Urologist Explains How to Use Tadalafil vs Sildenafil the Right Way

Are you taking the ‘little blue pill’ and not getting the results that you want? If you are struggling to choose the best Erectile Dysfunction meds for you and are not satisfied with the effects that they have with your erections, then watch this video as we will cover the reasons why and what to do about it…
Watch till the end and let me know your thoughts below.
References:
*Time to Onset of Action of Vardenafil: A Retrospective Analysis of the Pivotal Trials for the Orodispersible and Film‐Coated Tablet Formulations
doi.org/10.1111/j.1743-6109.2...
*Phosphodiesterase Type 5 Inhibitors for the Treatment of Erectile Dysfunction: Pharmacology and Clinical Impact of the Sildenafil Citrate Orodispersible Tablet Formulation www.sciencedirect.com/science...
▶️Chapters:
00:00 Intro
00:08 Erection Dysfunction medicines: why they are not working
00:25 When should you take your ED medications?
03:15 What are the types of ED medications?
05:20 What should you avoid when taking ED medications?
06:15 Conclusion
Thanks for watching!!
If you like this video, please SUBSCRIBE and don’t forget to press the bell 🔔, like, comment and share. Stay safe and Love all. 😍
Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.
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▶️Check out these playlists:
• A Urologist explains what is edging and is it SAFE: • A Urologist explains w...
• Penis Problems?! Erectile Dysfunction, Premature Ejaculation & More: bit.ly/3wwivzS
• Overactive Bladder Treatment: bit.ly/3hMzBoP
• How to Increase Testosterone: bit.ly/2T9QJKV
• Women’s Sexual Health: tinyurl.com/4ykxuupc
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▶️DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

[@johniboz1]

If I had a dollar for every time I took a tadalafil but was not needed because my wife would fall asleep I'd be rich. 😂

[@7474.]

5mg a day is best

[@mixalis6168]

Fall asleep, worse not tonight, im tired !

[@james-jg8iu]

I was given the same thing for urin flow

[@Jazzy_530]

She fall asleep, still do it. Trust me…she will wake up. ☺️🤷‍♂️

[@BeeBombard]

Lol 😅

[@niladrimukherjee2098]

Lady you deserve an award for the service you are rendering to the MANKIND. You talk so lucidly and in such a simple way about a complex issue that ED is. The best part of your shows is HOPE that you give to MEN who are living with ED and giving the light to reach the light at the end of the tunnel and live life again.

[@dreambrother1240]

Niladri, I think it is safe to assume you are a Man (or a Bot) and clearly do not understand women, at all. Please open your eyes, and ears. Peace

[@billfurlong5954]

i need to fast and eat more healthily in order to try to have sex properly and enjoy it.

[@eldridgejoseph7385]

Well said love the way you put that into words👍

[@billfurlong5954]

@@eldridgejoseph7385 your welcome if that was about me.

[@philipquaye3268]

How can I get?

[@darrellsmith3602]

I am 78 and take Tadalafil for BPH ! Two 5mg tablets daily improve blood flow to many body parts including brain (increasing long term memory and BALANCE), heart and lungs during cardiopulmonary exercise and to “other areas” that respond very well!

[@Rocketyt]

I'm now done reading any more comments. I'm now taking the Midnight Train to Tadalafil. Wish me luck.

[@borisfrog3404]

I am 60, taking 5 mg a day for BPH. I experience similar effect - my treadmill endurance has doubled. I'm not even talking about the effect on the downstairs, it's like traveling back in time when I was 20.

[@sircefiro]

Is it cialis or generic?

[@darrellsmith3602]

@@sircefiro generic Tadalafil!

[@sayadmiah3394]

@@borisfrog3404what’s BPH?

[@geraldfer]

So many questions are being answered here that I didn't even know was a question! And not knowing how to ask or embarrassed to ask keeps many people away from asking the questions. Thank you Dr. Rena..You are appreciated 🌹💐🌹💐🌹

[@williamvikanstromsnes8162]

I have to thank you for your detailed explanation. I'm very desperate with my ED. For a long time Tugasamio solved the problem for me, but is not being shipped to the country I live anymore. And now I'm here searching for another solution once again. Common meds bring me painful side effects, I need something natural. I don't know what to do.

[@JasonArellano-om3vf]

Hey can you explain more on how tugasamio works?

[@nocturnalgoat]

Before sildenifil I used otc product called xyrexin which worked well but it can make you a little jittery. I usually take one pill but max dose is two.

[@Vogel451]

Are you getting headaches?

[@cockasorrus7475]

Calibration complete! 🥳 Another fantastic example of an excellent description of a common problem 🫨 Thank you!!!

[@basinherbertson1381]

I take Tadalafil sub-lingually for rapid onset regardless of food in my stomach. I take 5mg and use my molars to grind it up into small chunks, and hold them under my tongue to dissolve in normal saliva. In around 3 minutes they are all gone, and enough goes directly into my bloodstream that I can notice the impacts in as little as 10 minutes. It tastes a bit chalky, but not unpleasant. I haven’t seen this suggestion, so I am adding into the comments.

[@sharperminds4315]

Agreed. For faster responsiveness, I always bite the tablet into micro chunks which I dissolve with water and then swallow. Response on an empty stomach is less than 10 minutes. Tadalafil daily. Sildenafil causes blurry vision in me.

[@sayadmiah3394]

I’ve taken tadalafil daily and never worked but if I take cialis it works wonder.

[@JohnSmith-xx9th]

Tadalafil daily doesn’t work for me. Diminishing returns on day 2 through 5. However, day 1’s intake lasts at least 36 hours. It’s like a first order exponential decay curve. I have to calculate the “half life” t.1/2

[@yuungdream6216]

Can I take 5mg instead of 10mg. I dont want it for last to long like

[@jeffpack1502]

look into actual sublinguals. There is cenforce Professional, and vidalista professional. I take vidalista (tadalfil) early in teh day, and the cenforce (sildenafil) professional, I find it still takes about 30m, but its consistent, and doesnt require an empty stomach

[@timtravasos2742]

Great info. None of this is ever explained anywhere else. Super info. Thank you.

[@tarekmohamed9366]

yes

[@johnford7847]

Informative and clearly presented. Thank you, Doctor.

[@ScoutPL]

Excellent video Dr. Malik. Great information, well presented. Thank you.

[@danherrmann8755]

Thanks Third time for MERSA. It effected my central nervous system. Now I wait to heal. 8 months and counting.

[@DR-nc8nc]

I have tried both Sildenfil 20 mg and the tadalafil 5 mg daily dose. Both work well, but I much prefer the daily tadalafil because It does not give me a headache like the 20 mg sildenafil. I can even skip days during the week and start on Thursday so I am good for the weekend with good results.

[@brunofernandez3117]

True although I do feel kind if sick on the third day coming off of Taldafil. With sudenifil in 6 hours is gone. Lots of water and a Tylenol helps with the headache.

[@pauldavies7251]

Cut the 20mg pill in half no headache and works amazingly

[@catholic3dod790]

What link? Thanks

[@mikie2020]

The 5mg works for me too

[@hornermike6940]

I tried cialis and my whole body muscle aches

[@mikem.6340]

It is also suggested that you engage in a daily workout routine in addition with these ED meds. Increasing your testosterone levels will improve your blood circulation making erections more frequent and lasting.

[@Kiddro22]

FACTS!

[@sissinalarking4879]

I like the way you present sensitive problems. You are very open, honest and easy to understand. As always I learned some things. I can't read the small font that comes with the products. Many thanks.

[@marc6016]

Side effects for me are very strong when I take on an empty stomach. I think it's best to try different ways until you figure out what works best for you.

[@williamvanvechten1521]

Sildenafil can be absorbed by placing it under your tongue and letting it dissolve. Yes, it tastes bad, but it's much quicker to act when absorbed that way.

[@tonyfontana8222]

I take Tadafil 10mg and Tamsulosin 5mg everyday for BPH results have been outstanding!

[@Rayh423]

Do you take yours together or do you take them separately? I take mine like Fred, on the comments above, together 1/2 hour after dinner.

[@tonyfontana8222]

@@Rayh423 Tadafil in the morning, Tamsulosin evening.

[@fredread9216]

@@tonyfontana8222 Similarly. I take .4 tam and just half of a 5 mg Tad. And great results. More Tad gave me headaches and back aches. No problem now with this dose. I could probably up the dose now to 5 mg Tad but really no need.

[@tonyfontana8222]

@@fredread9216 Yeah, I do get the back aches.

[@fredread9216]

@@tonyfontana8222 10 a day is a lot. Try 5 and see if they go away. I do fine on 2.5.

[@kenneycooper6199]

I take Sildenafil but not on an empty stomach. I didn’t know that. I appreciate this video.

[@firsthelix6726]

Well I can tell you it still works, even at a low dose, but maybe not for everybody.

[@daily-motivation-24]

It works awesome

[@raxxtango]

this Dr explains Details so no more Hard to under Stand

[@cockasorrus7475]

Whoop whoop 🙌🏻 More invaluable information!! Thank you 😊

[@RepuBlicOfChaD]

I'm prescribed 5mg tad for BPH. I split the pills so it's 2.5 mg daily and works wonders for BPH. Went from going 4x a night to maybe once a night which is normal.

[@seanmckeown9324]

I do the same, 10mg tad split into four. Take once daily and has helped everything immensely with no side effects

[@guillermoperez3348]

You should not split it.

[@jch9916]

Some other things will help also. Get rid of plastics, use extra virgin organic olive oil in or on foods and for older guys, take some micronized DHEA in small doses 10mg in the AM or 5 and 5 bedtime and waking. Also, beet powder in smothies or tea will help, take a while to build up but the nitric oxide will help. Dont take same time with ED meds however, thats too much vascularization.

[@RALTBOB1]

Your videos are excellent as well as very helpful. Thank you

[@x-man5056]

That is not my experience. I took Sildenafil for a few years, it worked well but do take it before dinner, or skip dinner, you now have better things to do. I also had a urinary problem of not being able to start a stream 1st thing in morning. Urologist switched me to daily Tadalifil and the next morning I was able to urinate normally, but only after the morning wood went down. I'm 69..., I am now again, "as good once as I ever was" and spontaneous any time of day. Tadalifil has my highest approval. In one day for me. $18 for 90, 5mg, at Costco with no insurance.

[@bottanoog9545]

ninety 5MG pills for $ 18.00? at Costco?? With no insurance and in the U.S.? How could that be?? Please advise T Y

[@x-man5056]

@@bottanoog9545 Because Costco buys in bulk? IDK. That's what I payed a week ago, my insurance won't pay anything for it.

[@bottanoog9545]

@@x-man5056 T Y for your reply....18.00 for 3 months is incredible...can you please tell me the brand...i get generic tadalafil from India called Exilar 10 MG then split in half..its 33.00 for 3 month supply from a Canadian pharmacy.....also cheap but not sure they are good....T Y

[@x-man5056]

@@bottanoog9545 Brand is "Northstar". But if you are getting 10mg for $33 the you are paying $16.50 for what I'm paying $18.

[@bottanoog9545]

@@x-man5056 Hi.... I'm paying $33 for (44 ) 10 MG pills . Splitting them gives me 88 days. So you're paying 6.00 per month while I'm paying 11.00...As long as they work right?!!!

[@lyfandeth]

Whiskeydick? You're teaching me new words every day!

[@danbride7221]

Really that's a good one

[@meagainandagain5756]

Old as the hills.

[@CaptainKseadog1]

Thanks so much for the informative video. You rock!

[@theoavg]

Whenever I am out of pills I turn to this channel

[@jerrymarshall2728]

I’ve been taking a fast-dissolving troche with 80mg Sildenafil, 22mg Tadalafil, and the balance with another substance (can’t recall at the moment), and I find it much more effective, for me, than 100mg of Sildenafil. 30-120 minutes before, and I have even been ready the morning after! Expensive, but after years of nausea, blue vision, stuffy sinuses, the lack of side effects with this new medication, and effectiveness, has been a life changer!

[@edwarddantin1740]

We’re do you get this med and what’s it called?

[@jerrymarshall2728]

@@edwarddantin1740 Rugiet is the name

[@edwarddantin1740]

Thank you

[@PickleThePig]

Is your testosterone levels checked. Get it into high end of normal. You’ll feel better and things will work better

[@BarneyTrouble1]

@@PickleThePig this doc states that only 3% of ED is cased by hormones

[@gomergomez1984]

Tadalafil is the only med that helps my bph issues, tried others and had side effects with them.

[@vintech6449]

I take Sildenafil 3 times a day for my extreme Pulmonary Hypertension. It is a life saver. Without it I would not be able to breathe...

[@ministry_of_love]

I tried both medications and suffered from debilitating headaches. I used a tablet cutter to cut the tablets into quarters. This resulted in no more side effects and the medication still worked perfectly..........

[@sayadmiah3394]

I use tablet cutter as well and use a quarter of it but still get headaches

[@ministry_of_love]

@@sayadmiah3394 I'm sorry to hear that

[@insanity6105]

Dear Dr Rena, Thanks for giving us the straight up on these drugs. I’m really glad that you mentioned how to take these as I thought they were suppositories and have been administering them incorrectly all along. Maybe I’ll have better results going forward. Hope this helps your audience.

[@elgar6743]

LOL...which bridge do you live under? I wanna shake your hand....hahah

[@_CPerk]

😂😂

[@residentpotato6023]

el gar I wouldn’t touch his hand if I was you.

[@pulsarlights2825]

Do these drugs work on trees? I have a tree that will not stand up straight in my yard, I have to tie a 2x4 to keep it to stand tall.....maybe a few blue pills in the soil, would work?

[@TheTibetyak]

Happy Hemorrhoids!!!!

[@mickypoole9226]

I have tried two of these drugs. They both worked for me. I have had a failure when taking the medication with a large meal. Otherwise............my woman is more than happy with the result of these medications ;)

[@akbargabbar505]

Dear Dr Rena you are great very useful information👍💯💞❤

[@jerrycollins4893]

Love you Rena!…and your advice…

[@stevenhigby3512]

I take the tadalafil three to four hours before and it works just fine.

[@sigma80]

It's actually better that way. Other drugs peak in the blood, and lose effect much faster. Cilalis stays effective for 24 or more hours, but the first 3 - 5 it is strongest.

[@michelrail]

Hello Dr. Malik. Can you talk about Diabetes induces ED. Is there anything that can be done?

[@hetfieldprophet]

Dr can you do a video about the safety recreational use of ED meds.

[@bluebarry6128]

My tadalafil stopped working after I had my left thyroid removed. But started to work again after taking thyroid replacement medication. Who knew.

[@sharxboy]

I'm quite happy with daily Tadalafil. Thanks for the video.

[@SalmanKhan-rz3mc]

How long do you have to take it? Or is it constant, for everyday use for the rest of life?

[@sharxboy]

@@SalmanKhan-rz3mc Well, it really helps with medication induced ED, plus there may be benefits to prostate health (I've heard), I'll take it until told I shouldn't.

[@sentinel80]

@@SalmanKhan-rz3mc I take Tadalafil 5mg daily, gone from 4-6 nightly toilet breaks to 1-2 so am happy. 👍

[@Dulcimerist]

I take Tadalafil and Doxazosin daily for BPH, and they work wonders!

[@nostalgicbliss5547]

How old are you

[@Dulcimerist]

@@nostalgicbliss5547 48

[@stanspb763]

@@nostalgicbliss5547 I have BPH and averaged 12 trips a day to urinate, sometimes urgently but started with Tadalafil and changed my diet and now it is almost normal, at 74 yo. and my 42 yo GF loves the changes.

[@nostalgicbliss5547]

@@stanspb763 that's great 👍

[@nostalgicbliss5547]

@@Dulcimerist When did you start experiencing bph

[@arthurs4964]

I often take Tadalafil a couple hrs before going to the gym. It’s a great preworkout strength booster

[@Mister_Ed9]

I totaly agree being a workout booster and i get semi hard a lot eaiser

[@pjonesps]

I just ordered 10mg of Tadalafil. Should I have gotten 5mg instead.

[@MrKyle5962505]

I'm 31 and have been taking tadalafil completely wrong for longest time. Thanks for the video. I messed up in my 20s and now I do need assistance btw.

[@marshallcj1]

How did you mess up

[@rogerfurman7450]

very good video and information. Thank you.

[@Oldandblue]

Thank you for the good information. How do those mods work for someone that has had radiation treatment for prostate cancer.

[@chrisross1703]

I find tadalafil has it's best effect the day after!

[@DWBJosh]

Mannnnn lol. I took one yesterday and didn't have much benefit, since starting my testosterone replacement I didn't have the need so I just took the first one and honestly laughed, I woke up this morning and sweet baby Jesus lol.. my wife is asleep at 6pm today lmao.

[@lordinquis8r679]

Thanks, Dr. Malik!

[@nelsonolivierjr3994]

Thank you. My Doctor only gives info if I inquire about it. So I look to you for my answers I may need. I'm also trying to get my buddy to sub to your channel but he is old school and tech isn't his strong suit. Cheers to you and all that you do in life.

[@woodyfields6041]

if it takes a month to build up in the body, how much or how often should it be taken during that first month?

[@shanewilson9250]

I like the dissolving Tadalafil because it bypasses the stomach and goes into your blood faster.. at least, that's what my urologist states.

[@sigma80]

It will get a higher blood level and better absorbed and not passed through the body unused. Stomach absorbance is always lower than sublingual.

[@daddyteddy85]

The pill was going to dissolve in your stomach and go into your blood either way

[@roustabout4fun]

That's da point! Made me chuckle.

[@coldonehernandez4906]

Dr. … you are my quick dissolving blue pill, I swear 🙏🏾

[@firsthelix6726]

Thanks for the video! The assumption that Tadalafil be associated with QTc prolongation has been proven wrong in studies since 2005. None of the three agents are dangerously associated with QTc prolongation, although vardenafil has a warning for patients at risk for QTc prolongation. In evaluating cardiovascular adverse events in clinical trials, no signal to danger can be convincingly cited. In regard to Tadalafil, the contrary has been shown though to be beneficial for patients with cardiovascular desease.

[@455buick6]

Thanks for this, some of her stuff is hard to understand as she blasts through so much information, the edits help with shortening videos but between the fast talk and editing, zoom!!

[@tcb5141]

Sildenafil works wonders, I also use a C ring.

[@dallasbrat81]

Buy a gym membership

[@tcb5141]

@@dallasbrat81lolololol gym rat over over 34 years skippy

[@dallasbrat81]

@@tcb5141 really what else have you done in life . Never has anyone been dying and saying they wished they went to gym more

[@dallasbrat81]

@@tcb5141 yep I meet alot of you at gym . Empty heads but fun at gym 😕

[@mikefox9992]

@@dallasbrat81 Classic meathead lol…

[@richardvelliky8787]

Thank you for your service.

[@armandsavoia9394]

Of all the videos that you've done and I've watched this was the most informative and the best one of all of them no BS no fluffing no no nothing that you told the truth not that you don't tell the truth before but you told exactly why and because and how and all the other stuff that goes along with it so this this one I appreciate very much I had two cardiogenic shock heart attacks within 1 hours time I died at my job at Costco they brought me back to life and then I died again at the Bayonne Hospital in New Jersey then I wound up having kidney problems after all that all the doctors fix me up and now I'm working 100% And I have erections sleeping in the middle of the night

[@FrankOdonnell-ej3hd]

started taking the blue pill several yrs ago and was pleasantly surprised it actually worked so many drugs advertised on tv don't work at all esp many of the OTC ones but despite my own results think it was terrible mistake to allow ads for prescription drugs on tv but know it's probably irreversible

[@IPlayOneOnT.V.]

I know heavy drinking and great intimacy don't mix. Yet, I've never heard the downside to that called, "Whiskey'richard'." That's a new one. Thanks so much for that and for all the other helpful information in this video, Dr. Malik. Have a great day.

[@rono1rono]

Dr. Malik, my urologist prescribed the 20mg version of tadalafil that I absolutely love. I have two questions: 1) Being that it can last for up to 36 hours per dose, how soon is it safe to take another dose? 2) Does tadalafil have less and less effectiveness the longer you take it? Thank you!

[@darrellsmith3602]

All I can add is that I will have been on 5 mg twice daily come this October and have not encountered any loss of efficacy!

[@123sergy]

@@darrellsmith360210mg in total daily?

[@anandradhakrishnan1302]

Mm.. single dosing is different from daily dosing If you’re taking daily it is 5 mg daily More than that it should be as advised by the physician since you can have unintentional side effects from the drug or other drug interactions.

[@timdyer5903]

I have spastic paraplegia which disrupts my nervous system. Sidenafil works best aa it's quickly more intense. I will try the daily tadalfil for a month to see about that. Thanks to this channel I get quality information about it all.

[@JagedNS]

I've had HSP for 6 years now. It royally sucks. Started as just "catching" my toe on the floor while walking and has progressed to using 2 canes or a rollator while out now. How is it for you?

[@timdyer5903]

@@JagedNS was diagnosed in my 30s. I am now 52. I live on baclofen. I try to swim and exercise bike to keep mobility but my legs are pretty stiff. I have less than 50% feeling from the stomach down. I have to manage sleep or if I'm tired I can't walk. I fight to keep moving. Keep active. I moved to work in SE Asia where it's warm and less challenging. When I go back to Europe, the cold air attacks the muscles. Keep fighting and moving and doing as much as possible. If you stop doing you can lose that.

[@JagedNS]

@@timdyer5903 yeah sitting around is the killer with it for sure. been on baclofen for year along with others. ah well. good luck

[@tomdebevoise]

I always avoid any quantity of alcohol 4-6 hours before sex. So if you are having dinner and want to have sex, have no alcohol or share a single glass of wine or cocktail with your date at the beginning of the meal. I also avoid fatty beef, some studies have shown that it can interfere with the effectiveness of the PDET5 inhibitors. I find fish is a great choice. Limit the number of calories in your meal, share a plate with her. In addition , you might want to take your sildenafil before the main course, so slip a pill into your pocket before you go to dinner.

[@nostalgicbliss5547]

At what age did you start needing to follow this process?

[@fredread9216]

I take flowmax and Cialis for BPH. .4 Tam and 5 Tad. The combo has helped a lot. Gone from 3+ times a night to once a night urination. Couldn’t tolerate 5 mg Tad so went to a half tablet and it has worked well. Before didn’t have serious erectile problems but in my late seventies sometimes didn’t last as long as it should. Now no issues. My concern is that I do take these together in the evening. What is the problem with doing this and should I separate them? Thanks for your informative videos.

[@Rayh423]

Let me know when you get an answer because I do the same.

[@retepmo6534]

⁠@@Rayh423 I believe she answers your question at 5:30.

[@bullard73]

I think they both can effect your blood pressure and possibly heart.

[@Acreyman]

Cialis causes me to have just about every side effect listed on the box.... huge back ache, very stuffy nose, cant sleep....but I like the fact that it lasts all damn weekend. Wish I could take it vs the Viagra

[@DT-lr2bi]

OUTSTANDING!. I needed this information. Thank You.

[@gad3iii532]

Sildenafil didn't work for me, gave me headaches and the rare side effect of seeing blue light. Daily Tadalafil works well for me with no side effects.

[@YoungTravMrTCS]

You still see blue light?

[@Dulcimerist]

I had the same thing with Sildenafil. The blue tint to vision was sometimes nice on bright days, since it was slightly like sunglasses.

[@gad3iii532]

@@YoungTravMrTCS No, it only lasted a few hours and would wear off. yay, because it is really harsh, especially with LED lighting, they make a lot of blue.

[@gad3iii532]

@@Dulcimerist It killed me especially with LED lighting.

[@YoungTravMrTCS]

@@gad3iii532 you should maybe switch to Bluechew I never had no problem besides a lil headache but I took advil and was perfectly fine

[@chestersmith1615]

Doc you just saved my marriage my urologist never told me about taking my Cialis on an empty stomach No wonder it took up to 3 hours to work Love you Doc

[@raginidutta1966]

Pharmacist should tell you how to take it

[@ozzie4306]

Seems like common sense to me….

[@sophiavbfleury]

Can you talk more about safety and side effects?

[@silvio8409]

Thank you you’re awesome Dr.

[@robertheinkel6225]

I am taking Cialis daily after prostrate removal. Does it really matter when I take the medication, since it is being used to promote blood flow to speed up healing.

[@adolfshitler]

Ive been on 5mg daily dose tadalafil for years due to prostate cancer removal. Be warned Tadalafil can cause leg and back pain that can be quite bad. Also, you can feel quite unwell whilst taking it that can last for a few days after stopping using it! There can definitely be unpleasant side effects to this medicine!

[@gogibutalia3104]

My Dr prescribed Penegra 50 or Sohagra 50 and both work well but sometimes it doesn't work or i don't discharge which causes some mental block but most of the time it's very good, I'm 68 and have been using it since almost 2 years. I also have undergone heart byepass surgery 9 years ago. Any side effects??? Please let know.

[@rodneymontgomerytv2276]

Great Information Thank You👍🏿

[@MultiTipsie]

Hi Rena, I do not have erectile dysfunction, but still buy it sometimes as it makes my member bigger and thicker. What you say about tadalafil I can confirm as I sometimes suddenly get effect after one of two days after intake. However, although I know it from other men, I always get an erection sooner and better after drinking alcohol. Not when I get completely wasted I mean, but when feeling a bit drunk is actually the best state for me to get one. Is that just me or do you know how that can be? I think I can rule out nervousness as I am single and not seeing anyone for years already. It is thus for solo play and nothing for me to get nervous about. Like to hear from you.

[@jewelhome1]

Rena, anesthesia here. I’ve had a couple of patients tell me that they cut their sildanafil tablets in half and chew them and put the bits under their tongue to absorb, like nitro. Eliminates the first pass effect, etc. They do this due to the cost of the meds and say they get twice the mileage out of them. Any studies or anecdotal reports in your literature to support this? Good channel BTW, you are doing a good service.

[@anthonyshaw8698]

Very interesting🤔 May have to try this👍👍

[@bobbywise2313]

I thought I was the only one crazy enough to do that. But honestly I found no difference to just swallowing it.

[@vaiolover1997]

Someone will eventually asked if the medication can be snorted like cocaine.

[@JohnSmith-sj2dk]

20 mg Tadaf. in quarters is plenty for me tbh - hard to avoid the blocked nose and hungover feeling thoug.

[@rajendramaharaj650]

Thanks for the information appreciate it much thanks

[@rkw2917]

I unfortunately had a prostatectomy 2 years ago In this case a more drastic treatment was required But normal function is now returning

[@robertheinkel6225]

I had mine removed seven weeks ago. Waiting patiently for the nerves to respond again.

[@Jermel456]

Is there any chance that these pills can cut down on the refractory period after ejaculation? Or anything that can help get back up quicker after?

[@nhanquan2511]

Dear Doctor, I have been taking Tamsulosin 0.4mg daily. Can I take 5mg Tadalafil daily or 20mg Tadalafil when needed? Appreciate for your video.

[@rafiqanwar4297]

Thanks a lot doctor for the great information which both male and females need

[@dawids90999]

What about taking tadalafil daily with daily dose of paroxetine SSRI? Would it have increased negative effects on my health for egzample heart?

[@charlesmiller6989]

Very informative.

[@hummerchine]

Both of those drugs give me a terrible headache. Levitra, on the other hand, works great for me with zero side affects.

[@justin2icy]

So is it ok to take sildenafil and then have food right after?

[@jimcagney6696]

Gives me intense heartburn for days

[@HaimGreen]

Great clear information, any interaction with creatine monohydrate for muscle built? 45y..

[@philippehartmann4989]

These explanations and all sexual education should be thoroughly taught in schools at an early age. It’s very important. Our sexual behaviour & understanding would greatly be enhanced by it. It all about respect of oneself and the opposite sex.

[@marktapley7571]

Public schools can't even teach the basics of reading, writing and begginer math. As an example 50% of Chicago (despite enormous taxpayer funding) citizens are functionally illiterate. Sex education is the reason kids are supposed to have parental guidance.

[@guy8360]

Do not teach sex to children 🤦🏽‍♂️ let the parents handle it at home when they come of age. If they aren't up to the task, then there should be a program for that. The government/school system should not be involved in any way

[@RobertHogner]

@guy8360 How many parents do you know that are technically, much less morally, competent to do that?

[@judgedodd3983]

Yeah not digging your "should be taught in schools at an early age" comment!

[@stevefisher8424]

Has Cialis been known to cause sight issues? I have a feeling it’s diminishing vision.

[@71vegaman93]

I had a prostectomy and now have issues achieving - the little blue pill that doesn't work very well. I don't tolerate Trimix either. Is there anything I can do ?

[@Dakotarain]

Hey, Doc, what do you think of the herb fenugreek ?

[@kpkndusa]

How long will expired (months-years) sildenafil still be effective? I took two expired 50's just to make sure and it was standing at attention in about 15 minutes. I also amped things up by taking beetroot juice the night before and that day.

[@usaman7358]

It doesn't just "stand at attention" on its own in 15 minutes.

[@simpleman7203]

Can tadalafil on small dosages can be helpful even if someone has no problems with rection? Just by improving blood flow. By small dosages I mean 2.5 mg

[@Tatted-ne7tu]

Yes absolutely.

[@mazz777]

how do you reduce sinus congestion when taking these meds?

[@charleshenderson1174]

Thanks beautiful always listening.

[@TheSpeyfisher]

Question ? Can you take the Cialis every day or every other day with out hurting yourself? I mean high blood pressure, kidneys etc. Thank you

[@Dulcimerist]

I've done 20mg daily Cialis for years to treat BPH with no issues. Talk with your doctor in case there are any issues specific to your health issues that might be a concern.

[@stannykiel4932]

​@@Dulcimerist 20 MG daily? Always thought that was a bit dangerous at that dose

[@Dulcimerist]

@@stannykiel4932 It depends on the person, so talk with your doctor to find what's right for you. I happen to have pulmonary arterial hypertension (PAH), and 20mg Tadalafil daily is the standard FDA-approved dose for that. It also treats my BPH, which is a bonus. I haven't had any issues with this dose during the 10 years I've been doing 20mg daily.

[@gotigers74]

If you switch from a regular dosage of cialis to the daily dosage, will it still take the 30 days to build up in your system?

[@3aeren]

No

[@jdmb03]

I'm 50 and just started 5mg Tadalafil a week ago. I feel like I'm 20 again. I just have to think about sex and I'm rock hard. I purchased my 90 day supply from the Amazon pharmacy. Tip: I take an antacid at the same time to help relieve the acid reflux that can occur.

[@stevenagudelo7283]

Can you take l-citrulline and l-arginine supplements with Cialis?

[@gvs6462]

I mix 2 pops of each kind after railing some blow. For some reason, I can’t seem to function when I’m on yayo.

[@coinman2753]

Sildenifil can cause tinitus also.

[@thelibran11]

My...are you nice to listen to!And the honest truth.../

[@glengreen1948]

I don't know if you read the comments but I'd like your opinion on taking Nitric Oxide Boosters and also DHEA