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Teelken AW, Korf J, editors
NHS support for home administration: Most GP practices offer training sessions where practice nurses demonstrate proper injection technique, sharps disposal, and emergency procedures
Second-line treatments for men who do not respond to or cannot tolerate PDE5 inhibitors include: Intracavernosal injections (alprostadil) Intraurethral alprostadil Topical alprostadil cream Vacuum erection devices Penile prosthesis surgery (for refractory cases) When to seek urgent medical attention: Men should contact their GP promptly if ED develops suddenly, particularly if accompanied by chest pain, breathlessness, or other cardiovascular symptoms, as ED may indicate previously undiagnosed heart disease
FASEB journal : official publication of the Federation of American Societies for Experimental Biology , 34 (2), 32893304
Either way, seizures can occur from electrolyte imbalance