Patient E is a 45-year-old male who state he functions “OK” but he has realized that it takes more stimulation and more time to achieve an erection. Rarely he was not able to achieve an erection at all. His erection is not quite as hard as it was a few years ago. He has a beach vacation scheduled with his wife in 2 weeks.
This fellow’s situation is fairly common as well. He wants something to help him perform better. Reviewing his history there were no significant medical issues so he was given Tadalafil (Cialis). His instructions are to take one prior to activity. On return he was very happy. He noted there was effect of the meds several hours after his dose. He said that he felt more like a man than he has in many years!
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