Viagra twice in a day

[WASA38]

Yesterday at 1130h I took my usual 75 mg an hour before the planned outcall meeting. 15min later I got am apologetic text explaining that, due to a 2 h delay on the M25 the only possible meeting time would be 9 pm. Bugger !!

I invited the lass to come for a  substantial supper at 9 to be followed by a happy hour and she accepted.

Despite the official warning against taking the drug twice a day I threw caution to the winds and popped a further 50 mg pill at 9.

Enjoyed an ecstatic hour at 10 ,  cumming multiple times ( unprecedented in 65 years of active sex life!)  and without any ill effects. Awoke feeling pretty randy.

Just for he record. Maybe a bit risky but I told myself the meal would minimise chance of any  negative experience.

Any one else been faced with this dilemma ?

 

[wombat42]

Over about 100mg I think the extra benefit levels off and the risk of nasty side effects like heart attack increase quite dramatically. I have taked 100mg quite frequently but I wouldnt make a habit of going any higher if I were you. Over the counter they only give you 50mg.

[Doc Holliday]

Over about 100mg I think the extra benefit levels off

Correct

.. and the risk of nasty side effects like heart attack increase quite dramatically.

Incorrect

[wombat42]

Correct

Incorrect

In which case why can you only buy 50mg over the counter not 100mg, which seems to be about the optimum for effect, when you are probably suggesting that 100mg is no more risky ?

[Doc Holliday]

In which case why can you only buy 50mg over the counter not 100mg, which seems to be about the optimum for effect, when you are probably suggesting that 100mg is no more risky ?

Because 50 mg is the optimum starting dose not 100mg. This can then be adjusted to 25mg or increased to 100mgg. Effective dosage per individual is another matter. The decision to reclassify any medicine from a purely POM to Pharmacy also, is based on its safety record amongst other factors. To maximise safety the optimum dosage (effectiveness v side effects) is normally approved. There is of course nothing to stop anyone exceeding that dose despite the recommendation that accompanies it.

Side effects are indeed to some degree dose related (per individual) but you specified 'heart attacks'. Not only are cases where sildenafil may have some involvement rare, but in most instances when it has occurred, the dosage has been in normal range (ie 25mg to 100mg) Also in most studies the slight drop in blood pressure associated with sildenafil in healthy individuals with no other medication, did not appear to be especially dose related.

It is also recommended you do not take sildenafil more than once a day and that is probably sensible, but given that a prescriber may in some severe cases suggest exceeding 100mg daily, then any particular individual may have taken a dose of between say 25mg and 200mg.

Given that the example in the opening post would result in a combined dose of 125 mg (but in divided doses) it is well within tolerance range, albeit against recommended advice. It is worth noting however that he is clearly not a spring chicken  and blood levels remain higher for longer with age.

During trials daily doses of up to 800mg were tested on healthy volunteers (I hope they were well paid!) with the only real issue being increased severity of common side effects. This gives you some idea of the safety margin.

My advice is always to follow guidelines, but do not get too concerned about minor discretions. It is a pretty safe drug with good safety margins especially in comparison to say Paracetamol which can be deadly.

Finally don't push your luck too much though  External Link/Members Only

[mr.bluesky]

Crickey 2 tablets in one day. ! I would be walking around with a permanent stiffy.

[Home Alone]

Fwiw, when my GP first prescribed Viagra for me, she prescribed 4 x 25 mg tablets a month & told me to come back if they - I paraphrase - "didn't do the trick." They were only partly successful so I went back and she doubled the dose to 4 x 50 tabs. Again they gave me a stuffy but not really for long enough so I went back a month later and was put on 4 x 100 mg.

At no time was I told either to double up for even better effect; or that under no circumstances should I exceed 1 X 100 tablet a day. When some 10 years later, 1 X 100 mg no longer had the desired effect, I went back to my GP's surgery. I saw a Trainee GP, who went to the Formulary and replaced the 4 x 100 mg Viagra with 4 x 20 mg Cialis. So far, that's doing the trick.

At no time did I do any 'research' on the Web or ask on here what should I be doing - I went to the qualified person whom the NHS provides to check what would be the best solution for this problem. we

[AnthG]

After reading this, I googled out of curiosity and found this study where for people who it doesn't work they did a trial of 200mg a day.

External Link/Members Only

Many of the people stopped the trial due to the severity of the side effects they were having. But they did not drop dead though

The thing I would be worried about with taking too much and has happened to me on taking this, is it can cause breathing problems. As in panic attack style breathing problems which are very alarming when you get them.

You may think panic attacks or nothing, but try having the type of breathing problems I mean by this. They are not nice at all.

[scutty brown]

After reading this, I googled out of curiosity and found this study where for people who it doesn't work they did a trial of 200mg a day.

External Link/Members Only

Many of the people stopped the trial due to the severity of the side effects they were having. But they did not drop dead though

The thing I would be worried about with taking too much and has happened to me on taking this, is it can cause breathing problems. As in panic attack style breathing problems which are very alarming when you get them.

You may think panic attacks or nothing, but try having the type of breathing problems I mean by this. They are not nice at all.

You misunderstand that trial.
Its up to 200mg max - they capped it at that because going higher would have been an unwarranted risk

[Doc Holliday]

After reading this, I googled out of curiosity ....

... and therein lies one of the problems with these threads.

[Lambretta61!!]

In the past I haven taken 25mg a few hours before and then another 25 mg half hour before  seems to work ok m, the first one kicks in then allows you to rise again later during the meet for a second go!

[munterhunter]

They have recommended doses for a reason some people xan get away with taking a bit more but it's at your own risk. The starting point for viagra or generic viagra is 50mg in some cases they start at 25mg. This Viagra connect is,as far as I know exactly the same as the viagra available on prescription. I'm not sure if the pharmacist asks any questions before selling it. However by answering a handful of questions you can obtain 100mg online in the UK.
Itried viagra for a number of years and found 100mg worked well. When it stopped working I went on to Tadalafil (Cialis) you can take up to 5mg daily. The 20mg which I took is suppised to stay in the system for up to 36 hours.

[aronteo]

... and therein lies one of the problems with these threads.

 

[thetinman007]

65 years of active sex life? How old is the op?

[winkywanky]

Do the maths.

Even if he started at 15 that makes him 80yrs old, the guy deserves a medal, or perhaps even a Knighthood from Her Maj for Services to Women  .

[WASA38]

65 years of active sex life? How old is the op?

Clue lies in the name. But 'active sex' stretches  a point when calculating ;  lack of finance/opportunity meant solitaire activity in early years.

[Lewis]

65 years of active sex life? How old is the op?

It's probably Ben Dover. (aka  Simon James Honey, Steve Perry, Lindsay Honey) 

[Gordon Bennett]

Can't see there'd be any issue in taking 50mg 10hrs after taking 75mg. I suspect taking the second one with a meal would've diluted it's effects a bit too. Obviously, nobody would suggest carrying on like that was sensible but as a one-off in the exceptional circumstances you faced it seems okay to me.
Everyone's different but if the initial 75mg pill didn't cause any Ill effects it's hard to see how 50mg 10hrs later would tip you into unpleasant or dangerous symptoms.
I'd happily do the above without batting an eyelid but I do consider myself to be physically robust, fit and healthy. Blue pill is more about performance anxiety and being able to perform on cue for me.