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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Ran this past my pcp and he kind of freaked out, I take 10mg each morning and it helps a lot with BPH… I said you know I’m closer to 50 but my brain acts like I’m 18… wife’s birthday is coming up and I want to really wow her over the weekend, he said, just take a full 20 with the half 20 you take in the morning… while that was okay, it was not exactly the ramrod effect I was going for… my wife is one of those lucky ladies that can straight up orgasm from PIV… so no complaints from her side of things.
 
Ran this past my pcp and he kind of freaked out, I take 10mg each morning and it helps a lot with BPH… I said you know I’m closer to 50 but my brain acts like I’m 18… wife’s birthday is coming up and I want to really wow her over the weekend, he said, just take a full 20 with the half 20 you take in the morning… while that was okay, it was not exactly the ramrod effect I was going for… my wife is one of those lucky ladies that can straight up orgasm from PIV… so no complaints from her side of things.
Do you mean 10mg of cialis or other?
 
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 dose do you take daily?
 
I’ve just started using tadalafil 10mg every three days is the prescription, my sildenafil comes in 20mg but haven’t combined yet
 
I combine almost daily. Started very slow over many days and worked up to what I feel is a good dose. I take 25-50 mg V almost every day. I'll take UP TO total of 100mg if I have something planned for later....

PT-141 does more for erection quality for me though. Really surprised at how effective it is. Not easy to use as timing isn't predictable and definitely not good for spontaneous activity. Oxytin and PT is my goto for "big" events for both me and wife. She uses 25mg V also. Very effective for women. I have no idea why this isn't being offered to them.
 
I combine almost daily. Started very slow over many days and worked up to what I feel is a good dose. I take 25-50 mg V almost every day. I'll take UP TO total of 100mg if I have something planned for later....

PT-141 does more for erection quality for me though. Really surprised at how effective it is. Not easy to use as timing isn't predictable and definitely not good for spontaneous activity. Oxytin and PT is my goto for "big" events for both me and wife. She uses 25mg V also. Very effective for women. I have no idea why this isn't being offered to them.
What kind of oxytin do you use ? How does it help ?
 
Ran this past my pcp and he kind of freaked out, I take 10mg each morning and it helps a lot with BPH… I said you know I’m closer to 50 but my brain acts like I’m 18… wife’s birthday is coming up and I want to really wow her over the weekend, he said, just take a full 20 with the half 20 you take in the morning… while that was okay, it was not exactly the ramrod effect I was going for… my wife is one of those lucky ladies that can straight up orgasm from PIV… so no complaints from her side of things.
Was that in regard to 10mg and 20mg of cialis or viagra?
 
When I first started using Cialis, I did get severe back pain. Which overtime subsided. I have no issues with using 20 mg or more of Cialis. Also I like taking 100 mg of Viagra before my workouts. I do think age plays a role. Since I'm 65 and take my blood pressure regularly. Making sure it never gets too low. If I was younger, I would never consider using the high of dose.
Vince do you also get nasal congestion? I literally cant breath out of nose with Viagra
 
I combine almost daily. Started very slow over many days and worked up to what I feel is a good dose. I take 25-50 mg V almost every day. I'll take UP TO total of 100mg if I have something planned for later....

PT-141 does more for erection quality for me though. Really surprised at how effective it is. Not easy to use as timing isn't predictable and definitely not good for spontaneous activity. Oxytin and PT is my goto for "big" events for both me and wife. She uses 25mg V also. Very effective for women. I have no idea why this isn't being offered to them.
PT? what is that
 
What kind of oxytin do you use ? How does it help ?
First oxytin I tried was a sales sample from my dr, but I don't recall the manufacturer. Not a research product. I have oxytin and pt-141 from reputable peptide companies, and I find these two work incredibly well together.

You know the 100% painfully hard erection we can wake up with? Finally got one of these for a long uninterrupted session recently. Really smashing the cervix from a seated position was magic. That extra fullness, rigitiy, and length really made it great.

Daily Cialis, both take session viagra, oxy, and PT. Take peptides 4-6 hrs ahead or more.
 
I'm 68 now. I'm currently taking 20 mg of sildenafil and 10 mg of tadalafil daily. I do occasionally like to take extra sildenafil.
So you take sildenafil top of tadalafil even with non-sex days?

I’ll take 10mg tadalafil daily and add 25mg sildenafil on top only in sex days.
Good combo.
 

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