Viagra vs Cialis 

Viagra : "The Short Term Helper"

Viagra (aka Sildenafil) stays in your bloodstream about four to six hours. After taking, Viagra begins to work in about an hour. It will work equally well if taken on an empty stomach or after a meal. Viagra doesn’t produce spontaneous erections, so you won’t be “popping a tent” while being mortified in the check-out line at the store; they enhance firmness only in the presence of sexual stimulation.

 

Viagra’s side effects are extremely low too! Headache, upset stomach, and nasal congestion are rarely experienced and typically only happen with about 1 out of 10 users on average... Important note: Never use any erection medications if you're taking nitroglycerin for angina; the combination can be fatal. 

Viagra is a preferred choice for some men who prefer something only to be in their system short term. This could be for various reasons; some including that they may have other medications that they need to take that could pose a potential interaction with Viagra, so they can’t have anything lasting longer than 4-6 hours. “Vitamin V” is a great solution for many.

Cialis: “The Weekend Pill”

Cialis (aka Tadalafil) remains in your bloodstream for up to 20 hours. Like Viagra, it starts to work in about an hour after taking. For many men, Cialis is clearly the more popular choice over Viagra. Why? Because Cialis has a longer duration of action. Viagra will only last about 4-6 hours, but Cialis can last almost 20. If a man takes Cialis on a Friday evening, he has erection assistance through Saturday night. Considering the length of time this drug stays in your system may be important if you’re taking other medications or substances that could interact with Cialis.

Men and women both tend to say they like the fact that Cialis allows them to take their eyes off their watches and have sex whenever the moment is right or when they want to without feeling any time constraints or a “deadline” . So, Cialis has a clear advantage for couples who value sexual spontaneity.

Delivery Methods

Many men are highly interested in and prefer generic versions of compounded Cialis and Viagra in Troche forms (aka sublingual) and for good reasons. Here are a few of them:

  1. You can “customize” your dosing. The troches are basically soft, gummi-like pills that are easy to cut into smaller sizes. This is in contrast to the odd tear drop-shaped 20 mg Cialis or blue diamond shaped Viagra tablets that are very difficult to cut up into smaller, equal pieces. 

  2. Less chance for stomach upset. The troches are largely absorbed beneath the tongue and spares your lower GI tract.

  3. Cost and Flexibility. Compounded medications here in the U.S. are completely legal and are competition to some of the higher priced brand name medications out there.  Cialis is a prime example of that and compounded Tadalafil is MUCH cheaper than the Cialis brand itself and it is legal and guaranteed to be pharmacy grade.

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Summary

Each of these popular medications have been shown to help men with ED when they’re used correctly. Both Viagra and Cialis provide good results, but it may take a little time and patience to get it right. If one drug doesn’t work or produces unpleasant side effects, you can try another drug. It may also take some trial and error to find the dosage that works best for you.

Technically Speaking

Viagra and Cialis are in a class of drugs called PDE-5 inhibitors which work by blocking an enzyme called phosphodiesterase type 5. They also elevate nitric oxide production that dialate the blood vessels. This action encourages the muscles in your penis to relax. Relaxed muscles allow blood to flow freely so that when you’re aroused, you can get an erection. It also helps men maintain their erection long enough to have sex.

When men get sexually aroused, the internal flood gates down below open up and blood engorges the penis causing an erection. With some men, there are too many “fun governors” (PDE-5 enzyme) that have set up and built a dam. Just like a dam being a barrier to control water flooding and flowing, these PDE-5 enzymes want to put a stop to the blood flow and prevent the party from getting started down below and in the bedroom.

This is where PDE-5 inhibitors come into play acting like a big protective brother to us to go throw some knock out blows to beat them and their barriers down and out of the way and let the blood flow back into the penis where we want it for a period of time. How much time is where the difference comes in between Viagra and Cialis.

The PDE5 inhibitors are often (and sometimes incorrectly), prescribed as the first-line of treatment for erectile dysfunction (ED). However, their use is not recommended in men who have recent history of stroke or heart attack (within the last 6-8 weeks), or who have significantly low blood pressure, unstable angina, uncontrolled high blood pressure, severe cardiac failure, severe liver impairment or kidney disease.

If and when erectile dysfunction is present, it is important to acknowledge and address any lifestyle factors or hormone imbalance or deficiencies FIRST as a foundational approach. Often, a few simple corrections here such as optimizing testosterone in a man with Low T can make all the difference for many men in bedroom. However, the two drugs lend an amazing helping hand to many men needing one and work wonders!

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