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  • **stendra Vs. Viagra: Key Differences Explained**

    Understanding the Basics: What Are Stendra and Viagra?


    Stendra and Viagra are both medications designed to treat erectile dysfunction (ED), offering men a chance to reclaim confidence in their sexual health. Stendra, generically known as avanafil, is a relatively newer addition to the ED treatment landscape, gaining popularity for its rapid onset. In contrast, Viagra, the cornerstone of ED medications, has been in use since the late 1990s and is well-known for its effectiveness and reliability.

    Both medications work by enhancing blood flow to the penis, facilitating erections when coupled with sexual stimulation. However, their formulations and usage vary, making it essential for patients to understand their options. A comprehensive comparison of these two drugs illuminates the nuances that can significantly impact a man's choice of treatment.

    Feature Stendra (Avanafil) Viagra (Sildenafil)
    Year Approved 2012 1998
    Onset of Action 15 minutes 30 minutes
    Duration Up to 6 hours 4-5 hours
    Common Side Effects Headache, flushing Headache, indigestion



    Mechanisms of Action: How Each Drug Works



    Stendra, a newer entrant in the realm of erectile dysfunction treatments, operates on a principle of inhibiting the enzyme phosphodiesterase type 5 (PDE5). By doing so, it enhances the effects of nitric oxide, a naturally occurring substance in the body that facilitates increased blood flow to the penis during sexual stimulation. This targeted mechanism aids in achieving and maintaining an erection.

    In contrast, Viagra shares a similar mechanism by also targeting PDE5. However, its formulation and pharmacokinetics differ slightly, often resulting in varied patient experiences. Both medications ultimately increase blood flow, but the nuances in their actions can lead to different onset times and effectiveness, positioning each as a distinct choice for individuals seeking relief from erectile dysfunction. Understanding these distinctions may guide patients toward the most suitable option for their needs.



    Onset of Action: Timing for Effectiveness Explained


    When considering the effectiveness of erectile dysfunction medications, timing is a critical factor. Stendra, known for its rapid onset, can start to work in as little as 15 minutes after ingestion, making it an appealing option for spontaneous intimacy. In contrast, Viagra usually takes about 30 to 60 minutes to take effect, which may require more planning. Both medications require sexual stimulation to achieve the desired results, but Stendra’s quicker action allows for more flexibility in engaging moments.

    This swift response from Stendra can be particularly beneficial for those who value discretion and spontaneity in their relationships. Users often appreciate the ability to be prepared for intimate moments without excessive advance planning. On the other hand, Viagra’s longer onset time might suit individuals who are less likely to engage in spontaneous situations and prefer to schedule intimate encounters.

    Additionally, factors such as age, overall health, and concurrent medications can influence the speed at which these medications take effect. While some may experience the benefits of Stendra almost instantly, others might find Viagra aligns better with their lifestyle, despite its longer onset. Understanding personal circumstances is vital for making an informed choice.

    Ultimately, timing is more than just numbers; it’s about enhancing personal experiences. Choosing between Stendra and Viagra involves evaluating how each drug fits into your lifestyle and relationship dynamics, as this decision could significantly affect your confidence and comfort in intimate situations.



    Duration of Effects: How Long Do They Last?



    Stendra and Viagra differ significantly in how long their effects last, which is crucial for users planning intimate moments. Stendra, with its active ingredient avanafil, typically provides relief for about six hours, allowing for more spontaneity without the rigid timing required with other options. In contrast, Viagra generally lasts around four to five hours, which may be suitable for many, but could leave some users wishing for a little extra time.

    Understanding these durations can help individuals make informed choices that align with their lifestyle. Whether opting for Stendra, which grants a quicker and potentially more flexible experience, or Viagra, with its tried-and-true efficacy, knowing how long these medications will work can enhance confidence and satisfaction.



    Side Effects Comparison: What to Watch Out for


    When considering the side effects of Stendra and Viagra, it's essential to recognize that both medications can potentially cause some similar reactions. Common side effects include headache, flushing, and nasal congestion. However, the intensity and frequency of these effects may vary between individuals. Stendra, for instance, has been reported to have a more favorable side effect profile for some, with fewer incidences of flushing compared to Viagra, making it a more appealing option for those sensitive to such reactions.

    It’s also crucial to note some uncommon side effects that can occur with either medication. While both drugs can lead to visual disturbances and sudden hearing loss, these are rare but serious concerns. Awareness of these potential risks can empower individuals to make informed choices about their treatment options.

    Here’s a comparison of some key side effects associated with Stendra and Viagra:

    Side Effect Stendra Viagra
    Headache Common Common
    Flushing Less Common Common
    Nasal Congestion Common Common
    Visual Disturbances Rare Rare
    Sudden Hearing Loss Rare Rare



    Choosing the Right Option: Factors to Consider


    When it comes to selecting between Stendra and Viagra, several factors come into play. Personal health history is crucial; individuals with certain medical conditions or those taking specific medications may experience contraindications. Consulting with a healthcare provider ensures a tailored approach.

    Additionally, lifestyle influences decisions as well. For instance, active individuals might prefer Stendra due to its quicker onset, while those seeking a more traditional option may lean towards Viagra.

    Consideration of side effects is vital; understanding how each drug affects one's body can guide the choice. Finally, personal preferences regarding medication frequency and scheduling can significantly impact the decision. Each patient's unique needs should direct this important choice.





ARIZONA PSYCHIATRIC SOCIETY 2024-2025 EXECUTIVE Board

President: Nicholas Ahrendt, MD President-Elect: Margaret Balfour, MD, PhDVice President: Brenner Freeman, MDTreasurer: Robert Rymowicz, DOSecretary: Chiranjir "Ravi" Narine, MD Co Resident-Fellow Member Representatives: Nehal Samra, MD Creighton Matthew Mitchell, MD UA-PhoenixGagan Singh, MD UA-Tucson
APA Assembly Representatives: Jason Curry, DO (serves term concluding 2024) Jasleen Chhatwal, MBBS, MD (two-year term concluding 2024)Payam Sadr, MD (one-year term concluding 2024) Past President Gagandeep Singh, MD, DFAPA Stephen "Larry" Mecham, DO The Society thanks these members for their leadership.

Celebrating our members

Chase was born and raised in Phoenix, AZ, and attended ASU for a bachelor’s degree in business then attended KCUMB for medical school in Kansas City. He was excited to return home to AZ when he found out he'd been matched with UACOM – Phoenix for his psychiatry residency.
He was first drawn to the field of psychiatry during his years in medical school as he found the psychiatric subject matter and the patients to be the most engaging and interesting of all his studies. He quickly came to realize that without a healthy mind, one is unable to thoroughly experience life constructive way. He wanted to be the person to help those struggling with mental illness as he found these cases and experiences to be the most rewarding in medicine.
Dr. Crookham said he has been lucky enough to have been matched at a great psychiatric residency program where he gets to learn from great mentors and colleagues every day. He believes his passion for psychiatry along with the relationships he's developed with his colleagues and mentors will carry him to be a lifelong learner and devoted psychiatrist for his future patients.
Meghan is a graduate of Lincoln Memorial University, DeBusk College of Osteopathic Medicine.
She received her Bachelor of Arts from the University of Denver in French and Biology with a concentration in Cognitive Neuroscience.
She is currently a chief resident at UACOM-Tucson in her final year of psychiatry training and will be starting a fellowship in Addiction Medicine at the University of Arizona, Tucson in July.
Her professional interests include physician mental health, adult consult liaison and addiction psychiatry.
In her personal time, she enjoys home design projects, spending time with family, learning about plants, and exploring new places.
Dr. Hintze is currently honeymooning in Japan! Congratulations!!
Danny is originally from Phoenix. Graduated from Brophy, ASU, and UA Tucson Medical School. His background is in economics, philosophy of science, and rational decision-making.
He was drawn to psychiatry because of the conceptual complexity and the profound impact even relatively simple pharmaceutical, medical, and psychotherapeutic interventions can have to empower patients and their families.
As a mentor, he wanted to recognize the many people within the Arizona Medical Community, particularly at UA Tucson, Valleywise, and within organized medicine who have worked to protect and promote medicine as a joyful, compassionate, and healing experience for patients and for all of us who help care for them.

ARIZONA PSYCHIATRIC SOCIETY past presidents

Otto L. Bendheim, M.D. 1960-1961Warren S. Williams, M.D. 1961-1963T. Richard Gregory, M.D. 1963-1964Boris Zemsky, M.D. 1964-1965 Hal J. Breen, M.D. 1965-1966Joseph M. Green, M.D. 1966-1967Irene M. Josselyn, M.D. 1967-1968Hubert R. Estes, M.D. 1968-1969Richard H. Bruner, M.D. 1969-1970Thomas F. Kruchek, M.D. 1970-1971David S. Burgoyne Sr., M.D. 1971-1972Marshall W. Jones, M.D. 1972-1973Harold D. Haeussler, M.D. 1973-1974William B. Haeussler, M.D. 1974-1975Edward S. Gelardin, M.D. 1975-1976Hugo L. Cozzi, M.D. 1976-1977Robert F. Meyer, M.D. 1977-1978James E. Campbell, M.D. 1978-1979Stuart M. Gould, M.D. 1979-1980Elliot M. Heiman, M.D. 1980-1981Stephen V. Shanfield, M.D. 1981-1982Jerry A. Biggs, M.D. 1982-1983Robert C. Shapiro, M.D. 1983-1984Dennis C. Westin, M.D. 1984-1985John H. Jarvis, M.D. 1985-1986James G. Hill, M.D. 1986-1987Robert P. Bevan, M.D. 1987-1988Eugene J. Kinder, M.D. 1988-1989 James M. Campbell, M.D. 1989-1990David S. Burgoyne II, M.D. 1990-1991
Stuart W. Hollingsworth, M.D. 1991-1992Kevin J. Leehey, M.D. 1992-1993Stephen S. Brockway, M.D. 1993-1994Michael H. Stumpf, M.D. 1994-1995Lauro Amezcua-Patino, M.D. 1995-1996David S. Burgoyne II, M.D. 1997-1998Glenn Lippman, M.D. 1998-1999Lisa Jones, M.D. 1999-2000David J. Coons, M.D. 2000-2001James M. Campbell, M.D. 2001-2002Bradley Johnson, M.D. 2002-2003David W. Leicken, M.D. 2003-2004Thomas N. Crumbley, M.D. 2004-2006Jeffrey L. Schwimmer, M.D., M.P.H. 2006-2007Stephen O. Morris, M.D. 2007-2008Jack L. Potts, M.D. 2008-2009Elizabeth A. Kohlhepp, M.D. 2009-2010Michael E. Brennan, M.D. 2010-2011Gretchen Alexander, M.D. 2011-2012Tariq M. Ghafoor, M.D. 2012-2013Joanna K. Kowalik, M.D., M.P.H., 2013-2014Payam M. Sadr, M.D., 2014-2015Roland Segal, M.D., 2015-2016Gurjot Marwah, M.D., 2016-2017Aaron Wilson, M.D., 2017-2018Mona Amini, M.D., 2018-2019 Don J. Fowls, M.D., 2019-2020 Jasleen Chhatwal, M.B.B.S., M.D., 2020-2022 Stephen Larry Mecham, DO, 2022-2023 Gagandeep Singh, MD, DFAPA 2023-2024
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