Sildenafil is approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction. It helps stimulate the body’s normal response to increase blood flow to the penis. Sildenafil is also FDA approved for the treatment of pulmonary arterial hypertension, where it relaxes the blood vessels that are located in the chest near the lungs and heart. This ultimately reduces the workload of the heart by increasing the supply of blood to the lungs.
Sildenafil belongs to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. This class of medication ultimately increases blood flow to the penis by preventing an enzyme called phosphodiesterase type-5 from working too quickly. By controlling the enzyme, Sildenafil helps men who have difficulty getting or staying erect, making it the go to drug for erectile dysfunction.
Typically, the amount of Sildenafil in the bloodstream correlates to how long the effects can last. With that being said, Sildenafil’s effect is strongest 2-4 hours after it’s taken, and could last up to 8-12 hours. Please seek medical attention if you feel like you are experiencing a longer than expected erection that lasts more than 4 hours (priapism).
Sildenafil usually begins to work for erectile dysfunction within 30 minutes of taking it on an empty stomach. Taking the medication on an empty stomach is recommended due to the effect food can have on the absorption of Sildenafil. It then continues to work for up to 4 hours, with its peak effect being 1 hour after it’s taken. How long the medication lasts may differ depending on the individual. Keep in mind that Sildenafil makes it easier to get and maintain an erection, but will only work when an individual is sexually aroused.
Sildenafil comes in 3 doses – 25mg, 50mg, and 100mg. A starting dose of 25mg is usually prescribed if you have not previously used this medication or if you are taking other medications, which may cause potential side effects. Our clinical team will decide what’s best based on your medical questionnaire. Dosing is increased as needed to achieve the desired effects.
Taking more Sildenafil than prescribed is considered to be too much. Even If you are planning to have sex more than once per day, you should not take more than your prescribed dose in one day. Considering there are a few options in terms of prescription dosage (50mg or 100mg), please reach out to our providers if you feel that your prescribed dose is not working effectively.
Absolutely. According to many clinical trials, Sildenafil was seen to improve erections in approximately 2/3 of men. If it does not work for you the first time you take it, don’t be discouraged. Some men stated that they needed to give their body time to get used to the medication, making them try it a few times before they were able to establish whether or not it works for them. Still not satisfied with the effects of Sildenafil after you try it? Please reach out to our providers so that we can work with you to help you get there.
The most common reported side effects of Sildenafil include, but are not limited to, lowered blood pressure, dizziness, back pain, headache, muscle aches, stomach discomfort following meals, blurred vision, flushing, stuffy or running nose, trouble sleeping and diarrhea. If these side effects become persistent and/or bothersome, please contact your provider to discuss whether or not the medication should be stopped. If you start to experience rare, but serious, side effects such as a prolonged painful erection for longer than 4 hours (priapism), sudden loss of vision, double vision, hearing problems, convulsions, trouble breathing or hives- please seek medical attention immediately.
Although Sildenafil has been shown to be safe for most men, it may not be suitable with certain medical conditions, and sometimes it may be used but only if extra care is taken. For these reasons, men with pre-existing medical conditions such as heart conditions or blood vessel disease, any injury or deformity of the penis, low blood pressure or angina, history of stroke or heart attack, liver or kidney problems, bleeding conditions that cause ulcers, and any eye condition causing loss of vision, may be subject to adverse reactions. Please inform our providers if you suffer from any of these conditions or if you are taking any medications (prescribed or over the counter) that may interact with Sildenafil.
Sildenafil include alpha-blockers, other PDE5 inhibitors (tadalafil, vardenafil), oral antifungal medicines (ketoconazole, itraconazole), antibiotics (clarithromycin, erythromycin), nitrates (nitroglycerin), guanylate cyclase stimulators (riociguat) and HIV protease inhibitors (ritonavir, atazanavir sulfate, saquinavir).
Tadalafil is approved by the Food and Drug Administration (FDA) for the treatment of male sexual function problems, symptoms of benign prostatic hyperplasia, and pulmonary arterial hypertension. For erectile dysfunction, it helps stimulate the body’s normal response to increase blood flow to the penis.
Tadalafil belongs to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. This class of medication ultimately increases blood flow to the penis by preventing an enzyme called phosphodiesterase type-5 from working too quickly. By controlling the enzyme, Tadalafil helps men who have difficulty getting or staying erect, making it the go to “weekend” drug for erectile dysfunction.
Tadalafil’s effectiveness has been seen to last for up to 36 hours, with its peak effect being 30 minutes to 2 hours after it is taken. Its long effectiveness allows you to take it well in advance making it easier to plan for sexual activity over a longer period of time.
When Tadalafil is used for erectile dysfunction, it begins to work within 60 minutes. It then continues to work for up to 24-36 hours, with its peak effect being 2 hours after it’s taken. Tadalafil also must be taken before you plan on being sexually active. When taken at a lower prescribed dose (5mg) at the same time every day, Tadalafil increases the ability to achieve and maintain an erection under sexual stimulation (effects are seen after 4 to 5 days).
Tadalafil can be prescribed as needed, or once daily for ED. If taken as needed before sexual activity, with a typical starting dose of 10mg or 20 mg, a higher dose is needed than in the once daily regimen (5mg). Taking Tadalafil once daily will allow the medication to build up in your system, making it up to 1.6-times the daily dose. This means 5mg daily can have the same effect as taking 8mg. Both the as needed and the once daily regimens should be specific to the patients age, medical history and health conditions.
The most common reported side effects of Tadalafil include, but are not limited to, fast or irregular heartbeat, dizziness, headache, muscle aches, confusion, blurred vision, faintness, spontaneous penile erection and chills. If these side effects become persistent and/or bothersome, please contact your provider to discuss whether or not the medication should be stopped.
If you start to experience rare, but serious, side effects such as prolonged painful erection of penis (priapism), sudden vision loss, ringing in your ears, chest pain, trouble breathing or hives- please seek medical attention immediately.
Although Tadalafil has been shown to be safe for most men, it may not be suitable with certain medical conditions, and sometimes it may be used only if extra care is taken. For these reasons, men with pre-existing medical conditions such as heart conditions or blood vessel disease, sickle cell anemia, leukemia, multiple myeloma, any injury or deformity of the penis, low blood pressure or angina, history of stroke or heart attack, liver or kidney problems, bleeding conditions that cause ulcers, and any eye condition causing loss of vision, may be subject to adverse reactions. Please inform our providers if you suffer from any of these conditions or if you are taking any medications (prescribed or over the counter) that may interact with Tadalafil.
Before taking Tadalafil, please inform your provider if you are taking any medications that are known to interact with Tadalafil. Some prescription medications that interact with Tadalafil include alpha-blockers, other PDE5 inhibitors (sildenafil, vardenafil), oral antifungal medicines (ketoconazole, itraconazole), antibiotics (clarithromycin, erythromycin), nitrates (nitroglycerin), guanylate cyclase stimulators (riociguat) and HIV protease inhibitors (ritonavir, atazanavir sulfate, saquinavir).
Premature Ejaculation (PE) is a form of sexual dysfunction defined as the act of ejaculating before you’re ready. That can be during foreplay, soon after penetration or in the middle of intercourse. The point is, it’s happening too soon.
Yes, studies show that Lidocaine is both safe and well tolerated by most people as an agent for PE. However, if you have a Lidocaine allergy, this product will not be appropriate and you should consult a doctor or pharmacist about other possible options.
The effects of the Lidocaine Numbing Cream should wear-off after 90 minutes, but can last anywhere between 1-3 hours.
Yes, if you apply the Lidocaine first, but be sure to use a lubricant that doesn’t also have a numbing agent like Lidocaine within its ingredients.
Yes, Lidocaine Numbing Cream and ED medications such as Sildenafil or Tadalafil do not interact and can be used together. In fact, ED medications are actually a treatment option for PE and can be considered first line.
Yes, it is considered safe to have oral sex with Lidocaine as long as you follow the instructions on how to apply it, wait the allocated time for it to properly absorb, and as long as your partner doesn’t have a Lidocaine allergy. You can rinse your penis after 30 minutes of application to ensure there is no leftover ointment on the surface prior to sexual intercourse.
Some people may experience temporary loss of sensitivity that can lead to ED and others may experience skin irritation. This can be avoided if you apply a small amount when you start using it, then increase the amount based on toleration and need. If you start experiencing serious side effects like discoloration on the skin, lips or nail beds, changes in breathing, fatigue, confusion, headache or light headedness, seek immediate medical attention.
No, depending on the type of PE, there are medications, sexual techniques and behavioral therapies you can try. Talk to your doctor or pharmacist if you have questions about your options.
Finasteride is a clinically tested, FDA approved treatment for hair loss. It is a 5-alpha reductase inhibitor which works by decreasing the breakdown of testosterone into dihydrotestosterone (DHT). DHT is believed to be the reason for inherited male pattern baldness (androgenetic alopecia). By reducing the amount of available DHT, it decreases the ability for this hormone to cause hair loss.
Taking a daily dose of 1mg of Finasteride for a minimum of three months has proven to be 85% effective in increasing hair regrowth. But your hair will reach its full potential at the one-year mark. It’s important to note that Finasteride will not create hair follicles; it treats existing follicles, so start early and continue the therapy for as long as recommended to see results. Continued use of finasteride is needed to maintain desired effects beyond one year.
Finasteride is well-tolerated, but, like all medications, it can cause side-effects. Sexual dysfunction from taking Finasteride is rare (occurring in less than 2% of patients) but talk to your doctor if you experience any changes. This can include loss of libido, erectile dysfunction or decreased ejaculate volume. Side effects tend to subside after discontinuation. When it comes to Finasteride and prostate cancer, the link is far from known. Studies have shown a possible increased risk but the clinical significance of these findings are inconclusive. As with any medication, Finasteride can cause a severe allergic reaction. Although very rare, if you experience symptoms such as trouble breathing, swelling of your throat or tongue or hive please call 911 or go to the nearest emergency room immediately.
Yes, they actually work in harmony to promote hair regrowth. Finasteride focuses on preventing the breakdown of testosterone into DHT and Minoxidil stimulates blood flow to the scalp.
No, Finasteride is available by prescription only.
A clinically tested, FDA approved solution for hair loss when used up to twice daily for three to four months. Minoxidil is available without a prescription and is very easy to use. Simply measure out 1mL of the topical solution and apply it to the affected area on the scalp then wait for it to air dry. Be sure to keep the area away from bedding and hair accessories while the product is drying.
According to clinical research, it takes up to four months of consistent use of the 5% Minoxidil topical solution to see results. This may change depending on the growth cycle of your hair-follicle. It is important to continue using minoxidil to maintain desired effects. Of note, it is normal to notice an increase in hair shedding for the first few weeks as your hair follicles push out old hair to make room for new hair.
You should not exceed the recommended amount or frequency as it may cause serious side effects. Some of these side effects include chest pain, dizziness, unexplained weight changes, headaches and irregular heartbeat. These side effects require immediate medical attention.
Yes, they actually work in harmony to promote hair regrowth. Finasteride focuses on preventing the breakdown of testosterone into DHT (prevents hair loss) and Minoxidil stimulates blood flow to the scalp (promotes regrowth).
Minoxidil is only effective when applied to the scalp. In particular, it should be used on the vertex and other areas of the scalp where your hair is thinning. It is however not meant to be used for a receding hairline (this is where Finasteride is most effective). Research is scarce regarding its use on other areas, such as your beard and therefore its application is not recommended in those areas.
Essential IX Shampoo
Given the shampoo’s simple and organic nature, it is best used within 12 weeks. Use beyond this point may render its ingredients less effective. Ensure you close the cap after each use to avoid oxidation.
Consistent use is key to achieve optimal benefit. Apply to wet hair and lather. Let soak into the scalp for 1-2 minutes and then rinse.
This depends on your hair type. For people with dry hair, it is recommended to shampoo a maximum of three times a week. However, for people with oily hair, it may be beneficial to wash hair on a daily basis. For people with normal hair who don’t experience any dryness or oiliness, we recommend washing when necessary.
The short answer is yes. Why? Industrialized shampoos leave build-up of chemicals on your hair and scalp. As your hair starts to adjust to this pure and organic based shampoo, it will ultimately shed this chemical build-up. During this process, your hair may feel gritty after washing. However, once dry, your hair will go back to normal. This process may take 2 to 3 months- be patient and confident in knowing that our shampoo will not damage your hair.
Essential V Oil
Given the oil’s simple and organic nature, ensure you close the cap after each use to avoid oxidation. You should also store it in a cool and dry place away from sunlight.
We recommend you use the the hair oil no more than two times per week. Make sure to thoroughly wash your hair after 30 – 60 minutes.
Our hair oil cleanses your scalp from dirt and oil build-up while conditioning the hair shaft and scalp for soft and healthy looking hair. The blend is rich in fatty acids and nutrients for strong, thicker hair. A healthy scalp is less likely to shed hair.
It’s perfectly normal to to shed 50-100 hairs a day. This will continue to happen even when using the oil, but don’t worry, this will be replaced with new healthy hair.