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zip code

sex

What is your date of birth?

PLEASE ENTER YOUR BLOOD PRESSURE FROM THE LAST 6 MONTHS

HAVE YOU HAD A HEART ATTACK IN THE LAST 6 MONTHS?

DO YOU HAVE ANY HISTORY OF SEVERE CARDIAC(HEART) DISEASE?

HAS YOUR FATHER HAD A HEART ATTACK BEFORE THE AGE OF 55?

HAS YOUR MOTHER HAD A HEART ATTACK BEFORE THE AGE OF 65?

DO YOU HAVE A HISTORY OF SEVERE LIVER DISEASE OR LIVER FAILURE?

DO YOU HAVE A HISTORY OF SEVERE KIDNEY DISEASE OR KIDNEY FAILURE?

DO YOU HAVE A HISTORY OF PEPTIC ULCER DISEASE?

DOYOU HAVE A HISTORY OF BLEEDING DISORDERS?

CONGENITAL QT PROLONGATION

This is an abnormal heart rhythm you were born with that would have been diagnosed by a doctor

SPINAL CORD INJURY OR PARALYSIS?

HAVE YOU EXPERIENCED PREVIOUS PROBLEMS WITH ED MEDICATIONS?

Problems such as allergic reactions or unnaceptable side effects

IF SO, WHAT PROBLEMS?

DO YOU HAVE A HISTORY OF PEYRONIE'S DISEASE?

DO YOU HAVE ANY OF THE FOLLOWING? PLEASE CHECK ALL THAT APPLY?

WHEN APPROXIMATELY DID YOUR ED BEGIN?

HAVE YOU TRIED OTHER METHODS OTHER THAN MEDICATIONS FOR ED?

PLEASE WRITE WHICH ONES

ARE YOU CURRENTLY BEING TREATED FOR OTHER MEDICAL CONDITIONS?

WHAT MEDICATIONS ARE YOU CURRENTLY TAKING? PLEASE INCLUDE OVER THE COUNTER MEDICATION AND HERBAL SUPPLEMENTS OR VITAMINS

IS THERE ANYTHING ELSE ABOUT YOUR MEDICAL HISTORY WE SHOULD KNOW?

ARE YOU ALLERGIC TO ANY MEDICATIONS?

TREATMENT OPTIONS

PLEASE SELECT ONE

FAQ'S

  • Sildenafil (Viagra), Vardenafil (Levitra) and Tadalafil (Cialis) are all similar medications that will help you obtain and sustain an erection by increasing blood flow to the penis. They all have similarly high rates of successful intercourse and have similar side-effect profiles. Therefore the American College of Physicians (ACP) recommends you choose a drug based on personal preferences including cost, ease of use, desired duration, and adverse effects.
  • Tadalafil (Cialis) can be taken as a low dose once daily medication which can eliminate the concern for onset of action and duration. Tadalafil does not need to be taken on an empty stomach.
  • Sildenafil (Viagra) and Vardenafil (Levitra) must be taken on an empty stomach. High fat meals and alcohol delay absorption affecting onset of action.
  • Sildenafil (Viagra) and Vardenafil (Levitra) have a sexual window of 4-5 hours although some men may experience effects for 8-12 hours, especially those with mild to moderate ED.
  • Tadalafil (Cialis) may be effective for up to 36 hours.
  • What are the Common Side Effects of These Medications? : Side effects are related to the increased blood flow caused by the medication.
  • Sildenafil (Viagra) Vardenafil (Levitra) and Tadalafil (Cialis) all have similar adverse effects.
  • Between 5-10% of patients will experience flushing, headaches, and stomach upset which will resolve once the medication has been stopped.
  • Rare but Serious Side effects: Sildenafil (Viagra) may cause “blue vision” in 3% of patients taking the medicine. It lasts 2-3 hours and goes away on its own.
  • All three medications have been reported to rarely cause sudden hearing loss, usually in one ear only that occurs within the first 24 hours of taking the medication. It is temporary in one-third of patients.
  • Studies have shown a rare occurrence (2.5-11.8 people out of 100,000) to have an optic neuropathy with sudden vision loss called NAION. Risk of NAION is more likely in patients older than 50 with high blood pressure, high cholesterol, AND diabetes.
  • Do not take these medications with Nitrates, commonly used for chest pain, as this can cause an unsafe drop in blood pressure. If you have taken one of these three medications, you must wait at least 24 hours before taking a nitrate.
  • Do not take these medications with alpha-adrenergic antagonists, commonly used for Benign Prostatic Hyperplasia (BPH) as this can cause a sudden unsafe drop in blood pressure. Such medications include Terazosin, Doxazosin, and Tamsulosin.

Sildenafil and Vardenafil have a quick onset of action. It is recommended to take the medicine 60 minutes before sexual activity, but effects may be felt as soon as 30 minutes. The medicine is metabolized within 5.5 hours. This medicine is best for occasional use. If you desire a more consistent medication Tadalafil is often preferred because you have a longer sexual activity window and the medication stays in your system longer.

  • Cost of medication can vary depending on if you’re using a brand name or generic version, how frequently you take the medication and which pharmacy you use. Most insurance companies will cover the cost of the prescription. If you do not have insurance visiting a website www.goodrx.com can show you coupons and different prices at different pharmacies.
  • Sidenadafil costs around $15 for a 30 day supply.Vardenafil costs around $140 for a 30 day supply.Tidalafil is around $21 for a 30 day supply.

ENTER YOUR PREFERRED PHARMACY INFORMATION HERE

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Total Payment Value: $25.00