Call Us: (540) 374-3164

10340 Spotsylvania Ave, Suite 101
Fredericksburg, VA 22408

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Oral Medications for Treatment of Erectile Dysfunction

Oral Medications for ED

Erectile dysfunction (ED) is the inability to gain and maintain an erection. There’s no shame in having it, but thankfully, multiple effective treatment options are available.

One of the available treatments options are oral ED medications. Oral ED medications may help with symptoms of ED including poor erections and decreased sexual function.

In order to optimize your sexual performance and provide longer-lasting benefits which oral medications may not be able to achieve, Dr. Truong and the Truong Rehabilitation Center also offers the P-Shot - a cutting edge sexual enhancement procedure.

To learn more about these ED treatment options, read on below or contact us online.

Blue Steel for ED

Blue Steel is a combination of both Tadalafil and Apomorphine. The medication is a one-two punch that addresses both the physical and mental aspects of erections respectfully.

By stimulating the genitals and relaxing the brain, Blue Steel may be a better combination than Tadalafil or Viagra alone.

Blue Steel is a troche – you place the small lozenges under your tongue, which bypass the stomach and are absorbed systemically and directly into the bloodstream. It may be the utmost productive form of oral medication application available.

Tadalafil (Cialis)

Also known as Cialis, Tadalafil works by preventing the action of the chemical phosphodiesterase type 5. Tadalafil helps to relax and widen blood vessels, helps blood flow into the penis, and thus may help you maintain an erection.

The medication may only work if you are sexually aroused. It may take 1-2 hours for you to experience Tadalafil’s full effects, potentially helping to encourage spontaneous sexual activity.

Tadalafil results may be longer-lasting than other ED treatments like Viagra, providing you with a 36-hour period of achievable erections.

Side effects of taking Tadalafil may include:

  • stuffy nose
  • flushing
  • headache
  • indigestion
  • back and muscle pain (usually appearing within 12-24 hours and disappearing within 48 hours)
  • abnormal vision in a small number of patients

A serious but rare side effect that requires immediate medical attention is priapism (painful, prolonged erections).

Do not take nitrates like nitroglycerin tablets or patches with Tadalafil, as the combination may lower blood pressure and cause fainting. Do not take Tadalafil if you have the following conditions:

  • retinal eye problems
  • uncontrolled, irregular heartbeats
  • uncontrolled blood pressure
  • heart pains (angina)
  • recent heart attacks or stroke
  • heart failure
  • severe liver disease


When applied under the tongue (sublingually), low and controlled doses of Apomorphine are used to help those with ED receive and maintain a painless erection.

Apomorphine stimulates dopamine receptor sites (often D (2)) within the brain involved in sexual function. Apomorphine aims to calm the brain to allow getting an erection easier and to help with performance anxiety. Apomorphine for ED may be beneficial for men who don’t respond to PDE5 inhibitors for erectile dysfunction.

Apomorphine typically starts working about a half-hour after administration. You may notice heightened success with each dose, and it may take several doses before you notice effects – Dr. Truong will work with you throughout the process.

Side effects include:

  • stuffy nose
  • upset stomach
  • lightheadedness from low blood pressure
  • prolonged erection (priapism); requires immediate medical attention

P-Shot Sexual Performance Optimization

Though not an oral protocol for ED, Dr. Truong provides Priapus Shot (P-shot) injections as a possible means of optimizing your performance.

The P-Shot may encourage the growth of new blood vessels, which might result in better sensitivity and powerful erections while also potentially enhancing the size of the penis.

The main ingredient of the P-Shot is platelet-rich plasma (PRP). The growth factors released from the concentrated platelets in PRP aid in soft tissue cell and blood vessel regeneration. During your 45-minute-or-less appointment, Dr. Truong will prepare the PRP by spinning a sample of your blood in a centrifuge.

The P-Shot aims to provide long-lasting erectile dysfunction symptom relief. You may see positive changes within days after your injection and full effects after a month that last for 2 years. Dr. Truong will discuss with you how frequently you’ll need the treatment.

Our Location

10340 Spotsylvania Avenue
Suite 101
Fredericksburg, VA 22408

Fax: (540) 899-1342

Monday: 8:00am - 4:30pm
Tuesday: 8:00am - 4:30pm
Wednesday: 8:00am - 4:30pm
Thursday: 8:00am - 4:30pm
Friday: 8:00am - 4:30pm
Saturday: Closed
Sunday: Closed

We are located near the following Fredericksburg, VA landmarks: Mary Washington Hospital, Spotsylvania Regional Medical Center, Medical Imaging at Lee's Hill, Fairfield Inn & Suites by Marriott Fredericksburg, and I-95 Exit 126.