It's good for your heart

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monomial
Expatriate
Posts: 230
Joined: Sun Oct 02, 2016 2:48 pm
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Thailand

Re: It's good for your heart

Post by monomial »

pczz wrote: Wed Jan 17, 2018 11:16 pm
Duncan wrote: Wed Jan 17, 2018 9:20 pm
chorlton wrote: Wed Jan 17, 2018 9:08 pm I'm serious TBH
The story mentioned it as a side effect of Viagra
I'm imagining vision issues
Only with Viagra [ sildenafil ] Cialis [Tadalafil ] will not give you a '' bluish vision ''

I think I read somewhere , that doctors who know their shit on heart problems, recommended only 1/4 to 1/2 a tablet a day is good for your heart.
Well I would beg to differ witht he doctors who know their shit. good Viagra, as opposed to fake indian stuff, is enteric coated because the active ingredient is destroyed by your stomach acid so if you break them they don't work physically but still may have an effect psychologically on those who suffer fro performance anxiety:-)
The active ingredient in Viagra is sildenafil citrate, and no, it is not destroyed by stomach acid. It does however interact with the stomach lining increasing the likelihood of side effects. Whoever told you "if you break them they don't work physically" is pulling your leg or has just enough knowledge to be dangerous but not enough to be helpful.

Generally you are advised not to cut enteric coated tablets because there is some reason the manufacturer considered which makes absorption in the stomach suboptimal, but there is almost no substance which "doesn't work physically" in this environment. The higher pH of the intestine may provide a more optimal environment however. This is an issue of degree. It is not a work/not work scenario, but merely one of where the optimal efficiency takes place. Different people also have dramatically different digestive systems, so some people may notice no difference at all, while for some people the difference can be significant.

Never be afraid to cut a enteric tablet if you need to, but do be aware that removing that coating could expose you to side effects or result in changes in how the tablet is absorbed. In Viagra's case, I think the side effects were the primary driver for the coating rather than how quickly the drug took affect. But there is little chance that it "just won't work". Still, if you want the optimal experience, try to leave the coating intact and use the proper dosage. In a pinch though, cutting is just fine with the above caveats.
pczz
Expatriate
Posts: 3204
Joined: Sun Mar 22, 2015 1:00 pm
Reputation: 807
Location: phnom penh
Great Britain

Re: It's good for your heart

Post by pczz »

monomial wrote: Thu Jan 18, 2018 3:05 pm
pczz wrote: Wed Jan 17, 2018 11:16 pm
Duncan wrote: Wed Jan 17, 2018 9:20 pm
chorlton wrote: Wed Jan 17, 2018 9:08 pm I'm serious TBH
The story mentioned it as a side effect of Viagra
I'm imagining vision issues
Only with Viagra [ sildenafil ] Cialis [Tadalafil ] will not give you a '' bluish vision ''

I think I read somewhere , that doctors who know their shit on heart problems, recommended only 1/4 to 1/2 a tablet a day is good for your heart.
Well I would beg to differ witht he doctors who know their shit. good Viagra, as opposed to fake indian stuff, is enteric coated because the active ingredient is destroyed by your stomach acid so if you break them they don't work physically but still may have an effect psychologically on those who suffer fro performance anxiety:-)
The active ingredient in Viagra is sildenafil citrate, and no, it is not destroyed by stomach acid. It does however interact with the stomach lining increasing the likelihood of side effects. Whoever told you "if you break them they don't work physically" is pulling your leg or has just enough knowledge to be dangerous but not enough to be helpful.

Generally you are advised not to cut enteric coated tablets because there is some reason the manufacturer considered which makes absorption in the stomach suboptimal, but there is almost no substance which "doesn't work physically" in this environment. The higher pH of the intestine may provide a more optimal environment however. This is an issue of degree. It is not a work/not work scenario, but merely one of where the optimal efficiency takes place. Different people also have dramatically different digestive systems, so some people may notice no difference at all, while for some people the difference can be significant.

Never be afraid to cut a enteric tablet if you need to, but do be aware that removing that coating could expose you to side effects or result in changes in how the tablet is absorbed. In Viagra's case, I think the side effects were the primary driver for the coating rather than how quickly the drug took affect. But there is little chance that it "just won't work". Still, if you want the optimal experience, try to leave the coating intact and use the proper dosage. In a pinch though, cutting is just fine with the above caveats.
Thanks for the correction. It was the prharmacist in Boots in Bangkok who warned me not to cut them, because they sell the real thing for less than the fakes on the street outside now it is out of copyright but they only had the higher dose. I don't take them , was just being nosy. I used to take Cialis on prescription due to diabetes and it would work for 3 to 5 days so it works out cheaper and no headaches. A warning about other pills. I have Dicodin 60 mg for back pain and it is enteric and slow release. It does warn that cutting them will result in the full dose being absorbed too quickly which may be harmful, so maybe tou should check with the manufacturer is a pill is enteric or slow release before cutting it. I also have enteric Tylenol and metformin because they irritate my stomach and casue heartburn if I use the non-enteric version
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