This podcast is for you, the Modern Man. I'm Dr Anne Truong,

your host. I'm an intimate health medical doctor and best

selling author of the book, Erectile Dysfunction Fix. I'll

do a deep dive into sexual health and performance and how

it affects men of all ages and backgrounds. So let's get

started, and be sure to visit my website at

sexualhealthformenpodcast.com for more information and

resources from the show. See you on the inside.

Hello there, Modern Man. I'm Dr Anne Truong, a sexual health

medical doctor. In today's episode, I'm just going to talk

about something that I usually don't want you to do, but I want

to give you the facts so you are aware of what you're getting

into if you are taking either Viagra or tadalafil or generic

name for Viagra is sildenafil and generic name for Cialis is

tadalafil.

Now, as you know, I always want you to do natural approach to

sexual function, but sometimes you are taking this medication,

you want to know the difference between the two, and when to use

it. What's the difference and what are the potential side

effects that are not talked about. So Viagra is the brand

name and the generic name is called sildenafil, and Cialis is

the brand name and the generic name is tadalafil. They both are

what is called PDE-5 inhibitors, so they help in increasing

nitric oxide in penis, which then increases blood flow. But

it doesn't just work on the penis alone. It works in other

tissues, other organs as well, and that's why you have more

side effects as well, which we will discuss about and one of

the most common side effects is a blue haze in eyes for

sildenafil, for tadalafil or Cialis is muscle aches. But I

will talk about the common side effects later.

So for Cialis, which is the brand name, it lasts longer than

Viagra. Cialis remains effective for 36 hours, and Viagra

typically lasts between four to six hours. It starts to work or

the onset of action for Viagra is between 30 minutes to an hour

And Cialis 30 minutes to two hours. So what that means is

that if you take Viagra, you should think about having sexual

activity between 30 minutes to an hour, and Cialis, you have a

little bit more leeway between 30 minutes to two hours. So I

hear, commonly, my patient say, "Well, I take Cialis and it

didn't really work." Or sometimes it may just be that

you may be getting ready for a sexual activity too early, or

you didn't wait long enough, and in some men, it may take up to

two hours. That's why Cialis sometimes is recommended as

daily use. Now the dosage of daily use is a lot lower than on

demand use. The sildenafil or Viagra is usually not used as a

daily dose, but more used as an on demand dose at this time. And

the dosage combination options are that low dose for Cialis,

about 2.5 to 5 milligrams, while Viagra is often as needed, like

I said before. Now, one thing about Viagra is that it is

dependent upon what you eat. So if you eat a fatty meal right

before you take it, then absorption will be less versus

tadalafil is not really dependent upon what you eat, and

both these medications can cause headaches and flushing, but

particularly with Cialis, you'll start having like muscle aches

versus Viagra is more vision changes and dizziness. So due to

the longer duration, Cialis allow you to be a little bit

more spontaneous. That's why you take it daily. Now, the dosage

for daily Cialis between 2.5 to 5, sometimes 10 milligrams. You

can take it daily. It's also been helpful for also prostate.

And then Viagra usually is taken as needed, between 20

milligrams, 50 milligrams, up to 100 milligrams. And if you're

taking more than 100 milligrams, you shouldn't be taking Viagra

that much. Okay? And that's number two.

Let's talk about the side effects. Now, of course, if you

take the medication brand name, then it'll be more costly versus

if you're going to take a generic. Okay, let's talk about

side effects. One of the most common side effects, or Viagra,

is headache and flushing, and that's more common than Cialis.

And then you also have upset stomach, which is common for

both, nasal congestion or stuffy nose is very common for both as

well. Now versus Cialis, you have more muscle aches,

particularly in the shoulder, back, arms and legs, less common

with Viagra, but you can have that. Dizziness is more common

with Cialis than what Viagra. Vision changes is more common

with Viagra and less common with Cialis. Viagra more common with

priapism, or prolonged erection that is lasting more than four

hours. Now this is an emergency. If you have that you got to go

to the emergency room to get an injection to bring it down. It's

less common for Cialis. And then sudden vision loss is rare, but

it can be reported as a permanent in some cases as well,

in both Viagra and Cialis, hearing loss or decreased loss

of hearing, sometimes with tinnitus, which is ringing in

the ears, is prevalent in both cases. Uncommon, but it is

prevalent. Low blood pressure can happen in both Viagra and

Cialis. The low blood pressure, which then lead to dizziness,

fainting spells, and especially it doesn't mix well with

alcohol, and you can have chest pain, even heart attack and

irregular heartbeat with Viagra and Cialis, though it is rare,

but it could happen. You can even have swelling of the face,

lips and tongue, both these medication due to allergies.

So to summarize, there are some serious side effects, and there

are common side effects, but Viagra has side effects of

blurred vision and headache versus Cialis more muscle pain,

but you could have low blood pressure will cause you fainting

spells, which then lead to irregular heart rhythm as well.

I know that lot of men are on these medications. I want you to

know what medication does what, when to use it. There's another

question, can you take both of it at the same time? Shouldn't.

Try to be very cautious with it, because if you take both of it

at the same time, it's a double effect in lowering the blood

pressure, because while it increases blood flow to the

penis, it also lower blood pressure as well, and that's how

you have fainting spells and heart attacks. And if you are

taking it together, it should be compounded, and you should

follow seeing a doctor for monitoring, because usually we

can compound and put a little bit of sildenafil and a little

bit of tadalafil, along with some oxytocin together. And then

oxytocin help with getting you in the mood and also help with

the feeling of love.

Now we really want to point out something very, very important,

is that the Cialis and Viagra does not get you in the mood, it

does not increase arousal, it does not increase your libido at

all. All all it does is just increase blood flow, but you've

got to do the work in libido and arousal. If you don't, no

erection is going to happen. You can't just pop up here and go,

Okay, I'm ready. No, you've got to get in the mood. You've got

to get aroused. You got to start in the brain. I've always said

that erection starts in the brain, not in the penis. So

that's one thing to consider. You're taking the medication,

just know that it's not going to help you with arousal, which you

have to initiate in your brain, as in using the five senses that

you are given, your vision, your nose, your mouth, sound and

touch to get you aroused, and get you in the mood to get

things started. If nothing starts up here, guys, nothing

gonna go down below your belt, even with Viagra and Cialis.

Now, of course, if you have ED, the first thing you should do is

one, go get some blood work, find out whether you may have

diabetes, which is high blood sugar, high cholesterol, or even

high blood pressure, and also, how's your testosterone level?

Is there any type of inflammation going on? Number

two, look at your diet. What are you eating? You should be eating

clean food, like follow Mediterranean diet. Clean food

is just vegetables and less processed food. Don't eat

anything in a box or a bag. Eat what the earth gives you. Eat

less red meat. Once a week is okay, but eat more chicken,

pork, fish. That's it. It's not that complicated. And if you're

smoking, stop smoking, because smoking will just kill your

erection, period. And make sure you get at least seven hours of

sleep and make sure that you keep your weight under control,

keep your BMI less than 30. You can look up in Google what your

BMI by entering your height and your weight, and most

importantly, keep your mind active and know that the

erection starts in the brain. Now there are alternatives to

taking medication. There is a research article that came out

that says that diet and exercise, diets such as taking a

Mediterranean diet, and also doing exercise, just like

walking 30 minutes four times a week, is as effective, or more

effective than taking Viagra or Cialis. Just know that it is

more effective. So instead of popping that pill and having to

endure the side effects and then, because you take the pill,

you can really going to ignore why you have ED in the first

place. It's just a band aid. Because if you take the pill, it

may work out a few years, it may not work. Where will you be?

Because you can just quickly change it with your diet and

your exercise, and know that need to stop smoking. You need

to stop porn, you probably need to stop masturbating frequently

as well. Frequently, what I mean is more than probably twice a

day for masturbation.

Having said that, just know that there are alternative to

medication. I wanted to kind of bring this up because I got a

lot of questions regarding medication at this point and

that just know that diet and exercise is as effective as

Viagra and Cialis, and just know that you are not alone. We are

here to help you. The Modern Man Club is a safe and discreet

space for men to find solution out of ED, towards more sexual

confidence and performance. And you will be in there with me,

along with a community of men going to the same thing,

supporting one another. So check it out at noedman.com which is

our Modern Man Club. Also check down below for the link to the

Mediterranean diet as well as Kegel exercises. And check out

my video where I talk about Kegel and the benefits of doing

Kegel and our innovative, high intensity frequency

electromagnetic chair. And having said that, guys, let's

create a sexual revolution. Let's regain our sexual power,

sexual confidence, and know that you can do it. I will see you in

the next episode.

Thanks for listening to the Sexual Health for Men Podcast.

If you love this episode, then please take a screenshot on your

phone and post it on Facebook, Instagram, or wherever you post,

and be sure to tag me and let me know why you like this episode

and what you like to hear in the future. That will help me know

what's great for you and I would love to give you the most

incredible free gift designed to help you improve performance

quickly. Go to my website at sexualhealthformenpodcast.com to

get the book, The Five Common Costly Mistakes Men Make When

Facing ED. I would appreciate if you subscribe, leave a review on

Apple podcasts or wherever you listen. And just know that you

can have sexual vitality for life. I appreciate you until

next time.