Viagra vs Cialis

xx9270

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I prefer Cialis to Viagra, less side effects!

My supplier has closed recently, does anyone have a recommended online supplier for Cialis in the UK, too many rogues around.

Thanks.
 
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Both Sildenafil Citrate (the chemical name for Viagra) and Vardenafil (the chemical name for Levitra operate in exactly the same way. If you do not respond Sildenafil the odds are good that you will not respond to Vardenafil. Tadalafil (Cialis) has a slightly different method of operation and it is this different method of operation physiologically that gives it the ability to be used in low dosage numbers AND the ability to have the long duration it has. Not reponding to Sildenafil or Vardenafil is no guarantee that Tadalafil will not work because of this change. Any MD who makes the statement that all three are exactly the same has not done his/her homework. In extreme cases there are MD's that have prescribed a low dosage of Cialis and a 1/2 dose of Viagra together when sex is desired. This is a used treatment when ED is more extreme.

My ED is on the high end, and I find both drugs a mixed bag with a "hit and miss" effect.

The one thing to remember however is to be careful of both Sildenafil Citrate and Vardenafil because the effect is multiplied exponentially if certain compounds containing grapefruit are present. Grapefruit extracts can multiply the effects of these two drugs as much as 20 times under the right circumstances.

Cialis has by track record had fewer side effects, by record.

Having dealt with both drugs over the years, I personally when needed will use both separately as a booster when I cannot use my injectable which is 1000% preferable. The problem is that I cannot travel with my injectable easily because it has to be refrigerated.

In conclusion, the whole thing is individual anatomy and personal preferance. There are in fact other drugs which are actually more effective and commonly used outside the U.S. including both a transdermal alprostadil and a transurethral alprostadil which is again far more effective. The downside to alprostadil is that the erection can be so hard it is painful and you can't use it often because most men quickly build a tolerance or resistance to it. I operate a Yahoo group dealing with ED in men and it is a place that a few men go for the experiences of others and a place where one can learn from those who have more experience if they need that kind of information.
Interesting info man!

Is there any research on what actually causes ED (where the prob is physical rather than psychological)? And is there anything that can be done to reverse it - or is it a case of symptom-treating?

Mine is pretty mild, and caused by anti-depressants, but still interested to know what sort of things can be done to counter it. Thanks man. :)
 

horneyoldguy

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Is there any research on what actually causes ED (where the prob is physical rather than psychological)? QUOTE]

  • Diabetes: Diabetes can cause nerve and artery damage that can make achieving an erection difficult. According the National Institutes of Health, between 20% and 75% of men with diabetes experience ED. Having diabetes more than doubles the risk of having erectile dysfunction.
  • Kidney disease: Kidney disease can cause chemical changes to occur in your body that affect hormones, circulation, nerve function, and energy level. Often times these changes will lower a person's libido (sex drive) or sexual ability. Drugs used to treat kidney disease may also cause ED. Some estimates report that over 50% of men with kidney failure suffer from erectile dysfunction, decreased sex drive, and a significantly decreased sex life.
  • Neurological (nerve and brain) diseases: The nervous system (the body's system of nerves) plays a vital part in achieving and maintaining an erection and it is common for men with diseases such as stroke, multiple sclerosis (MS), Alzheimer's disease, Parkinson's disease and spinal cord injuries to experience ED. This is due to an interruption in the transmission of nerve impulses between the brain and the penis.
  • Vascular disease: Vascular diseases are those that affect the blood vessels. These diseases include atherosclerosis (hardening of the arteries), hypertension, and high cholesterol. These diseases, which account for 70% of physically-related causes of ED, all restrict blood flow to the heart, the brain and, in the case of ED, the penis.
  • Prostate cancer: Prostate cancer doesn't cause ED on its own, but treatment (radiation, hormonal manipulation, or surgery to remove the cancer) can lead to erectile problems.
The physical causes of ED are not only disease-related. There are many other potential causes, including:​
  • Surgery: Surgery performed to treat diseases such as prostate cancer and bladder cancer often require the removal of nerves and tissues around the affected area which can lead to ED. Some of these surgeries result in only temporary problems (lasting 6-18 months) while others result in permanent damage to the nerves and tissue around the penis and require treatment in order for an erection to be achieved.
  • Injury: Injuries to the pelvis, bladder, spinal cord, and penis that require surgery also commonly cause ED.
  • Hormonal imbalances: Imbalances of hormones, such as thyroid hormones, prolactin, and testosterone, can affect a man's response to sexual stimulation. These imbalances can be the result of a tumor of the pituitary gland, kidney disease, liver disease, or hormonal treatment of prostate cancer.
  • Venous leak: If the veins in the penis cannot prevent blood from leaving the penis during an erection, an erection cannot be maintained. This is known as a venous leak, and can be a result of injury or disease.
  • Tobacco, alcohol or drug use: All three of these substances can damage a person's blood vessels and/or restrict blood flow to the penis, causing ED. Smoking in particular plays a large role in causing ED in people with arteriosclerosis.
  • Prescription drugs: There are more than 200 types of prescription drugs that may cause ED.
  • Prostate enlargement: Prostate enlargement has recently been implicated in being associated with varying degrees of ED.
Found the above information on this web site - Erectile Dysfunction Causes: Prostate Cancer, Diabetes, and Other Physical Causes