Viagra vs Cialis

[ordinarybloke]

Has anyone tried using Viagra and Cialis together to try to intensify the effect?

[GingerNuts]

It's a combination which could have lethal consequences.

[Derrick101]

It's a combination which could have lethal consequences.

+1

[Doc Holliday]

It's a combination which could have lethal consequences.

More severe side effects possibly, if the combined dosages are too high, but 'lethal' is highly unlikely in a reasonably healthy individual.

Medics will sometimes prescribe both for severe cases of ED with a high physiological but no psychological background. The usual dosage would be for Cialis (or equivalent) to be taken daily at 5mg and supplemented an hour before activity by up to 50 mg of Viagra (or equivalent)

At this point I should say you must only consider this under medical advisement, but the reality is, as with many drugs, a great many people mix the two recreationally and get away with it .. including myself during my dark days of 'weekend benders' now thankfully long since gone.

EDIT Just to add whether you will find any benefit will depend on whether you have ED and its causes but for most people there will be no advantage in mixing them.

[ordinarybloke]

Type 2 diabetes

[daviemac]

Type 2 diabetes

Talk to your doctor, he knows your medical history and what is safe for you to take. What effect any drugs have on someone else is totally irrelevant to you.

[Derrick101]

Type 2 diabetes

Me to 
Talk to your doc. You'll get what you need on prescription 

[kingdom]

 Best I’ve found is Spedra.   50 gives me no side effects, works in 20 mins and has the desired effect.

[RayGuy]

You are better off at least having and check up from your GP and then trying the different medications separately as they are designed to be used, seeing what works for you with the least side effects.

Daily low dose Cialis feels very different to taking a single dose of it and Viagra feels different again

[Doc Holliday]

Talk to your doctor, he knows your medical history and what is safe for you to take. What effect any drugs have on someone else is totally irrelevant to you.

Wise words. 

I seem to recall there is some evidence for Levitra (vardenafil) being more effective for diabetic related ED?

Don't think its available on NHS prescription as yet though apart from certain categories of which diabetes isn't one.

[Happylad]

Perhaps he would be far better doing something about his Type 2 Diabetes; it`s very often self inflicted through consumption of too much of certain foods (particularly sugar etc.) and a few months of controlled diet may well restore his virility without need to have recourse to either Ciallis or Viagra.  I`m quite sure his GP would advise him on appropriate diets.

[Waterhouse]

More severe side effects possibly, if the combined dosages are too high, but 'lethal' is highly unlikely in a reasonably healthy individual.

Medics will sometimes prescribe both for severe cases of ED with a high physiological but no psychological background. The usual dosage would be for Cialis (or equivalent) to be taken daily at 5mg and supplemented an hour before activity by up to 50 mg of Viagra (or equivalent)

At this point I should say you must only consider this under medical advisement, but the reality is, as with many drugs, a great many people mix the two recreationally and get away with it .. including myself during my dark days of 'weekend benders' now thankfully long since gone.

EDIT Just to add whether you will find any benefit will depend on whether you have ED and its causes but for most people there will be no advantage in mixing them.

Doc, is there any benefit/advantage of daily 5mg Tadalafil vs. taking a 20mg Cialis on an 'as and when needed' basis?

[Doc Holliday]

Doc, is there any benefit/advantage of daily 5mg Tadalafil vs. taking a 20mg Cialis on an 'as and when needed' basis?

The low daily dose is primarily intended for those in a relationship and with mild ED where 2.5 mg or 5mg daily will produce an effective blood level for that individual. This removes the need to plan for the sex and medicate prior to activity and allows more spontaneity etc. It also assumes you are having sex regularly at least a couple of times a week.

In the case of punting that profile does not really fit so no advantage.

The low daily dose reduces side effects of higher doses, but if you do suffer side effects then it may mean you suffer them every day albeit maybe not as severe? Swings and roundabouts.

Daily dose must be undertaken with approval of your Doctor although needless to say I have experimented myself recreationally over a decade ago when I was punting at least 3 times a week usually spur of the moment in nature. I found it very effective but I didn't really have ED. I couldn't cope with the constant heartburn though so knocked it on the head after about a month 

[Waterhouse]

The low daily dose is primarily intended for those in a relationship and with mild ED where 2.5 mg or 5mg daily will produce an effective blood level for that individual. This removes the need to plan for the sex and medicate prior to activity and allows more spontaneity etc. It also assumes you are having sex regularly at least a couple of times a week.

In the case of punting that profile does not really fit so no advantage.

The low daily dose reduces side effects of higher doses, but if you do suffer side effects then it may mean you suffer them every day albeit maybe not as severe? Swings and roundabouts.

Daily dose must be undertaken with approval of your Doctor although needless to say I have experimented myself recreationally over a decade ago when I was punting at least 3 times a week usually spur of the moment in nature. I found it very effective but I didn't really have ED. I couldn't cope with the constant heartburn though so knocked it on the head after about a month 

Heartburn sounds nasty.

[Marmalade]

For those that wing it with these things, whacking the heartburn with ranitidine is usually effective. (Not to the OP, who is maybe quite correctly tip-toeing drugs with and being careful not to fuck up his system too much with more chemicals hehe). Don’t suffer in silence with heartburn though. 😉

[Litmwa]

I have no issues but I’ve tried Viagra from a friend. I liked the lasting power and the quicker recovery. My Dr gave me some and told me it’s fine to use a low dose once in awhile. I mainly use it for swinger parties. I just got the largest dose and use a pill cutter. Not sure I would try mixing them though.

[RayGuy]

The low daily dose is primarily intended for those in a relationship and with mild ED where 2.5 mg or 5mg daily will produce an effective blood level for that individual. This removes the need to plan for the sex and medicate prior to activity and allows more spontaneity etc. It also assumes you are having sex regularly at least a couple of times a week.

In the case of punting that profile does not really fit so no advantage.

The low daily dose reduces side effects of higher doses, but if you do suffer side effects then it may mean you suffer them every day albeit maybe not as severe? Swings and roundabouts.

Daily dose must be undertaken with approval of your Doctor although needless to say I have experimented myself recreationally over a decade ago when I was punting at least 3 times a week usually spur of the moment in nature. I found it very effective but I didn't really have ED. I couldn't cope with the constant heartburn though so knocked it on the head after about a month 

For me the daily dose of Tadalafil felt more natural, less face flushing, effect was adequate.
Some evidence it helps symptoms of benign prostate enlargement.
Single dose Tadalafil gave me muscle aches after.
Single dose Viagra felt different, more intense impact for shorter time, definitely had a different psychological effect felt more like horny 20 year old which may or may not be what you are after.

+1 for the ranatadine for heartburn

[Home Alone]

When the Viagra began to be less effective, 10 years or so after being first prescribed, I went back to my GP's to see what, if anything could be done.

I saw a Doctor who was on Manchester University's Medical School's trainee GP course. She went back to first principles and consulted the formulary. Apparently, Cialis is stronger than Viagra so that's what I've been on ever since.

[Doc Holliday]

For me the daily dose of Tadalafil felt more natural, less face flushing, effect was adequate.
Some evidence it helps symptoms of benign prostate enlargement.
Single dose Tadalafil gave me muscle aches after.
Single dose Viagra felt different, more intense impact for shorter time, definitely had a different psychological effect felt more like horny 20 year old which may or may not be what you are after.

+1 for the ranatadine for heartburn

Yes all good points including the prostate. I agree about more natural feel with Tadalafil whether single dose or daily.

It's fascinating the variation of side effects from individual to individual. I never had any noticeable muscle aches but know of others where this can be severe with Tadalafil. In my case the heartburn is a familial thing which I am predisposed to and it think it is the longer duration of effect which made this more noticeable. Viagra made me the most stuffy nosed.

I found Levitra (Vardenafil) somewhere between the two in terms of feel of erections but it gave me the mother of all headaches.

[wristjob]

I started on Viagra and switched to Cialis - generic versions anyway. 1st pop was never a problem but I switched to 1h punts and they seem to give almost instant recovery and keep me going for an hour.

The viagra didn't really feel very natural, I did feel a bit nauseous and at least one time I had severe facial flushing.

I use 20g cialis cut into 2 initially and usually 3 now so approx 7g, depends a bit on the nature of the punt. Erection feels totally natural, recovery can be instant or at least quick and I've not really had any noticable side effects. Getting a 2nd pop can be hit or miss but that isn't an issue. What I tend to do sometime is 15 min quickies, wait til I can feel it recovering again then another and at the moment I'm quite enjoying that certainty

What I find also helps is 15-20 mins moderate exercise a day, for maybe 3 days beforehand. It seems to help with erections and libido and I would assume stamina and as a person who can't be bothered with exercise the improvement in punting is pushing me to do a bit more. YMMV on that but it seems to work for me.

[Marmalade]

Hey ho...

I wrote earlier...
‘For those that wing it with these things, whacking the heartburn with ranitidine is usually effective.’

In case it’s not obvious, if you do this it makes sense, if you normally take the sildenafil (viagra) an hour before your punt, to take the ranitidine immediately before the punt. (If you took them at the same time then it seems likely that ranitidine will slow down the absorption of sildenafil, the same as food will.)

If you take paracetamol to stop a headache (if you get headaches from sildenafil) then it’s fine to take them together. Paracetamol doesn’t interfere with absorption of the sildenafil. 

As for stuffy nose, it’s less clear whether OTC meds to treat stuffy nose would affect the sildenafil. I’d say put up with it (you may even find you get acclimatised to it).

These comments are based on experimentation/observation and the straightforward  theory of how the drugs work — if anyone has any more specific pharmacological evidence to hand, do please post.

[Doc Holliday]

Hey ho...

I wrote earlier...
‘For those that wing it with these things, whacking the heartburn with ranitidine is usually effective.’

In case it’s not obvious, if you do this it makes sense, if you normally take the sildenafil (viagra) an hour before your punt, to take the ranitidine immediately before the punt. (If you took them at the same time then it seems likely that ranitidine will slow down the absorption of sildenafil, the same as food will.)

If you take paracetamol to stop a headache (if you get headaches from sildenafil) then it’s fine to take them together. Paracetamol doesn’t interfere with absorption of the sildenafil. 

As for stuffy nose, it’s less clear whether OTC meds to treat stuffy nose would affect the sildenafil. I’d say put up with it (you may even find you get acclimatised to it).

These comments are based on experimentation/observation and the straightforward  theory of how the drugs work — if anyone has any more specific pharmacological evidence to hand, do please post.

Spot on summary.

Stuffy nose can cause issues with reverse oral as you may suffocate 

Don't be tempted by Xylometazoline nasal decongestant sprays generally... nasty addictive medication when used for more than a couple of days simultaneously

[Derrick101]

Stuffy nose can cause issues with reverse oral as you may suffocate 

Not a problem if you can breathe through your ears 

[Doc Holliday]

Not a problem if you can breathe through your ears 

Until her thighs clamp hard over them too

[Marmalade]

Probably best for short bookings then. 

[wristjob]

Until her thighs clamp hard over them too

Sounds way too dangerous to risk.

[Derrick101]

Until her thighs clamp hard over them too

I've had that a few times 

[Marmalade]

A wee note for those that use pill-cutters to make 'em last....

Sildenafil is listed as a light-sensitive med. I'm not sure how sensitive. But probably makes sense to store your unused bits in a nice light-protective pouch or bottle.

[Strokemeplease]

What I find also helps is 15-20 mins moderate exercise a day, for maybe 3 days beforehand. It seems to help with erections and libido and I would assume stamina and as a person who can't be bothered with exercise the improvement in punting is pushing me to do a bit more. YMMV on that but it seems to work for me.

It works for me too, and I am in my late sixties. Now that the better weather is here I am getting more walking exercise, and I can get an erection even without sildenafil.

[GreyDave]

A wee note for those that use pill-cutters to make 'em last....

Sildenafil is listed as a light-sensitive med. I'm not sure how sensitive. But probably makes sense to store your unused bits in a nice light-protective pouch or bottle.

  As usal an excellent post Maralade Sir   I often wondered why the dose strenght was diffrent I shall now keep em in packets in dark

[Derrick101]

A wee note for those that use pill-cutters to make 'em last....

Sildenafil is listed as a light-sensitive med. I'm not sure how sensitive. But probably makes sense to store your unused bits in a nice light-protective pouch or bottle.

Also, Tadalafil are film coated. So I guess splitting them will break the film and speed up absorbtion

[Doc Holliday]

Sildenafil is listed as a light-sensitive med. I'm not sure how sensitive. But probably makes sense to store your unused bits in a nice light-protective pouch or bottle.

Didn't know that .. although its probably not the type of med most people would leave on the window sill or on top of the car dashboard 

[Doc Holliday]

... apart from GreyDave perhaps? 

[GreyDave]

... apart from GreyDave perhaps? 

I`ve left the blooming things all over place 

I havefound the older ones not as powerfull maybe this is why... Took a new batch one last week 20 mins later I could feel stuff working .

Use one that was maybe 1 year old as it was a ASDA job (iget from simple pharm...other surpliers are avaible ) It was asavoly not a broom stick type of lob on never got to the full iron bar.

[G.Raff]

I found that an antihistamine pill helps with the stuffy nose.
I use Loratadine 10mg which are cheap and easily available over the counter.

[Waterhouse]

I found that an antihistamine pill helps with the stuffy nose.
I use Loratadine 10mg which are cheap and easily available over the counter.

Research shows that antihistamines (not sure if in general, or specific drugs i.e. cetirizine) can have an adverse effect on erections. If it's just a stuffy nose, then probably better to use something natural like a saline spray or inhale eucalyptus oil or Olbas just before the booking.

[G.Raff]

Research shows that antihistamines (not sure if in general, or specific drugs i.e. cetirizine) can have an adverse effect on erections. If it's just a stuffy nose, then probably better to use something natural like a saline spray or inhale eucalyptus oil or Olbas just before the booking.

Do you have a link?

[Waterhouse]

Do you have a link?

Fair bit of easy to access info out there, just google something like 'Cetirizine cause ED'

[Marmalade]

He’s probably correct...  histamine is associated with erections and anti-histamine — well you can guess  . But antihistamines are weird fucking OTC drugs. It’s maybe not cut and dried how much they interact with viagra-type drugs. As I said, it might be better to avoid them, and if you take viagra often enough your body may well get used to it and reduce the side effects.

If you want an ED drug with the least side effects, get avanafil. But it’ll cost you dearly!