Sexual Wellness

Sildenafil vs. Tadalafil

Understand how these two PDE5 inhibitors differ before discussing your options with a medical provider.

Treatment Class

Sildenafil

PDE5 inhibitor

Tadalafil

PDE5 inhibitor

How It Works

Sildenafil

Increases blood flow to the penis in response to sexual stimulation by inhibiting the PDE5 enzyme.

Tadalafil

Increases blood flow to the penis in response to sexual stimulation by inhibiting the PDE5 enzyme.

Common Clinical Uses

Sildenafil

Treatment of erectile dysfunction.

Tadalafil

Treatment of erectile dysfunction and, in some cases, benign prostatic hyperplasia (BPH).

Administration

Sildenafil

Taken orally as needed, typically 30–60 minutes before sexual activity.

Tadalafil

Taken orally, either as needed or as a daily low-dose medication.

Duration of Action

Sildenafil

Generally effective for several hours after dosing.

Tadalafil

Longer duration of action, may be effective for up to 36 hours.

Potential Side Effects

Sildenafil

May include headache, flushing, indigestion, and nasal congestion. See full prescribing information.

Tadalafil

May include headache, indigestion, back pain, muscle aches, and flushing. See full prescribing information.

Important Considerations

Sildenafil

Not safe with nitrate medications. Discuss cardiovascular health and all medications with your provider.

Tadalafil

Not safe with nitrate medications. Discuss cardiovascular health and all medications with your provider.

Questions to Discuss With Your Provider

·

Which medication may be more appropriate for my situation?

·

How do the durations of action compare for my needs?

·

Is daily dosing or as-needed dosing more appropriate for me?

·

What monitoring would be needed?

Want to discuss these options with a provider?

Start a consultation to discuss which treatment may be appropriate for you.

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ClearDoseRx provides telehealth services. Treatment is subject to evaluation by a licensed medical provider and clinical appropriateness. Nothing on this website constitutes medical advice. Prescription medications are available only when determined appropriate by a licensed provider.

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