Erectile Dysfunction - PDE5I
This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer’s pamphlet that comes with the medicine. The manufacturer’s pamphlet contains the full information on interactions, side effects, and other important information you should know about the medicine before you start.
This medicine is designed to improve penile blood flow to help achieve and maintain erections when used as prescribed. It is important to use it only as prescribed and works best in conjunction with overall healthy lifestyle changes.
Follow Up Plan
When you are ready for a refill you will need to return for a refill visit to help make sure you are on the lowest effective dose and to screen for side effects.
This medicine contains one of the following active ingredients which are phosphodiesterase type 5 inhibitors (PDE5I). If you are allergic to any of these components, similar components, or any of the others components listed in the manufacturer’s pamphlet do not take it and call or message us immediately.
This medicine could cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please stop the medicine and call or message us or see your doctor in-person.
We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop or discover that one of these conditions applies to you please stop taking this medicine and call or message us immediately.
- Anatomical penis deformation
- Any condition where sex is not recommended
- Bleeding or clotting disorders
- Cardiovascular disease
- Congenital QT prolongation
- Family history of arrhythmia
- Kidney problems
- Liver problems
- Peptic ulcer disease
Pregnancy and Breastfeeding
Women should not take or handle this medicine.
Emergency Side Effects
This medicine can cause dangerous and potentially life threatening side effects. If any of the emergency side effects listed in the manufacturer’s pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in-person.
- Abdominal swelling
- Abnormal heartbeats or rhythms
- Anxiety or agitation
- Difficulty swallowing or throat swelling
- Jaundice or yellow skin
- Severe skin rash or changes
- Severe weakness or fatigue
- Shortness of breath or wheezing
Other Side Effects
This medicine can also cause other side effects. If any of the other side effects listed in the manufacturer’s pamphlet or those below happen to you please stop the medicine and call or message us or see your doctor in-person.
- Change in mental status
- Low blood pressure
- Passing out
Medicines, Supplements, and Foods
We have evaluated your health history and the specific health information you provided us, however if anything changes and you start or discover that you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on the best plan.
- Alcohol (Ethyl)
- Amyl Nitrite (Poppers)
- Arsenic Trioxide
- Fusidic Acid (Systemic)
- Saint Johns Wort
- Vasodilators (Organic Nitrates)
We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided that information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to clarify or update any information about your health you can message or call us anytime.
This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency call 911 or seek immediate medical help in-person. You may need to seek alternative treatment such as those listed below or in the follow-up plan.
Misdiagnosis or Delayed Diagnosis
There is also a risk that we will misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in-person as well but they may have additional signs and symptoms to aid their evaluation. We use the evidence based practice and guidelines as well as clinical decision support to try to minimize these risks. Here are some other diagnoses that we attempt to rule out:
- Cardiovascular disease
- Major anxiety or depression
- Peyronie’s disease
- Testosterone deficiency
Accepting or Declining Our Recommendation
We are recommending this treatment for you because the potential benefits outweigh the risks in our estimation. You should evaluate this information as well as the manufacturer’s pamphlet, any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. You are free to not follow our recommendations although there may also be risks associated with no treatment.
We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide. Message us or talk to your doctor in-person to discuss alternative treatments. Here are some other treatments or strategies that you might consider:
- Cognitive behavioral therapy
- Penile injection therapy
- Penile re-vascularization surgery
Share with Your In-Person Healthcare Team
You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.
You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.