How To Take Viagra and Cialis Together? Find Out Now!

1. Should You Mix Viagra and Cialis Together Find Out Now

Last modified on October 3, 2024

Key Takeaways:

Taking both Viagra and Cialis together can result in more severe side effects like low blood pressure, headaches, or even serious complications like a heart attack.

Viagra and Cialis affect your body differently. Viagra works quickly for short-term results, while Cialis lasts longer, so using both may not give you better results.

If your current medication isn’t working well, your doctor can safely adjust your dosage or recommend a different ED treatment that may be more effective.

There are safer alternatives to combining ED medications. Rather than mixing drugs, consider other options like changing dosages, trying alternative medications, or addressing underlying health issues that might be causing your ED.

Improving your diet, exercising, managing stress, and addressing any health issues like diabetes or high blood pressure can boost your sexual health and performance.

Managing erectile dysfunction (ED) can feel overwhelming. You might wonder if combining Viagra (sildenafil) and Cialis (tadalafil) could help. Viagra acts fast, and Cialis lasts longer. But should you take them together?

Before mixing these two treatments, you need to know if it’s safe. Both drugs work well alone, but using them together may not give better results. Instead, it could raise your risk of side effects. Each medication works in a specific way, and taking both may cause side effects like a drop in blood pressure.

It’s important to talk to your doctor before trying new options. They can help you find the right treatment plan. Relying on medical advice ensures you manage your ED safely while getting the best results.

Can I Take Low-Dose Cialis and Viagra Together?

Cialis and Viagra both belong to a group of drugs called PDE5 inhibitors. These drugs block an enzyme called PDE5, which slows blood flow to the penis. By blocking this enzyme, they help you get and keep an erection.

Cialis can last up to 36 hours and can be taken daily. Viagra works for about 4-5 hours and is best taken an hour before sex. While it might seem like taking both would work better, they affect the same system in your body. Combining them is like increasing the dose, which can be risky without your doctor’s approval.

In some cases, a doctor may suggest taking low-dose Cialis in the morning and Viagra at night. This approach is rare and may be recommended for men with severe ED who haven’t found success with just one medication.

Always talk to your doctor about what works best for you. They will guide you to the safest and most effective treatment plan.

What are the Risks associated with Combining Viagra and Cialis Together?

2. What are the Risks associated with Combining Viagra and Cialis

Combining sildenafil and tadalafil can be dangerous. You should only do this under a doctor’s supervision. Though they work for different lengths of time, both are PDE5 inhibitors. Taking them together increases the amount of these drugs in your body, which can lead to serious side effects.

Here are some risks of combining these medications:

  • Low blood pressure

Both drugs lower blood pressure. Taking them together can cause a sudden drop, leading to dizziness, fainting, or even heart attack or stroke.

  • Priapism

This is a painful erection that lasts more than four hours. Using both drugs increases this risk.

  • Increased side effects

You may experience more severe side effects, such as headaches, flushing, upset stomach, nasal congestion, back pain, muscle aches, and vision problems.

  • Drug interactions

Combining these medications with others, such as nitrates, alpha-blockers, or pulmonary hypertension drugs, can cause harmful reactions. Even grapefruit juice can affect how these medications work.

Always talk to your doctor before making changes to your treatment plan. This will keep you safe and help you avoid unnecessary risks.

Safer Alternatives and When to Seek Medical Advice

4. What are the alternative treatments for erectile dysfunction

Instead of combining Viagra and Cialis, explore these safer alternatives:

  • Adjusting Dosage

Talk to your doctor about changing your dosage of either Viagra or Cialis. They can help decide if a higher dose of one drug is safe for you.

  • Alternative ED Medications

Ask your doctor about other ED treatments like avanafil (Stendra) or vardenafil (Levitra, Staxyn). These drugs are also PDE5 inhibitors but have different effects and side effects.

  • Combination Therapy with Medical Guidance

In some cases, especially for men with severe ED, your doctor might recommend a compounded drug. This could include lower doses of both sildenafil and tadalafil.

  • Treating Underlying Health Issues

If your ED is caused by health conditions like diabetes, obesity, or low testosterone, treating these issues may improve your erections. Your doctor can guide you on making lifestyle changes or using other treatments.

Never try to treat ED on your own by mixing medications or increasing dosages. This can be dangerous. If you aren’t happy with your current treatment, consult your doctor. They can provide safe, effective options designed for your specific needs.

What is a compounded drug, and how is it used to treat ED?

3. What is a compounded drug and how is it used to treat ED

A compounded drug is made to fit your specific needs. It can combine different ingredients or adjust dosages unavailable in standard medications. This type of medication is tailored just for you.

Please note that the FDA does not approve a compounded drug.

While Viagra and Cialis are common for ED, some doctors may suggest a compounded drug. One option is Tadasiva 120mg, which combines both sildenafil (Viagra) and tadalafil (Cialis) in lower doses.

Here are key facts about Tadasiva 120mg Extra Power:

  • It contains 100mg of sildenafil and 20mg of tadalafil in one tablet.
  • It treats erectile dysfunction (ED) in men.
  • It’s made in India by Healing Pharma Pvt. Ltd.
  • The suggested dose is one tablet, taken 30-45 minutes before sex.
  • Its effects can last up to 36 hours.

Although Tadasiva is generally safe, talk to your doctor before using it. This is especially important if you have any health issues or take other medications. Always consult a doctor to ensure this treatment is right for you.

How does the combination therapy of Viagra and Cialis compare to the treatment with only one of these drugs?

In certain cases, a doctor may recommend combining Viagra (sildenafil) and Cialis (tadalafil) under strict supervision. Here are some situations where this may be considered:

  • Severe ED

If you have severe erectile dysfunction and haven’t responded well to Viagra or Cialis alone, your doctor may explore combination therapy. This approach could offer better results.

  • Compound Medications

Your doctor may suggest a compounded drug that combines lower doses of sildenafil and tadalafil. This personalized option can be tailored to your needs, especially if regular ED treatments haven’t worked.

  • Specific Dosage Schedules

In some cases, a doctor might recommend taking a low dose of Cialis in the morning and Viagra at night. This plan is carefully adjusted to fit your health status and needs.

Always follow your doctor’s advice when considering combination treatments. This ensures the best outcome while keeping you safe.

A study in the Journal of Men’s Health looked at the effects of combining PDE5 inhibitors in men with persistent ED after a radical prostatectomy. It found that daily tadalafil (5 mg), combined with sildenafil (50 mg) or udenafil (100 mg) as needed, helped around 40% of men achieve satisfactory erections.

Another study, published in Andrologia, explored using low-dose tadalafil (5 mg) daily with sildenafil (50 mg) as needed. This combination was particularly helpful for men with severe ED. It showed better results in improving erections and overall sexual experience compared to tadalafil alone.

However, research on combination treatments for ED is still limited. More studies are needed to create clear guidelines and fully understand the risks and benefits of these therapies. Always consult your doctor before considering combination treatments to ensure they’re the right option for you.

Key Considerations and Recommendations

  • Never treat ED on your own by combining medications without seeing a doctor. The risks of unsupervised combination therapy can be severe.
  • Talk openly with your doctor about your sexual health and treatment goals. Share your medical history, current medications, and any concerns you have. By communicating honestly, you and your doctor can choose the best treatment. Consider combination therapy only when it’s safe and under strict medical guidance.
  • Explore other treatment options if one ED drug isn’t working or causes side effects. Your doctor can adjust the dosage or recommend a different medication.
  • Lifestyle changes can also help with ED. Improving your diet, staying active, reducing stress, and addressing other health conditions can improve your sexual function over time.

Final Thoughts

Managing ED requires careful consideration. Combining Viagra and Cialis without guidance is risky. Talk to your doctor before changing your treatment plan. They can suggest safe and effective options that fit your needs. If one drug doesn’t work, explore other treatments or adjust your dosage under medical advice. Remember, lifestyle changes can also help improve ED. By working with your doctor, you can find the best path to better sexual health. Always prioritize your safety and follow expert recommendations.

FAQs

  1. What happens if I take Viagra and Cialis together?

    Taking Viagra and Cialis together is not a good idea. Both drugs treat erectile dysfunction and increase blood flow. When combined, they can cause low blood pressure. Taking both won’t get better results, but you might face more side effects.

  2. Does Cialis make you harder than Viagra?

    Cialis doesn’t make you harder than Viagra. However, it works longer—up to 36 hours, compared to Viagra’s 4 hours. Both drugs help you get an erection when you’re sexually aroused. Cialis may last longer but won’t increase hardness more than Viagra.

  3. What can I take to enhance Cialis?

    To boost Cialis, follow these steps:
    Limit alcohol to avoid dizziness and low blood pressure.
    Don’t drink grapefruit juice, which can interfere with the drug.
    Take the prescribed dose at the right time.
    Manage stress, stay active, and eat well.
    Talk openly with your partner.

    Seek counseling if needed for any mental or emotional concerns. These actions can help Cialis work better for you.

  4. How to get the maximum effect from Cialis?

    To get the most out of Cialis, take it as prescribed. If you take it daily, be consistent with the timing. If you use it as needed, take it 30 minutes before intimacy. Healthy habits like exercise, balanced eating, and stress management can improve results. Cialis works best when you’re calm and aroused. Avoid taking it with nitrate drugs to prevent a sudden drop in blood pressure.

  5. What is the strongest erectile dysfunction pill?

    Tadalafil is considered one of the strongest erectile dysfunction medications. It stands out for its long-lasting effects and high success rate. If you’re looking for a reliable option, tadalafil may be a good choice based on clinical results.

  6. Is it OK to alternate Viagra and Cialis?

    Alternating Viagra and Cialis isn’t recommended without a doctor’s advice. Both drugs work similarly, and switching between them may not improve results. It’s best to consult a healthcare provider for advice if one doesn’t work.

  7. Why is my Cialis not working?

    Cialis may not work due to various reasons, such as stress, anxiety, or relationship issues. You may also have medical conditions that affect its performance. If it’s not working as expected, a doctor can help you find the root cause and suggest alternative treatments.

  8. Which is more effective, 100mg Viagra or 20mg Cialis?

    When comparing 100mg Viagra to 20mg Cialis, clinical studies show Cialis offers better results in some areas. Both improve erectile function, but Cialis often scores higher in terms of satisfaction and performance.

  9. Does Cialis keep you hard after coming?

    Cialis won’t keep you hard after you climax. It helps you get and maintain an erection, but the erection will fade after sex. If your erection lasts more than 4 hours, seek medical help right away, as this could be dangerous.

References 

  • Coward, R., & Carson, C. (2008k). Tadalafil in the treatment of erectile dysfunction. Therapeutics and Clinical Risk Management, Volume 4, 1315–1329. https://doi.org/10.2147/tcrm.s3336
  • Cui, H. et al. (2014) ‘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’, Andrologia, 47(1), pp. 20–24. doi:10.1111/and.12216. https://doi.org/10.1111/and.12216 
  • Jun Nyung Lee, Jae-wook Chung, Soon Oh Kwon, Kyeong-hyeon Byeon, Dong Jin Park, Seock Hwan Choi, Bum Soo Kim, Hyun Tae Kim, Tae-hwan Kim, Eun Sang Yoo, Yun-sok Ha, Tae Gyun Kwon. EFFICACY AND SAFETY OF COMBINED PHOSPHODIESTERASE TYPE 5 INHIBITORS AS A SALVAGE MEDICAL TREATMENT IN PATIENTS WITH ERECTILE DYSFUNCTION AFTER NERVE-SPARING RADICAL PROSTATECTOMY. Journal of Men’s Health. 2020. 16(3);138-146. https://www.jomh.org/articles/10.31083/jomh.v16i3.288 
  • Leslie SW, Sooriyamoorthy T. Erectile Dysfunction. [Updated 2024 Jan 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562253/ 
  • Dhaliwal A, Gupta M. PDE5 Inhibitors. [Updated 2023 Apr 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549843/ 
  • Hellstrom WJG, Kaminetsky J, Belkoff LH, Goldstein I, Tursi JP, Uy J, et al. Efficacy of Avanafil 15 Minutes after Dosing in Men with Erectile Dysfunction: A Randomized, Double-Blind, Placebo Controlled Study. Journal of Urology [Internet]. 2015 Aug 1 [cited 2024 Sep 25];194(2):485–92. Available from: https://doi.org/10.1016/j.juro.2014.12.101 
  • Derouet H, Zehl U. Die Behandlung der erektilen Dysfunktion mittels Vakuumsaugpumpen (EHS) [Treatment of erectile dysfunction with vacuum pumps]. Urologe A. 1993 Jul;32(4):312-5. German. PMID: 8372414. https://pubmed.ncbi.nlm.nih.gov/8372414/ 
  • Elena, B. W., Zachary, M., Haritha, P., Graham, B. A., & Wayne, H. J. G. (2023). Current status of intracavernosal injection therapy in erectile dysfunction. Expert Opinion on Pharmacotherapy, 24(8), 925–933. https://doi.org/10.1080/14656566.2023.2204189 
  • Cavayero CT, Leslie SW, McIntosh GV. Penile Prosthesis Implantation. [Updated 2024 Apr 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563292/ 
  • Molodysky, E., Liu, S. P., Huang, S. J., & Hsu, G. L. (2013). Penile vascular surgery for treating erectile dysfunction: Current role and future direction. Arab Journal of Urology, 11(3), 254–266. https://doi.org/10.1016/j.aju.2013.05.001 
  • Ali (2008). Effectiveness of sildenafil citrate (Viagra) and tadalafil (Cialis) on sexual responses in Saudi men with erectile dysfunction in routine clinical practice. Pakistan journal of pharmaceutical sciences. https://pubmed.ncbi.nlm.nih.gov/18614424/

Disclaimer

HisBlue is not a substitute for professional medical care or advice from your doctor. The health information on the HisBlue website is general and provided for your information only. We have ensured our content is accurate and current, with reviews by expert doctors. However, we cannot guarantee its accuracy or timeliness. This information is not meant to replace the diagnosis, treatment, or judgement of your doctor or another qualified healthcare provider.

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