Essential Questions About Erectile Dysfunction Medications Answered - Urology

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Several questions regarding erectile dysfunction medications?


Hello Dr.
Du, I am 26 years old and I plan to go on a trip with my girlfriend for five days in early May.
Due to my busy work schedule over the past three months, I have been sleeping and exercising less, which I feel has affected my performance in bed.
Therefore, I am considering purchasing Cialis to take with me.
I have done some research online, but since it is from internet articles, I am hesitant to fully trust them.
This will be my first time using such medication, so I would like to consult a professional urologist with a few questions.
I will be going to a bar with friends for two of the days, and I am wondering if it is safe to take Cialis before or after drinking alcohol.
If it is not advisable, how long should I wait? Or is it completely discouraged to drink alcohol? My erectile function has been relatively normal recently, but I occasionally experience some softening during intercourse.
In this case, would you recommend taking half a pill or a quarter of a pill?
I have read that side effects can include headaches, muscle pain, and back pain.
Based on your experience prescribing Cialis to patients, which side effect is the most common? How can I minimize the occurrence of side effects? Lastly, how long before sexual activity should I take the medication to achieve the best effect?
I apologize for asking so many questions at once.
This is my first time considering this type of medication, and I am quite nervous.
Thank you, Dr.
Du, for taking the time to answer my questions.
I wish you all the best.

A D, 20~29 year old female. Ask Date: 2017/04/28

Dr. Du Shixi reply Urology


Hello: First, it is important to emphasize that these medications are not prescribed by a physician and should not be used casually.
1) It is not recommended to consume alcohol before or after taking the medication; there is no specific standard for the time interval.
2) The dosage should be determined by a physician after an examination.
3) I have experienced side effects such as blurred vision, eye pain, palpitations, symptoms resembling low blood pressure, headaches, and dizziness (these are common symptoms, and patients typically do not return for follow-up).
These side effects are unavoidable.
4) The medication should be taken at least 30 minutes before sexual activity (according to the medication leaflet).

Reply Date: 2017/04/28

More Info


Erectile dysfunction (ED) is a common issue that can affect men of all ages, including younger individuals like yourself. It's great that you're seeking professional advice before trying medications like Cialis (tadalafil), often referred to as "犀利士" in Mandarin. Here are some essential points to consider regarding the use of ED medications, particularly in relation to your questions.


Alcohol Consumption and ED Medications
When it comes to drinking alcohol while taking Cialis, moderation is key. Light to moderate alcohol consumption (such as one or two drinks) is generally considered safe and should not significantly affect the efficacy of the medication. However, excessive drinking can lead to decreased sexual performance and may increase the risk of side effects. If you plan to drink, it's advisable to wait at least 24 hours after taking Cialis to ensure the medication is effective and to minimize any potential interactions.

Dosage Considerations
Since you mentioned that your erectile function is generally normal but occasionally experiences issues, starting with a lower dose may be wise. Cialis is available in various strengths, and many doctors recommend beginning with a lower dose (like 5 mg) to assess tolerance and effectiveness. If you find that the lower dose is insufficient, you can discuss increasing it with your healthcare provider. It's important not to exceed the recommended dosage without medical advice.


Common Side Effects
Cialis can cause side effects, and while they vary from person to person, the most commonly reported ones include headaches, muscle aches, back pain, flushing, and indigestion. Among these, headaches are often the most frequently experienced side effect. To minimize the risk of side effects, consider the following:
1. Stay Hydrated: Dehydration can exacerbate headaches, so drink plenty of water.

2. Avoid High-Fat Meals: Taking Cialis with a high-fat meal may delay its absorption and effectiveness.

3. Limit Alcohol: As mentioned, excessive alcohol can increase the likelihood of side effects.


Timing for Optimal Effect
For best results, Cialis should be taken at least 30 minutes before sexual activity. However, one of the advantages of Cialis is its long duration of action, lasting up to 36 hours. This means you have a wider window of opportunity for sexual activity, which can reduce the pressure of timing.


Conclusion
It's understandable to feel nervous about using ED medications for the first time. Remember that these medications are designed to help improve your sexual performance and confidence. Always consult with your healthcare provider about your specific situation, including any underlying health conditions or medications you may be taking. They can provide personalized advice and ensure that Cialis is a safe and effective option for you.

Lastly, it's essential to approach sexual health with an open mind and to communicate with your partner. Sometimes, performance anxiety can contribute to difficulties, and discussing your feelings with your partner can help alleviate some of that pressure. Best of luck, and enjoy your upcoming trip!

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