Urologist Explains How to Use Tadalafil vs Sildenafil the Right Way

Summary

Dr. Rena Malik, a urologist and pelvic surgeon, discusses common reasons why erectile dysfunction medications may not be effective. She explains that these medications, like sildenafil and tadalafil, require timing, stimulation, and proper conditions (such as an empty stomach) to work optimally. The video also highlights how factors like alcohol consumption, relationship issues, or underlying health conditions can impact efficacy. Dr. Malik stresses the importance of consulting a doctor if the medication fails, as erectile dysfunction can be a sign of broader health issues like heart disease or diabetes.

Takeaways

• ⏰ Take the medication 30 to 60 minutes before sexual activity for it to work effectively.
• 🍽️ Medications like sildenafil, vardenafil, and tadalafil should be taken on an empty stomach for better absorption.
• 📈 Low-dose daily tadalafil may take up to a month to build up in your system before it starts helping with erectile dysfunction.
• 🚫 Medication won't work if you're drinking excessively, as alcohol can inhibit erections.
• 💊 Rapidly dissolving tablets may show effects in as little as 15 to 30 minutes and are discreet to take.
• 💼 Clinical efficacy between rapidly dissolving tablets and standard tablets is similar, but the former is usually more expensive.
• 📚 Sildenafil is the most researched medication with a duration of 4 to 6 hours, while tadalafil can last up to 36 hours.
• 🏃‍♂️ Onset of action for avanafil is the fastest among ED medications, but it's still recommended to take it 30 to 60 minutes before intercourse.
• ⚠️ Up to 40% of people may not respond to these medications, and they have a failure rate over time.
• 🩺 If you're experiencing ED, it could be a sign of underlying vascular or heart disease, so get checked for conditions like high blood pressure and diabetes.

Q & A

What is a common misconception about erectile dysfunction (ED) medication?

A common misconception is that ED medication works immediately after being taken. In reality, it requires 30 to 60 minutes before sexual activity and also requires sexual stimulation to be effective.

Why should sildenafil and similar medications be taken on an empty stomach?

Sildenafil, avanafil, and vardenafil should be taken on an empty stomach because food can delay or prevent the absorption of the medication, reducing its effectiveness.

How long should someone taking low-dose tadalafil for ED wait to see results?

When taking low-dose tadalafil daily, it may take about a month for the medication to build up in the system and become effective.

How does alcohol consumption affect erectile function?

Alcohol acts as a central nervous system depressant, which can slow brain and motor functions, making it more difficult to obtain an erection. This phenomenon is often referred to as 'whiskey dick.'

Are there any differences in effectiveness between ED pills and dissolvable lozenges?

While dissolvable lozenges may have a quicker onset (as soon as 15 to 30 minutes), studies have shown no major difference in clinical efficacy between lozenges and tablets. However, lozenges are often more expensive.

How long does the effect of sildenafil last?

The effect of sildenafil typically lasts for 4 to 6 hours, with the recommendation to take it 1 to 2 hours before sexual activity.

What makes tadalafil (Cialis) different from sildenafil?

Tadalafil has a longer duration of action compared to sildenafil. Its effects can last up to 36 hours, allowing for more spontaneous sexual activity within that period, though it still requires stimulation to work.

Why might some people not respond to ED medications like sildenafil?

Around 30 to 40 percent of people may not respond to ED medications. This can be due to several factors, including underlying health issues, insufficient dosage, or improper use of the medication.

What other treatments are available if ED medications are not effective?

If ED medications are not effective, other options include vacuum erection devices, penile implants, or other treatments. It is important to consult a urologist for additional solutions.

What health screenings should someone with erectile dysfunction undergo?

Since erectile dysfunction can be an early sign of vascular or heart disease, individuals should get screened for blood pressure, cholesterol, and blood sugar levels to check for diabetes and other cardiovascular conditions.