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These are FDAapproved oral medications known as PDE5 inhibitors.

• Sildenafil: usually taken about 1 hour before expected sexual activity. Effects last ~46 hours.
• Tadalafil: longer window (“weekender”), effective up to 36 hours. Also available in a lowdaily dose for continuous support without planning.

• “As-needed” meds should be taken a bit ahead of sexual activity for optimal effect.
• Daily dosing builds steadier levels for more flexible spontaneity.
• Most men notice improvements in firmness and responsiveness within 12 weeks; peak effects often occur within 34 weeks, depending on health status and consistency.

• Take with a full glass of water; food can delay absorption, but doesn’t prevent the effect.
• Avoid use with nitrates (common in some heart conditions) or other contraindicated meds; always inform your provider of your medical history.
• Daily tadalafil should be taken around the same time each day.
• Store in a cool, dry place, out of reach of children

Common side effects may include:

• Headache
• Facial flushing
• Nasal congestion
• Upset stomach or indigestion
• Dizziness

Less common / more serious:

• Vision changes (blurred vision or sensitivity to light)
• Prolonged erection (priapism) – medical emergency if longer than 4 hours
• Hearing changes
• Potential interaction risks for those with cardiovascular disease, uncontrolled hypertension, or certain heart medications

Contact your healthcare professional immediately if you experience severe side effects.

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Keep this medication in the original container that you received it in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).