အသက္ ၁၈ ႏွစ္ျပည့္မွဖတ္ပါ - Erectile Dysfunction (2) ပန္းေသ-ပန္းညိႇဳး (၂)

ျဖစ္ေစႏိုင္သည့္ေဆးမ်ားႏွင့္ ေပ်ာက္ေစႏိုင္သည့္ေဆးမ်ား

၁။ Drugs that may cause impotence က်ား-လိင္အဂၤါ မသန္မာျခင္းကို ျဖစ္ေစႏိုင္ေသာေဆးမ်ား
(၁) Antidepressants and other psychiatric medications စိတ္က်ေဆးမ်ား
Amitriptyline (Elavil), Amoxapine (Asendin), Buspirone (Buspar), Chlordiazepoxide (Librium), Chlorpromazine (Thorazine), Clomipramine (Anafranil), Clorazepate (Tranxene), Desipramine (Norpramin), Diazepam (Valium), Doxepin (Sinequan), Fluoxetine (Prozac), Fluphenazine (Prolixin), Imipramine (Tofranil), Isocarboxazid (Marplan), Lorazepam (Ativan), Meprobamate (Equanil), Mesoridazine (Serentil), Nortriptyline (Pamelor), Oxazepam (Serax), Phenelzine (Nardil), Phenytoin (Dilantin), Sertraline (Zoloft), Thioridazine (Mellaril), Thiothixene (Navane), Tranylcypromine (Parnate), Trifluoperazine (Stelazine)

(၂) Antihistamine medications (အင္တီ-ဟစ္တမင္း) ေဆးမ်ား၊ (အခ်ိဳ႕ေဆးမ်ားကို ေလနာေရာဂါအတြက္လည္း သံုးသည္), Cimetidine (Tagamet), Dimenhydrinate (Dramamine), Diphenhydramine (Benadryl), Hydroxyzine (Vistaril), Meclizine (Antivert), Nizatidine (Axid), Promethazine (Phenergan), Ranitidine (Zantac)

(၃) High blood pressure medicines and diuretics ေသြးတိုးက်ေဆးမ်ား (ေသြးက်ေဆးမ်ားထဲတြင္ Thiazides ေဆးအုပ္စုသည္ ပဌမ၊ beta-blockers ဘီတာ-ဘေလာ့ကာမ်ားသည္ ဒုတိယ က်ား-လိင္အဂၤါ မသန္မာျခင္းကို ျဖစ္ေစႏိုင္သည္။ Alpha-blockers အာလ္ဖါ-ဘေလာ့ကာမ်ားသည္ အျဖစ္အနည္းဆံုးျဖစ္သည္။)
Atenolol (Tenormin), Bethanidine, Bumetanide (Bumex), Captopril (Capoten), Chlorothiazide (Diuril), Chlorthalidone (Hygroton), Clonidine (Catapres).Enalapril (Vasotec), Furosemide (Lasix), Guanabenz (Wytensin), Guanethidine , (Ismelin), Guanfacine (Tenex), Haloperidol (Haldol), Hydralazine (Apresoline), Hydrochlorothiazide (Esidrix), Labetalol (Normodyne), Methyldopa (Aldomet), Metoprolol (Lopressor), Nifedipine (Adalat, Procardia), Phenoxybenzamine (Dibenzyline), Phentolamine (Regitine), Prazosin (Minipress), Propranolol (Inderal), Reserpine (Serpasil), Spironolactone (Aldactone), Triamterene (Maxzide), Verapamil (Calan)

(၄) Parkinson's disease medications (ပါကင္ဆိုနဇင္) ေရာဂါေဆးမ်ား၊
Benztropine (Cogentin), Biperiden (Akineton), Bromocriptine (Parlodel), Levodopa (Sinemet), Procyclidine (Kemadrin), Trihexyphenidyl (Artane)

(၅) Chemotherapy and hormonal medications ကင္ဆာေဆးမ်ား ႏွင့္ ေဟာ္မုန္းေဆးမ်ား၊
- Antiandrogens (Casodex, Flutamide, Nilutamide) ေဟာ္မုန္းေဆ, Busulfan (Myleran) ကင္ဆာေဆး၊, Cyclophosphamide (Cytoxan) ကင္ဆာေဆး၊ Ketoconazole မိႈေရာဂါေဆး၊, LHRH agonists (Lupron, Zoladex) ေဟာ္မုန္းေဆး၊

(၆) Other medications တျခားေဆးမ်ား၊
Aminocaproic acid (Amicar) ေသြးထြက္သက္သာေဆး၊ Atropine ခြ်ဲ-အစာေျခရည္ နည္းေစသည့္ေဆး၊ Clofibrate (Atromid-S) အဆီက်ေဆး၊ Cyclobenzaprine (Flexeril) ၾကြက္သားေပ်ာ့ေဆး၊ Cyproterone က်ား-ေဟာ္မုန္း ႏွိမ္ေဆး၊ Digoxin (Lanoxin) ႏွလံုးေရာဂါေဆး၊ Disopyramide (Norpace) ႏွလံုးခုန္မွန္ေဆး၊ Estrogen (အီစထိုဂ်င္) ေဟာ္မုန္း၊ Finasteride (Propecia, Proscar, Avodart) ဆီးက်တ္ေရာင္ သက္သာေဆး၊ Furazolidone (Furoxone) ပိုးေသေဆး၊ H2 blockers (Tagamet, Zantac, Pepcid) ေလနာသက္သာေဆး၊ Indomethacin (Indocin) ေဂါက္ေရာဂါေဆး၊ Lipid-lowering agents အဆီက်ေဆး၊ Licorice ေလနာသက္သာေဆး၊ Metoclopramide (Reglan) အအန္ေပ်ာက္ေဆး၊ NSAIDs (Ibuprofen, etc.) အနာ-အကိုက္သက္သာေဆး၊ Orphenadrine (Norflex) အနာသက္သာေဆး၊ Prochlorperazine (Compazine) အအန္ေပ်ာက္ေဆး၊ Pseudoephedrine (Sudafed) အေအးမိသက္သာေဆး၊

(၇) Opiate analgesics ဘိန္းပါသည့္ အနာ-အကိုက္သက္သာေဆးမ်ား၊
Codeine, Fentanyl (Innovar), Hydromorphone (Dilaudid), Meperidine (Demerol), Methadone, Morphine, Oxycodone (Oxycontin, Percodan)

(၈) Recreational drugs စိတ္ကိုသက္ေရာက္ေစေသာေဆးမ်ား၊
Alcohol အရက္၊ Amphetamines (အင္ဖတမင္း)၊ Barbiturates (ဘာဘီက်ဴရိတ္)၊ Cocaine (ကိုကင္း)၊ Marijuana ေဆးေျခာက္၊ Heroin ဘိန္းျဖဴ၊ Nicotine (နီကိုတင္း)၊

၂။ Erectile Dysfunction က်ား-လိင္အဂၤါ မသန္မာျခင္းကို သက္သာေကာင္းမြန္ေစေသာေဆးမ်ား
- Generic name Sildenafil = Viagra
- Generic name Tadalafil = Cialis
- Generic name Vardenafil = Levitra, Staxyn
- Generic name Alprostadil = Muse, Edex, Caverject, Caverject Impulse, Edex Refill
- Generic name Yohimbine = Yohimbe, Yocon, Erex, Testomar, Yohimex, Aphrodyne, Yohimar

Dr. တင့္ေဆြ
၁၇-၂-၂ဝ၁၂