Can I Take Priligy and Viagra Together?

Posted by Assured Pharmacy
Jan.19, 2015
Priligy Blogs, Viagra Blogs
can you take priligy and viagra together

Premature ejaculation can be a problem in men who have erectile dysfunction. However, tempting as it may be, you cannot take Priligy and Viagra together.

 

Why can I not take the Priligy and Viagra together?

Both Priligy and Viagra lower your blood pressure. If you take the medicines together, the combined effect could reduce your blood pressure to a low enough level that symptoms like fainting will occur.

As a result, the safety of the medications when taken together has not been tested in clinical trials. 

 

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Description

How does Viagra and Sildenafil work?

Viagra (Sildenafil) helps men to get and maintain an erection when sexually stimulated and/or excited. The medicine relaxes the blood vessels in the penis which results in more blood flowing to the penis when you are sexually excited.

How do I take it?

You should take Viagra (Sildenafil) approximately 1 hour before planning to have intercourse. Within a window of between 30 minutes and 4 hours after you take the medicine, it will be easier to keep and maintain an erection when you are sexually excited. If you take this medicine after a meal with a high fat content it may take a little longer to start working. This medicine will only work when you are sexually excited. You won’t get an erection just by taking Viagra (Sildenafil).

Dosage

The standard recommended dose for Viagra (Sildenafil) is 50mg and this will be suitable for most people.  If this dose is not effective, you can try 100mg and if 50mg gives you side effects you can also reduce the dose to 25mg tablets.

You must not take more than 100mg daily of Sildenafil/ Viagra. Clinical trials have been conducted in patients taking up to 200mg sildenafil and it was found that ‘doses of 200mg did not result in increased efficacy but did increase the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, and altered vision).’

In addition, in patients taking more than 100mg daily, there have been reports of rhabdomyolysis (a breakdown in skeletal muscle tissue the byproducts of which can lead to kidney failure), visual perception changes, vertebral artery dissection (a tear in the artery supplying blood to the brain), heart attacks and aggressive behaviour.

If the 100mg strength doesn’t work for you, there may be alternatives you can try and we recommend that you call us for a free consultation with our pharmacist or doctor to discuss any underlying conditions you may have. We recommend that all men taking medicine for erectile dysfunction have regular tests for blood pressure, cholesterol, diabetes and hormone imbalances. For instance, it may be that by fixing a hormone imbalance such as testosterone, your Viagra medication will be even more effective.

In addition, drug manufacturers do not advise patients to split tablets in half to get the correct dosage as they cannot guarantee that the active ingredient will be distributed evenly throughout the tablet.  For instance, if you cut a 100mg tablet in two, you may find that you get 80mg in one half of the tablet and 20mg in the other half leading to either an overdose (increased risk of side effects) or a suboptimal dose (the medication may not work).

It is important that you choose the correct dose for you. If you wish to talk to our pharmacist or doctor about this, please contact us in the pharmacy on 01625 460621 or email [email protected].

Side Effects

Viagra (Sildenafil) is normally well tolerated, however, side effects can include:

  • Headache
  • Dizziness
  • Nausea

Side effects normally subside after a few hours, however, if you experience a prolonged or painful erection (longer than 4 hours), then you must contact your doctor immediately.

Drug interactions

There are a number of medicines which interact with Sildenafil/ Viagra. For an exhaustive list please see the patient information leaflet (see section below) or call us in the pharmacy to discuss your specific situation. The main drug interactions are listed here:

Recreational drugs such as ‘poppers’ or amyl nitrate
Alpha blockers used for urinary retention or blood pressure problems (eg Flomax or Cardura)
Anti- arrhythmic drugs such as disopyramide
Antibiotics such as erythromycin
Antifungals such as itraconazole
Antivirals such as drugs used to treat HIV
Bosentan
Cobicistat
Calcium channel blockers to treat blood pressure and angina such as amlodipine
Dapoxetine (Priligy – used to treat premature ejaculation)
Grapefruit juice**
Nicorandil
Nitrates
Riociguat
Cimetidine (to treat stomach ulcers)

Please do not take Sildenafil/Viagra if you have taken any of the above drugs within the last 60 days without first consulting with either us in the Pharmacy ([email protected] / 01625 460621) or via email with our doctor [email protected].

**We advise not to take Sildenafil/Viagra with grapefruit juice as the blood concentration of Sildenafil will possibly be increased resulting in side effects.

Patient Information Leaflets

Please click here for the patient information leaflet for Viagra.

For Actavis Sildenafil please see the following leaflets: 100mg, 50mg, 25mg.

Storing Medicines Safely

Please keep your medicine out of the reach of children and store at room temperature.  Unwanted medicine can be disposed of by returning it to any local pharmacy or indeed to us here for us to dispose of it for you.

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What should I do if both conditions occur together?

You should treat the erectile dysfunction first. Premature ejaculation can sometimes be resolved naturally once the treatment for erectile dysfunction starts.

Begin with Viagra and see if the premature ejaculation improves alongside the treatment. You can ask your prescriber to amend your dose if there is no improvement after the first few attempts.

If your erectile dysfunction improves but the premature ejaculation does not, there are a number of other therapies to try as opposed to Priligy.

 

Psychological Therapy

Premature ejaculation is a sensitive but very common issue. Up to a third of men may experience it at some point. 

Communication with your partner is key because the focus of psychological therapy is to identify and resolve issues in your relationship that may cause or contribute to premature ejaculation.

Many psychological factors play a role in the onset of the condition. These include:

  • Depression
  • Stress
  • Unrealistic expectations about sexual performance
  • Lack of confidence
  • Lack of communication with your partner
  • Unresolved conflicts

The therapy also allows you to discuss any intimacy issues that have occurred because of the condition.

It will hopefully make you less nervous about your sexual performance and improve your sexual confidence. In many cases this will help with the resolution of premature ejaculation without the use of Priligy and Viagra.

 

Behavioural Therapies

Behavioural therapies are exercises which can help you develop tolerance to stimulation and delay ejaculation.

This requires cooperation from your partner so it’s important to communicate effectively with them.

The first technique is the squeeze technique. Your partner stimulates your penis until you are close to ejaculation. They then squeeze the penis hard enough that you partially lose your erection. This will build up your awareness of the sensations leading up to orgasm and hopefully help you to control them.

The second technique is the start-stop technique. Your partner should stimulate your penis until you are close to ejaculation and then stop until the urge subsides. As you gain control, let you partner know and they should then start again. Repeat the process three times and ejaculate on the fourth. Using this technique up to three times a week can help you gain control.

Success rates of 50-60% have been reported with these techniques in the short term.

 

Summary

It is not uncommon to experience erectile dysfunction and premature ejaculation together. However, Priligy and Viagra cannot be taken together because of health risks like low blood pressure.

Erectile dysfunction can be resolved using medication such as Viagra. In many cases this will also help with premature ejaculation.

If symptoms do not improve, you can try psychological and behavioural therapies which have encouraging success rates.

Priligy should only be taken if you are no longer using Viagra.

 

References

  1. American Urological Association: The Management of Premature Ejaculation. 
  2. Mayo Clinic: Diseases and Conditions. http://goo.gl/kIgCqB Accessed 02.12.14.
  3. Summary of Product Characteristics: Priligy. https://www.medicines.org.uk/emc/medicine/28285 Accessed 02.12.14.
  4. Urology Care Foundation: Premature Ejaculation. 
  5. European Association of Urology: Guidelines on Male Sexual Dysfunction.

 Assured Pharmacy is not liable for the currency or accuracy of the information contained in this blog post. For specific information about your personal medical condition, please contact us for advice on [email protected].