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can you alternate viagra and cialis

can you alternate viagra and cialis




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Alternatives to Cialis

If unwanted side effects occur, or if erectile dysfunction cannot be controlled sufficiently with Cialis (tadalafil), alternatives to the medication are available. Common alternatives include counseling and certain lifestyle changes, such as losing weight and eating a healthy diet. Other possible substitutes for this impotence medication can include vacuum devices, surgery, other prescription medications, and nonprescription supplements.

An Overview of Cialis Alternatives

Cialis ® (tadalafil ) is a prescription medication approved for the treatment of erectile dysfunction (also known as ED or impotence ). It is also approved for treating enlarged prostate symptoms. This medication may not work for some men due to side effects or drug interactions, and Cialis will not work in all men. Fortunately, there are other treatments that may be effective substitutes for Cialis. Some of these alternatives include:

  • Counseling and lifestyle changes
  • Vacuum devices
  • Surgery
  • Other prescription medications, such as:
  • Other phosphodiesterase inhibitors, similar to Cialis
  • Penile injections or pellets
  • Testosterone injections, gel, or skin patches
  • Various nonprescription supplements and herbal treatments.

(This article discusses the alternatives to Cialis for the treatment of ED. For information about other options for treating enlarged prostate symptoms, see BPH Treatment .)

Counseling and Lifestyle Changes

Sometimes, psychological factors play an important role in impotence. Anxiety. fear of pregnancy, or other psychological problems may interfere with a man's ability to function sexually, and counseling may be helpful in such situations. Even in cases where impotence is caused by a physical problem, counseling may help a man deal with the anxiety that often develops as a result of the inability to perform sexually.

Lifestyle changes may also be important in impotence treatment and may sometimes be effective Cialis alternatives. Regular physical activity, a healthy diet, quitting smoking or illegal drugs, and losing a little weight may help with impotence.

Erectile Dysfunction Health Center

13 Common Sex-Drive Killers

What Are the Differences Between These Drugs?

Cialis, Levitra, Staxyn, Stendra, and Viagra work similarly. There are subtle differences in how long the drug works and how quickly it works.

Levitra works a little longer than Viagra. They both take effect in about 30 minutes. With Levitra, the effects last for about 5 hours. With Viagra, they last about 4 hours.

Cialis works much longer -- up to 36 hours in some cases. Stendra can start doing its thing in as little as 15 minutes, and its effects last up to 6 hours.

Staxyn dissolves in your mouth. It contains the same active ingredient as Levitra, but it should not replace Levitra. It also can begin working in about 15 minutes.

If One of These Doesn’t Help Me, Can I Try Another?

Yes. But because these drugs work the same way, you’re likely to have similar results.

What Precautions Should I Take Before Trying One of These Drugs?

There are situations where these drugs may not be safe. Before you take them, tell your doctor:

  • If you are allergic to any drugs, including other ED medications.
  • About any prescription or nonprescription medications you take and any herbal and dietary supplements .
  • If you are scheduled for surgery, even dental surgery.
  • If you take nitroglycerin or a similar medicine for chest pain. The combination of ED medication and these drugs can cause dangerously low blood pressure .
  • If you take alpha-blockers for blood pressure or prostate problems. These can lower your blood pressure when taken with ED pills. You should not start on Staxyn unless your doctor has prescribed you Levitra before.

Always follow the directions on your prescription label carefully. Also make sure to ask your doctor or pharmacist to explain anything you don’t understand. Take these drugs exactly as directed.

Melissa Conrad Stöppler, MD

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

Erectile dysfunction drugs

Experts feel that treating erectile dysfunction on your own, without consulting a doctor, is unsafe. "If you have ED, the first thing you need is a diagnosis," says impotence expert Steven Lamm, MD, a New York City internist and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He says men with severe erectile dysfunction probably need one of the prescription ED drugs. which include Levitra (vardenafil ) and Cialis (tadalafil ) as well as Viagra. But, he says, mild ED -- including the feeling that "you're not as hard as you could be" -- often responds to natural remedies.

Erectile dysfunction treatment without drugs

Acupuncture. Though acupuncture has been used to treat male sexual problems for centuries, the scientific evidence to support its use for erectile dysfunction is equivocal at best. In 2009, South Korean scientists conducted a systematic review of studies on acupuncture for ED. They found major design flaws in all of the studies, concluding that "the evidence is insufficient to suggest that acupuncture is an effective intervention for treating ED."

Arginine. The amino acid L-arginine, which occurs naturally in food, boosts the body's production of nitric oxide, a compound that facilitates erections by dilating blood vessels in the penis. Studies examining L-arginine's effectiveness against impotence have yielded mixed results. A 1999 trial published in the online journal BJU International found that high doses of L-arginine can help improve sexual function, but only in men with abnormal nitric oxide metabolism. such as that associated with cardiovascular disease. In another study, published in 2003 in the Journal of Sex & Marital Therapy. Bulgarian scientists reported that ED sufferers who took L-arginine along with the pine extract pycnogenol saw major improvements in sexual function with no side effects. Arginine can be helpful, says Geo Espinosa, ND, director of the Integrative Urological Center at NYU Langone Medical Center. Espinosa says that men with known cardiovascular problems should take it only with a doctor's supervision; L-arginine can interact with some medications.

Medically Reviewed by a Doctor on 6/29/2016

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