A comprehensive approach starts with “getting to know you” and your personality, reviewing your medical history and records from other providers, understanding family and work relationships, conducting a thorough medical exam, and as needed order diagnostic tests.
Treatment Plans (Dr. Davis develops a practical and flexible plan for each patient)
Phosphodiesterase 5 (PDE5) is an enzyme that affects cell signaling. Inhibiting PDE5 can relax muscles and increase blood flow to specific areas of the body, which is why PDE5 inhibitors such as tadalafil (Cialis™), sildenafil (Viagra™), and vardenafil (Levitra™) are primarily used to treat erectile dysfunction in men.
Tadalafil is a more modern, effective treatment for erectile dysfunction. Tadalafil appears to offer advantages over Sildenafil when it comes to the most desirable attributes for an erectile dysfunction medication, including duration of action, onset of action, and side effects.
The phosphodiesterase-5 (PDE5) inhibitors are approved by the US Food and Drug Administration for the treatment of erectile dysfunction. These are contraindicated in combination with nitrates due to the risk for a pharmacodynamics drug interaction that can result in severe hypotension and death.
Peak plasma concentrations of Cialis are reached within 30 minutes to six hours (average time two hours) of a dose. Effects of 'as needed' Cialis last for up to 36 hours.