Sildenafil Treatment Plan

Be sure to take your time and read everything below. It is essential for you to understand the potential risks and benefits of treatment. Please do not hesitate to reach out to our medical support team if you have ANY questions.

Overview

Your physician or nurse practitioner has reviewed your medical information and has prescribed sildenafil to treat erectile dysfunction (ED). This medication helps the majority of patients with erectile dysfunction (ED) achieve and maintain erections satisfactory for sexual activity. It should only be used as directed, only if you have diagnosed ED, and only if you are healthy enough for sexual activity.

Sildenafil is the same medicine that is in Viagra. Viagra (Sildenafil) has been approved “for the treatment of erectile dysfunction (ED), including ED patients with diabetes mellitus or following radical prostatectomy.” (PDR) Viagra is available in doses of 25 mg, 50 mg, and 100 mg. However, generic sildenafil comes only in one size, 20 mg. The FDA approved Sildenafil in the low 20 mg dose for pulmonary hypertension, but since it is the same medication as in Viagra, and only a fraction of the cost, many patients work with their healthcare providers to use sildenafil “off-label” for erectile dysfunction (ED). Many find the cost of the brand sildenafil so high they cannot start or continue its use. Also, because Sildenafil comes in 20 mg, which is a smaller dose, it is easier to gradually decrease or increase your dose based on effectiveness and toleration (i.e., titrate your dose). This enables you to achieve the desired effect while taking the least amount of medication. Telemedicine has the advantage of convenience but it relies on your honesty and on your involvement in the process. That includes reading everything below carefully (including the package insert now online and when it arrives in print with your medication), and communicating with your doctor or nurse practitioner. If your health should change, should you have a side effect, should the medicine not work or stop working over time, should you be prescribed ANY new medication or change your medication regimen, should you visit another doctor, please contact us. Keep EVERY healthcare provider informed. Also, and perhaps most importantly, the fact that you have ED may mean you have other health conditions that should be addressed–not simply because improving your health can make using medication unnecessary, but because treating underlying conditions like hypertension, diabetes, or simmering vascular disease, could save your life. Seeing a healthcare provider to identify and manage any underlying condition could be the most important step you take. We recommend getting screening blood tests that the Roman prescribing healthcare professional can evaluate and even send to your general healthcare provider. Your Roman physician or nurse practitioner will discuss any abnormal results and, if needed, inform you if you should seek care to manage any discovered condition. Your physician or nurse practitioner has prescribed a medication as part of your treatment plan. Being fully informed is the only way for you to know if it suits your needs and if you want to accept it as presented. You may reject it or you may want to request a modification to the plan. Please, do not hesitate to make your voice heard. Contact us with any questions.   Let’s begin. Read everything below and don’t forget to read the package insert included here as well—and when it arrives with your medicine. Keep all the literature handy in case your medical status changes and you need to refer back to it.