Anything (like fats) not to eat before using Cialis?

[Guest greatness]

Eli Lilly and Company

 

Eli Lilly and IOSC introduced Cialis in 2003. I don't know whether you guys know but the company has a strong tie with the Bush Family.

[jackcali]

Give your doctor the benefit of the doubt. It's got to be difficult for a patient to walk into his doctor's office and say 'I'm impotent. What can I do about it?" One of the purposes of the advertising is to give the patient the language to say that he's got ED issues without using the "I" word. So he may have heard your statement that "you're interested" in the drug as an acknowledgement that sometimes you have difficulty getting a satisfactory erection. My guess is that he felt that that was enough for him to give you the prescription.

[+ Oliver]

Which head?

 

... I find that as time has gone by, my body's reaction to the Cialis has been better. I think that is because the nerves have been healing. Maybe it's all in my head!

 

And which head would that be? Seriously, it's the regeneration of the nerves.

[Guest greatness]

lol

 

Good one...

 

And which head would that be? Seriously, it's the regeneration of the nerves.

[Zapped]

It was a fantastic evening . . .

 

I ended up having a low-fat, light dinner (still low carb). I took 10 mg. of Cialis maybe 2 hours before the escort arrived. I don't know how much difference it actually made (other than leaving me flushed for a while). I was SO turned on and we got SO much into my fantasy that I'm sure I would have been hard anyway.

 

I'm writing a review and will post some non-review comments on the experience when I have more time (it's a busy Saturday with some work, volunteer work, and spending time with my elderly parents).

 

--Z

[Guest greatness]

Glad you had fun...

 

You are so sweet! It's good to hear that you had fun~~~

 

volunteer work, and spending time with my elderly parents).

 

--Z

[+ purplekow]

No daily Viagra dose, no peace! Philly transit workers rise up in protest -- DailyFinance The three main ED drugs all work well for a majority but not all men. They work most of the time for most of the men but not all of the time for all of the men. Cialis, being a long term drug is absorbed and metabolized much more slowly than Viagra the body's absorption of which, is slowed by fatty meals due to the decreased gastric emptying and the increase in digestive enzymes in the gut as a result of the presence of the fat. Cialis taken daily is taken in the dose of 2.5 to 5 mg. Taken on an as needed basis, it is taken 10-20 mg once every other day.

 

Many medications are given in double dose with patient's asked to cut them in half. Many medications are scored for just this reason. Some insurance companies are acutally encouraging double dose prescribing. There is nothing unethical about such a prescription. As for prescribing medications which are not needed, well that is a large topic to tackle. Let's just say that most antibiotics, cold remedies, antianxiety agents, pain medications, sleep aids are probably given by prescription to people who don't need them. There are different reasons for the different drugs being overprescribed, but nevertheless, need is not always part of the prescription.

[Guest greatness]

The Divide Over Pill-Splitting

 

Purplekow you raised some interesting points. Here is an article that has some counter arguments. BTW Cialis is an almond shaped pill.

 

http://www.healthyplace.com/depression/antidepressants/divide-over-pill-splitting/menu-id-68/page-2/

 

A recent report in the Journal of the American Pharmaceutical Association on splitting nearly a dozen commonly used drugs, found the practice rests on the cutter's ability to accurately halve the medication. Most people tested, the study found, could neither accurately nor safely split the drugs.

 

John Broder, spokesman for Winthrop University Medical Center in Mineola, said neither pharmacists nor doctors there recommend the practice. However, pill-splitting is endorsed in instances when hospital physicians prescribe a dosage that is not available commercially.

 

"The emphasis here is that individuals should not take it upon themselves to split a dosage to make a prescription last longer," Broder said.

 

But patients, some doctors say, are expressly asking to be informed about the benefits and drawbacks of pill-splitting.

 

"The issue of pill-splitting first came to my attention," Stafford continued, "because patients came to me requesting it. By and large, these were patients who did not have insurance coverage for their medications."

 

Kellner, however, is more concerned about what patients obtain after they split their pills.

 

"There are other issues people have to be concerned with," Kellner said. Some drugs are film-coated, he said, and must remain intact to be properly absorbed. Still others, he said, are oddly shaped and cannot be split to yield two effective doses.

 

Viagra, Pfizer's small blue pill for male erectile dysfunction, is so small that a special splitter has been developed to permit patients to cut the dose in half.

 

Nevertheless, Kellner still sees a problem with splitting small tablets, especially those developed to treat serious maladies. "Even though digoxin is scored," he said of the drug also known as digitalis and prescribed for heart failure, "it is too tiny to safely split. So if you're going to endorse tablet-splitting, you'll also have to set rules about which tablets can and cannot be cut. With digoxin you'd wind up with two little crumbs."

 

He also emphasized that tablets do not contain the exact amount of medication in the two halves, a fact already well known by health officials at the Food and Drug Administration. People who need an exact dose of their medication could fall far short because of the way a tablet is manufactured, Kellner said.

 

Rather than patients splitting their pills at home, Kellner said he'd prefer to see an end to what he calls "predatory pricing" by pharmaceutical companies.

 

"Drugs are becoming more and more a significant cost of health care, and it is a tremendous problem," Kellner added. "Drug budgets of hospitals have more than doubled in the last couple of years because of the cost of pharmaceuticals."

 

But researchers such as Stafford say patients need relief from the costs. "We're not advocating this as a global solution," Stafford said of drug-splitting. "It needs to be conducted within the context of a doctor-patient communication." He highly recommends that anyone considering the practice use only a special pill-cutting blade and to be trained by a pharmacist in its use.

 

Stafford acknowledges that many groups of patients are not even candidates for the practice: those with poor eyesight, severe arthritis affecting their hands, dementia or psychosis.

 

But Stafford's analysis also revealed the dramatic sums that can be saved with drug-splitting. He and his team assessed the costs of a Massachusetts-based health plan before wide-scale pill-splitting and what could be saved if it were endorsed.

 

Only a few doctors in the plan encouraged the practice prior to the study and did so infrequently. The result was an average cost savings of $6,200 for the insurer. If, instead, the plan pushed pill-splitting for the 11 medications Stafford identified as safe to cut, the plan would save $259,500 a year.

 

The practice can prove equally dramatic for individuals. Stafford found, for instance, that patients prescribed the 10-milligram tablets of Zestril for congestive heart failure can realize a significant savings by buying the 20-milligram strength and splitting the pills.

 

For the 10-milligram strength, the cost is about $340 a year Stafford estimated. By cutting the 20-milligram tablet in half, the cost would be only $180, Stafford said.

 

Warning: Do not make any changes in your medications or the way you take your medications without first talking it over with your doctor.

 

 

 

Many medications are given in double dose with patient's asked to cut them in half. Many medications are scored for just this reason. Some insurance companies are acutally encouraging double dose prescribing. There is nothing unethical about such a prescription. As for prescribing medications which are not needed, well that is a large topic to tackle. Let's just say that most antibiotics, cold remedies, antianxiety agents, pain medications, sleep aids are probably given by prescription to people who don't need them. There are different reasons for the different drugs being overprescribed, but nevertheless, need is not always part of the prescription.

[KMEM]

Just as a matter of interest, the FAA does not approve the use of daily Cialis and restricts pilots from flying for 36 hours after "casual" use. I don't think the sudden urge to use your laptop and the sudden urge to have sex are exactly the same thing.

 

Best regards,

KMEM

[Guest greatness]

so

 

Do pilots have to take a drug test before or after their flights?

 

Just as a matter of interest, the FAA does not approve the use of daily Cialis and restricts pilots from flying for 36 hours after "casual" use. I don't think the sudden urge to use your laptop and the sudden urge to have sex are exactly the same thing.

 

Best regards,

KMEM

[KMEM]

Pilots engaged in the transport of the public for hire have to be enrolled in a "drug program" which includes random testing. Not only pilots but also mechanics and most employees involved with "public transport".

 

Usually a pilot is informed right after landing to go under supervision to a restroom and provide a sample for testing.

 

Best regards,

KMEM

[Lookin]

Usually a pilot is informed right after landing to go under supervision to a restroom and provide a sample for testing.

 

I tried that on a young Northwest pilot once and he called airport security on me.

[Guest greatness]

I won't mind supervising hot pilots

 

I could examine them and say "Nope you didn't take Cialis, Next!" lol

 

Pilots engaged in the transport of the public for hire have to be enrolled in a "drug program" which includes random testing. Not only pilots but also mechanics and most employees involved with "public transport".

 

Usually a pilot is informed right after landing to go under supervision to a restroom and provide a sample for testing.

 

Best regards,

KMEM

[Guest greatness]

hmm

 

Northwest has young pilots... Never seen one...

 

I tried that on a young Northwest pilot once and he called airport security on me.

[KMEM]

I tried that on a young Northwest pilot once and he called airport security on me.

 

I assume that you are suggesting that security was NOT being called to participate in a threesome?

 

Best regards,

KMEM

[Guest greatness]

so what happened?

 

Did you get arrested? or is this another fantasy story?

 

I tried that on a young Northwest pilot once and he called airport security on me.

[Guest]

Give your doctor the benefit of the doubt. It's got to be difficult for a patient to walk into his doctor's office and say 'I'm impotent. What can I do about it?" One of the purposes of the advertising is to give the patient the language to say that he's got ED issues without using the "I" word. So he may have heard your statement that "you're interested" in the drug as an acknowledgement that sometimes you have difficulty getting a satisfactory erection. My guess is that he felt that that was enough for him to give you the prescription.

 

You could just proudly say "I'm a VIP!" (very impotent person).

[Guest]

Purplekow you raised some interesting points. Here is an article that has some counter arguments. BTW Cialis is an almond shaped pill.

 

http://www.healthyplace.com/depression/antidepressants/divide-over-pill-splitting/menu-id-68/page-2/

 

 

The practice can prove equally dramatic for individuals. Stafford found, for instance, that patients prescribed the 10-milligram tablets of Zestril for congestive heart failure can realize a significant savings by buying the 20-milligram strength and splitting the pills.

 

For the 10-milligram strength, the cost is about $340 a year Stafford estimated. By cutting the 20-milligram tablet in half, the cost would be only $180, Stafford said.

 

Zestril is now generic and available in Target's $4/mo (or $10/3 months) program.