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Sexual Health (Men’s Health)

(generic for Cialis)


  • Used to improve the quality of male erections and helps treat enlarged prostates1,2,3 
  • Reduces urinary symptoms and high blood pressure4,5,6
  • Improves blood flow to the kidneys and reduces systemic inflammations7,8,9
  • Shown to be helpful at treating premature ejaculation10,11

Background & History

Cialis (tadalafil) was FDA approved in 2003 and has quickly become the most preferred erectile dysfunction medication by both men and their partners for its long-lasting effects. It works by increasing blood flow to the penis to help a man get and keep an erection. It also relaxes the muscles in the prostate and bladder, which can help improve symptoms of benign prostatic hyperplasia (BPH). More recent studies have shown that males who have been struggling with premature ejaculation benefit greatly from taking a regular dose of tadalafil.

Taking the Medication and Side Effects

Tadalafil (generic for Cialis) is an oral tablet that can either be taken 1-2 hours before sexual activity if taking the (10mg or 20mg) or can be taken daily at the lower doses (2.5mg or 5mg). One tablet can be effective for up to 36 hour which reduces the need to plan ahead for sexual activity, unlike other erectile dysfunction medications that only last a few hours. Tadalafil is generally safe and well-tolerated, and the most common side effects are headache, flushing, indigestion, back pain, and muscle pain and usually mild and will go away. A medication guide and pharmacy consultation will be provided upon receiving this medication.

(generic for Valtrex)


  • Reduces the number of outbreaks and the severity of symptoms in people with genital herpes1,2,3
  • Reduces the risk of spreading genital herpes to others when taken daily4,5,6
  • Prevents outbreaks of cold sores and shingles in people who have had them before7,8,9

Background & History

Valtrex (valacyclovir) was first discovered in 1995 and has since been the most preferred treatment option for treating individuals who have an infection caused by the herpes virus including genital herpes, cold sores, and shingles. Cold sores, also known as oral herpes, are very common. In fact, about 90% of all people get at least one cold sore in their life and about 40% of American adults have recurrent cold sores. According to the Centers for Disease Control and Prevention (CDC), an estimated 11.9% of people aged 14 to 49 years in the United States have HSV-2 infection, which is the virus that causes genital herpes. Shingles, also known as herpes zoster, is also common in the United States. About 1 out of every 3 people in the United States will develop shingles in their lifetime.

Taking the Medication and Side Effects

Valtrex (valacyclovir) is an oral tablet that can be taken 1-3 times a day when symptoms occur or once daily if taking this medication to prevent reoccurrence of outbreaks. Valacyclovir is considered a safe and well-tolerated medication. Some common side effects include headache, nausea, stomach pain, and dizziness. These side effects are usually mild and go away on their own. A medication guide and pharmacy consultation will be provided to you upon receiving this medication.


  • Helps prevent premature ejaculation1,2
  • May improve mood, sleep, appetite, and energy levels4,5

Background & History

Sertraline was approved for medical use in 1991 to help treat mood disorders such as major depressive disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, social anxiety disorder, and premenstrual dysphoric disorder. One of the well-known side effects of taking sertraline was delayed orgasm, and clinical studies were conducted in 1998 showing that time to orgasm greatly improved. Men not taking sertraline were experiencing climax in 1 minute while men who were taking doses of sertraline were experiencing climax 16 minutes. Reports of sexual satisfaction for the men and their partners greatly increased as a result of using sertraline.

Taking the Medication and Side Effects

Sertraline is an oral tablet that is taken once daily usually in the morning or a few hours before sexual intercourse. The dosages for sertraline may need to be adjusted from the starting dose of 25mg up to the higher dosage of 100mg depending on how effective the medication has been for improving premature ejaculation. It can take several weeks of taking the medication to experience the full benefits of sertraline. The most common side effects are insomnia, dizziness, nausea, diarrhea, and dry mouth and taking the medication in the morning and hydrating with water and electrolytes will help reduce these side effects. A medication guide and pharmacy consultation will be provided to you upon receiving this mediation.

Lidocaine/Prilocaine Cream


  • Helps prevent premature ejaculation1,2,3

Background & History

The use of local anesthetics to delay ejaculation is one of the oldest pharmacological approaches for treating premature ejaculation. It works by numbing the penis to reduce sensation and help delay ejaculation. Studies have shown that the lidocaine/prilocaine cream can increase the average pre-ejaculation period by 8 minutes.

Taking the Medication and Side Effects

Lidocaine/prilocaine is a cream that is applied to the penis 5 to 10 minutes before sex and will last about 15 to 20 minutes. The most common side effects are lightening of the skin, mild burning, and redness on the area of application.

Research Articles

(1) Cialis (tadalafil): Dosage, side effects, how long it lasts, and more. https://www.medicalnewstoday.com/articles/cialis.

(2) Tadalafil (Oral Route) Side Effects – Mayo Clinic. https://www.mayoclinic.org/drugs-supplements/tadalafil-oral-route/side-effects/drg-20067204?p=1.

(3) Does Tadalafil Lower Blood Pressure? Here’s What It Does. https://prescriptionhope.com/blog-does-tadalafil-lower-blood-pressure/.

(4) Effects of tadalafil on lower urinary tract symptoms secondary to …. https://pubmed.ncbi.nlm.nih.gov/23782459/.

(5) The Long-Term Benefits of Taking Tadalafil – Discover How This …. https://valhallavitality.com/blog/the-long-term-benefits-of-taking-tadalafil-discover-how-this-medication-can-improve-your-quality-of-life.

(6) Tadalafil: Uses, Dosage, Side Effects – Drugs.com. https://www.drugs.com/tadalafil.html.

(7) Tadalafil Helps Twice With Benign Prostatic Hyperplasia – Verywell Health. https://www.verywellhealth.com/tadalafil-helps-twice-with-benign-prostatic-hyperplasia-1123906.

(8) Tadalafil for erectile dysfunction or enlarged prostate Cialis – Patient. https://patient.info/medicine/tadalafil-for-erectile-dysfunction-or-enlarged-prostate-cialis.

(9) Tadalafil: MedlinePlus Drug Information. https://medlineplus.gov/druginfo/meds/a604008.html.

(10) Premature ejaculation – Diagnosis and treatment – Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905.

(11) Daily Use of Tadalafil in the Treatment of Patients with Premature …. https://www.pharmamirror.com/common-pharma-interest/daily-use-of-tadalafil-in-the-treatment-of-patients-with-premature-ejaculation/.

(12) Effects of Tadalafil 5 mg Dosed Once Daily in Men with Premature …. https://www.researchgate.net/publication/301830379_Effects_of_Tadalafil_5_mg_Dosed_Once_Daily_in_Men_with_Premature_Ejaculation.

(13) How and when to take tadalafil – NHS. https://www.nhs.uk/medicines/tadalafil/how-and-when-to-take-tadalafil/.

(14) Tadalafil (Oral Tablet): Side Effects, Dosage, and Review – Healthline. https://www.healthline.com/health/drugs/tadalafil-oral-tablet.

(15) Tadalafil Treatment Improves Inflammation, Cognitive Function, And …. https://www.nature.com/articles/s41598-019-53136-y.

(1) Frequent Herpes-2 Genital Recurrence Outbreak. https://www.newyorkurologyspecialists.com/std/genital-herpes/frequent-recurrence-outbreak/.

(2) Genital herpes – self-care: MedlinePlus Medical Encyclopedia. https://medlineplus.gov/ency/patientinstructions/000653.htm.

(3) CDC – Genital Herpes Treatment. https://www.cdc.gov/std/herpes/treatment.htm.

(4) Genital herpes: How can you prevent the spread of herpes in sexual …. https://www.ncbi.nlm.nih.gov/books/NBK525787/.

(5) STD Facts – Genital Herpes – Centers for Disease Control and Prevention. https://www.cdc.gov/std/herpes/stdfact-herpes.htm.

(6) A Herpes Vaccine Cure Could Be Closer Than You Think – GoodRx. https://www.goodrx.com/conditions/herpes/herpes-vaccine-progress.

(7) Mayo Clinic Q and A: Direct Contact With Cold Sore Could Spread Virus. https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-direct-contact-with-cold-sore-could-spread-virus/.

(8) Shingles Vaccination: What Everyone Should Know | CDC. https://www.cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html.

(9) Genital herpes: Overview – InformedHealth.org – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK525769/.

(10) Patient education: Genital herpes (Beyond the Basics). https://www.uptodate.com/contents/genital-herpes-beyond-the-basics.

(11) Detailed STD Facts – Genital Herpes – Centers for Disease Control and …. https://www.cdc.gov/std/herpes/stdfact-herpes-detailed.htm.

(13) Genital Herpes Transmission Rate: Risks and Statistics – Verywell Health. https://www.verywellhealth.com/genital-herpes-transmission-what-are-the-odds-5496285.

(14) Genital herpes – Symptoms and causes – Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/genital-herpes/symptoms-causes/syc-20356161.

(15) Shingles: Tips for managing – American Academy of Dermatology. https://www.aad.org/public/diseases/a-z/shingles-self-care.

(16) Shingles in Your Mouth: Treatment and More – Verywell Health. https://www.verywellhealth.com/shingles-in-mouth-5184151.

(1) Efficacy and safety of sertraline for the treatment of premature …. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571276/.

(2) An update on the treatment of premature ejaculation: A systematic …. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451625/.

(4) Effects of Antidepressants on Sleep – PMC – National Center for …. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548844/.

(5) Sertraline: Uses, how to take, side effects, and interactions. https://www.medicalnewstoday.com/articles/325632.

(7) Sertraline for Premature Ejaculation: What to Know – Healthline. https://www.healthline.com/health/mens-health/sertraline-for-premature-ejaculation.

(8) Can sertraline help with premature ejaculation? – Medical News Today. https://www.medicalnewstoday.com/articles/sertraline-for-premature-ejaculation.

(9) Selective serotonin reuptake inhibitors (SSRIs) – Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/depression/in-depth/ssris/art-20044825.

(1) Optimum usage of prilocaine-lidocaine cream in premature ejaculation. https://pubmed.ncbi.nlm.nih.gov/12472618/.

(2) Premature ejaculation – Diagnosis and treatment – Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905.

(3) Optimum usage of prilocaine-lidocaine cream in premature ejaculation. https://www.researchgate.net/publication/10998615_Optimum_usage_of_prilocaine-lidocaine_cream_in_premature_ejaculation.

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