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  藥師談：什麼時候該停下來，不再只是換藥 當男性連續嘗試威而鋼、西地那非學名藥，甚至改用犀利士每日錠，卻仍然感受不到理想效果時，心裏往往會浮現一個更深層、也更令人不安的疑問： 「是不是我的血管已經壞了？」 「是不是再吃什麼藥都沒用了？」在第一線用藥諮詢中，這類擔憂並不少見。但我要先說一個結論—— “藥物效果不佳”，並不等於“身體已經不可逆損壞”。 真正重要的是：你現在卡在哪一個階段。   一、先厘清一個關鍵觀念：ED 藥物不是“檢測工具” 威而鋼與犀利士，都是 PDE5 抑制劑。 它們的角色是在性刺激存在的前提下，放大血流反應，而不是用來判斷身體好壞的“測試儀”。 換句話說： l 沒反應，不代表一定有嚴重血管病變 l 有反應，也不代表血管一定健康 如果把“藥有沒有效”直接等同於“血管有沒有壞”，本身就是一個過度簡化的推論。  ...

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