A nurse is obtaining a history from a patient who will receive tadalafil [Cialis] for erectile dysfunction. The patient reports that he expects to have sexual activity three or four times a week. What should the nurse tell the patient?
a. Adverse effects of tadalafil resolve more quickly than those of sildenafil.
b. There is an increased risk of priapism with frequent sexual activity.
c. He should take tadalafil 30 to 60 minutes before sexual activity.
d. He should talk to his provider about daily dosing of tadalafil.
D
Tadalafil is approved for daily dosing and can be given daily for men who anticipate sexual ac-tivity twice a week or more. Tadalafil has longer effects—up to 36 hours—than sildenafil, and adverse effects take longer to resolve. There is no increased risk of priapism associated with an increase in sexual activity. Because tadalafil has longer effects, dosing and sexual activity do not have to be closely timed.
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