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Cialis and cocaine use
  1. #1
    Dr. Max is offline New Member
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    Default Cialis and cocaine use

    I have a patient who combines cialis with cocaine (either sniffed or smoked). He claims there is no harmful interaction. Does any one have information or opinions on this. Thank you for your help.

  2. #2
    mpvt is offline Platinum Member
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    You can't be serious????!!!!

  3. #3
    Dr. Max is offline New Member
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    Thank you for your enthusiastic response. However, it does not explain an answer to the question. What is the risk involved in combining these substances? How might it be harmful? This patient has been doing this for some time without ill effect. How can that be explained?

  4. #4
    EasyMeds is offline Banned
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    quote:Originally posted by Dr. Max

    Thank you for your enthusiastic response. However, it does not explain an answer to the question. What is the risk involved in combining these substances? How might it be harmful? This patient has been doing this for some time without ill effect. How can that be explained?
    Please don't take offense. But if you are a doctor (MD) you should know the answer to this. The combination is dangerous as both can have dangerous impacts on the heart. If the person is using cocaine there is a good chance that their heart may be compromised already. The only way to check is to do an ultrasound of the heart after being on a treadmill to get a good picture of the cardiac muscles and valves.

    The best thing they could do is to get off the coke.

    David
    www.EasyMeds2006.com

  5. #5
    pharmd06 is offline Member
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    the docs i work with refuse to give diabetics their ED drugs unless they control their glucose well and have an a1c less than 8.

    my point is that you should withold any cialis rxs until the patient passes some urine tox screens...

    easymeds is right about the potential dangerous cardio effects.


  6. #6
    wfd
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    I think that there is a danger in using both. I would expect the cialis would case a larger gap between the systlic and diastolic BPs and lead to a water hammer effect. This would lead to a greater risk of dissection or even coronary hypoperfusion. The potential also exsists for a cardiovascular collapse if the cocaine is cut with other substances that are vasoactive and combine with the cialis effect of prostaglandin inhibition, vessel dialation and decreased BP.

    Any pharmacologists want to comment?

  7. #7
    Robert_325 is offline Retired
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    The question here is three years old but that aside most of us don't even waste our time explaining why people shouldn't take cocaine with anything. I assume that those who've found their way here should understand this isn't a drug use support site.

    Cialis does however pose a risk for blood pressure drop as do all the ED medications and it can hardly be argued whether cocaine is responsible for heart related deaths. I wouldn't think it would be necessary to even comment any further than that about cocaine. Why bother? If a person is blatently wanting to use cocaine they don't belong here quite yet. If they don't die first they will hopefully make it back though. God bless.
    I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern.

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