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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by SandyWeb on December 6, 2008, at 13:17:49
Hi all. I haven't been on this site in ages. I still see some familiar names. I hope all is well, and you are helping all the newbies to the wonderful world of meds. Lol.
I have a question from a friend. He has sexual dysfunction (both getting aroused and becoming hard enough to even ejeculate) due to his medications. He has now reduced his Celexa from 40mg to 20mg daily (with the intention of quitting it), stopped Zopiclone altogether, has begun Wellbutrin at the lowest dose (to help with the sexual dysfunction), and is still taking Remeron at 60mg nightly (although he would like to reduce or quit this med later down the road).
He has been given two new prescriptions: Viagra 100mg and Cialis 20mg. These are not to be used at the same time, but rather to try each one and see which works better for him.
His question: How soon should the Celexa be low enough in his system, and the Wellbutrin stable enough, that he could begin either the Viagra or Cialis with a good chance of it being effective? Since the ED meds are so expensive, he wants to wait to begin taking them once there is the chance that they WILL be effective rather than wasting a pill or two.
And can anyone describe their experiences with Viagra or Cialis, please? He is curious to know what to expect. Thanks so much!
Posted by desolationrower on December 6, 2008, at 14:07:13
In reply to Viagra or Cialis, posted by SandyWeb on December 6, 2008, at 13:17:49
Overseas pharmacies can provide on patent drugs for significant discounts, something to look at if he can't afford them to take as often as would like.
I noticed a difference in sexual function within a day or two of quitting citalopram, the half life is 27h i think? A ocuple of days are necessary for bupropion to reach steady state levels as the metabolites have a longer half-life, probably would take a week. I'd think your boy should try after a few days.
I found low dose of selegiline stronger pro-sexual than bupropion.
-d/r
Posted by bleauberry on December 6, 2008, at 17:23:42
In reply to Viagra or Cialis, posted by SandyWeb on December 6, 2008, at 13:17:49
Meds are weird, so you can throw all predictions out the window. Some people get sex back shortly after reducing or stopping an offending med, some it takes weeks or months, some it never comes back. Wellbutrin, though known to be pro-sex, can also be anti-sex for some people. Like me. It was bad. You can't predict anything just on a reputation or someone else's experience.
There is no need to wait to try the ED meds. I am only familiar with viagra. 100mg is a lot. 50mg does a good job even with med induced sexual dysfunction, usually, not always. Just cut the pill in half. It is a wise thing to do anyway to feel out the side effects (for me, a blueish tint in vision and sometimes a slightly stuffy nose, both of which tell me it is kicked in and ready, and a headache when I wake. I usually take ibuprofen at when retiring to prevent the waking headache. Anyway, test it at a lower dose for the sake of side effects.
Tricks to get maximum power:
1. Avoid eating for 3 hours prior. The last meal should have very little or not fat in it. Take the pill on a stomach that has no competition.
2. Chew the pill, and as soon as it is broken into pieces park the mess under the tongue. It has an odd taste, but not offensive. Let it stay for 3 minutes or so. It gets straight into the bloodstream that way without any loss in the stomach process. It will absorb through the tissues under the tongue and in the gums and cheeks. When done, swallow with maybe an inch or two of water in a glass.
3. While waiting for the med to do its work, focus on something that should be arousing...photos, magazines, porn, whatever. Maybe due to the meds they aren't usually arousing, but it helps to get things out of the rut. Between the forced arousal and the Viagra, something should begin to spark.
4. Or, go to bed with partner but plan on not doing anything except naked leisure or foreplay for at least 45 minutes. That is enough time to allow a naked body to begin looking desirable, enough time to fantasize, and enough time to allow relaxation without any pressure. Avoid pressure because it works against you. Take your time.
5. While the instructions say the med begins to work in 20 minutes, I have found the most potent time is about 1 hour after dosing. It stays good for 3 hours or so even if you miss the original time.
6. A candle helps, maybe with some tinfoil wrapped around it with just a little space at the top for some light to come out...dark, but just enough light to see the outlines of nakedness. And some background white noise, such as a fan, to block out anything distracting such as breathing, cars, whatever.
Generic Viagra made overseas is available all over the internet. Super easy to get in a google search.
Odd, but the best sex enhancers I've tried were low dose Abilify (2mg once every 3 days...it has a very long halflife), and LDN (low dose Naltrexone 1.5mg at bedtime every night). Most of the supposed pro-sex things for me were not much good.
Posted by sdb on December 7, 2008, at 3:07:02
In reply to Viagra or Cialis, posted by SandyWeb on December 6, 2008, at 13:17:49
> Hi all. I haven't been on this site in ages. I still see some familiar names. I hope all is well, and you are helping all the newbies to the wonderful world of meds. Lol.
>
> I have a question from a friend. He has sexual dysfunction (both getting aroused and becoming hard enough to even ejeculate) due to his medications. He has now reduced his Celexa from 40mg to 20mg daily (with the intention of quitting it), stopped Zopiclone altogether, has begun Wellbutrin at the lowest dose (to help with the sexual dysfunction), and is still taking Remeron at 60mg nightly (although he would like to reduce or quit this med later down the road).
>
> He has been given two new prescriptions: Viagra 100mg and Cialis 20mg. These are not to be used at the same time, but rather to try each one and see which works better for him.
>
> His question: How soon should the Celexa be low enough in his system, and the Wellbutrin stable enough, that he could begin either the Viagra or Cialis with a good chance of it being effective? Since the ED meds are so expensive, he wants to wait to begin taking them once there is the chance that they WILL be effective rather than wasting a pill or two.
>
> And can anyone describe their experiences with Viagra or Cialis, please? He is curious to know what to expect. Thanks so much!viagra was originally developed as an anti hypertensive agent and now its used for ed. Nevertheless it is still very effective in
lowering the blood pressure what can be quite dangerous (forward-backward problems in preexisting pathologies). Whereas some drugs are blamed because
of fatalities, viagra isn't.
viagra can furthermore cause eye problems.compared by measuring the ed relieving properties viagra is still the most effective in the class of the pde inhibitors.
clinically, it is therapeutically used in the neurourology when the other meds from the same class are too weak.Cialis is said to be more smooth, natural and it has a long effect which can last a day and overall less dangerous than viagra.
The effect is weaker though.
Posted by bleauberry on December 7, 2008, at 10:43:09
In reply to Viagra or Cialis, posted by SandyWeb on December 6, 2008, at 13:17:49
I just wanted to followup on my previous post. I want to put emphasis on the improved effectiveness of an overall big picture management of ED, rather than simply relying upon some medication molecule all by itself to do magic. Sometimes it can, sometimes not. Odds can be increased to make it almost always can.
That's why I mentioned things like direct absorption under the tongue, no food for several hours prior (have a feast after making love), allowing an hour to go by after dosing, spend that hour focused on things that would normally be arousing to most people, block out all distractions with the use of a fan as background noise, make the lighting exotic with creative use of a candle, engage in foreplay that attempts to arouse both partners.
Distraction and pressure are enemies. A good attitude is, "This probably won't work, but let's have some fun for the next hour or two and see if anything happens, let's just not expect too much and maybe we might get lucky and be surprised." If one goes to bed bound and determined to make it happen, that is too much pressure and will make things less likely to be successful.
Any noise other than white noise can be a distraction. A passing car. The breathing of your partner. A sigh. The refrigerator kicking in. The cat scratching on the door. Whatever. Turning on a fan makes a good white noise background. While romantic music would seem to make sense, it can actually be very distracting and add to the pressure. No music. Or if any at all, very faint in the background, with the fan being louder than the music.
Viagra can definitely work at half a pill (50mg). But use the entire strategy, not just a pill. The pill stands a good chance of working by itself, but the chances are magnified by multitudes with enhanced absorption strategies, enhanced attitudes, enhanced patience, and enhanced environment, all conducive to excellent low pressure free flowing romance and intimacy.
While Viagra does not directly stimulate desire, it does have an effect. That is, when the man sees that his limp parts are actually getting a little stiffer than usual, desire and hope is sparked. And then it is a chain reaction, with physical response adding to desire, and that in turns magnifies the phsycial response, and that in turn makes the desire even stronger, and it snowballs.
Posted by Phillipa on December 7, 2008, at 11:51:33
In reply to Re: Viagra or Cialis, posted by sdb on December 7, 2008, at 3:07:02
sdb had no idea they could be dangerous so many commercials for them on TV. Thanks for info. Love Phillipa
Posted by Partlycloudy on December 10, 2008, at 18:39:42
In reply to Viagra or Cialis, posted by SandyWeb on December 6, 2008, at 13:17:49
Posted by sdb on December 22, 2008, at 13:47:27
In reply to Re: Viagra or Cialis » sdb, posted by Phillipa on December 7, 2008, at 11:51:33
> sdb had no idea they could be dangerous so many commercials for them on TV. Thanks for info. Love Phillipa
thank you too, Phillipa. This shouldn't be an advertisement for cialis. Many alternative substances are said to be somehow effective, but then probably for less severe ed problems. This question could be asked in the alternative babble also.
Posted by kenny7 on December 23, 2008, at 17:32:10
In reply to Viagra or Cialis, posted by SandyWeb on December 6, 2008, at 13:17:49
Cialis low dose once a day.
This is the end of the thread.
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