Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology. She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research.

Parameter Value Notes
Absorption Time About 30-120 minutes Varies per individual
Peak Plasma Level 4-6 hours after dose Time to maximum effect
Half-life Approximately 17.5 hours Maintains effect throughout most of day
Metabolism Liver (via CYP3A4 enzyme) Adjust dosage if liver impairment present
Excretion Mainly fecal, some urinary Consider in kidney/liver issues

Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care. She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry. She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare. Dr.

Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement.

Dr. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function. Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her buy cialis 5mg a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health. Dr. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog.

Drug Class Interaction Effect Clinical Advice
Alpha-blockers Increased risk of hypotension Take under medical supervision
CYP3A4 inhibitors (e.g., ketoconazole) Increased Cialis levels Dose adjustment recommended
Other PDE5 inhibitors Increased side effects Use only as prescribed
Antihypertensive medications Potential additive effect Monitor blood pressure closely

You can find Dr. Brown on LinkedIn for more information. Urology Residency, University of California San Francisco Urology Residency, University of California San Francisco Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill Northwestern University Feinberg School of MedicineB.S.

💬 FAQs: What My Patients Ask Most Often

Before taking Cialis, let your healthcare provider know about all medications you currently use or have recently used. Additionally, give them a heads up about any liver problems or renal issues (like kidney disease) or if you suffer from Peyronie’s disease. Cialis is one of the most popular medications used in the treatment of erectile dysfunction — and for good reason. Not only is it effective at treating ED, but its long duration of action means it only needs to be taken once a day to provide lasting effects. But don’t take the medication’s convenience and safety track record as excuses to mess around.

Take as part of a healthy lifestyle

Still asking yourself, How much Cialis should I take? Here are the key takeaways from our Cialis dosage guide: Only take Cialis when it’s prescribed by a healthcare professional. Unlike supplements, FDA-regulated Cialis must be prescribed by a licensed medical professional. Only take Cialis when it’s prescribed by a healthcare professional. There are two options for using this medication.

What should I know about tadalafil before using it?

Take a low dose on a daily basis or take a slightly higher dose as needed. Take Cialis as needed if you don’t have sex often. If your sexual activity is limited to once or twice a week, taking Cialis as needed may be the best choice. Take daily Cialis if you have sex regularly. If you’re more sexually active and have sex multiple times a week — or if you prefer the convenience of being able to have sex when you want to — taking a daily dose of Cialis may offer more advantages. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill Cowan, B, Walker, K., Rodgers, K., Agyemang, J. Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4.

Product Dosage Quantity + Bonus Price
Cialis Professional40mg120 + 4 Pills436.68€ 415.89€
Cialis Generic5mg10 Pills29.39€ 27.99€
Cialis Super Active20mg20 + 4 Pills92.35€ 87.95€
Cialis Generic40mg360 + 10 Pills477.87€ 455.11€
Cialis Generic10mg10 Pills31.41€ 29.91€
Cialis Black80mg90 + 6 Pills207.88€ 197.98€
Cialis Soft Tabs20mg20 + 2 Pills66.98€ 63.79€
Cialis Professional20mg180 + 4 Pills423.11€ 402.96€
Cialis Original20mg48 + 4 Pills224.69€ 213.99€
Cialis Generic2.5mg90 + 6 Pills112.43€ 107.08€

Cowan, B, Walker, K., Rodgers, K., Agyemang, J. Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. Feasibility Study of Video Telehealth Clinic Visits in Urology.

The Journal of Urology, 201(Supplement 4), e545-e545.

Side Effects

We offer brand-name Cialis and generic tadalafil online, following a consultation with a licensed healthcare provider who’ll determine if a prescription is appropriate. Our range of erectile dysfunction medications also includes sildenafil, brand-name Viagra, COLCRYSTM (colchicine, USP) tablets for Oral use. Tadalafil in the treatment of erectile dysfunction; an overview of the clinical evidence. Effect of tadalafil 5mg daily treatment on the ejaculatory times, lower urinary tract symptoms and erectile function in patients with erectile dysfunction. National Institute of Diabetes and Digestive and Kidney Diseases.

Side effects and risks

National Institute of Diabetes and Digestive and Kidney Disease. A once-daily dose of tadalafil for erectile dysfunction: compliance and efficacy. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex. Erectile dysfunction affects as many as 30 million men in the United States.

Answer some quick questions to choose a treatment

If you’re prescribed Cialis for daily use, it’s common to sometimes forget to use your medication. What to do when you forget to take Cialis depends on the time of day you actually remember. If you forget to take Cialis, take the missed dose as soon as you remember. If it’s close to your next dose, skip the missed dose and continue using the medication as usual. But generally speaking, don’t use this medication more than once per day.

Erectile dysfunction explained

Erectile function isn’t about loading up with a massive dose to get the full effects. You should never exceed the maximum dose of Cialis in 24 hours. Cialis dosage 20mg is the Cialis max dose for erectile dysfunction when taken as needed or 5mg when taken on a daily basis — but a healthcare professional will almost certainly start you on a lower dose. If you’re starting Cialis and don’t notice any improvements at the dose you’re prescribed, consult your healthcare provider before making any changes to your dosage or use of this medication. The 5mg dose of Cialis generally starts working quickly, sometimes within a half-hour of taking the pill.

How long does it take for Cialis to work?

It could take up to six hours, though. And with the daily version, it might take several days for this ED medication to reach maximum effectiveness. No, you shouldn’t take 80mg of Cialis. This is four times the maximum Cialis dosage of 20mg and isn’t safe. And if you’re on daily Cialis, the max is 5mg a day. Premature ejaculation (PE) is a sexual dysfunction characterized by a short ejaculatory latency, a perceived lack of control about the timing of ejaculation, and distress and interpersonal difficulty related to ejaculating too quickly. Low testosterone or testosterone deficiency, also known as hypogonadism, is a condition in which patients develop symptoms such as low sex drive, erectile dysfunction (ED), and fatigue because the body doesn’t produce enough testosterone.

Though many men don’t like to talk about it, ejaculation problems are very common.

Further information

Never take more than what’s prescribed — of Cialis, tadalafil, or any medication. No, 40mg of Cialis isn’t safe to take and could lead to more or worsened side effects. This is twice the maximum as-needed 20mg dose. If Cialis isn’t working for you, ask your healthcare provider about trying a different ED medication. Once-daily Cialis is usually dosed at 2.5 to 5mg.

Cialis and foods

The as-needed version ranges from 10 to 20mg. The typical dosage for as-needed Viagra is 50mg, but it can range as well. Learn about generic tadalafil dosage in our guide. When taking Cialis, you should know certain prescription drugs and other substances can affect your dosage. Cialis (and other medications used to treat erectile dysfunction) may interact with other medications.

Could I take an 80-mg dose of Cialis?

The list of contraindicated meds includes nitrates, alpha-blockers, cialis tadalafil 10 mg and other meds used to treat hypertension (high blood pressure). It also includes medications that can increase the concentration of the active ingredient in your blood by affecting the CYP3A4 enzyme, like doxazosin and ketoconazole. FYI, grapefruit juice also has this effect, so watch your breakfast beverage intake if you’re a morning sex guy. Some recreational drugs, such as “poppers,” that contain amyl nitrate or butyl nitrate can also interact with Cialis and cause a sudden decrease in blood pressure. And low blood pressure could lead to more serious side effects like heart failure. Some of the most common issues include premature, delayed, or retrograde ejaculation.

Benefit Description Evidence
Improved Erectile Function Maintains readiness for sexual activity Clinical studies show increased spontaneous activity
Reduced Anxiety Less performance anxiety due to consistent medication Patient reports and surveys
Better Relationship Satisfaction Continuous support contributes to intimacy Psychological and relationship assessments
Fewer Side Effects Small doses reduce the risk of adverse effects Comparative analyses of dosing regimens

Your pelvic floor is a lot like plumbing in your home: you never really think about it unless something goes wrong. When you think of male sexual dysfunction, concerns like erectile dysfunction (ED) or premature ejaculation (PE) probably come to mind first. But there’s another sex-related issue that’s more common in men than you might expect: difficulty orgasming. Daily Cialis can be safe for many seniors under medical supervision, often improving erections and BPH urinary symptoms and possibly supporting vascular health, but safety depends on your heart status, kidney and liver function, blood pressure, and other medicines.