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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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.
My wife has reynauds and I’ve often said to her… go take one of my cialis, they do treat it with daily Cialis or sildenafil… I know it will get her blood flowing in all the right places too, she gets engorged in all her fun places too when thoroughly enjoying herself
 
My wife has reynauds and I’ve often said to her… go take one of my cialis, they do treat it with daily Cialis or sildenafil… I know it will get her blood flowing in all the right places too, she gets engorged in all her fun places too when thoroughly enjoying herself
She just started using scream cream from empower to go on top. Topical estrogen, pt141, 25mg V, and scream cream 30 min ahead. Largest most on fire pussy you'll ever see. Damn just thinking about it lol.
 
Hey. As far as the combination do you HAVE to take the cialis in the morning then the Viagra at night or can they both be taken the night of sex
 
Hey. As far as the combination do you HAVE to take the cialis in the morning then the Viagra at night or can they both be taken the night of sex
I take them both at night. My doctor increased my Cialis dose to 15mg per day for prostate urinary symptoms. Along with this I take 25mg viagra on sex nights. I could do without both for sex but I like the ease of erections it gives.
 
BJE thanks for your response. So I don’t take a daily dose of cialis yet.. so tonight let’s say which is definitely a sex night lol, do I have to spread them out. Say cialis at 8, viagra at 11? Or both at 11. My fault for not being more clear. Thanks
 
BJE thanks for your response. So I don’t take a daily dose of cialis yet.. so tonight let’s say which is definitely a sex night lol, do I have to spread them out. Say cialis at 8, viagra at 11? Or both at 11. My fault for not being more clear. Thanks
Cialis has a half-life of 18 hours and the effect can last as long as 72 hours. It’s best to take it as an every day dose. That way the side effects of stuffiness or headache go away but the erection and prostate benefits persist. Viagra can be used as a short acting boost as needed. I take Cialis at a low-dose of 2.5 mg every day.
 
BJE thanks for your response. So I don’t take a daily dose of cialis yet.. so tonight let’s say which is definitely a sex night lol, do I have to spread them out. Say cialis at 8, viagra at 11? Or both at 11. My fault for not being more clear. Thanks
I would take them together about two hours before sex so they are fully active.

How much of each do you plan to take?
 
I see the research Pubmed study showed good results with 5 cialis / 50 viagra. Anyone every try 5/100? FWIW, neither one ever lowers my BP. (Not that I would expect them to, they lower pulmonary BP.)
 
I see the research Pubmed study showed good results with 5 cialis / 50 viagra. Anyone every try 5/100? FWIW, neither one ever lowers my BP. (Not that I would expect them to, they lower pulmonary BP.)
I do 2.5 mg or 5 mg cialas and 10mg or 5 mg of viagra. Feel pumped like a new tire!
 
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 was dose do you find best?
 

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