Patient Education

  • Do not take concurrently with nitrate containing medicine.  Nitrate therapy should be delayed by 12 to 48 hours depending on the PDE5i chosen.
  • Do not take within 4 hours of alpha-blockers.
  • Seek medical attention for an erection lasting longer than 4 hours (sickle cell, myeloma, and leukemia increase risk of developing priapism).
  • These medications have been rarely associated with hearing loss and visual changes.
  • Caution is advised in bleeding disorders as these medications may decrease platelet aggregation.
  • Lifestyle modifications that can improve ED such as smoking cessation, weight loss, and the Mediterranean diet.
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