Combining tadalafil and sildenafil

Have anyone in here tried combining tadalafil and sildenafil? I heard from a friend that it produces out-of-this-world erections. He got the tip from a doctor. I still wrote it off as risky and stupid until I found this study:


Study on the Effectiveness and Safety of Combining Tadalafil with Sildenafil for Erectile Dysfunction

Authors
: H. Cui, B. Liu, Z. Song, J. Fang, Y. Deng, S. Zhang, H. Wang, Z. Wang

Affiliation: State Key Laboratory of Reproductive Medicine and Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China

Overview of Research

This research focused on assessing the effectiveness and safety of a long-term, low-dose treatment using tadalafil combined with sildenafil for the early-stage treatment of erectile dysfunction (ED). The study involved 180 patients with ED, who were divided equally into two groups: one receiving a daily dose of 5 mg tadalafil, and the other receiving the same daily tadalafil dose combined with 50 mg of sildenafil as required.

Evaluation Methods

The effectiveness of the treatments was measured using two tools: the 5-item version of the International Index of Erectile Function (IIEF-5) and the Sexual Encounter Profile (SEP). To gauge safety, the study monitored drug tolerability and noted any adverse events.

Findings

The results showed a more pronounced improvement in erectile function in the group receiving the combined medication, particularly among patients with severe ED. This was evidenced by higher total IIEF-5 scores in the combined medication group compared to the tadalafil-only group. Specifically, scores for Question 2 of the IIEF-5, which assesses erectile function, were significantly better in the combined group for patients with moderate to severe ED. A significant improvement was also noted in Question 3 scores of the IIEF-5, but only for patients with severe ED in the combined medication group. Additionally, there was a notable improvement in responses to SEP4, SEP5, and the partner’s SEP3 in the combined medication group.

In terms of safety, there was no significant difference in the incidence of adverse events between the two groups.

Conclusion

The study suggests that the combination of tadalafil and sildenafil can significantly enhance erectile function, particularly for those with severe cases of ED, without increasing the risk of adverse events.

Efficacy and safety of long-term tadalafil 5 mg once daily combined with sildenafil 50 mg as needed at the early stage of treatment for patients with erectile dysfunction.

1State Key Laboratory of Reproductive Medicine and Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Abstract
This study aimed to evaluate the efficacy and safety of long-term and low-dose tadalafil combined with sildenafil as needed at the early stage of treatment for erectile dysfunction (ED). We enrolled 180 patients with ED 1 : 1 to tadalafil 5 mg once daily or once-a-day tadalafil 5 mg combined with sildenafil 50 mg as needed. The efficacy measures included the 5-item version of the International Index of Erectile Function (IIEF-5) and the Sexual Encounter Profile (SEP). The safety was assessed by observing drug tolerability and adverse events. Total IIEF-5 scores of patients with severe ED in combined medication group were significantly higher than in tadalafil alone group. Question 2 scores of IIEF-5 of patients with moderate and severe ED in combined medication group were significantly higher than in tadalafil alone group. The significant improvement in question 3 scores of IIEF-5 existed only in patients with severe ED receiving combined medication. The percentage of 'yes' responses to SEP4, SEP5 and partner's SEP3 were improved significantly in combined medication group. There was no difference between two groups in the incidence of adverse events. Our results suggest that combined medication can better improve erectile function, especially for patients with severe ED.

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Cheaper to buy 20 mg and cut them in two if needed
 
How long did it take for the back pain to subside? I recently tried 5 mg Ceebis and had to stop after day #3 due to the low back pain. It seemed to emanate from my hips up to the lower back and even down my legs a bit. It was so bad I was unable to sleep, so I stopped and after a day or so the pain subsided.


Took me about 10 days for the back pain to go away on 5mg per day dosage
 
I have done it with mixed results. I've been taking 5mg daily Cialis for about 1.5 years. Have occasionally tried 25-50mg of sildenafil (and 12mg vardenafil) in combination with the daily Cialis.

One time with the sildenafil it was very effective. Even went twice in a row which is something I haven't been able to do since my 20s. It was almost concerning cuz the damn thing just didn't want to go away. On the other hand, there were times when I wasn't sure if it made any difference at all.
Question the 5 mg cialis has just added girth to me no erection for penetration, so are you saying on the day you plan sex to add before activity 40-5-0 mg of sildentafil?
 
I have done it with mixed results. I've been taking 5mg daily Cialis for about 1.5 years. Have occasionally tried 25-50mg of sildenafil (and 12mg vardenafil) in combination with the daily Cialis.

One time with the sildenafil it was very effective. Even went twice in a row which is something I haven't been able to do since my 20s. It was almost concerning cuz the damn thing just didn't want to go away. On the other hand, there were times when I wasn't sure if it made any difference at all.
Question the 5 mg cialis has just added girth to me no erection for penetration, so are you saying on the day you plan sex to add before activity 40-50mg of sildentafil?
 
Question the 5 mg cialis has just added girth to me no erection for penetration, so are you saying on the day you plan sex to add before activity 40-50mg of sildentafil?
I take 5mg Cialis daily and add 50mg Viagra prior to sex. It works well for me.
 
I have the impression that Cialis make more difficult to reach climax. Is this just my impression or it is real?
Yes, you're right I got prescribed Cialis for enlarged prostate. It works excellent for prostate and excitement but it takes me half an hour to reach climax.
 
Yes, you're right I got prescribed Cialis for enlarged prostate. It works excellent for prostate and excitement but it takes me half an hour to reach climax.
I’ve been taking 5mg Cialis daily for years and it’s never given me a problem with climax. I could climax in under a minute or two if I wanted to.
 
I cantttt climaxccxxxx . It’s not easy.

Anyway I also do cialis and viagra sometimes to give me a push which cialis fails with sometimes.
I think it get affected by my protocol.
 
I think the inability to climax is closely tied to high estradiol levels. At least it is for me.
Actually maybe it has more to do with other things also, cuz even before trt with low T and low E I couldn’t come easy even with low E I guess T has to be good also.
 
The inability to climax would be tied to serotonin.
I am sorry, to nake it more clear I typically take more time to climax and typically in regular sex I don’t finish Unless maybe I use my hand. It happened that I finish during sex but I can count them in one hand maybe. I think its related more to desire,,during honeymoon period the desire is high I believe if giving the chance I would finish.

Anyway,,,I am have tried everything any recommendation to support serotonin is welcomed maybe that could help ?
 
I'm also someone who uses both in combinations all the time, I should just say daily. I have awesome results, my erections are the best and it really helps with my workouts.

I should also say I'm 64 and only a few months from turning 65.
At what doses do you do. im taking cialis 5mg and does nothing
 
I am sorry, to nake it more clear I typically take more time to climax and typically in regular sex I don’t finish Unless maybe I use my hand. It happened that I finish during sex but I can count them in one hand maybe. I think its related more to desire,,during honeymoon period the desire is high I believe if giving the chance I would finish.

Anyway,,,I am have tried everything any recommendation to support serotonin is welcomed maybe that could help ?

Too much is the problem. Lots of prescription drugs cause increased serotonin.
 
I'm taking 10mg or 20mg tadalafil daily in the morning and stacking with 10mg vardenafil at night an hour before bed. Works great! Usually have a few days like this then stop completely for a few days before starting up again. I find the vardenafil really effective in maintaining my erection which tadalafil doesn't seem to do so well on its own. I have tried just using vardenafil without anything else but the effects wear off too quickly for me.
 

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