小蝌蚪视频

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Digital Seminar

Beyond the Blue Pill: Pharmacologic & Whole Person Care Strategies to Treat ED


Speaker:
Lara Zakaria, PharmD, MS, CNS, CDN, IFMCP
Duration:
1 Hour 03 Minutes
Format:
Audio and Video
Copyright:
May 15, 2025
Product Code:
POS078944
Media Type:
Digital Seminar


Description

Erectile dysfunction (ED) is more than just a quality-of-life issue – it is a clinical symptom for underlying vascular, metabolic dysfunction, and mental health status. This session will equip you with the knowledge to approach ED not just as a symptom to treat, but as an opportunity to intervene early on cardiometabolic risk factors.

Lara Zakaria PharmD, MS, CNS, CDN, IFMCP is a pharmacist and professor, with 20 years’ experience in community pharmacy. She will explore cornerstone pharmacologic options, including PDE-5 inhibitors and testosterone therapy, while integrating broader strategies such as dietary interventions, exercise, and evidence-based nutraceuticals.

By reframing ED as a systemic health indicator rather than an isolated condition, this session will equip practitioners with practical tools to optimize treatment outcomes, enhance patient counseling, and implementing a whole-person care approach that addresses both immediate symptoms and long-term health risks.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the 小蝌蚪视频. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 1.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Pharmacology Nurse Practitioners

This self-study program offers 30 instructional minutes of pharmacology content which is designed to qualify for .5 contact hours toward your pharmacology requirement. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

小蝌蚪视频. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.0 contact hours. Expires: 03/12/2028.


Nurses - California Nurses

小蝌蚪视频. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to 小蝌蚪视频. 小蝌蚪视频 must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

小蝌蚪视频. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

CE Broker


Physicians - Physicians

 

小蝌蚪视频. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. This activity was originally recorded on 05/15/2025. It was last reviewed on 02/20/2025 and is valid until 02/20/2028.

小蝌蚪视频. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as 小蝌蚪视频. Physician assistants may receive a maximum of 1.0 hours for completing this self-study program. This activity was originally recorded on 05/15/2025. It was last reviewed on 02/20/2025 and is valid until 02/20/2028

 

小蝌蚪视频. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 小蝌蚪视频. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.


Other Professions

This self-study activity qualifies for 1.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Lara Zakaria, PharmD, MS, CNS, CDN, IFMCP's Profile

Lara Zakaria, PharmD, MS, CNS, CDN, IFMCP Related seminars and products


Dr. Zakaria is a pharmacist and nutritionist with a focus in implementing solutions for functional medicine and personalized nutrition. A graduate of the Ernest Mario School of Pharmacy at Rutgers University (BSpharm) and the University of Colorado Skaggs College of Pharmacy (PharmD), she spent 20 years in community pharmacy practice. After developing an interest in nutrition, she earned a MS in nutrition from the University of Bridgeport and subsequently qualified as a Certified Nutrition Specialist (CNS) as well as an Institute for Functional Medicine Certified Practitioner (IFMCP). Dr. Zakaria’s practice focused on a multi-disciplinary approach working both one-on-one with patients as well as creating implementation tools and systems for scale. She is also faculty at the Integrative Medicine program at George Washington University, as well as guest instructor for Functional Medicine at LECOM College of Pharmacy. Lara is passionate about gut health and the prevention and reversal of metabolic, allergic, and autoimmune disease. There’s power in community, working with pharmacy professionals, nutritionists, and other clinicians to leverage their unique expertise to amplify the message of personalized nutrition and FxMed.

 

Speaker Disclosures:
Financial: Lara Zakaria maintains a private practice and has employment relationships with Emerson Ecologics, Kuara Health, Functional Medicine CE, and George Washington University. She previously received compensation from Gaia Herbs. She receives a speaking honorarium from 小蝌蚪视频.
Non-financial: Lara Zakaria has no relevant non-financial relationships.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.

For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Evaluate the pathophysiology of erectile dysfunction and its role as an early indicator of cardiovascular and metabolic disease risk.
  2. Apply evidence-based pharmacologic and integrative treatment strategies for erectile dysfunction, considering both patient safety and long-term health outcomes.

Outline

Reframing Erectile Dysfunction (ED) as a Clinical Red Flag
  • ED as a predictor of vascular and metabolic disease: Cardiovascular disease, hypertension, type 2 diabetes, and chronic kidney disease
  • Early marker for endothelial dysfunction and systemic inflammation
  • Psychological and hormonal considerations
    • Anxiety, depression, and stress-related contributors
    • The role of testosterone and when to investigate hypogonadism
Pathophysiology of ED: Why it Happens Matters for Treatment
  • Vascular causes: Atherosclerosis, endothelial dysfunction, impaired nitric oxide production
  • Neurogenic causes: Diabetes-related neuropathy, spinal cord injury, post-surgical complications
  • Endocrine causes: Testosterone deficiency, metabolic syndrome, thyroid dysfunction
  • Psychogenic ED: Stress, anxiety, performance-related concerns
  • Medication-induced ED: Common culprits (SSRIs, beta-blockers, thiazide diuretics, opioids, etc.)
Pharmacologic Treatment Strategies: Choosing the Right Approach
  • PDE-5 Inhibitors: Sildenafil, tadalafil, vardenafil, avanafil
    • Mechanism of action, efficacy, and duration differences
    • Safety considerations (CF risks, contraindications with nitrates, hypotension risk)
    • Common side effects and patient counseling points
  • Testosterone therapy: When (and When NOT) to prescribe
    • Indications for TRT: Diagnosing hypogonadism vs. age-related testosterone decline
    • Risks: Polycythemia, prostate cancer concerns, CV risk controversy
    • Monitoring guidelines: hematocrit, PSA, lipid panels, symptom improvement
  • Alternative pharmacologic options
    • Intracavernosal injections (alprostadil)
    • Vacuum erection devices
    • Off-label options (e.g., dopamine agonists, centrally acting agents)
The Integrative Approach: Beyond Medications
  • Dietary & lifestyle strategies for ED prevention & management
    • Mediterranean diet & endothelial health
    • Physical activity: Benefits of resistance training& cardiovascular exercise
    • Smoking cessation & alcohol moderation
    • Sleep optimization for hormonal balance
  • Herbal & nutraceutical considerations
    • L-arginine & nitric oxide production
    • Panax ginseng & adaptogens for stress-related ED
    • Yohimbine: Risks vs. benefits
    • Omega-3s, flavonoids, and polyphenols for vascular support
  • Stress management & psychosocial interventions
    • Cognitive Behavioral Therapy
    • Mindfulness-based approaches
Clinical Case Integration: Applying Knowledge to Practice
  • Patient Case: 56-year old male with ED, prediabetes, mild hypertension
    • Initial assessment: Ruling out secondary causes
    • Prescribing decision: PDE-5 inhibitor vs. testosterone testing
    • Integrative counseling: Cardiometabolic risk reduction, lifestyle modifications

Target Audience

  • NPs
  • APRNs
  • PAs
  • PharmDs
  • MDs
  • DOs

Reviews

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