Sidegra, Kamagra, Viagra and Cialis

[onebir]

37 minutes ago, Mister Fixit said:

1)  I suppose I use between 4 and 6 tablets a month, more likely nearer the 4.  It's a bit awkward at the moment because we have my wife's dim 23 year old niece staying which is off-putting anyway but that's not the issue.
That's not excessive use so no need to reduce intake and if I took a break I would not be able to have sex.  Hence, there is no 'chronic use'  to be concerned about in my view.

2) No.

And I thought it was nitrous oxide which was involved in vaso-dilation in an erection, not nitrous dioxide.  I am no biochemist though so I could well be wrong but I think not.

1) I'd also be surprised if once every 5-7 days wasn't enough to give receptors or whatever time to recover.

2) Apparently I'm no biochemist either ???? But there are supplements and herbs that increase NO levels and might be worth a try. (Like arginine, which I found on Lazada for about $15/100g)

[Mister Fixit]

25 minutes ago, onebir said:

1) I'd also be surprised if once every 5-7 days wasn't enough to give receptors or whatever time to recover.

2) Apparently I'm no biochemist either ???? But there are supplements and herbs that increase NO levels and might be worth a try. (Like arginine, which I found on Lazada for about $15/100g)

I have no idea who or what you are - no criticism intended.

[Mister Fixit]

57 minutes ago, scubascuba3 said:

Sounds like you aren't turned on enough

That's a medical diagnosis is it?

But enough to get an erection though.  I find at times I feel hot and it seems to be at those times when things slacken off.  Crank up the air for 5 minutes to cool off while the missus does her stuff and off we go again.

Edited March 15, 2021 by Mister Fixit

[farang51]

1 hour ago, Mister Fixit said:

1)  I suppose I use between 4 and 6 tablets a month, more likely nearer the 4.  It's a bit awkward at the moment because we have my wife's dim 23 year old niece staying which is off-putting anyway but that's not the issue.
That's not excessive use so no need to reduce intake and if I took a break I would not be able to have sex.  Hence, there is no 'chronic use'  to be concerned about in my view.

That is certainly not overdoing it; I have been taking a pill every day for some 16 years.

Speak to your doctor, and ask her about trying Cialis. You will not get a 16 hour hard on; you will need to be in the mood just as with Viagra. The biggest different is that if you are in the mood, Viagra may work in the evening while Cialis may work for a round againg in the morning - again, only if you are in the mood.

[rcuthbert]

2 hours ago, Mister Fixit said:

Yes, I think I will just ask the nice lady doctor at my local clinic on Friday before she does the shot to take blood for all three tests.  Thanks for the advice on the oestrogen (and test for oestradiol too?).

It's 700 baht for a testosterone blood test but I don't know which type, free or total or if it's double the price for both.

Then, if there are any anomalies, I will look for a decent endocrinologist and maybe urologist.  This is an endocrine problem which causes a limp dick, not a physical one AFAICS.

I will write up the history when I get a minute and you will see what's been happening.  Waaay too many wrong conclusions and assumptions have been made by most commenters so far.

 

Estradiol (E2) is the usual test.

 

[Mister Fixit]

16 minutes ago, rcuthbert said:

Estradiol (E2) is the usual test.

 

Thank you.  I will mention it when I go in a few days.

 

[Boomer6969]

15 hours ago, OswaldBastable said:

don't think I've had sex since I was 40 years old (65 now). I'm gob smacked to read that someone aged 72 still expects to have sex.

Amazing, and you've never sought medical advice for this lack of libido? 

[scubascuba3]

6 hours ago, Mister Fixit said:

That's a medical diagnosis is it?

But enough to get an erection though.  I find at times I feel hot and it seems to be at those times when things slacken off.  Crank up the air for 5 minutes to cool off while the missus does her stuff and off we go again.

The fact is that condoms and sometimes the gf or wife just doesn't turn you on as much as they used to, both are softeners, if you have health conditions on top of that ok

[chicowoodduck]

Stop the madness....and the drugs.....just tape two sticks on each side of your unworkable member and rest easy....????????????????????

[TheFishman1]

I think the best advice would be explain your problem to your doctor or physician and maybe they can come up with a solution I hope you figure it all out TIT

[dutchdude]

but where can one buy cialis , I have never seen it over here, it's  not for the sex ( hehehe) but for the bloodpressure

 

[fitfalang]

You said that you are taking testosterone enanthate injections 3-weekly: I assume meaning one 250mg amp every 3 weeks? I suspect this can be the reason. Testosterone enanthate has a half life of 4.5 days so dosing it so infrequently creates a rollercoaster, where at the end of the 3-week cycle you will barely have any testosterone left in your system. 

TE is normally dosed every 14 days max. and if you can make it more frequent (like once a week), even better. Note: I don't necessarily mean increasing the total dosage of your TE injections as I'm not sure how higher levels affect someone at your age. Personally I use Testosterone Cypionate at 100mg every 9 days for TRT purposes. Note that Cypionate has a half life of 8 days and works better for maintaining stable T-levels. You can get the Thai brand Cypionax here very cheap as well, I recommend changing to that. 

In case you don't like frequent injections, I recommend researching Nebido (1000mg) that has a release rate of approx. 90 days. It is usually dosed one 4ml injection every 8-12 weeks. 

Edited March 16, 2021 by fitfalang

[Mister Fixit]

5 hours ago, scubascuba3 said:

The fact is that condoms and sometimes the gf or wife just doesn't turn you on as much as they used to, both are softeners, if you have health conditions on top of that ok

Well, that's not the case with me. 

1) I never use condoms, not even when married in the UK.  If I went on a Pattaya bonking weekend 15 years ago, yes.

2) Anyone who has been married or in an LTR  any length of time knows that sex isn't always swinging off the chandeliers 100% of the time, so well done for stating the bleedin' obvious.  

And I happen to think that being turned on is more to do with what's in your own head.  You can turn yourself on if you want to and know what you are doing with the other person even if they aren't initially in the mood.

[Mister Fixit]

19 hours ago, rcuthbert said:

For me - I would to do TRT unless I was under a doctor's - with knowledge of hormone management - supervision.

 

*  https://en.wikipedia.org/wiki/Hypothalamic–pituitary–gonadal_axis

 

#  https://en.wikipedia.org/wiki/Aromatase

Many thanks for this information.  Very interesting but I may need to read it more than once!

I shall get back you, I am sure.

[Mister Fixit]

13 hours ago, farang51 said:

That is certainly not overdoing it; I have been taking a pill every day for some 16 years.

Speak to your doctor, and ask her about trying Cialis. You will not get a 16 hour hard on; you will need to be in the mood just as with Viagra. The biggest different is that if you are in the mood, Viagra may work in the evening while Cialis may work for a round againg in the morning - again, only if you are in the mood.

I have used Cialis in the distant past when I was about 15-16 years younger and would go on bonking weekends at Pattaya.

I don't need anything long term now - once or twice a week is enough at my age.  I am going to get some Cialis and some genuine Viagra later today to try out so will keep you posted.

[phitsanulokjohn]

On 3/15/2021 at 9:07 AM, Mister Fixit said:

Jeez, I have read some idiocies on here but that one takes the biscuit!  

Does she?Then best feed her a biscuit instead.

[NCC1701A]

On 3/15/2021 at 7:22 AM, Mister Fixit said:

At first I used half a 100 mg tablet of real Viagra,

in addition to Viagra try Maca root daily:

https://th.iherb.com/search?sug=maca powder&kw=maca powder&rank=3

add to a glass of water.

https://www.healthline.com/nutrition/benefits-of-maca-root#TOC_TITLE_HDR_3

who are you having sex with? not joking as that obviously has a lot to do with it.  make sure you take 100mg Viagra (or whatever) on a empty stomach at least one full hour before boom boom. drink 8 ounces of water with it. no alcohol at all on boom boom day. cut out alcohol completely if you can. walk at least one hour a day. 

 

[Mister Fixit]

1 hour ago, fitfalang said:

You said that you are taking testosterone enanthate injections 3-weekly: I assume meaning one 250mg amp every 3 weeks? I suspect this can be the reason. Testosterone enanthate has a half life of 4.5 days so dosing it so infrequently creates a rollercoaster, where at the end of the 3-week cycle you will barely have any testosterone left in your system. 

TE is normally dosed every 14 days max. and if you can make it more frequent (like once a week), even better. Note: I don't necessarily mean increasing the total dosage of your TE injections as I'm not sure how higher levels affect someone at your age. Personally I use Testosterone Cypionate at 100mg every 9 days for TRT purposes. Note that Cypionate has a half life of 8 days and works better for maintaining stable T-levels. You can get the Thai brand Cypionax here very cheap as well, I recommend changing to that. 

In case you don't like frequent injections, I recommend researching Nebido (1000mg) that has a release rate of approx. 90 days. It is usually dosed one 4ml injection every 8-12 weeks. 

Excellent post - many thanks.  Yes, one ampoule every three weeks.  The next shot is this Friday.  This was the frequency set for me when I was at Bumrungrad in 2005 and I haven't changed it. 

I probably should have had it all checked years ago but I haven't although I will now.

I have read about cypionate but don't like tinkering with hormonal stuff on my own.

I shall look into all the above in more detail in the next few days, so in the meantime, many thanks for your input.

[Mister Fixit]

35 minutes ago, phitsanulokjohn said:

Does she?Then best feed her a biscuit instead.

The idiot poster who posted his inane remarks has taken them all.

[Mister Fixit]

29 minutes ago, NCC1701A said:

in addition to Viagra try Maca root daily:

https://th.iherb.com/search?sug=maca powder&kw=maca powder&rank=3

add to a glass of water.

https://www.healthline.com/nutrition/benefits-of-maca-root#TOC_TITLE_HDR_3

who are you having sex with? not joking as that obviously has a lot to do with it.  make sure you take 100mg Viagra (or whatever) on a empty stomach at least one full hour before boom boom. drink 8 ounces of water with it. no alcohol at all on boom boom day. cut out alcohol completely if you can. walk at least one hour a day. 

 

Never heard of maca.  Not really into so-called 'natural' remedies, but I will look into that.  Thanks. 

Do you happen to know the name of that stuff in Thai?  My wife is heavily into Thai traditional herbal medicine and studied it for about 6 years.  If I can tell her the Thai name, so could get it from one of her many fellow students who always seem to be sending things between each other

As it says in my OP, I only have sex with my wife.  I don't want the complications of a gik (not after the last one 11 years ago). 

I know how to take Viagra and what dose, thanks very much, and I know never to drink on a bonking day.  Why should I have to drink so much water when I take it?

Walking's a problem with two stage 3 arthritic knees and my knee doc told me not to anyway.  I prefer horizontal jogging!  ????

Edited March 16, 2021 by Mister Fixit

[Mister Fixit]

52 minutes ago, NCC1701A said:

in addition to Viagra try Maca root daily:

I had a quick look into that maca stuff.  

I have no problem whatsoever with quantity or volume of semen , even at my age.  When I was in my late 20s and my ex-wife and I were trying to have children, the specialist specifically remarked how full his little test tube was of my product!  ????

I may possibly try it, but it seems to need 6 or more weeks to become effective.

The major downside to it for me is that there are 20 grams of carb in an ounce, which is about 28 grams.  That's about 70% carbohydrate and my daily carb allowance is 20 grams a day because I have been on a strict keto diet for almost 4 years and lost 50 kgs overall, or about 110 pounds.  No way am I prepared to compromise that in any way.

 

 

Edited March 16, 2021 by Mister Fixit

[jackdd]

2 hours ago, fitfalang said:

You can get the Thai brand Cypionax here very cheap as well, I recommend changing to that. 

Cypionax is probably produced in an underground lab, thus I recommend to not take it.

[Mister Fixit]

2 hours ago, Sticky Rice Balls said:

So if viagra is the clear winner.....what would be the thai runner up in LOS?  Kamagra....I tried the jelly packets before...same in any form?...asking for a friend ????

I have used mainly Kamagra and it's been fine until recently.  Sidegra, the Thai GPO version wasn't much good and was the same price.  Don't waste your money.

I haven't used genuine Pfizer Viagra (sildenafil) for years because Kamagra worked fine.  I used Cialis sometimes about 15-16 years ago but never since.

Today I am off to a downtown pharmacy for some more testosterone shots, but also I will buy one pack of genuine Pfizer viagra and one pack of Cialis and see how I go.  

So, tonight's the night!  If I don't post until late tomorrow, you'll know why! ???? ????

Edited March 16, 2021 by Mister Fixit

[Mister Fixit]

7 minutes ago, jackdd said:

Cypionax is probably produced in an underground lab, thus I recommend to not take it.

Is Cypionax a GPO product?  

I must say that I was pretty unimpressed with Sidegra, the Thai GPO version of sildenafil.  My local pharmacy told me that most GPO products are not high quality.

[xylophone]

1 hour ago, Mister Fixit said:

I have used Cialis in the distant past when I was about 15-16 years younger and would go on bonking weekends at Pattaya.

I don't need anything long term now - once or twice a week is enough at my age.  I am going to get some Cialis and some genuine Viagra later today to try out so will keep you posted.

Viagra gives me a headache and face flushing, as well as sinus problems, so after having tried it a few years ago I haven't bothered since.

I tried that Thai natural one called "Gracku" (spelling) and it worked, although with a little headache and some flushing, but I was walking round with a perky on for some time!

Now I have sourced some Cialis, or version thereof, and cut the 20 mg tablet in half and that does the trick, and although I'm 74 this year, I still like to exercise the old ferret once or twice a week and my lady friends are quite impressed.

Sometimes I don't need it, but most times I take it to ensure the old fella doesn't go to sleep on me!

[chiangraifalang]

I never used the drugs you mentioned. But i have really good experience with something that have more natural ingredience.  It's  called D-Maxxx. You find it at Lazada and it's easy to order. Usually 1 capsual is enough. I think it's cheaper than all this drugs you mentioned. Just give it a try.

Btw. like other mentioned here, it's very likely that an underlying condition is the source for this problem. For me, there is a heart problem, i never was aware before.

[Mister Fixit]

4 minutes ago, xylophone said:

Viagra gives me a headache and face flushing, as well as sinus problems, so after having tried it a few years ago I haven't bothered since.

I tried that Thai natural one called "Gracku" (spelling) and it worked, although with a little headache and some flushing, but I was walking round with a perky on for some time!

Now I have sourced some Cialis, or version thereof, and cut the 20 mg tablet in half and that does the trick, and although I'm 74 this year, I still like to exercise the old ferret once or twice a week and my lady friends are quite impressed.

Sometimes I don't need it, but most times I take it to ensure the old fella doesn't go to sleep on me!

Viagra/Kamagra used to give me a headache when I first started using it but hasn't for years.  

I do get slightly disturbed vision though and some slight flushing as well as a slight blueish tinge to my sight and also get a bit of a blocked up nose.

My wife once took half a tablet to try but it gave her a stinking headache and as she's prone to migraines she hasn't taken it since.  She was like a rabbit when she took it though!

I think I must try that Graku stuff and see what happens.  

Good on you for still being at it!  Long may it continue.

[Mister Fixit]

1 minute ago, chiangraifalang said:

I never used the drugs you mentioned. But i have really good experience with something that have more natural ingredience.  It's  called D-Maxxx. You find it at Lazada and it's easy to order. Usually 1 capsual is enough. I think it's cheaper than all this drugs you mentioned. Just give it a try.

Btw. like other mentioned here, it's very likely that an underlying condition is the source for this problem. For me, there is a heart problem, i never was aware before.

Luckily, my heart is perfect.  Just had a full work up 10 days ago.

This morning my blood pressure was 94/73.  Better than perfect.

[jackdd]

17 minutes ago, Mister Fixit said:

Is Cypionax a GPO product?  

GPO isn't an underground lab. Underground lab means somebody could be mixing it in his kitchen.

17 minutes ago, Mister Fixit said:

I must say that I was pretty unimpressed with Sidegra, the Thai GPO version of sildenafil.  My local pharmacy told me that most GPO products are not high quality.

From my personal experience Sidegra worked just as well as the other brands, but cheaper, so I have nothing to complain.

[Raphael Hythlodaeus]

On 3/15/2021 at 8:45 AM, polpott said:

High Tostesterone levels = high chance of developing prostate cancer. Zero tostesterone = zero chance of developing prostate cancer. When I had prostate cancer I was given a hormone that eliminated my tostesterone production. PSA went to zero and 10 years later I'm still in remission.

And I did exactly the opposite to you -- for many years I have SUPPLEMENTED with Testosterone to obtain more youthful levels. Young men don't get Prostate Cancer. This as a 14-year "high risk" prostate cancer survivor. Yes, I'm well aware that most doctors would get severe indigestion about this, but when I was diagnosed they ALL said I MUST have surgery or radiation which I refused. Now they do not recommend doing anything after an MRI prostate scan in 2017. Dr. Richard Ablin, the inventor of the PSA test says it's become a medical money-making boondoggle and is useless for diagnosing prostate cancer. 

Before taking any testosterone medication (I use skin cream) I strongly suggest having a saliva testosterone test which measures the free active component. Docs don't know anything about saliva testing as well. I use ZRT Labs in the US for this, I also saliva check for DHEA, Progesterone, Estrone, and Estradiol. 

This is NOT medical advice. Only saying what I do. The T supplementation does not seem to make much of a difference with erections. At 74 it doesn't bother me.