Julian Novak works at the awkward intersection of two topics people hate raising with a doctor: sex and pain. Both are surrounded by embarrassment, myth, and a lot of confident nonsense online. He started answering reader questions because the same misunderstandings kept costing people either their safety or their results.
With the erection pills, his job is mostly to separate the one genuine emergency — mixing them with nitrates — from the long list of things people worry about that are usually fine. He is blunt about that hard stop and relaxed about most of the rest, because that is where the real risk actually sits.
With gabapentin, the work is different. There the misunderstanding is that it behaves like an ordinary painkiller you can start and stop at will. He spends a lot of words on slow titration, the sedation trap when it meets other calming drugs, and why you come off it gradually. As with every page here, his answers are general education, not a treatment plan for your body.