FaQ

- Do NOT take with Amyl Nitrate (aka “Poppers”)
- Do NOT take with recreational drugs
- Do NOT take if you have untreated high blood pressure
- Do NOT take if you use nitrates (nitroglycerin) to treat chest pain.
- Do NOT take Woodwork if you use any HIV protease inhibitors (for example, ritonavir).
- If you're taking any other medications used to treat HIV, be sure to consult with the doctor who prescribed them before taking Woodwork.
- If you experience an erection lasting 4+ hours, seek immediate medical attention
Woodwork's treatment combines two active ingredients: sildenafil and tadalafil, both classified as phosphodiesterase type 5 (PDE5) inhibitors. These medications function by relaxing blood vessels and enhancing blood flow to the penis, facilitating the achievement and maintenance of an erection.
Upon sexual stimulation, the body releases nitric oxide, which activates an enzyme that increases cyclic guanosine monophosphate (cGMP) levels. Elevated cGMP leads to smooth muscle relaxation and vasodilation in the penile tissues, promoting increased blood flow and resulting in an erection. Sildenafil and tadalafil inhibit PDE5, the enzyme responsible for breaking down cGMP, thereby sustaining higher cGMP levels and facilitating prolonged erections.
Sildenafil's effects typically last between 4 to 5 hours, while tadalafil's effects can extend up to 36 hours. Individuals with liver or kidney conditions should consult their healthcare provider before use, as these conditions may affect medication metabolism. Additionally, certain medications can interact with sildenafil and tadalafil, potentially prolonging effects or causing adverse reactions.
Common side effects may include:
- Headache
- Flushing
- Indigestion
- Nasal congestion
- Dizziness
- Back pain
- Muscle aches
- Mild visual disturbances (e.g., blue-tinted vision)
If these symptoms persist or become bothersome, please consult a healthcare professional.
Seek immediate medical attention if you experience:
- Chest pain
- Severe dizziness or fainting
- Erection lasting longer than four hours (priapism)
- Sudden loss of vision or hearing
- Allergic reactions, such as swelling of the face or throat, difficulty breathing, or rash
- Severe skin reactions, including blistering or peeling
It's crucial to inform your healthcare provider about all medications and supplements you are currently taking, as certain substances can interact adversely with sildenafil and tadalafil. Avoid using Woodwork's medication in conjunction with:
- Recreational drugs
- Nitrites, Alkyl Nitrites, or Amyl Nitrate (aka “Poppers”)
- Nitrates (e.g., nitroglycerin)
- Guanylate Cyclase stimulators (e.g., riociguat)
- Certain blood pressure medications
- Strong CYP3A4 inhibitors (e.g., Ritonavir, Ketoconazole)
- Grapefruit or grapefruit juice
- Excessive alcohol consumption
Combining these substances with Woodwork's medication may lead to significant health risks, including severe drops in blood pressure or prolonged erections.
Individuals with underlying health conditions should provide a comprehensive medical history during the consultation process. This information allows our healthcare providers to determine if Woodwork's medication is appropriate and safe for you. Consult your primary care physician if you have specific concerns about how this treatment may interact with your existing health conditions.
Combining sildenafil and tadalafil should only occur under the supervision of a licensed healthcare provider who has thoroughly reviewed your medical history. Self-medicating or adjusting dosages without professional guidance can increase the risk of adverse effects.
It's advisable to limit alcohol intake when using this medication, as excessive consumption can increase the likelihood of side effects. Additionally, avoid using recreational drugs, especially those containing nitrates or nitrites, as they can cause dangerous interactions.
While sildenafil and tadalafil primarily address erectile dysfunction by enhancing blood flow, some studies suggest they may also aid in reducing the refractory period between erections. However, individual results may vary, and these medications are not specifically approved for treating premature ejaculation.
This treatment facilitates achieving and maintaining an erection but does not directly affect penile sensitivity. If decreased sensitivity is a concern, discuss this with your healthcare provider for personalized advice.
If treatments like Viagra® (sildenafil) or Cialis® (tadalafil) did not produce desired results, Woodwork's combination therapy might offer an alternative solution. Our approach utilizes a compounded formulation tailored to individual needs, potentially enhancing effectiveness. Consult with our healthcare providers to determine the most suitable treatment plan for you.
Woodwork's medication is intended for use as needed and should not be taken more than once within a 24-hour period. For formulations containing higher doses of tadalafil, be aware that the medication can remain active in your system for up to 36 hours. Always follow the prescribed dosing instructions and consult your healthcare provider with any questions.
Woodwork's medication is specifically formulated for individuals assigned male at birth and is not intended for use by those assigned female at birth.