I started using Viagra in the late summer of 1998 - not for ED treatment, having found a sympathetic physician willing to “relax” the prescribing protocol, as an enhancer/aid to keep up with a much younger affair partner. In terms of side-effects, most were minor:
- “blue out” - this side-effect produces a blue tint or halo, temporarily impacting vision. Most of the time I experienced this side-effect the root cause was essentially overdosing. At the time, 50mg daily was considered therapeutic for ED, 100mg daily was the maximum. The times I experienced “blue out” were instances where I’d taken two doses a day over three to four days, driven by the need to stay hard for my sugar baby.
- headache - I occasionally had mild headaches, most of the time concurrent with exceeding the recommended dosage.
- elevated body temperature - again, related to overdoing it dosage wise.
- “Viagra cock” - this was a complicated side-effect; whether it is negative or positive is a combination of perspective and potential medical impacts. There were times when I was concurrently using alcohol, pot, or X/MDMA with Viagra. Think drug and alcohol enhanced sex… The end result was an erection lasting longer than 4-hours, along with the inability to ejaculate, or significant impairment in ejaculatory response. I was rock-hard, able to fuck for hours, but couldn’t cum.
I continued using Viagra until Cialis was introduced in 2003, after trying it, I switched, and have continued using Cialis/tadalafil since. I’ve used it in varying doses and protocols, from 5mg daily dosing, to 40mg doses an hour or so before an encounter, as well as incremental dosing in 5mg units from 10mg - 60mg in a single 24-hour period, as well as over several days. I’ve never experienced any identifiable side-effects.
I currently use a compounded product that includes 20mg of tadalafil, 2000mcg oxytocin, and 100IU Bremelanotide (aka PT-141, a peptide hormone). The compound is delivered in pellet format, for sublingual dosing. Depending on my planned or anticipated activity, I sometimes combine that dose with between 5mg - 20mg of pill-format tadalafil (generic Cialis) within a single 24-hour period. I’ve not experienced any negative side-effects from up to a 40mg dosing of tadalafil in a single day.
Tadalafil is faster acting, and has a longer “half life” metabolically than sildenafil (Viagra). I’ve found that I can remain in an “always ready” state pretty much indefinitely, without the negatives of Viagra/sildenafil.