.
- Dizziness – The Vasodilator effect of the drug also causes blood pressure to fall which makes the patient dizzy and lightheaded it can cause the patient to faint.
- Patients with Hypertension and Hypotension – Viagra can be threatening for the patients suffering from Hypertension as it can cause a big drop in the blood pressure which can lead to stroke, Myocardial infarction (MI/Heart attack). The hypotension caused by viagra and the sexual activity can also put a lot of stress on your heart.
- Visual impairment – Many men have suffered visual disturbances, light sensitivity issues, blurred vision to colour blindness and blue tinted eyes have been reported across the globe.When viagra is consumed there are enzymes that interfere with visual activity that are also interacting with retina cells. At certain doses and repeated use they can damage the retina. There are studies which show that use of viagra can cause permanent damage to the optic nerve and cause permanent vision loss.
- Loose stools and Indigestion – Viagra contains nitric oxide (NO) which is also responsible for smooth muscle relaxation.The stimulation by the drug causes side effects like the change in stool frequency and consistency and over use of this drug and misuse of it can also upset your stomach.it is advised to be cautious if a person has peptic ulcer.
BENEFITS BY AYURVEDIC INTERVENTION
The traditional Ayurveda system has very efficient results to the male health problems which are not only for improvement in sexual activity but also for the healthy and better progeny which will eventually make the planet a better place to live.
From male infertility, disease of shaft, prostate disorders, sexual dysfunctions and male reproductive cancers Ayurveda has 100 of herbs which will support in the treatment of all the mentioned diseases.
For the use of herbs in these conditions first we should understand the properties of the shukra dhatu (semen) as the same properties of herbs will help the condition to heal.
Table 1 properties of Shukra dhatu (semen)
Colour | Sphatik Abha (Crystalline), Ghrtam(clarified butter), shuklam (Bright/white) |
Consistency | Dravam(Fluid), snigdham(oil like), picchilam(Slimeness), bahu(Thick) |
Taste | madhuram(Sweet) |
Smell | Madhu Gandhi (Sweet odoured) |
Density | Guru(Heavy), Sandram (Dence) |
By Deeply understanding the above table one can think that same properties will help in production and fertilisation of the shukra dhatu and opposite guna will lead to depletion of the dhatu.General line of treatment of infertility is first deepanam and pachanam and them start with the treatment which includes
- Sukuram kashayam 60ml in morning and at night before food.
- Hinguvachadi choornam 5gm after food.
- kalyanaka ghrita 50-100 ml based on agni bala and
- Patra potala swedam for 2-3 days.
- Virechana with sukumara eranda tail 25ml empty stomach in morning.
- Yapana basti with makshikam, lavanam, madhuyashtyadi tail, musta kalka, madanaphala kalka and kashira, yava etc.
After the administration of vajikarana treatment it will increase the sexual vigour and will also prevent any complication to arise in the future.Madhura rasa dravyas can be used like vidari (Pueraria turberosa), Ghritam (Cow milk ghee), Kapikacchu (mucuna pruriens), Gokshura (Tribulus terrestris), Musali (Chlorophytum borivilianum), Ashwagandha (Withania somnifera), Bala (Sida cordifolia) etc
Erectile Dysfunction
When there is lack of erection and rigidity these are the main features of klaibya(Erectile dysfunction). Treatment includes nidana parivarjana, deepan, pachana, vataanu loman and shodhanam and yapna basti is very effective. Line of treatment includes
Yapna basti with honey 200ml , salt15gm , murchita tailam, samnaya kalkam 30gm, eranda mula kashayam 450 ml.
Other herbs and aushdiyas can be used
- Sukumara rasayanam 10hm morning and night after food.
- Ashwagandhadi ;lehayam 10 gm after food .
- Ashwagndharishtam 25 ml with equal amount of water after food morning and night.
- Siva gulika 2 tablet after food morning and night.
- Shatawari ksheer kashyam with sugar.
Proper pathya ahara should be used along with the treatment use of shali rice,masha, masura, urad dal, buttermilk, goghrita.Fruits like dates mango, jambu, pomegranate, dry fruits like cashew nut, pistachio, raisins, date palm fruit should be used.
Premature Ejaculation
The premature ejaculation is by the vridhi (increase) of chala guna in apana vayu and the treatment should be to manage the root cause.In panchkarma vasti is ideal choice as it controls vata as its own site and in choice of herbs they should be Vatahara, vrishya and shukra stambhak. Line of treatment should be like
First stroto shodhan and agni deepan should be done
- Yashtimadhu Churna 3gm morning and night with honey and cow ghrita followed by a glass of milk.
- Chandraprabha vati two tablets after food morning and night.
- Kameshwar modak 1 tablet morning and night after food.
- Ashwagandha gritham 10 with milk after food.
- Chandanaasav 25 ml with equal amount of water after food.
For external application chandanadi tail can be used other than oral medication proper counselling of the couple should be done.
Reduced Libido
Due to reduced levels of hormones like testosterone,due to stress, anxiety, cardiac issues, relationship difficulties etc the low libido can happen. Blood tests are to be done to evaluate the hormones levels. Treatment includes proper counselling. Satva pashraya chikitsa (balancing the satva guna) and increasing the bala of the patient by using the vajikarana herbs will be very effective
Line of treatment includes
- Ashwagandha churna 5-10gm after food with milk.
- Kapikachhu churna 5- 10 gms with milk after food.
- Musali churna 5-10 gm with milk after food.
- Ashwagandha leham 10gm morning and night after food.
- Drakshdi lehayam 10 gm after food morning and night.
- Ashwagandha ghrita 10ml after food with milk.
- Dhanwantaram ghrita 10 ml morning and night with milk after food.
- Ashwagandhahdi rishta 25 ml with equal amount of water after food morning and night.
- Vasant Kusumakar ras 1 tablet morning and night after food.
Diet with proper pathya should be followed which includes rice, corn flour, wheat, butter by churning the buttermilk, cow ghee, mansa rasa , walnuts ,raisins and dates.
Planet Ayurveda’s offers very potent herbal remedies for erectile dysfunction, premature ejaculation, low libido etc. without the side effects like heart attack(mi), headache, dizziness and hypo/hypertension etc.
Best Alternative To Viagra in Ayurveda
Planet ayurveda is a very prestigious and dedicated institute. With the guidance of Highly qualified, experienced and reputed Dr.Vikram chauhan and Dr Meenakshi chauhan. The planet ayurveda is a very firm believer of Ayurveda and follows traditional ayurvedic principles. It is providing non-compromised consultations worldwide with 100 % pure and potent medicines. All the medicines are tested in modern labs for their authenticity and potency.
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1. TRIBULUS POWER
Tribulus power is a herbal preparation in capsule form by Planet Ayurveda using standardized extract of Gokshura (tribulus terrestris). It is beneficial in Erectile Dysfunction, Premature ejaculation , low libido in men and other male health related conditions. It is also used for building strength, relieving Inflammation and treating urinary tract disorders and used as aphrodisiac. Gokshura (tribulus terrestris) is tridosha hara i.e. it balances all the three doshas.It is very helpful for nourishment and improving strength. It is agni krit (helps in digestion) and shulghana (relieves pain).
Dosage : 1-2 capsules twice a day with plain water/ milk after meals.
2. MUSLI STRENGTH CAPSULES
Musli strength capsule is a herbal preparation in capsule form by Planet Ayurveda using ingredients like safed musli (Chlorophytum borivilianum), Gokshura (tribulus terrestris) .they are well known for improving conditions like erectile dysfunction, erectile dysfunction, low libido etc. it helps in hormonal imbalance which leads to low libido and premature ejaculation.it strengthens the male reproductive health system .In females it helps for regulation of hormones and relieving menstrual pain.
Dosage : 1 capsule twice daily with plain water after food.
3. MALE SUPPORT FORMULA
Male health support is a herbal preparation in capsule form by Planet Ayurveda using Gokshura (tribulus terrestris), Ashwagandha (Withania somnifera) etc. The combination in this preparation helps in multiple male sex health problems specifically in erectile dysfunction, premature ejaculation and low libido. It helps to gain strength, Energy, and improve overall male health.
Dosage : 1 tablet twice daily with plain water after food.
CONCLUSION
In the above discussion we can conclude that there are plenty of serious side effects of viagra like heart attack(MI), hypo/hypertension due to its vasodilator nature. Ayurveda can be used as the best alternative in conditions like Erectile dysfunction and without high risk side effects like death and other complications. Ayurveda based approach is for treating the root cause behind problem and it eliminates the root cause. The imbalance in hormones and relationship problems are also to be counseled properly. Change in lifestyle and food habits is also very much required in these times worldwide. Planet ayurveda have various herbs which are very potent and can be beneficial to patients suffering from erectile dysfunction and other male health problems.
Dr. Vikram Chauhan
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