I’m 66. Are there any cautions ?
Shouldn’t you be asking your doctor this?
Only if his erection last more than four hours. It’s only been 11 minutes since he posted.
He didn’t say needs answer fast, not yet he hasn’t.
If you have a history of heart disease, better ask your doctor.
Sildenafil also has other uses (hypertension) and can be prescribed off label for your floppy schloppy. So Viagra was the only one tested for ED but the same drug tested for something different can get around it.
As far as I know
A reasonable internet question. Don’t be so hard on him.
mmm
It works fine. I’ve a few patients on it for pulmonary hypertension and they report good results regarding their cardio-pulmonary symptoms. Plus boners.
In my experience with prescribing drugs, both name brand and generic, there’s truly little difference for 99.9+% of the meds out there.
I have used Cialis before a generic was available, and also used the generic (tadalafil?) when it became available. My experience with the generic was, it didn’t always seem to work.
It shouldn’t be any more or less effective than the brand name.
No, but is the price kept ludicrously high to keep it out of the hairy palms of teens?
All teen guys need to get hard is a gentle gust of wind.
Curious, what’s the mechanism are work there? What symptom does it treat?
IIRC Viagra helps with ED by increasing blood flow. So any condition that needs increased blood flow will benefit.
I assume the only reason for that small difference is production quality? The active ingredient(s) are still the same for both, correct?
Sx of Pulmonary artery HTN are variable, mainly dyspnea on exertion, fatigue, eventual right heart failure with worsening pulmonary edema. It’s a vast, complex topic. Viagra and similar meds work by decreasing the activity of PDE5, so that more cyclic GMP is available for the blood vessels inside the lungs. This leads to relaxation, or widening, of those vessels. Relaxing and widening of the blood vessels in the lungs decreases the pulmonary blood pressure to the heart and improves its function
Some people have reported issues with the inactive ingredients/binders/coatings that can differ between different brands and generics.
That’s a good point I was going to mention, though I’m unclear how important it might be. But it’s certainly possible that cheaper generics might have different physical properties than the original patent drug. Pills that need to be cut in half might have a greater tendency to crumble, or by the same token might dissolve faster or slower than optimum when taken. Some drugs need to have enteric coatings, which in a generic may be of inferior quality, so even if the active ingredients are exactly the same, the effect may not be.
I have no idea, however, to what extent these hypothetical differences actually happen. Probably not to a great extent, since here pharmacists are allowed (and almost always do) substitute generics even when the script specifies a drug by brand name. It used to be that pharmacists were legally obliged to fill a prescription exactly as written. If it specified a drug by brand name, that’s what they had to dispense. But no longer. In fact I’ve only seen original patent drugs dispensed when no generic is available. In order to get the original brand name drug, the prescription must specify the name and state “no substitutions”.
My GF and I take the same blood pressure medication (one generic and the other name brand) and occasional take each others. She notices that the the generic brand taste more bitter to her, myself I don’t leave them in my mouth long enough to tell. No biggie.
As for coatings I’m fairly certain that pills that have coatings designed to dissolve slowly and control the amount of medicine released are not meant to be cut in half and that there are warnings on the label not to do so. Still I see my mom doing this because she has issues with swallowing large pills. I’m like “mom ask for a smaller dose”, and she is like “I’m not wasting these pills, maybe next time” and then she forgets to ask next time.
I have tried both and the name brand seems to work faster but that could just be circumstantial. I did try the most generic of them all, an illegal Chinese product called “Hard 9 Days” or something like that. The clerk at the small local Asian market gave me the , “Psst - hey buddy” as he glanced around. “You try this - work like gangbusters”. After reading online about it I tried one. It did seem to work but I got a headache so I never took another.
Interestingly enough the FDA banned it because it did contain Sildenafil. Usually they ban something because it doesn’t contain what the manufacturer claims. But they did not specify the amount and I suspect it was fairly low.
Absolutely true. Furthermore, enteric coatings aren’t necessarily just for controlled release, in some cases it’s to delay release until past the gastric environment. In which case, cutting such a coated tablet in half will seriously impair its effectiveness.