Key Facts Drug interactions with ED pills are not a suggestion; they are a serious safety rule. The number one, absolute, most dangerous interaction is with nitrate medications used for chest pain. This combination can be fatal. Alpha-blockers (for prostate ...
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Is Generic Cialis (Tadalafil) the Same? A Urologist’s Answer
Key Facts Yes, generic Cialis (tadalafil) is the exact same medicine as brand-name Cialis. Full stop. The FDA mandates that generic drugs must have the same active ingredient, strength, dosage form, and route of administration as the brand-name drug. The ...

ED Pill Side Effects: A Urologist’s Guide to What’s Normal
Key Facts The most common side effects of ED pills are mild, temporary, and a direct result of the medication working as intended. Headaches, facial flushing, and a stuffy nose are the “big three” because the pills relax blood vessels ...

Viagra vs. Cialis: A Urologist’s Guide to ED Pills
Key Facts There is no single “best” ED pill. The best one is the one that fits your life. All major ED pills (sildenafil, tadalafil, etc.) are in the same class of drugs and are highly effective at improving blood ...

Taking Viagra for Fun? A Urologist’s Stern Warning
Key Facts Viagra is a powerful prescription medication, not a party drug or a sexual performance booster for healthy men. Using Viagra without a medical need can create psychological dependence, making you feel you can’t perform without it. Obtaining it ...

That Glass of Wine With Your Viagra: A Urologist’s Honest Advice
Key Facts Mixing alcohol and Viagra is a bad idea. It’s like asking your body to do two opposite things at once. Alcohol is a depressant that can worsen erectile dysfunction, effectively fighting against what the Viagra is trying to ...

Trimix Injections for ED: A Urologist’s Guide to This Powerful Treatment
Key Facts Trimix is a powerful, custom-blended injectable medication used to treat erectile dysfunction, especially when oral pills are not effective. It contains a combination of three drugs that work directly on the penis to dramatically increase blood flow. The ...

Do I Have ED? A Urologist Explains the Key Symptoms
Key Facts ED is defined by a consistent inability to get or keep an erection firm enough for sex. A single bad night is not ED. Symptoms include erections that are too soft, don’t last long enough, or are difficult ...

Enlarged Prostate and Sex: What a Urologist Wants You to Know
Key Facts An enlarged prostate (BPH) itself does not directly cause erectile dysfunction. It’s primarily a urinary problem. The medications used to treat BPH symptoms are often the real source of sexual side effects. Some BPH drugs can affect erections, ...

Antidepressants and ED: A Doctor’s Guide to a Common Dilemma
Key Facts It’s very common for medications that treat depression and anxiety to cause sexual side effects, including erectile dysfunction (ED). This happens because many of these drugs alter serotonin levels, a chemical that affects both mood and sexual function. ...