Am I just over-thinking this.

[+ VictorPowers]

And when you finally meet your target, if you sense any doubt or hesitation on the escorts part, just whip out your cock. There's nothing like a Big dick to break the ice !

AMEN

[Rudynate]

I'm in my early 50's and find it difficult to compete with all these beautiful buffed young men out there.

 

Why would you even try? You're a daddy escort - a niche unto its own.

[Michael Paul]

Why would you even try? You're a daddy escort - a niche unto its own.

You are correct, I am a Daddy Escort... I also know that many of the clients out there in my area are only interested in the Buff Bod Escorts.

[Rudynate]

You are correct, I am a Daddy Escort... I also know that many of the clients out there in my area are only interested in the Buff Bod Escorts.

 

 

And that's probably the situation everywhere, but judging from the number of successful daddy escorts, there is a large minority of clients who hire older guys. If I were in the business, I would focus on them and not worry about a client base that probably isn't available to me.

[Michael Paul]

And that's probably the situation everywhere, but judging from the number of successful daddy escorts, there is a large minority of clients who hire older guys. If I were in the business, I would focus on them and not worry about a client base that probably isn't available to me.

I'm not focused on that client base. Just an observation.

[Bigginuc]

Why don’t you two kiss and make up...Can I watch?

[SuperJunior]

It's not an insult, just a Fact. (and not the alternative kind)

 

I might love you a little.

[Bigginuc]

I would love that a lot!

[+ Gar1eth]

Find a doctor that will prescribe REVATIO slidenafil. they come in 20mg tablets at about $1.00 each. To get the full effect of 100 mg Viagra, take 4-5 at a time. Cost ya $5.00 instead of $40....

 

Thanks man. Good info.

 

I realize this is an old thread. And I don’t know whether my comment will be needed. I found the thread and @jjkrkwood’s comment whole searching for something else.

 

I’d like to make a small corection to @jjkrkwood’s comment above-and again I realize someone may have already caught it. But there are at least 63 posts in this thread, and I don’t want to go thru them all (sorry)

 

While if not covered by insurance, it is cheaper to take the 20 mg sildenafil tablets, it’s the generic that sildenafil and not the name brand (Revatio) 20 mg which is cheaper. Revatio is very, very expensive.

 

Here are screenshots from the GoodRx app (an app and website where you you can often obtain free coupons that give large discounts on medications that aren’t covered by insurance. Occasionally it might make the medications cheaper than expensive copays. The classic Goodrx is free. Anyone can download the app or use the website. There is also apparently a new subscription option which might save you more money-but I haven’t looked into it yet).

 

Revatio Pricing using GoodRx at my local pharmacies

 

http://dl.dropboxusercontent.com/s/67ado4l1azrixo0/File%20Jan%2010%2C%209%2043%2029%20PM.png?dl=0

 

 

And the prices using the GoodRX coupon for generic Revatio-ie sildenafil

 

 

 

http://dl.dropboxusercontent.com/s/nm71buw1rvu92xs/File%20Jan%2010%2C%209%2043%2047%20PM.png?dl=0

 

 

Gman

[P Gren]

I realize this is an old thread. And I don’t know whether my comment will be needed. I found the thread and @jjkrkwood’s comment whole searching for something else.

 

I’d like to make a small corection to @jjkrkwood’s comment above-and again I realize someone may have already caught it. But there are at least 63 posts in this thread, and I don’t want to go thru them all (sorry)

 

While if not covered by insurance, it is cheaper to take the 20 mg sildenafil tablets, it’s the generic that sildenafil and not the name brand (Revatio) 20 mg which is cheaper. Revatio is very, very expensive.

 

Here are screenshots from the GoodRx app (an app and website where you you can often obtain free coupons that give large discounts on medications that aren’t covered by insurance. Occasionally it might make the medications cheaper than expensive copays. The classic Goodrx is free. Anyone can download the app or use the website. There is also apparently a new subscription option which might save you more money-but I haven’t looked into it yet).

 

Revatio Pricing using GoodRx at my local pharmacies

 

http://dl.dropboxusercontent.com/s/67ado4l1azrixo0/File%20Jan%2010%2C%209%2043%2029%20PM.png?dl=0

 

 

And the prices using the GoodRX coupon for generic Revatio-ie sildenafil

 

 

 

http://dl.dropboxusercontent.com/s/nm71buw1rvu92xs/File%20Jan%2010%2C%209%2043%2047%20PM.png?dl=0

 

 

Gman

OMG ... what a nightmare of a system ... my total sympathies for the idiocy of the USA health care system

[+ Gar1eth]

OMG ... what a nightmare of a system ... my total sympathies for the idiocy of the USA health care system

 

Well it’s not always the best. But in many cases we have more choice. For example, I was at a lecture on Ethics in the 1980’s by one of the first women pediatric surgeons. She was probably in her early 70’s at that point. She had retired and had obtained a Master’s in Medical Ethics from the UK. While telling us about the wonders of socialized medicine, she did bring up a hypothetical of someone her age needing a kidney transplant. She said they told her the National Health wouldn’t ok it for someone her age-but that they would for her since she was a physician. So no system is perfect.

 

Gman

[jjkrkwood]

The only problem G-man is that Revatio is FDA approved, while slidenafil is NOT, and MY doctor will not prescribe the slidenafil UNLESS the prescription states REVATIO... And I got 90 20mg tablets for $100, so thats pretty inexpensive.

[+ Gar1eth]

The only problem G-man is that Revatio is FDA approved, while slidenafil is NOT, and MY doctor will not prescribe the slidenafil UNLESS the prescription states REVATIO... And I got 90 20mg tablets for $100, so thats pretty inexpensive.

 

 

Unless I’ve misunderstood the discussions I’ve had regarding generics with my own physicians over the years (which is not impossible) or the laws of NYC are different than a lot of other states (I’ve lived in multiple states), I’d have to say that what your physician has told you seems very wrong to me. Sildenafil is a generic. Generics are approved for the same treatments as the branded drug. Many states even have laws that prescriptions can be filled with generics if the doctor approves.

 

Would any of the physicians on the Forum comment on this?

 

Plus from my reading of the drug information sheet for Revatio, it seems to me that Revatio is indicated for a disease called pulmonary hypertension not erectile dysfunction. Erections while using Revatio for pulmonary hypertension would be considered a side effect.

 

As for your price for Revatio, I have to wonder if it’s being convered by your insurance. Because if not, then NYC has the cheapest prices for Revatio that I’ve ever seen.

 

In fact I just plugged a zip code for the Upper East Side into the GoodRx app. Here are the non-insurance prices for 90 Revatio tablets using a GoodRx coupon at local pharmacies

 

 

http://dl.dropboxusercontent.com/s/pm0osfo8chu6i0y/File%20Jan%2011%2C%209%2056%2004%20AM.png?dl=0

 

 

 

And here are the non insurance NYC prices for generic sildenafil using a GoodRx coupon. These prices are pharmacy specific. As you can see at the bottom, Walgreens/Duane Reed would charge $432 dollars for 90 tablets whereas Acme Markets only charges $37.10

 

 

http://dl.dropboxusercontent.com/s/duz5l6iud8lm53p/File%20Jan%2011%2C%209%2055%2043%20AM.png?dl=0

 

 

Prices can definitely change over time. I originally used the GoodRx coupon for generic sildenafil at Walmart. Then that became very expensive even with the coupon. I currently get a low price for the tablets at Safeway. (Which just as an FYI if you are in Texas would be the same price at Randall’s in Houston or Tom Thumb in Dallas).

 

Gman

[gallahadesquire]

REGARDING generics versus brand name drugs:

 

At my medical school, we were only taught generic drug names. There were a lot of brand names I had to look up and learn to be able to communicate with pharmacies and patients.

 

In Massachusetts, where it has been years since I wrote a prescription or physically had one, I do believe the Law of the Commonwealth is that generic drugs must be supplied unless "No Substitution" was written by the prescriber. Thus, Valium 5 mg would be filled with Diazepam 5 mg. It might actually BE Valium-brand of diazepam, but if aanother choice is available and cheaper, then the generic is given.

 

We've come a long way since ... "generics" have become available. An interesing problem was with Dilantin brand of Phenytoin. Dilantin was always an extended-release drug, and since Pfizer was the only one making it, the usual dose was 300 mg once a day. When the generic came out, people were both being overdosed and had uncontrolled seizures, because the pharmakokinetics (the right word) weren't appreciated. It should have been given as 100 mg every eight hours.

 

I do believe the FDA has considered this is approving generic drugs, but it's an interesting tale of how government good intentions can go wrong.

 

Unless I’ve misunderstood the discussions I’ve had regarding generics with my own physicians over the years (which is not impossible) or the laws of NYC are different than a lot of other states (I’ve lived in multiple states), I’d have to say that what your physician has told you seems very wrong to me. Sildenafil is a generic. Generics are approved for the same treatments as the branded drug. Many states even have laws that prescriptions can be filled with generics if the doctor approves.

 

Would any of the physicians on the Forum comment on this?

 

Plus from my reading of the drug information sheet for Revatio, it seems to me that Revatio is indicated for a disease called pulmonary hypertension not erectile dysfunction. Erections while using Revatio for pulmonary hypertension would be considered a side effect.

 

As for your price for Revatio, I have to wonder if it’s being convered by your insurance. Because if not, then NYC has the cheapest prices for Revatio that I’ve ever seen.

 

In fact I just plugged a zip code for the Upper East Side into the GoodRx app. Here are the non-insurance prices for 90 Revatio tablets using a GoodRx coupon at local pharmacies

 

 

http://dl.dropboxusercontent.com/s/pm0osfo8chu6i0y/File%20Jan%2011%2C%209%2056%2004%20AM.png?dl=0

 

 

 

And here are the non insurance NYC prices for generic sildenafil using a GoodRx coupon. These prices are pharmacy specific. As you can see at the bottom, Walgreens/Duane Reed would charge $432 dollars for 90 tablets whereas Acme Markets only charges $37.10

 

 

http://dl.dropboxusercontent.com/s/duz5l6iud8lm53p/File%20Jan%2011%2C%209%2055%2043%20AM.png?dl=0

 

 

Prices can definitely change over time. I originally used the GoodRx coupon for generic sildenafil at Walmart. Then that became very expensive even with the coupon. I currently get a low price for the tablets at Safeway. (Which just as an FYI if you are in Texas would be the same price at Randall’s in Houston or Tom Thumb in Dallas).

 

Gman

[+ Charlie]

I believe that Medicare directs that the generic is what it will pay for, unless the doctor specifically prescribes the brand name drug, or there is no generic available.

[+ Gar1eth]

Unless I’ve misunderstood the discussions I’ve had regarding generics with my own physicians over the years (which is not impossible) or the laws of NYC are different than a lot of other states (I’ve lived in multiple states), I’d have to say that what your physician has told you seems very wrong to me. Sildenafil is a generic. Generics are approved for the same treatments as the branded drug. Many states even have laws that prescriptions can be filled with generics if the doctor approves.

 

Would any of the physicians on the Forum comment on this?

 

Plus from my reading of the drug information sheet for Revatio, it seems to me that Revatio is indicated for a disease called pulmonary hypertension not erectile dysfunction. Erections while using Revatio for pulmonary hypertension would be considered a side effect.

 

As for your price for Revatio, I have to wonder if it’s being convered by your insurance. Because if not, then NYC has the cheapest prices for Revatio that I’ve ever seen.

 

In fact I just plugged a zip code for the Upper East Side into the GoodRx app. Here are the non-insurance prices for 90 Revatio tablets using a GoodRx coupon at local pharmacies

 

 

http://dl.dropboxusercontent.com/s/pm0osfo8chu6i0y/File%20Jan%2011%2C%209%2056%2004%20AM.png?dl=0

 

 

 

And here are the non insurance NYC prices for generic sildenafil using a GoodRx coupon. These prices are pharmacy specific. As you can see at the bottom, Walgreens/Duane Reed would charge $432 dollars for 90 tablets whereas Acme Markets only charges $37.10

 

 

http://dl.dropboxusercontent.com/s/duz5l6iud8lm53p/File%20Jan%2011%2C%209%2055%2043%20AM.png?dl=0

 

 

Prices can definitely change over time. I originally used the GoodRx coupon for generic sildenafil at Walmart. Then that became very expensive even with the coupon. I currently get a low price for the tablets at Safeway. (Which just as an FYI if you are in Texas would be the same price at Randall’s in Houston or Tom Thumb in Dallas).

 

Gman

 

REGARDING generics versus brand name drugs:

 

At my medical school, we were only taught generic drug names. There were a lot of brand names I had to look up and learn to be able to communicate with pharmacies and patients.

 

In Massachusetts, where it has been years since I wrote a prescription or physically had one, I do believe the Law of the Commonwealth is that generic drugs must be supplied unless "No Substitution" was written by the prescriber. Thus, Valium 5 mg would be filled with Diazepam 5 mg. It might actually BE Valium-brand of diazepam, but if aanother choice is available and cheaper, then the generic is given.

 

We've come a long way since ... "generics" have become available. An interesing problem was with Dilantin brand of Phenytoin. Dilantin was always an extended-release drug, and since Pfizer was the only one making it, the usual dose was 300 mg once a day. When the generic came out, people were both being overdosed and had uncontrolled seizures, because the pharmakokinetics (the right word) weren't appreciated. It should have been given as 100 mg every eight hours.

 

I do believe the FDA has considered this is approving generic drugs, but it's an interesting tale of how government good intentions can go wrong.

 

I should have said in the majority of cases generics are usually considered to be equivalent to brand name. But even I know some examples where they aren’t. I believe there can be problems with timed-release formulations with generics compared to the branded drug, I know that my father’s physician wanted him to get branded Coumadin (a blood thinner) rather than the generic warfarin.

 

I also know that the standards for most generics don’t say the absorption has to be 100% of the branded drug-they are allowed a range of absorption.

 

I’ve even had experience where a long time ago I was taking generic adderall. I could definitely feel a difference in effect between two different brands of generics.

 

But as regards Revatio vs generic sildenafil, I have not been able to find anything that says Revatio is approved for erectile dysfunction and the generic of it isn’t.

 

 

*****

 

On another note-as probably a lot of people know. Viagra itself is now generic. But the generic is still on the expensive side. Teva is one company making a generic. I found a prescription assistance program Teva was offering for those with non-governmental insurance-Medicare, Medigap, and Tricare don’t qualify either-where Teva would pay up to a $100 copay for 6 tablets. Google Teva Assistance Program and you should be able to find it. For some reason the assistance program for Viagra at least is not available in Massachusetts and won’t be in California starting sometime in June 2018.

 

Gman

Edited January 11, 2018 by Gar1eth

[jjkrkwood]

Unless I’ve misunderstood the discussions I’ve had regarding generics with my own physicians over the years (which is not impossible) or the laws of NYC are different than a lot of other states (I’ve lived in multiple states), I’d have to say that what your physician has told you seems very wrong to me. Sildenafil is a generic. Generics are approved for the same treatments as the branded drug. Many states even have laws that prescriptions can be filled with generics if the doctor approves.

 

Would any of the physicians on the Forum comment on this?

 

Plus from my reading of the drug information sheet for Revatio, it seems to me that Revatio is indicated for a disease called pulmonary hypertension not erectile dysfunction. Erections while using Revatio for pulmonary hypertension would be considered a side effect.

 

As for your price for Revatio, I have to wonder if it’s being convered by your insurance. Because if not, then NYC has the cheapest prices for Revatio that I’ve ever seen.

 

In fact I just plugged a zip code for the Upper East Side into the GoodRx app. Here are the non-insurance prices for 90 Revatio tablets using a GoodRx coupon at local pharmacies

 

 

http://dl.dropboxusercontent.com/s/pm0osfo8chu6i0y/File%20Jan%2011%2C%209%2056%2004%20AM.png?dl=0

 

 

 

And here are the non insurance NYC prices for generic sildenafil using a GoodRx coupon. These prices are pharmacy specific. As you can see at the bottom, Walgreens/Duane Reed would charge $432 dollars for 90 tablets whereas Acme Markets only charges $37.10

 

 

http://dl.dropboxusercontent.com/s/duz5l6iud8lm53p/File%20Jan%2011%2C%209%2055%2043%20AM.png?dl=0

 

 

Prices can definitely change over time. I originally used the GoodRx coupon for generic sildenafil at Walmart. Then that became very expensive even with the coupon. I currently get a low price for the tablets at Safeway. (Which just as an FYI if you are in Texas would be the same price at Randall’s in Houston or Tom Thumb in Dallas).

 

Gman

 

Because of the low cost, I do not go thru my insurance for the Revatio. I pay cash out of pocket.

[+ Gar1eth]

Because of the low cost, I do not go thru my insurance for the Revatio. I pay cash out of pocket.

 

 

Are you sure you are getting Revatio and not generic Revatio? I’ve never seen that low a price for branded Revatio anywhere. If it’s really that low, I’d love to know the pharmacy.

 

Gman

[jjkrkwood]

Are you sure you are getting Revatio and not generic Revatio? I’ve never seen that low a price for branded Revatio anywhere. If it’s really that low, I’d love to know the pharmacy.

 

Gman

 

It's a small Russian ma and pa neighborhood pharmacy. The prescription was written for Revatio slidenafil, so I dont know what I got, but it works and its CHEAP , and thats all that matters to me

[+ Gar1eth]

It's a small Russian ma and pa neighborhood pharmacy. The prescription was written for Revatio slidenafil, so I dont know what I got, but it works and its CHEAP , and thats all that matters to me

 

 

But the bottle itself should say the name of the prescription. If the bottle says Sildenafil, rather than Revatio, then it’s the generic. Also here are pictures of the branded Revatio.

 

http://dl.dropboxusercontent.com/s/rbi80dz8fg84ap3/File%20Jan%2011%2C%202%2051%2013%20PM.png?dl=0

 

Gman