Can you use Viagra if you use 5mg Cialis ED for BPH?

[Ragnar73]

Hi all.

If you are on 5mg Cialis ED for prostate and blood pressure management.
And that is not enough for good erections.
Can you still use Viagra for sex then?
Or do you lose that option?

***UPDATE***
About me:

50+ years old.
Healthy.
Been lifting for 30+ years.
Did steroids when I was younger.
115kg muscular with 18% bodyfat tho (working on it)
Testosterone normal for my age (middle range)
BP 116/66

Been using Cialis or Viagra for years,
(Never at same time)
But the meds have been losing effectiveness.
Standing or changing position makes me lose erection.
Good nocturnal/morning erections.
Along with pills losing effect I do get some performance anxiety.

I am going to urologist to get diagnosed.
Maybe get Caverject test?

Thank you for your time all.
Makes me feel not alone.

 

[Vince]

Yes, you can combine. I definitely do all the time.

 

[Ragnar73]

Yes, you can combine. I definitely do all the time.

Can I ask what dosages you use?

 

[Vince]

Can I ask what dosages you use?

First I'm 71 years old. I'll use. I'll use 20 mg. Of Cialis and 100 mg of Viagra. I'll combine both in the morning and sometimes both at night.

 

[Ragnar73]

First I'm 71 years old. I'll use. I'll use 20 mg. Of Cialis and 100 mg of Viagra. I'll combine both in the morning and sometimes both at night.

Only on "sex days" I guess?
Not every day right?
I find Cialis alone is to weak for sex.
Viagra is stronger.
But I like the way I feel day to day on low dose Cialis.
It even makes me pee less at night.

 

[BadassBlues]

Can I ask what dosages you use?

The dosage would be dependent on the individual. A drop in blood pressure is the only concern, and everyone has a different sensitivity to it. Factors like BP meds, alcohol consumption and other things that affect BP need to be considered. Start with the lowest dose. The combination works well for a lot of guys.

 

[Vince]

Only on "sex days" I guess?
Not every day right?
I find Cialis alone is to weak for sex.
Viagra is stronger.
But I like the way I feel day to day on low dose Cialis.
It even makes me pee less at night.

I use both everyday.

 

[BadassBlues]

First I'm 71 years old. I'll use. I'll use 20 mg. Of Cialis and 100 mg of Viagra. I'll combine both in the morning and sometimes both at night.

That’s a large dose… any drop in BP?

 

[Vince]

That’s a large dose… any drop in BP?

I probably do get some drop blood pressure but I've never noticed it.

 

[Ragnar73]

Very interesting guys.
Thx for sharing, Vince.

I guess I can start low, say 25mg Viagra and then keep blood pressure journal.
I dont drink or smoke.

 

[madman]

Hi all.

If you are on 5mg Cialis ED for prostate and blood pressure management.
And that is not enough for good erections
Can you still use Viagra for sex then?
Or do you lose that option?

Yes!

Thread 'Combination Therapies for ED'

Feb 19, 2021

We believe that combination therapy with dual short- and long-acting PDE5 inhibitors may have an additive effect and should be considered, even as a first-line initial strategy in cases of more advanced ED. Tadalafil with its longer half-life, ability to be absorbed with a high-fat meal, and unique twin success in the treatment of benign prostatic enlargement, may be an ideal agent to prescribe daily along with an on-demand PDE5 inhibitor. To date, only 1 randomized clinical trial has investigated this combination.3

Because it appears that PDE5 inhibitors...

• madman
• combination therapies for ed
• Replies: 10
• Forum: When TRT Is Not Enough (ED, Libido, & More)

Thread 'Italian Scientific Societies, guidelines on the diagnosis and management ED'

Jan 26, 2023

The Italian Society of Andrology and Sexual Medicine (SIAMS), along with ten other Italian Scientific Societies, guidelines on the diagnosis and management of erectile dysfunction (2023)
G. Corona · D. Cucinotta · G. Di Lorenzo · A. Ferlin · V. A. Giagulli · L. Gnessi · A. M. Isidori· M. I. Maiorino · P. Miserendino · A. Murrone · R. Pivonello · V. Rochira · G. M. Sangiorgi · G. Stagno · C. Foresta · A. Lenzi · M. Maggi · E. A. Jannini


Abstract

Purpose

Erectile dysfunction (ED) is one of the most prevalent male sexual dysfunctions. ED has been in the past...

• madman
• erectile dysfunction; hypogonadism; sexual desire
• Replies: 8
• Forum: When TRT Is Not Enough (ED, Libido, & More)

Recommendation #60. We suggest a combination of chronic and on-demand PDE5i in patients not responding to conventional therapy (Expert Opinion).




2:48-6:11

Thread 'Scientifically Proven Ways to Make Sildenafil and Tadalafil Work Again, according to a Urologist'

Dec 9, 2024

Reruns here!

What causes ED?


* most often it's VASCULAR or BLOOD FLOW ISSUES

Can combining erectile dysfunction (ED) medications enhance their effectiveness, or does it pose serious risks? In this video, Dr. Rena Malik explores the science behind combining ED treatments like Sildenafil, Tadalafil, and others. Learn when it's safe to consider combinations, how they might work together, and the potential dangers of misuse. Whether you’re curious about maximizing results or managing specific conditions, Dr. Malik...

• madman
• ed; causes/treatments; pde5i; injections; implants
• Replies: 1
• Forum: When TRT Is Not Enough (ED, Libido, & More)

 

[madman]

Hi all.

If you are on 5mg Cialis ED for prostate and blood pressure management.
And that is not enough for good erections
Can you still use Viagra for sex then?
Or do you lose that option?

NO is where it's at!

Throw in some L-Arginine or L-Citrulline dosed daily.

Post in thread 'Viagra or Cialis: Which gets you Harder?'

Feb 11, 2021

Not to highjack this spirited thread, but are you able to continue taking L-citrulline with viagra and/or cialis? I have read conflicting information on this point. If it’s safe, would there be any benefit?

Of course, you can!

L-Arginine or L-Citrulline would amplify the effects as they serve as precursors of NO.

Let alone are considered vasodilators.

Alternative Treatment for ED - Excel Male Health Forum

Abstract Purpose of Review To highlight and review encouraging preliminary studies behind several alternative products and interventions for erectile dysfunction (ED). Recent Findings Alternative treatments for ED are becoming more prevalent with increased consumer interest. “Natural” products...

www.excelmale.com

Amino Acids

L-Arginine

L-Arginine is a semi-essential amino acid and serves as a precursor of NO. Nitric oxide...

• madman

• 

 

[Ragnar73]

Yes!

Thread 'Combination Therapies for ED'

Feb 19, 2021

We believe that combination therapy with dual short- and long-acting PDE5 inhibitors may have an additive effect and should be considered, even as a first-line initial strategy in cases of more advanced ED. Tadalafil with its longer half-life, ability to be absorbed with a high-fat meal, and unique twin success in the treatment of benign prostatic enlargement, may be an ideal agent to prescribe daily along with an on-demand PDE5 inhibitor. To date, only 1 randomized clinical trial has investigated this combination.3

Because it appears that PDE5 inhibitors...

• madman
• combination therapies for ed
• Replies: 10
• Forum: When TRT Is Not Enough (ED, Libido, & More)

Thread 'Italian Scientific Societies, guidelines on the diagnosis and management ED'

Jan 26, 2023

The Italian Society of Andrology and Sexual Medicine (SIAMS), along with ten other Italian Scientific Societies, guidelines on the diagnosis and management of erectile dysfunction (2023)
G. Corona · D. Cucinotta · G. Di Lorenzo · A. Ferlin · V. A. Giagulli · L. Gnessi · A. M. Isidori· M. I. Maiorino · P. Miserendino · A. Murrone · R. Pivonello · V. Rochira · G. M. Sangiorgi · G. Stagno · C. Foresta · A. Lenzi · M. Maggi · E. A. Jannini


Abstract

Purpose

Erectile dysfunction (ED) is one of the most prevalent male sexual dysfunctions. ED has been in the past...

• madman
• erectile dysfunction; hypogonadism; sexual desire
• Replies: 8
• Forum: When TRT Is Not Enough (ED, Libido, & More)

Recommendation #60. We suggest a combination of chronic and on-demand PDE5i in patients not responding to conventional therapy (Expert Opinion).




2:48-6:11

Thread 'Scientifically Proven Ways to Make Sildenafil and Tadalafil Work Again, according to a Urologist'

Dec 9, 2024

Reruns here!

What causes ED?


* most often it's VASCULAR or BLOOD FLOW ISSUES

Can combining erectile dysfunction (ED) medications enhance their effectiveness, or does it pose serious risks? In this video, Dr. Rena Malik explores the science behind combining ED treatments like Sildenafil, Tadalafil, and others. Learn when it's safe to consider combinations, how they might work together, and the potential dangers of misuse. Whether you’re curious about maximizing results or managing specific conditions, Dr. Malik...

• madman
• ed; causes/treatments; pde5i; injections; implants
• Replies: 1
• Forum: When TRT Is Not Enough (ED, Libido, & More)

Great links!
I have not read them all yet.
But very interesting.

Thank you.

 

[Ragnar73]

NO is where it's at!

Throw in some L-Arginine or L-Citrulline dosed daily.

Post in thread 'Viagra or Cialis: Which gets you Harder?'

Feb 11, 2021

Not to highjack this spirited thread, but are you able to continue taking L-citrulline with viagra and/or cialis? I have read conflicting information on this point. If it’s safe, would there be any benefit?

Of course, you can!

L-Arginine or L-Citrulline would amplify the effects as they serve as precursors of NO.

Let alone are considered vasodilators.

Alternative Treatment for ED - Excel Male Health Forum

Abstract Purpose of Review To highlight and review encouraging preliminary studies behind several alternative products and interventions for erectile dysfunction (ED). Recent Findings Alternative treatments for ED are becoming more prevalent with increased consumer interest. “Natural” products...

www.excelmale.com

Amino Acids

L-Arginine

L-Arginine is a semi-essential amino acid and serves as a precursor of NO. Nitric oxide...

• madman

• 

I use Citrulline Malate in the gym?
But I do not know if that is the same?

 

[madman]

I use Citrulline Malate in the gym?
But I do not know if that is the same?

Regarding cardiovascular/endothelial health NO is key and L-citrulline is what increases NO levels not malate.

The malate component fuels the Krebs cycle, aiding in the production of ATP (energy).

If anything CM would be more advantageous pre-workout as it can enhance energy production/lessen fatigue.

Need to pay attention to the strength (2:1 vs 1:1) you are using as you would need to aim for 3-6 grams of citrulline daily

If you are using the 1:1 then you will need to consume 6-12 grams daily to get 3-6 grams of L-Citrulline.

If you are using the 2:1 then you will need to consume 4.5-9 grams daily to get 3-6 grams of L-Citrulline.

When using L-citrulline to improve nitric oxide/benefits (cardiovascular/endothelial health) and erectile function/quality in the few human studies (men suffering from ED) the dose used was 1.5-3 grams.

I would say 3 grams divided 2-3 times/day would be sufficient.

Many take 3-6 grams daily.

I take 3 grams L-citrulline 2x/day.

As far as using citrulline malate (2:1) for a pre-workout supplement aid the effective dose is 6 grams (4 grams citrulline:2 grams malate).

Thread 'Citrulline the new star for increasing nitric oxide'

Oct 25, 2020

Endogenous flux of nitric oxide: Citrulline is preferred to Arginine





Abstract

Both arginine (Arg) and its precursor citrulline (Cit) have received much interest during the past two decades because of their potential effects on whole-body nitric oxide (NO) production and augmentation of NO-dependent signaling pathways. However, the usefulness of Arg supplementation for NO production is questionable due to its high splanchnic first-pass metabolism (FPM), which limits its systemic availability. Both hepatic- and extra-hepatic arginases critically limit...

• madman
• citrulline the new star for increasing no
• Replies: 24
• Forum: Nutrition and Supplements

• 

Thread 'A critical review of citrulline malate supplementation and exercise performance'

Aug 22, 2021

Abstract

As a nitric oxide (NO) enhancer, citrulline malate (CM) has recently been touted as a potential ergogenic aid to both resistance and high-intensity exercise performance, as well as the recovery of muscular performance. The mechanism has been associated with enhanced blood flow to active musculature, however, it might be more far-reaching as either ammonia homeostasis could be improved, or ATP production could be increased via greater availability of malate. Moreover, CM might improve muscle recovery via increased nutrient delivery and/or removal of waste products...

• madman
• citrulline malate/exercise performance
• Replies: 5
• Forum: Nutrition and Supplements

 

[Ragnar73]

Regarding cardiovascular/endothelial health NO is key and L-citrulline is what increases NO levels not malate.

The malate component fuels the Krebs cycle, aiding in the production of ATP (energy).

If anything CM would be more advantageous pre-workout as it can enhance energy production/lessen fatigue.

Need to pay attention to the strength (2:1 vs 1:1) you are using as you would need to aim for 3-6 grams of citrulline daily

If you are using the 1:1 then you will need to consume 6-12 grams daily to get 3-6 grams of L-Citrulline.

If you are using the 2:1 then you will need to consume 4.5-9 grams daily to get 3-6 grams of L-Citrulline.

When using L-citrulline to improve nitric oxide/benefits (cardiovascular/endothelial health) and erectile function/quality in the few human studies (men suffering from ED) the dose used was 1.5-3 grams.

I would say 3 grams divided 2-3 times/day would be sufficient.

Many take 3-6 grams daily.

I take 3 grams L-citrulline 2x/day.

As far as using citrulline malate (2:1) for a pre-workout supplement aid the effective dose is 6 grams (4 grams citrulline:2 grams malate).

Thread 'Citrulline the new star for increasing nitric oxide'

Oct 25, 2020

Endogenous flux of nitric oxide: Citrulline is preferred to Arginine





Abstract

Both arginine (Arg) and its precursor citrulline (Cit) have received much interest during the past two decades because of their potential effects on whole-body nitric oxide (NO) production and augmentation of NO-dependent signaling pathways. However, the usefulness of Arg supplementation for NO production is questionable due to its high splanchnic first-pass metabolism (FPM), which limits its systemic availability. Both hepatic- and extra-hepatic arginases critically limit...

• madman
• citrulline the new star for increasing no
• Replies: 24
• Forum: Nutrition and Supplements

• 

Thread 'A critical review of citrulline malate supplementation and exercise performance'

Aug 22, 2021

Abstract

As a nitric oxide (NO) enhancer, citrulline malate (CM) has recently been touted as a potential ergogenic aid to both resistance and high-intensity exercise performance, as well as the recovery of muscular performance. The mechanism has been associated with enhanced blood flow to active musculature, however, it might be more far-reaching as either ammonia homeostasis could be improved, or ATP production could be increased via greater availability of malate. Moreover, CM might improve muscle recovery via increased nutrient delivery and/or removal of waste products...

• madman
• citrulline malate/exercise performance
• Replies: 5
• Forum: Nutrition and Supplements

Ahh, good to know.
I will try that.
It says 2:1 mix.