Age You Started Taking Viagra / Slidenafil?

[bayekofthecreed]

I went to GP not too long ago about my ED. I asked for Viagra and he basically said ‘Er, I can’t prescribe it because you don’t qualify for it’. Apparently you can only get it on the NHS if you have specific health conditions which I haven’t got. Also had a blood test done recently and was told everything was fine. I have used Viagra and Cialis (Tadalafil). Have found Doctorfox is cheapest for Sildenafil and UKmeds is cheapest for Tadalafil.

[londonroad]

You can ask for it privately but it will then of course cost you. I get mine from Lloyds Online pharmacy and pick it up from Sainsburys. You have to complete an online medical assessment which is reviewed by a doctor. Enjoy.

[Watts.E.Dunn]

As were not supposed to talk re that crone virus this is an intresting read not that theres much of it!

Have a google on: Remdesivir

External Link/Members Only

[W5ranger]

You`ve watched so much porn that you can only "get it on" by watching someone else do it.  You need to stop watching porn completely and find a good SP who knows how to do a good "seduction" routine, and see her a few times until she`s got you back on the `straight and narrow`.

Absolutely correct, I find the girls who give a nice GF experience far better and the sensuality makes it more exciting.

[cash2spare]

I went to GP not too long ago about my ED. I asked for Viagra and he basically said ‘Er, I can’t prescribe it because you don’t qualify for it’. Apparently you can only get it on the NHS if you have specific health conditions which I haven’t got. Also had a blood test done recently and was told everything was fine. I have used Viagra and Cialis (Tadalafil). Have found Doctorfox is cheapest for Sildenafil and UKmeds is cheapest for Tadalafil.

Wrong!

If you can't get a boner and it is affecting your heath mental or physical and sex would put it right you qualify.
I reckon he prescribed some when you left his room and got the prescription for himself.
Just go see another doctor when hes on holiday then phone up for repeat prescriptions.

[cash2spare]

I started popping the blue pills a couple of years ago after trying one out at home, choking the chicken to porn on the net.
Was surprised how stiff my cock went were talking iron bar like status.
Use them for punts 50mg (slice the 100mg in half) and find it a turn on sporting a raging boner with a pretty young thing after just filling her mouth with jizz.
The only thing I would say is while you can shag shag shag, I get her to ride me (I know lazy sod but hey I call the shots as I'm paying) the 2nd cum doesn't always happen 
Oh and drink lots of water as you pop the pill and a couple of paraceatamol too to fend off the inevitable headache. Can't find anything to cure the red face syndrome though so that's a downer.
Age midlife

[Colston36]

Hi All.

I'm just wondering what age you started seeking medical help ( pill popping ) with either getting hard or staying hard?

There was a time when I would be like a rock and almost poke myself in the eye but i'm surprised that i'm under 50 and things are not as hard as they use to be.   Is under 50 for taking viagra / sildenafil about the usual starting age?

Thanks

78. But before that I was happily with a partner.

[Cunning Punt]

Started when I was about 40 after a couple of 'failed takeoffs' during a punt.

At first, half a 50mg sildenafil was enough for a half-hour 1-pop punt and a whole pill for 1hr 2-pop punt if the SP was any good at oral.

Within only a couple of years, I lost the ability to manage 2 pops in 1hr and needed a bit of recovery time, hence why Seeking suits me better than punting now, due to the longer meets.
However, I still found it more difficult to manage a 2nd round, so often now take 2 x 50mg pills, which works if the girl puts the effort in.

So I have graduated from no Sildenafil to 100mg within only a few years at an age a lot younger than most guys start taking it.

Not sure whether one 'gets used' to a pill dosage so then has to up the amount or whether it's partly a placebo effect of taking sildenafil. But I know that I struggle to maintain decent, sustained wood that is required for sex without it, sometimes even when I'm having some 'alone time'.

My fitness and diet are okay without being herculean and I don't touch alcohol on the day, but I probably don't drink enough water.

 

[Doc Holliday]

Wrong!

If you can't get a boner and it is affecting your heath mental or physical and sex would put it right you qualify.
I reckon he prescribed some when you left his room and got the prescription for himself.
Just go see another doctor when hes on holiday then phone up for repeat prescriptions.

It is partly right. You don't actually qualify for an NHS prescription unless you also have one of a number of related illnesses.

•Multiple sclerosis (MS)
•Diabetes
•Parkinson’s disease
•Polio
•Prostate cancer or prostatectomy
•Kidney failure
•Major pelvic surgery
•Spinal cord injury
•Spina bifida
•Certain genetic conditions, like Huntington’s disease


Your GP can however issue a private prescription which he will not (or should not) charge a prescribing fee. You can then choose the best priced pharmacy to get it dispensed.

[Doc Holliday]

Started when I was about 40 after a couple of 'failed takeoffs' during a punt.

At first, half a 50mg sildenafil was enough for a half-hour 1-pop punt and a whole pill for 1hr 2-pop punt if the SP was any good at oral.

Within only a couple of years, I lost the ability to manage 2 pops in 1hr and needed a bit of recovery time, hence why Seeking suits me better than punting now, due to the longer meets.
However, I still found it more difficult to manage a 2nd round, so often now take 2 x 50mg pills, which works if the girl puts the effort in.

So I have graduated from no Sildenafil to 100mg within only a few years at an age a lot younger than most guys start taking it.

Not sure whether one 'gets used' to a pill dosage so then has to up the amount or whether it's partly a placebo effect of taking sildenafil. But I know that I struggle to maintain decent, sustained wood that is required for sex without it, sometimes even when I'm having some 'alone time'.

My fitness and diet are okay without being herculean and I don't touch alcohol on the day, but I probably don't drink enough water.

Are you self prescribing? The jury is out on tolerance "getting used to it" (apart from psychologically) but is unlikely to be the case. If you are mid 40s you may need to get checked out to exclude other causes .... assuming you haven't already done so?

[kielondon]

I think I’ve started when I was 28. Not because I had a problem just to feel more confident and don't worry about “technical issues” 
First I was taking 50mg and It was definitely too much.
Than 25mg
Now 1/4 still works on me and headache day after is gone, no red face.

[winkywanky]

Viagra at 28yrs old? 

Perhaps you should give up the Coke, Cannabis, alcohol (and any other shit you happen to be taking) for a couple of weeks to see if it does the trick? That might help you to get your Mojo back.

[kielondon]

Viagra at 28yrs old? 

Perhaps you should give up the Coke, Cannabis, alcohol (and any other shit you happen to be taking) for a couple of weeks to see if it does the trick? That might help you to get your Mojo back.

None of that. just stress.  1 pop was always alright but usually didn’t have power for 2nd.

Know lots of people even younger taking sildenafil and kamagra without ED.

[winkywanky]

None of that. just stress.  1 pop was always alright but usually didn’t have power for 2nd.

Seriously, at that age...you should be cumming a bucket, re-loading and ready for round two within 15mins max  .

If not, perhaps you didn't really need the punt in the first place?

Or perhaps you should seek help with your stress (seriously).

[winkywanky]

Know lots of people even younger taking sildenafil and kamagra without ED.

That's just sick (and I mean that in the original sense, look it up).

[Cunning Punt]

Are you self prescribing? The jury is out on tolerance "getting used to it" (apart from psychologically) but is unlikely to be the case. If you are mid 40s you may need to get checked out to exclude other causes .... assuming you haven't already done so?

Well one does have to fill in an online questionnaire on the Dr Fox website for the pills to be prescribed by a doctor but that's easy enough, so effectively yes I am self prescribing. There's no substitute for a face-to-face consultation with a GP and I probably do need to go for that MOT for over 40s that the NHS texted me about years ago, once all this Corona craziness has died down.

In the meantime, I will try sticking to only one 50mg pill.

[Don-Pedro]

Late 30’s and no ED problems before.
Take 25g sildenafil.
It helps to be ready for the roudn 2 and 3.

[Plan R]

40
(over a decade ago)

++ get your Cholesterol checked once a year, aim to have a total cholesterol count of <5
The blue pill is fooking brilliant, trouble is its too good - in that it can mask some underlying issues.
Not trying to scaremonger - just wishing my fellow punters to be conscious of a very important number
 

[JontyR]

Seriously, at that age...you should be cumming a bucket, re-loading and ready for round two within 15mins max  .

WW - I respect you and your posts on hear and am in almost unanimous agreement with all of them , or laughing along with them. I feel fairly confident therefore in passing this comment that the above statement aren't necessarily helping folks talk openly about issues they may face. Although I have no doubt your concern is genuine the kind of "at your age" comment may have the opposite effect on some reading and put them into their shell a bit?

My personal experience is that I have never been a big fan of johnnies, well actually I'm fine, its just my cock that hates them.  But they are a a necessity with a SP or new civvy. I had a mate who let it be known that he started using viagra when he was in his early 30's.

I started in my late 30's when I was able to do the deed - but full turgidity like when I was seemingly always up for another round in my teens and 20s was more difficult. And the difference for myself and my partner is significant. 

I think there may be something psychosomatic about it all, but we knew that anyway. But in my case I was ok with a split of a 50mg got from Lloyds online doctor. I actually detailed that I felt I could do with a stronger dose and after a little bit of tooing and froing 100mg of sildenafil was prescribed. I happily split these into 4 reducing the cost of the prescription significantly.

[JontyR]

on an aside my only side effect is a bit of heartburn. I get a woozy feeling for a couple of seconds to let it be known that my capillaries are opening up all over my body.

The other thing to mention is that on a full stomach, particularly after fatty food, the effectiveness is massively reduced in my experience - albeit I didn't risk a full English pre session again!!

[Home Alone]

... and is the reason why I have my meal on the evening before a punt earlier than I usually would.

My appointment the following day has always been, afaik, the SP's first of the day - around 11.00 am - and the only food or drink I would have taken since that meal would have been a large - 1/2 litre - mug of coffee, at least an hour before the appointment, which I used to take my tablet.

[B4bcock]

My appointment the following day has always been, afaik, the SP's first of the day - around 11.00 am - and the only food or drink I would have taken since that meal would have been a large - 1/2 litre - mug of coffee, at least an hour before the appointment, which I used to take my tablet.

HA,  I hope you have a good swill with Listerine before going in for a snog!!! 

[Home Alone]

OMG, B4bcock; I knew there had to be something I'd forgotten!

That explains a lot about how unsuccessful some of my punts have been!!

[Natwest]

I started to notice I wasn't getting so hard about a year ago, then had a couple of embarrassing failures at getting an erection. So I started to take the pills. I was seeing someone at the time and found it really hard predicting when she might want sex and many times I took tablets and all I had was frustration and terrible indigestion, one of the worst side effects I found. I was too embarrassed to tell her I was taking them which didn't help.

Since lockdown, I have managed to lose a bit of weight, I have certainly been drinking less and trying to generally eat more healthily. I've been seeing a girl from Seeking Arrangements regularly since April and this week for the first time I braved it without taking a tablet. I hadn't wanked for 5 days and was feeling pretty horny. I would say it was about 90% successful and whilst I wouldn't say I am cured by any means, I do feel a bit more confident that I have gone some way to possibly starting to reverse or halt the need through a bit of lifestyle change. I am 68 by the way. Had a huge first pop, but needed many more hours before I could have managed a second one unlike with the tablet.

[londonroad]

In my experience drinking loads of water really makes a difference.

[winkywanky]

WW - I respect you and your posts on hear and am in almost unanimous agreement with all of them , or laughing along with them. I feel fairly confident therefore in passing this comment that the above statement aren't necessarily helping folks talk openly about issues they may face. Although I have no doubt your concern is genuine the kind of "at your age" comment may have the opposite effect on some reading and put them into their shell a bit?

My personal experience is that I have never been a big fan of johnnies, well actually I'm fine, its just my cock that hates them.  But they are a a necessity with a SP or new civvy. I had a mate who let it be known that he started using viagra when he was in his early 30's.

I started in my late 30's when I was able to do the deed - but full turgidity like when I was seemingly always up for another round in my teens and 20s was more difficult. And the difference for myself and my partner is significant. 

I think there may be something psychosomatic about it all, but we knew that anyway. But in my case I was ok with a split of a 50mg got from Lloyds online doctor. I actually detailed that I felt I could do with a stronger dose and after a little bit of tooing and froing 100mg of sildenafil was prescribed. I happily split these into 4 reducing the cost of the prescription significantly.

Thanks for making me sound like a heartless git.

Perhaps if you'd quoted the whole of my post:

Seriously, at that age...you should be cumming a bucket, re-loading and ready for round two within 15mins max  .

If not, perhaps you didn't really need the punt in the first place?

Or perhaps you should seek help with your stress (seriously).

Rather unfair to leave that bit out, because you took away the context.

[Absolutman]

Started around 50 after a few false starts and a urologist diagnosed I had a blood outflow issue.
Been prescribed 100 mg sildenafil or 20 mg taladafil but usually take 25-50 mg and 5-10 mg respectively as I find lower doses also work and I can avoid the headache and flushed face.
With some generics, difficult to know in advance, I take more, at times the whole pill. But it is unpredictable. Always buy in pharmacies. Have not trusted online suppliers to not supply fakes.
Find they work better on punts that start with a bit of social time, when there is no language barrier, a certain click and a slowish start and work less well or even not at all in AMPs when communication is limited and there are few CC swipes, i.e. no build up. Makes sense as need a stimulus.
Hearing the underlying cause can be either physiological or psychological, wonder if my ending a secret relationship around the same time was a contributory or aggravating factor. Never had any issues in those mostly day sessions.

[winkywanky]

When you say generics don't always work as well, I find that strange.

You say you always get them from the pharmacy. Proper, pukka generics are licenced and just as tightly regulated as those from Pfizer, the active ingredient composition will be exactly the same.

What pharmacy?

[Waterhouse]

When you say generics don't always work as well, I find that strange.

You say you always get them from the pharmacy. Proper, pukka generics are licenced and just as tightly regulated as those from Pfizer, the active ingredient composition will be exactly the same.

True, but non-active ingredients which act as carriers and aid with absorption may well differ from brand to brand and this can affect individual absorption rates.  Although expensive, in my opinion and experience, Viagra does remain the “gold standard”.

[daviemac]

True, but non-active ingredients which act as carriers and aid with absorption may well differ from brand to brand and this can affect individual absorption rates.  Although expensive, in my opinion and experience, Viagra does remain the “gold standard”.

Is that true of all medication? I take several different types every day and the manufacturers, even the country of origin, vary from prescription to prescription. I would hate to think that they are providing me with something that does not do what it's supposed to do in the exact way it's supposed to it.

Come to think of it as I haven't died yet they must be working OK. I was under the impression that any drug licenced for use in the UK had to pass stringent tests.     

[Waterhouse]

Is that true of all medication? I take several different types every day and the manufacturers, even the country of origin, vary from prescription to prescription. I would hate to think that they are providing me with something that does not do what it's supposed to do in the exact way it's supposed to it.

Come to think of it as I haven't died yet they must be working OK. I was under the impression that any drug licenced for use in the UK had to pass stringent tests.     

DM you’re correct in terms of stringency, vigorousness and *overall* quality.  I also take HT meds, was on 150mg Losartan at one point, and like you still here (just).

Major everyday drugs tend to sell at similar prices across the board regardless of brand, but when you consider the cost diff for Cialis and Viagra vs. Generics, then it does beg the question as to how generics can be produced so much cheaper? In fact even the generic PDE5Is can fluctuate widely in cost from day to day.

Spedra (Stendra in the US) is always branded, not aware of a generic Avanafil for this yet, and tends to be expensive, whereas Levitra and generic Vardenafil tend to be similarly priced.  But Vigra and Cialis is a different ballgame when it comes to cost vs their generic counterparts.  One of the reasons for this is around licensing and the number of manufacturers out their globally.

Clearly the manufacturers are not allowed to play around with the active ingredients themselves so this leaves other factors to reduce cost on... manufacturing process and quality of inactive ingredients and how they’re initially produced i.e. various derivatives and compounds of calcium, magnesium, lactose, colourings, cellulose etc.  It's these ingredients which act as “active ingredient carriers” and contribute to how the drug is absorbed.

I've experimented with various generics and branded V and C at 50mg and 100mg, and 10mg and 20mg respectively, and I feel the results have overall been better with the more expensive original brands, but have found one or two generics of Sildenafil which worked well also.

Marm will know more about this than me.

[daviemac]

DM you’re correct in terms of stringency, vigorousness and *overall* quality.  I also take HT meds, was on 150mg Losartan at one point, and like you still here (just).

Major everyday drugs tend to sell at similar prices across the board regardless of brand, but when you consider the cost diff for Cialis and Viagra vs. Generics, then it does beg the question as to how generics can be produced so much cheaper? In fact even the generic PDE5Is can fluctuate widely in cost from day to day.

Marm will know more about this than me.

I find it a bit hard to believe that drugs would be imported from the likes of Holland and Poland if they weren't cheaper that UK made brands, or that Viagra branded Sildenafil is the only drug that can't be accurately replicated.

I get Sildenafil on prescription, very rarely is it Viagra and have to say I have not noticed any difference in the effect the generic versions have. 

[maxxblue]

DM you’re correct in terms of stringency, vigorousness and *overall* quality.  I also take HT meds, was on 150mg Losartan at one point, and like you still here (just).

Major everyday drugs tend to sell at similar prices across the board regardless of brand, but when you consider the cost diff for Cialis and Viagra vs. Generics, then it does beg the question as to how generics can be produced so much cheaper? In fact even the generic PDE5Is can fluctuate widely in cost from day to day.

Spedra (Stendra in the US) is always branded, not aware of a generic Avanafil for this yet, and tends to be expensive, whereas Levitra and generic Vardenafil tend to be similarly priced.  But Vigra and Cialis is a different ballgame when it comes to cost vs their generic counterparts.  One of the reasons for this is around licensing and the number of manufacturers out their globally.

Clearly the manufacturers are not allowed to play around with the active ingredients themselves so this leaves other factors to reduce cost on... manufacturing process and quality of inactive ingredients and how they’re initially produced i.e. various derivatives and compounds of calcium, magnesium, lactose, colourings, cellulose etc.  It's these ingredients which act as “active ingredient carriers” and contribute to how the drug is absorbed.

I've experimented with various generics and branded V and C at 50mg and 100mg, and 10mg and 20mg respectively, and I feel the results have overall been better with the more expensive original brands, but have found one or two generics of Sildenafil which worked well also.

Marm will know more about this than me.

The reason that generics are cheaper than the original drugs is that initially they can only be sold by the developer (e.g. Eli Lilley), who sell them at a higher costs to cover their research and development costs. Only the original manufacturer can sell the drug for a period of 10 years. After this time other manufacturers can make the drugs, but as they don't have the research and development costs, they can sell the drug much cheaper. 

[Waterhouse]

I find it a bit hard to believe that drugs would be imported from the likes of Holland and Poland if they weren't cheaper that UK made brands, or that Viagra branded Sildenafil is the only drug that can't be accurately replicated.

I get Sildenafil on prescription, very rarely is it Viagra and have to say I have not noticed any difference in the effect the generic versions have.

Maybe it's the difference/line between what’s considered a necessary drug for life preservation/mental well being, and something which could be considered “recreational”.  PDE5Is aren’t prescribed to prevent a stroke or control hypertension, or to address mental disorders, pain management, blood sugar levels etc.

[maxxblue]

Maybe it's the difference/line between what’s considered a necessary drug for life preservation/mental well being, and something which could be considered “recreational”.  PDE5Is aren’t prescribed to prevent a stroke or control hypertension, or to address mental disorders, pain management, blood sugar levels etc.

Not true. PDE5Is are prescribed for, amongst other conditions, pulmonary arterial hypertension. 

[daviemac]

Maybe it's the difference/line between what’s considered a necessary drug for life preservation/mental well being, and something which could be considered “recreational”.  PDE5Is aren’t prescribed to prevent a stroke or control hypertension, or to address mental disorders, pain management, blood sugar levels etc.

They are prescribed for quality of life which equates to mental health well being. I told my doctor ED was affecting me mentally, even then they did 7 different blood tests to rule out any underlying cause, only when they came back OK did she prescribe it.

Are you really saying that different drugs go though different levels of tests and scrutiny dependant on their use? and sildenafil, a drug that has a direct effect on heart rate, blood pressure and circulation, is tested to any lesser degree than say Ramipril, Dabigatran or Bisoprolol Fumarate,  if so I would like to see links to evidence of this.   

[Waterhouse]

Are you really saying that different drugs go though different levels of tests and scrutiny dependant on their use? and sildenafil, a drug that has a direct effect on heart rate, blood pressure and circulation, is tested to any lesser degree than say Ramipril, Dabigatran or Bisoprolol Fumarate,  if so I would like to see links to evidence of this.   

I'm not saying ghat all.  What I am saying that different generics of PDE5Is can have varying inactive ingredients.

[Marmalade]

Hi All.

I'm just wondering what age you started seeking medical help ( pill popping ) with either getting hard or staying hard?

There was a time when I would be like a rock and almost poke myself in the eye but i'm surprised that i'm under 50 and things are not as hard as they use to be.   Is under 50 for taking viagra / sildenafil about the usual starting age?

Thanks

Just a thought based on your avatar...
— drinking Red Bull might not help.

Just saying...

There’s many theories about caffeine and ED, mostly putting forward that caffeine could feasibly help with erections but it is only a hypothesis.

My own experience is quite the opposite. Caffeine is good for ‘staying in the head’ or going running but not for a fun relaxed sex session (maybe different when I was 25 when the urge for sex could dominate other physiological responses).

I also, again personally, see an empty can of red bull in a p4p apartment as a red flag. I think she’ll be into talking ten to the dozen, jumping about all over the place, and with little or no connection between head and fuckhole.

Others may have a totally different experience of course.

 

[Waterhouse]

Not true. PDE5Is are prescribed for, amongst other conditions, pulmonary arterial hypertension. 

Not according to GPs or any of the cardio consultants at any of the Surrey hospitals. A few years back I used to get daily Tadalafil on NHS prescription, it was stopped because I was told neither Tadalafil nor Sildenalfil were licensed to be prescribed for hypertension.  I was told this by two GPs, a registrar and a consultant at the hospital, and the Surrey CCG who are responsible for medication management in collaboration with Health authorities.  Maybe it's a regional restriction and possibly based of cost, but the underlying message was that neither Sildenafil nor Tadalafil are licensed to be prescribed for hypertension.

[maxxblue]

Not according to GPs or any of the cardio consultants at any of the Surrey hospitals. A few years back I used to get daily Tadalafil on NHS prescription, it was stopped because I was told neither Tadalafil nor Sildenalfil were licensed to be prescribed for hypertension.  I was told this by two GPs, a registrar and a consultant at the hospital, and the Surrey CCG who are responsible for medication management in collaboration with Health authorities.  Maybe it's a regional restriction and possibly based of cost, but the underlying message was that neither Sildenafil nor Tadalafil are licensed to be prescribed for hypertension.

External Link/Members Only 

[daviemac]

I'm not saying ghat all.  What I am saying that different generics of PDE5Is can have varying inactive ingredients.

Yes you are saying that, you have stated that Viagra branded sildenafil is more effective than the generic versions because of a difference ingredients.

Read the posts again. -
 
quote author=daviemac link=topic=275256.msg2944567#msg2944567 date=1598872392]
I find it a bit hard to believe that drugs would be imported from the likes of Holland and Poland if they weren't cheaper that UK made brands, or that Viagra branded Sildenafil is the only drug that can't be accurately replicated.

I get Sildenafil on prescription, very rarely is it Viagra and have to say I have not noticed any difference in the effect the generic versions have.
[/quote]

Maybe it's the difference/line between what’s considered a necessary drug for life preservation/mental well being, and something which could be considered “recreational”. PDE5Is aren’t prescribed to prevent a stroke or control hypertension, or to address mental disorders, pain management, blood sugar levels etc.

Your reply implies lower quality generic versions of sildenafil are acceptable because they are, according to you, recreational. Have to say I haven't come across a doctor who prescribes anything that is not for a recognised medical condition.

[Waterhouse]

External Link/Members Only 

Thanks for this. 

Additional searching also led me to mims.co.uk.  From what I can gather the cardio team and especially my GP have been less than truthful with me re. Tadalafil, although I was on 5mg daily, not 40mg daily which is the hypertension dosage.  They were adamant with me that it was not allowed.  I'll be bringing this up for discussion in a couple of weeks when I have my annual review.

[maxxblue]

Thanks for this. 

Additional searching also led me to mims.co.uk.  From what I can gather the cardio team and especially my GP have been less than truthful with me re. Tadalafil, although I was on 5mg daily, not 40mg daily which is the hypertension dosage.  They were adamant with me that it was not allowed.  I'll be bringing this up for discussion in a couple of weeks when I have my annual review.

No problem. 

[Waterhouse]

Yes you are saying that, you have stated that Viagra branded sildenafil is more effective than the generic versions because of a difference ingredients.

Read the posts again. -
 
quote author=daviemac link=topic=275256.msg2944567#msg2944567 date=1598872392]
I find it a bit hard to believe that drugs would be imported from the likes of Holland and Poland if they weren't cheaper that UK made brands, or that Viagra branded Sildenafil is the only drug that can't be accurately replicated.
I get Sildenafil on prescription, very rarely is it Viagra and have to say I have not noticed any difference in the effect the generic versions have.
Your reply implies lower quality generic versions of sildenafil are acceptable because they are, according to you, recreational. Have to say I haven't come across a doctor who prescribes anything that is not for a recognised medical condition.

I said that in my own experience, I found Viagra to work better... i.e. for me.  If you take the difference in composition for Viagra and Mylan branded Sildenafil for example, the latter does not use lactose as a part of it's inactive ingredients i.e. a bulking agent, wheres as Viagra does use it.  Lactose can affect individuals in different ways (not necessarily lactose intolerant) and can affect how medication is absorbed.

[winkywanky]

True, but non-active ingredients which act as carriers and aid with absorption may well differ from brand to brand and this can affect individual absorption rates.  Although expensive, in my opinion and experience, Viagra does remain the “gold standard”.

I'm not a pharmacist but that's true, there may be carriers for some active ingredients, as well as the usual 'fillers' which make up the tablet. Also, I know with some medications there might be different 'versions', for instance [active ingredient] citrate, [active ingredient] nitrate, [active ingredient] whatever-ate.

Some medications have added caffeine to enhance the effect, some penicillin-based antibiotics have added clavulanic acid for example, which assists the antibiotic to work.

I occasionally use Sildenafil (generic Viagra) as an 'insurance policy', these are the ones I get: External Link/Members Only. Very cheap, from Lloyds Pharmacy online.

As far as I can work out they're effectively identical, utilising Sildenafil Citrate, the same as Viagra?

[JontyR]

Yeah, when on one occasion they hadn't got the quantity I ordered they slipped in  few tabs of viagra instead.

[Plan R]

Clearly the manufacturers are not allowed to play around with the active ingredients themselves so this leaves other factors to reduce cost on... manufacturing process and quality of inactive ingredients and how they’re initially produced i.e. various derivatives and compounds of calcium, magnesium, lactose, colourings, cellulose etc.  It's these ingredients which act as “active ingredient carriers” and contribute to how the drug is absorbed.

Very interesting, always felt I get stronger hydraulics with Kamagra (the Indian stuff), than Viagra.
Not a major difference - maybe my imagination. I've always tried to dismiss the idea, but reading your comment makes me think hmmm 

[guymids-72]

Mid forties, I like a 90min meeting and was starting to struggle getting hard enough for round 2.
50mg is well worth it as a insurance policy when spend circa £200

[Doc Holliday]

Not according to GPs or any of the cardio consultants at any of the Surrey hospitals. A few years back I used to get daily Tadalafil on NHS prescription, it was stopped because I was told neither Tadalafil nor Sildenalfil were licensed to be prescribed for hypertension.  I was told this by two GPs, a registrar and a consultant at the hospital, and the Surrey CCG who are responsible for medication management in collaboration with Health authorities.  Maybe it's a regional restriction and possibly based of cost, but the underlying message was that neither Sildenafil nor Tadalafil are licensed to be prescribed for hypertension.

Sildenafil and Tadalafil are only licenced for Pulmonary Arterial Hypertension which is a relatively rare cause of hypertension. Is that your diagnosis?

[Doc Holliday]

Regarding non active ingredients etc in Sildenafil these are of no real significance in terms of effectiveness of the active ingredient. The problem with sildenafil (be it Viagra or generic) is its hugely variable absorption rate. This the main reason people report variations in response. Tadalafil is much better in this respect because its absorption is much less effected by stomach contents.