AboutStephen W. Leslie, MD Expertise Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison
Awards and Honors Thirlby Award of the American Urological Association.
Question I am a incomplete SCI, and I have tried both drugs, and Cialis has provided the highest level of erection, although not really a useable erection. I have only taken cialis at the 20mg level. Can a person combine both of these safely? I don't believe an erection lasting 4 hours would be even a be a worry. What is the highest dose that can be taken of Cialis?
Answer There is no data on the use of such combinations although many of use who see alot of male ED will occasionally use this. You will need to consult a good urologist with experience in ED who is comfortable offering this to you.
Combinations can have unpredictible results. Look what happened when they added nitrate (nitro) to glycerine; they got nitroglycerine! A prolonged erection could pretty much destroy your remaining function.
There is no evidence that doses higher than 20 mg have any benefit, only increased side effects.
