Viagra or Cialis: Which gets you Harder?

[Fernando Almaguer]

I do 5mg in the morning and 5mg in the evening of Cialis and everything works well. If I want to have a dangerous weapon between my legs I add in 50mg of Viagra. If I had to choose one just for erection quality alone it would be Viagra.

haha a torpedo ready to aim and fire!

 

[Goel]

I got a few samples of Viagra from my PCP a few years ago - don't recall the dosage but I got crashing headaches every time I took one. I switched to Cialis 5mg daily and have had no complaints since. I'm not consistent with "every day" but no more than EOD unless I know my wife is "in that zone". I might try Viagra again though as a combo.

 

[medicdude67]

So i've read the threads on here now my only question is what effects does being on test do along with this. I saw one say vascularity and some lower blood pressure. Besides the obvious (sex drive improvement) what else do you get from such a combo of test, cialis, and viagra? I know this may seem like a strange question but looking at it from a side effect standpoint as well.

 

[M.J]

So i've read the threads on here now my only question is what effects does being on test do along with this. I saw one say vascularity and some lower blood pressure. Besides the obvious (sex drive improvement) what else do you get from such a combo of test, cialis, and viagra? I know this may seem like a strange question but looking at it from a side effect standpoint as well.

As madman said I find the combination of testosterone and cialis/viagra is a must. I don’t feel any side effect, the first week you may notice back pain or other minor stuff which goes away after a week.

 

[Golfboy307]

Barry,

Loved your comment about "mid game time outs". Well said. I would concur with the other posters. At 53, daily 2.5mg Cialis is great, and 50mg Viagra occasionally insures a long lasting session.

 

[SSHSSA74]

My vote is also for Viagra. 100 mg, does wonders, for me.

Do you get flushed and headachey?

 

[Vince]

Do you get flushed and headachey?

No I never do. But when I first started using Cialis or Viagra. I did get back aches, I no longer have any issues when using either.

 

[Willyt]

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?

 

[madman]

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

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...

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Amino Acids

L-Arginine

L-Arginine is a semi-essential amino acid and serves as a precursor of NO. Nitric oxide synthase (NOS) catalyzes the oxidation of L-arginine, produces NO, and begins an enzymatic cascade that results in penile tumescence [43, 44]. There has been continued interest in L-arginine for the treatment of ED. Of note, it is the most studied ingredient found in online ED supplements and the most common amino acid included in men’s health supplements [45, 46].

L-Arginine has the ability to increase systemic concentrations of NO when taken in supraphysiologic doses [47]. The importance of dosing was first seen in the earliest trials evaluating its efficacy. In 1999, Klotz et al. found that 500 mg 3 times a day did not demonstrate significant benefits [48]. On the contrary, several studies showed that erectile function improved when taking larger doses: between 2.8 and 6 g/day [43, 44]. The first systematic review and meta-analysis were published in 2019 by Rhim et al. where they evaluated the efficacy of L-arginine on ED, both as monotherapy and in conjunction with other over-the-counter supplements. They concluded that for the treatment of mild to moderate ED, L-arginine was more beneficial than placebo at doses of 1500 to 5000 mg with a low adverse event rate. Concomitant dosing of other supplements involved in a NO-producing pathway (e.g., yohimbine, pycnogenol, ornithine, and AMP) leads to more pronounced improvement in ED than L-arginine alone [49]. This review did not include the most recent studies describing the efficacy of taking PDE5i in combination with L-arginine.

Several RCTs have evaluated tadalafil in combination with L-arginine. The first was conducted in 2019 which found that that L-arginine (5 g) taken in combination with tadalafil increased IIEF-5 scores significantly compared to either L-arginine or tadalafil separately (p ≤ 0.001) [50•]. A second trial was published in 2020 which again found that combination therapy with both tadalafil and arginine (2.5 g) once a day was superior to either monotherapy for patients with mild and severe ED [51].

L-Arginine with sildenafil has also been evaluated. The first study in 2001 found the combination to be equally as effective as sildenafil alone. However, this study was performed on post-radical prostatectomy patients and, regrettably, an improvement was measured by a buckling test, rather than an IIEF-5 score [52]. In 2020, sildenafil was compared with sildenafil + L-arginine for patients with organic ED. They found that the combination resulted in a statistically significant improvement of ED grades based on IIEF-5 scores compared to sildenafil alone (p ≤ 0.0001) [53]. It appears that L-arginine can be successful in improving erectile function and may be a good option for patients in combination with PDE5i before progressing to invasive options. It may also be beneficial for men seeking a more “natural” solution for their ED. A greater body of evidence will be necessary prior to adoption by the AUA guidelines as an adjunctive ED treatment.

 

[madman]

does PDE5 inhibitors downregulate NO production?

I'm considering to start a daily or most days or the week 5mg Tadalafil to help in reversing Peyronies diseases (PD), I don't have any erection issues, but to my understanding it is really important to have a "solid" erection during sex not to worsen PD. I'm 34 years old now, and I'm wondering...

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[DannyP]

Keep in mind that Viagra works best on an empty stomach and Cialis can be taken with food.

 

[M.J]

although I use cialis daily, I don’t believe this is may main problem. When libido is good “for example during honey moon period” my erection is even better than cialis.

I am looking forward to try this PT-141.

 

[madman]

L-Citrulline Supports Vascular and Muscular Benefits of Exercise Training in Older Adults

Hey Madman, what is your dose of both L arginine and L citrulline daily? I have been taking 3 g of each together, once per day, along with 2.5 g of tadalafil prior to my workout..I do notice more vascularity when doing weights but not much else..you think the dosing is adequat? Or would the...

www.excelmale.com

daily use of L-arginine, tadalafil and combined L-arginine with tadalafil in the treatment of elderly patients with ED

Comparison of the clinical efficacy of daily use of L-arginine, tadalafil and combined L-arginine with tadalafil in the treatment of elderly patients with erectile dysfunction. Abstract This study aimed to evaluate the efficacy of the daily oral administrations of L-arginine, tadalafil and...

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[gerardo]

What is the contraindication for this combination of cialis and viagra?

 

[hopanoids]

viagra!

 

[BJE]

Barry,

Loved your comment about "mid game time outs". Well said. I would concur with the other posters. At 53, daily 2.5mg Cialis is great, and 50mg Viagra occasionally insures a long lasting session.

I do exactly this.

 

[tropicaldaze1950]

Combination of both works best. Low does cialis all the time and viagra before sex. Viagra as a stand alone works better for me than cialis as a stand alone. With just cialis alone you’re fine, but viagra turns the clock back 35 years for me. Testosterone helps a bit, but pde5 inhibitors are the key.

No sides(headache, gastro disturbances)? I posted on another thread that even a tiny dose(1 mg) of tadalifil gives me sides. 5 mg induces a headache that lasts all day and into the next day. I read a study where men were given 20 mg of Cialis EOD, I believe, and those men eventually had spontaneous erections. My dream will have to remain a dream.

 

[Mountain Man]

What is the contraindication for this combination of cialis and

No sides(headache, gastro disturbances)? I posted on another thread that even a tiny dose(1 mg) of tadalifil gives me sides. 5 mg induces a headache that lasts all day and into the next day. I read a study where men were given 20 mg of Cialis EOD, I believe, and those men eventually had spontaneous erections. My dream will have to remain a dream.

I’d try levitra and there’s also one called stendra that has been out a few years. I wouldn’t give up yet. The sides often work themselves out after a week or so. I hope you can find something that will work.

 

[Goel]

No sides(headache, gastro disturbances)? I posted on another thread that even a tiny dose(1 mg) of tadalifil gives me sides. 5 mg induces a headache that lasts all day and into the next day. I read a study where men were given 20 mg of Cialis EOD, I believe, and those men eventually had spontaneous erections. My dream will have to remain a dream.

I get mild headaches from Cialis if I've taken a break from it for a while and then resume. But they are mild and disappear after about the 3rd dose.

 

[Vince]

When I first started using Cialis. I did get a stuffy nose and back aches. Which did eventually clear up. But it did take a long time, even years before it completely dispensed.