can you mix cialis with poppers

Cialis

What is Cialis?

Cialis (tadalafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.

Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).

Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension. Do not take Cialis while also taking Adcirca, unless your doctor tells you to.

Important information

Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).

Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

Stop using Cialis and get emergency medical help if you have sudden vision loss.

Before taking this medicine

You should not take Cialis if you are allergic to tadalafil, or:

if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).

Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:

heart disease or heart rhythm problems, coronary artery disease;

a recent heart attack (within the past 90 days);

a recent history (in the past 6 months) of a stroke, or congestive heart failure;

angina (chest pain), high or low blood pressure;

liver or kidney disease (or if you are on dialysis);

a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

a bleeding disorder such as hemophilia;

a stomach ulcer;

retinitis pigmentosa (an inherited condition of the eye);

a physical deformity of the penis (such as Peyronie's disease); or

if you have been told you should not have sexual intercourse for health reasons.

Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra or other drugs similar to tadalafil. Most of these people also had certain pre-existing eye problems or risk factors for blood vessel disorders (such as heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether Cialis is the actual cause of vision loss.

tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether tadalafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I take Cialis?

Cialis is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Cialis can be taken with or without food.

Do not break or split a tablet. Swallow it whole.

For erectile dysfunction, take this medicine just before sexual activity but not more than once per day.

Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Cialis.

Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.

Store at room temperature away from moisture and heat.

Cialis dosing information

Usual Adult Dose for Erectile Dysfunction:

Use as needed for ED:
-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity
-Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability

Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.

Once a day use for ED:
-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
-Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability.

Once daily use for ED and Benign Prostatic Hyperplasia (BPH):
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Use: Treatment of erectile dysfunction (ED)

Usual Adult Dose for Benign Prostatic Hyperplasia:

Once daily use for BPH:
-5 mg orally once a day at approximately the same time

Concomitant administration with finasteride:
-5 mg orally once a day at approximately the same time, for up to 26 weeks

Comments: The incremental benefit of this drug decreases from 4 weeks until 26 weeks. The incremental benefit of this drug beyond 26 weeks is unknown.

Once daily use for ED and BPH:
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)

What happens if I miss a dose?

If Cialis is used as needed, you are not likely to be on a dosing schedule.

If you take Cialis every day and you miss a dose, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking Cialis?

Drinking alcohol with this medicine can cause side effects.

Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.

Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.

Cialis side effects

Get emergency medical help if you have any signs of an allergic reaction to Cialis: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Cialis and get emergency medical help if you have:

erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis);

vision changes or sudden vision loss; or

heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.

Also call your doctor right away if you have:

ringing in your ears, or sudden hearing loss;

swelling in your hands, ankles, or feet;

shortness of breath;

PATIENT INFORMATION

CIALIS®
(See-AL-iss)
(tadalafil) tablets

Read this important information before you start taking CIALIS and each time you get a refill. There may be new information. You may also find it helpful to share this information with your partner. This information does not take the place of talking with your healthcare provider. You and your healthcare provider should talk about CIALIS when you start taking it and at regular checkups. If you do not understand the information, or have questions, talk with your healthcare provider or pharmacist.

What Is The Most Important Information I Should Know About CIALIS?

CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. You could get dizzy, faint, or have a heart attack or stroke. Never take CIALIS with any nitrate or guanylate cyclase stimulator medicines.

Do not take CIALIS if you take any medicines called “nitrates .” Nitrates are commonly used to treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm.

• Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate. Some recreational drugs called “poppers” also contain nitrates, such as amyl nitrite and butyl nitrite.

Do not take CIALIS if you take medicines called guanylate cyclase stimulators which include:

Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronicthromboembolic pulmonary hypertension .

Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates or guanylate cyclase stimulators, such as riociguat.

(See “Who Should Not Take CIALIS?”)

Tell all of your healthcare providers that you take CIALIS. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took CIALIS.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications (see “Can Other Medicines Affect CIALIS?” ).

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

See also “What Are The Possible Side Effects Of CIALIS?”

CIALIS is a prescription medicine taken by mouth for the treatment of:

CIALIS for the Treatment of ED

ED is a condition where the penis does not fill with enough blood to harden and expand when a man is sexually excited, or when he cannot keep an erection. A man who has trouble getting or keeping an erection should see his healthcare provider for help if the condition bothers him. CIALIS helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis decreases, and his erection goes away.

Some form of sexual stimulation is needed for an erection to happen with CIALIS.

CIALIS does not:

• cure ED
• increase a man's sexual desire
• protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your healthcare provider about ways to guard against sexually transmitted diseases.
• serve as a male form of birth control

CIALIS is only for men over the age of 18, including men with diabetes or who have undergone prostatectomy .

CIALIS for the Treatment of Symptoms of BPH

BPH is a condition that happens in men, where the prostate gland enlarges which can cause urinary symptoms.

CIALIS for the Treatment of ED and Symptoms of BPH

ED and symptoms of BPH may happen in the same person and at the same time. Men who have both ED and symptoms of BPH may take CIALIS for the treatment of both conditions.

CIALIS is not for women or children.

CIALIS must be used only under a healthcare provider's care.

Who Should Not Take CIALIS?

Do not take CIALIS if you:

• take any medicines called “nitrates ”.
• use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. (See “What Is The Most Important Information I Should Know About CIALIS?” )
• take any medicines called guanylate cyclase stimulators, such as riociguat.
• are allergic to CIALIS or ADCIRCA®, or any of its ingredients. See the end of this leaflet for a complete list of ingredients in CIALIS. Symptoms of an allergic reaction may include:
  • rash
  • hives
  • swelling of the lips, tongue, or throat
  • difficulty breathing or swallowing

Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Before taking CIALIS, tell your healthcare provider about all your medical problems, including if you:

• have heart problems such as angina, heart failure. irregular heartbeats, or have had a heart attack. Ask your healthcare provider if it is safe for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems.
• have pulmonary hypertension
• have low blood pressure or have high blood pressure that is not controlled
• have had a stroke
• have liver problems
• have kidney problems or require dialysis
• have retinitis pigmentosa. a rare genetic (runs in families) eye disease
• have ever had severe vision loss, including a condition called NAION
• have stomach ulcers
• have a bleeding problem
• have a deformed penis shape or Peyronie's disease
• have had an erection that lasted more than 4 hours
• have blood cell problems such as sickle cell anemia. multiple myeloma. or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take including prescription and nonprescription medicines, vitamins, and herbal supplements. CIALIS and other medicines may affect each other. Always check with your healthcare provider before starting or stopping any medicines. Especially tell your healthcare provider if you take any of the following*: medicines called nitrates (see “What Is The Most Important Information I Should Know About CIALIS?” )

• medicines called guanylate cyclase stimulators, such as riociguat (Adempas®), used to treat pulmonary hypertension
• medicines called alpha blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl) or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. If CIALIS is taken with certain alpha blockers, your blood pressure could suddenly drop. You could get dizzy or faint.
• other medicines to treat high blood pressure (hypertension)
• medicines called HIV protease inhibitors, such as ritonavir (Norvir®, Kaletra®)
• some types of oral antifungals such as ketoconazole (Nizoral®), itraconazole (Sporanox®)
• some types of antibiotics such as clarithromycin (Biaxin®), telithromycin (Ketek®), erythromycin (several brand names exist. Please consult your healthcare provider to determine if you are taking this medicine).
• other medicines or treatments for ED.
• CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio ) with CIALIS.

How Should I Take CIALIS?

• Take CIALIS exactly as your healthcare provider prescribes it. Your healthcare provider will prescribe the dose that is right for you.
• Some men can only take a low dose of CIALIS or may have to take it less often, because of medical conditions or medicines they take.
• Do not change your dose or the way you take CIALIS without talking to your healthcare provider. Your healthcare provider may lower or raise your dose, depending on how your body reacts to CIALIS and your health condition.
• CIALIS may be taken with or without meals.
• If you take too much CIALIS, call your healthcare provider or emergency room right away.

How Should I Take CIALIS for Symptoms of BPH?

For symptoms of BPH, CIALIS is taken once daily.

• Do not take CIALIS more than one time each day.
• Take one CIALIS tablet every day at about the same time of day.
• If you miss a dose, you may take it when you remember but do not take more than one dose per day.

How Should I Take CIALIS for ED?

For ED, there are two ways to take CIALIS - either for use as needed OR for use once daily.

CIALIS for us e as needed:

• Do not take CIALIS more than one time each day.
• Take one CIALIS tablet before you expect to have sexual activity. You may be able to have sexual activity at 30 minutes after taking CIALIS and up to 36 hours after taking it. You and your healthcare provider should consider this in deciding when you should take CIALIS before sexual activity. Some form of sexual stimulation is needed for an erection to happen with CIALIS.
• Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine, and on your health condition.

CIALIS for once daily us e is a lower dos e you take every day.

• Do not take CIALIS more than one time each day.
• Take one CIALIS tablet every day at about the same time of day. You may attempt sexual activity at any time between doses.
• If you miss a dose, you may take it when you remember but do not take more than one dose per day.
• Some form of sexual stimulation is needed for an erection to happen with CIALIS.
• Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine, and on your health condition.

How Should I Take CIALIS for Both ED and the Symptoms of BPH?

For both ED and the symptoms of BPH, CIALIS is taken once daily.

• Do not take CIALIS more than one time each day.
• Take one CIALIS tablet every day at about the same time of day. You may attempt sexual activity at any time between doses.
• If you miss a dose, you may take it when you remember but do not take more than one dose per day.
• Some form of sexual stimulation is needed for an erection to happen with CIALIS.

What Should I Avoid While Taking CIALIS?

• Do not use other ED medicines or ED treatments while taking CIALIS.
• Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

See “What Is The Most Important Information I Should Know About CIALIS?”

The most common side effects with CIALIS are: headache, indigestion. back pain. muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days.

Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon side effects include:

An erection that won't go away (priapism ). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis, including the inability to have erections.

Color vision changes, such as seeing a blue tinge (shade) to objects or having difficulty telling the difference between the colors blue and green.

In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including CIALIS) reported a sudden decrease or loss of vision in one or both eyes. It is not possible to determine whether these events are related directly to these medicines, to other factors such as high blood pressure or diabetes, or to a combination of these. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including CIALIS, and call a healthcare provider right away.

Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in people taking PDE5 inhibitors, including CIALIS. It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking CIALIS and contact a healthcare provider right away.

These are not all the possible side effects of CIALIS. For more information, ask your healthcare provider or pharmacist.

How Should I Store CIALIS?

Store CIALIS at room temperature between 59° and 86°F (15° and 30°C).

Keep CIALIS and all medicines out of the reach of children.

General Information About CIALIS:

Medicines are sometimes prescribed for conditions other than those described in patient information leaflets. Do not use CIALIS for a condition for which it was not prescribed. Do not give CIALIS to other people, even if they have the same symptoms that you have. It may harm them.

This is a summary of the most important information about CIALIS. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about CIALIS that is written for health providers. For more information you can also visit www.cialis.com, or call 1-877-CIALIS1 (1-877-242-5471).

What Are The Ingredients In CIALIS?

Active Ingredient: tadalafil

Inactive Ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

This Patient Information has been approved by the U.S. Food and Drug Administration

Last reviewed on RxList: 9/2/2016
This monograph has been modified to include the generic and brand name in many instances.

Recently in Poppers/Viagra Category

Dear Devoted Readers,
Many gay and bisexual men continue to ask me if using poppers is harmful. My answer is yes. Inhaling poppers can damage your health. And, recent studies show that guys who use poppers are more likely to take sexual risks, especially anal sex without condoms. Studies also show popper users are more likely to get an STD.

P.S. For more great info on poppers get your hands on NEON's Hot Health Tip Poppers, ViagraпїЅ, & Crystal.

WHAT ARE POPPERS?
Poppers is the popular name for various alkyl nitrites, including isobutyl nitrite, butyl nitrite, and amyl nitrite. Doctors used to prescribe amyl nitrite for heart patients. The drug was packaged in capsules that were broken or "popped" to release vapors. Today, amyl nitrite is made and sold illegally. Most poppers are now isobutyl nitrite or butyl nitrite. They are sold in small brown bottles as video head cleaner, room deodorizer, or leather cleaner. Exact contents of these products are not known and they are not tested for safety.

WHAT ARE THE EFFECTS?
Poppers are used by sniffing the vapors from an open bottle. The effects are felt within a few seconds and last for 1-2 minutes. Poppers cause muscles around blood vessels to relax, making your heart speed up to pump more blood. Because poppers cause muscles in the anus and vagina to relax, they are often used during sex.

• If swallowed, call 911 or Poison Control.
• Contact with the skin causes irritation and rashes.
• Extensive use can damage the nose and lungs.
• Some people experience headaches, sensations of spinning or falling, and loss of erection.
• Poppers are highly flammable. Keep away from cigarettes, candles, and lighters.
• Avoid forcing air into your nose if it is stuffed. This can cause ear and sinus infections.
• Studies show that poppers reduce the functioning of the immune system for several days after use.
• Studies show that guys who use poppers are more likely to get infected with HIV and other STDs.
• Poppers pose extra risks for people who have suppressed immune systems, heart problems, low or high blood pressure, a history of cerebral hemorrhaging, or anemia. They also pose higher risks for women who are pregnant.
• Avoid using poppers with other drugs, especially stimulants like speed and cocaine. Combining poppers and Viagra is dangerous and can be lethal, because both cause blood pressure to drop.
• Poppers can affect your judgment when you are having sex. Put on a condom before you use them.
• Poppers will burn skin. To prevent spilling, pour a small amount in a separate bottle filled with cotton.

For more info on poppers and drug-related health risks, check out these web sites:
DanceSafe www.dancesafe.org
Electric Dreams www.partysafe.org

Hey Dick,
Last Saturday, I got high, took a Viagra ('cause sometimes I get crystal-dick) and went to my favorite bathhouse for my weekly sex-capade. I had fucked around with a few guys and was feeling pretty fine. that is until the guy who was fucking me shoved a bottle of poppers under my nose. Afterwards, I got really dizzy and had to go home in a taxi. One of my friends told me that the reason I got dizzy was because of the poppers and Viagra. Also, my friend said that poppers are bad for me. What's up with that?
Dizzy in Seattle

Dear Dizzy,
As you have found out, the combination of poppers and Viagra can be very dangerous, perhaps even deadly. When used at the same time, these drugs can drop your blood pressure. Low blood pressure can leave you feeling light-headed and dizzy and possibly cause you to faint or pass out. It could also cause heart or brain damage. You should consider yourself lucky.

"Poppers" are various kinds of nitrite or nitrate inhalants. Originally, they were made to treat certain heart problems. But in the gay community, they came to be used as sexual (and dance) stimulants. Some gay men inhale poppers to help relax the anal sphincter (butt hole) when they are getting fucked or fisted. Others find that orgasm is more intense with a quick whiff. When you inhale poppers, your blood vessels relax. This allows more blood to circulate through your body. Poppers used to be made of amyl nitrite. Congress banned the sale of some kinds of nitrites in 1990 because they were no longer the best heart medicines. Also, legislators found out that people were using them for fun and that they could be dangerous to a person's health. Popper manufacturers got around this ban by using different kinds of nitrites and calling them deodorizers, among other things. These products have never been tested on humans. So, their short and long-term medical risks are not known.

Poppers, HIV and STDs
The gay community has been looking at the effect of poppers on the immune system for years. Some studies show that poppers weaken the immune system. Other studies show a link between popper use and increased risk of getting HIV and STDs. Right now, no one really knows why this is. But there are a few good explanations.

• Poppers cause the blood vessels to dilate -- become more open. This makes more blood flow to vessel-rich areas like the anus. This could make it easier for HIV to get into the blood stream during anal sex.
• Some people use poppers to reduce the pain they feel with anal sex. If you use poppers to have long and hard butt sex beyond your normal limits, tears are more likely to happen. You might not feel a tear inside your butt. Even a tiny tear can be an opening for HIV or other bugs to get into your blood stream.
• As a group, gay men who use poppers might be having more anal sex or more sex partners. This means more opportunities to get exposed to HIV and other STDs.

Viagra risks
It is clear that poppers and other products that contain nitrites should not be mixed with Viagra. They should not be used within 24 hours of each other. Viagra works by increasing the flow of blood into the tissues of the penis. Contrary to popular belief, Viagra itself will not increase sex drive. So don't expect to get an instant hard-on unless you get turned-on! Also, it doesn't work for everybody.

Viagra works by inhibiting a certain chemical in the blood. Its' biggest effect is in the spongy tissue in the penis. When this chemical isn't around and you get turned-on, your penis will fill with blood. Like poppers, Viagra can lower blood pressure. So even without poppers, you might get dizzy when your brain doesn't get the blood it needs. Viagra can also cause other side effects like headaches, visual changes, and feeling "flushed."

If you are HIV positive, take protease inhibitors, and also use Viagra, you should decrease the amount of Viagra you take to 25 mg instead of the usual 50 mg dose. The same enzymes in your liver process Viagra and protease inhibitors. When used together, these drugs interact and the liver gets over loaded. It can't clear the drugs out of your body. This can result in too high a level of Viagra in your blood. The side effects can be serious, such as a sudden and severe drop in blood pressure, and, again, fainting, and worse. Too much Viagra can also cause a prolonged erection that could last for hours. Although this may sound like fun at first, a hard-on that lasts more than four hours can be really painful. It can also cause permanent damage to the penile tissue, leaving you a dick that may never inflate again.

If you are going to use poppers or Viagra, please remember these Dr. Dicklines:

• Don't use poppers and Viagra together or within 24 hours of each other.
• Don't inhale poppers until your head explodes. Cut back on the amount you inhale. Or cut back on how often you inhale. Cutting back will reduce the chance of significant harmful effects.
• Know the limits of your anus! A bleeding butt hole is like putting out a welcome mat for HIV. If you are already HIV positive, you could also be more likely to give HIV to your partner.
• As always, make a sexual safety plan ahead of time. Have condoms and lube on hand. And use them!Editor's Note
• There was another warning from the people who make Viagra. The printed warning says that using cocaine with Viagra can be extremely dangerous or fatal. We contacted Pfizer, the manufacturers of Viagra, but they did not have any additional information on this issue. Until we know more, people should be very careful when using these drugs together.

Recently in
Dr. Dick

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