Doctor,

You said that the Cialis insert states specifically that under NO circumstances should any nitrates be administered within 72 hours of ingesting a single Cialis tablet. I appreciate that it's impossible to be certain, and I'm just asking for an educated guess. But how long after taking one tablet of Cialis would it be safe to use poppers? Four days? A week?

Also the other way round. How long after using poppers would it be safe to take one Cialis tablet?

Thanks.

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My educated guess, I wouldn't go near a popper for at least a week. I really don't think anyone is going to drop dead from taking the combo earlier, but I would rather not find out.

The opposite doesn't hold true. The nitrate in a popper breaks down very, very quickly. You could probably do a popper, and immediately injest a cialis, and by the time the tablet broke down in your stomach and started to get absorbed, the popper would have been totally removed from your system. But let's NOT try the experiment, please.

As I've posted in past (distant past) notes, I happen to love my Viagra. I don't "need" it (hell, no one "needs" it!), but it unquestionably provides me with some unnatural male enhancement that I find enjoyable. I have been offered poppers from my partners with V on board, which I politely decline, and yes, I can smell the stuff, and I'm still here to tell the tale. Actually, I really dislike poppers. First I don't like the smell, I don't like the rush, and worst of all, the headache I get from the stuff is really severe, almost blinding. And they drop my blood pressure enough without the viagra that I come very close to passing out. Just what a guy needs, his dick in my mouth, and me passing out. Not a good scenario for anyone. But that's me.

Moral of the story: Enjoy your pills, but don't mix them: it's one or the other to be safe

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Doctor,

Thank you very much for your reply to the Cialis question. I know you are wary of Cialis because it stays in the system for such a long time. Again, only an educated guess, but how long after taking Viagra would it be safe to use poppers?

Thanks.

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thanks, dr. danny, for your all of your responses. they are always very helpful. my question is how do i ask my doctor for a prescription of viagra or cialis. i would like to try it. i have kaiser. can i go to the afterhours doctor and just ask him to write me a prescription for it. what do i say - is he going to ask me all kinds of questions? also, is viagra and cialis covered under my prescription plan. i think i have a $5 co-pay. thanks!!!

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Eric, Viagra stays on board for about 4-6 hours. I would say about 24hrs before poppers would be pretty safe. I wouldn't go near the stuff for at least a minimum of 12 hours though.

Jizz, talk to your doctor, let him/her know that you are having some problems with erection, and your partner is understanding, but getting frustrated. (If you were to come to me, I would be inquiring about the type of partner, not so much for the Viagra issue, but for the possibility of other gay related issues, that most of my collegues wouldn't think of asking). That should do it. It has been our (my staff's) experience that each HMO is different. Kaiser is a disaster in general. Cigna makes me do a needless endocrine workup with needless blood testing to delay issuing a prescription. Aetna may or may not issue pills, it really depends on the phase of the moon, and who they just hired off the streets to say no.

As a rule, I Rx 10-12 tabs with a refill, and that quantity generally is covered. For the bastards who allow 3 tabs a month, I usually double the strength (to a 100mg tab), and advise splitting. Again, each plan is different.

Bottom line, no one "needs" Viagra. Unless you are planning on making a baby, sex is for recreational purposes. So is Viagra, so don't feel embarrassed. Best to both of you guys

Dr. Danny

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Jizz, In my case, I went to the doctor and just told him that my erections take longer to achieve and aren't as firm as they used to be. I said that occasionally, I would lose it before I was done (married). Before I could even bring up the topic of Viagra, he responed " don't say another word, I know where this is going. This is a much bigger problem than anyone ever thought". He then gave me my free sample and a script. But my insurance doesn't cover it, for that part of your question.

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I never realized the magnitude of the Erectile Dysfunction (ED) problem that American males have or are now just acknowledging. Even more surprising are the number of males in their early 20s suffering from ED and obtaining prescriptions for Viagra, Cialis, or Levitra. I simply hadn't imagined that ED had become that prevalent in young males. Or ...

Perhaps more and more younger males are now using Viagra, Cialis, and Levitra as a recreational drug to enhance their sexual experience. Four-hour erections that are touted as a "side effect" from using a drug for ED sounds likes the kind of side effect most males don't mind experiencing.

But, who is really complaining about having 4-hour erections?

__________________
Those who deny freedom to others deserve it not for themselves. And, under a just God, cannot long retain it.

-- Abraham Lincoln

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Since I'm on line anyway...

The 4hr boner is a CONTINUOUS hardon, and it is not fun. It is a result of a mega blood clot forming in the erectile tissue of the penis. It's a urological emergency, because if the clot is not fully evacuated, there will be permanent scarring of the erectile tissue, and no future boners. Bummer. And you don't want to know the physical size of the needle that gets inserted into your painful, purple phallus to do the evacuation. Youch!

Erectile dysfunction is unbelievably common, more so that we ever expected. In young guys, ie under 40, non smokers, etc, invariably it is psychological. Some men are afraid of women, and can't get hard. A lot of gay guys are married, and just can't get it up under the circumstances. A lot of guys are premature ejaculators, popping their loads before they even get close to penetrating, or the rockets go off as soon as the penis slides into the vagina. For these guys, these drugs work wonders, because the cut out the embarassment, and allow for a more sucessful second go round.

As for all you smokers, get your rocks off as much as possible now, because you are going to loose your hard fairly early in the game, say like your early 40s. Not everyone, but an awful lot of you. That's my advise to my teenager smokers. Doesn't stop them, unfortunately.

As to us recreational user, yes, it is a recreational drug. No one "needs" them. A hard 6" facilitates impregnating a woman, not that it can't be done with a turkey baster and some creative thinking. Very few guys, straight or gay can go for a second round. The mind usually isn't too interested after cumming, and most of us go limp very quickly after the ejaculation, and we stay limp. Viagra and friends solves that little problem. If we want to go for that second or third round, a little rest, and our little friend can get hard again.

And last word. All the Viagra in the world will do nothing to increase sexual desire or performance. Your going to get a good boner, but what, if anything, you do with it is up to you.

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No doubt there are legitimate medical reasons for young males seeking qualified and competent medical help for their Erectile Dysfunction (ED) problems. Erectile Dysfunction problems in males is probably the least discussed subject among ourselves because we are less likely to acknowledge it when we do experience it ... even temporary episodes. ED is also closely associated with male impotence, and we don't ordinarily associate male impotence with young, healthy, and virile males in their 20's and 30's.

So, yeah, it does strike me as unusual that young males in their 20's and 30's are experiencing ED problems for legitimate medical reasons. What I do find very troubling is the growing rate of recreational use of ED drugs for non-legitimate medical reasons.

It is understandable why a young, healthy and virile 20-something male might want to have firm erections that continuously last for 30 to 45 minutes, 1 hour, 2 hours, 3 hours or even 4 hours (What a Stud!). As Danny suggested, what good is a continuous 2-hour erection if you have climaxed only after 20 minutes of stimulation and you are no longer sexually aroused? At least with Viagra, you still must be sufficiently sexually aroused in order for the effects of Viagra to work. I think many people might be missing this point altogether.

There are legitimate medical reasons for males with ED seeking qualified and competent medical help. Recreational use of ED drugs has the same potential for abuse as other drugs that have crept into use. I suspect there are more recreational users of ED drugs than those males with legitimate medical reasons. I could be wrong here, but my thinking is probably closer to the truth.

__________________
Those who deny freedom to others deserve it not for themselves. And, under a just God, cannot long retain it.

-- Abraham Lincoln

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