Time of day for taking oral ED therapy meds?

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DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 4/3/2008 10:27 AM (GMT -7)   
Have read that some take the meds at night, others at other times.
 
Is there a particular reason for taking them at one time of day instead of another?
 
Thanks.
Danman Bob
Age 57
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)
Began using Viagra 3 times a week December 2007 to stimulate blood flow
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Will probably begin using bimix injections in addition to Viagra and pump in May 2008


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 4/3/2008 12:31 PM (GMT -7)   
I was told by the doc to take it at bedtime.  The purpose of it, until you start having response and erections, is to open blood flow, and hopefully trigger nocturnal erections during your sleep.  That's the reason we had so many during the night before surgery, it was the bodies way of flushing and renewing the penis with fresh blood, keeping the cavities open and stretched, and helping with nerve health and veinous valve strengthing and conditioning.   All in all, a good thing to have, at any age....

James C. 
 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   (Open) Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08  Caverject started/stopped, aching.  2/24/08 .5ml Bimix started-success
3/24/08   ED- 6 mts.-Viagra, pump, no response- Bimix continues
Post-surgery PSA's:  3 mt:0, 6 mt:0,


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 4/3/2008 1:15 PM (GMT -7)   

Hi Danman Bob,

Here is my protocol from Universtiy of Chicago.

Start 50 mg. Viagra everyother day two days after catheter comes out.  Wants me to manipulate to climax everyother day as well.  If no success he will go to 100 mg.

I saw Billy's post.  Made my day.

 

Frank

 

 

 


Frank S.
diagnosed 01-08-08 53 years old 
DRE always normal
Abnormal PSA for 5 or more years
2004 Biospy negative
2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
Highest PSA 10 ever
Lowest PSA   4
Current PSA   6
Bone and Ct scans negative
Staged at T1C
Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago
Dr. Arieh Shalhav
surgery at noon out to recovery at 500 pm
in recovery 3.5 hours
Cardiac rythum issues
Surgery thursday pm home friday pm
Catheter out in 7 days typical early indications
 


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 4/3/2008 1:16 PM (GMT -7)   

Add to my post.  I take meds in AM.

 

Frank


Frank S.
diagnosed 01-08-08 53 years old 
DRE always normal
Abnormal PSA for 5 or more years
2004 Biospy negative
2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
Highest PSA 10 ever
Lowest PSA   4
Current PSA   6
Bone and Ct scans negative
Staged at T1C
Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago
Dr. Arieh Shalhav
surgery at noon out to recovery at 500 pm
in recovery 3.5 hours
Cardiac rythum issues
Surgery thursday pm home friday pm
Catheter out in 7 days typical early indications
 


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 4/3/2008 7:17 PM (GMT -7)   
I take 100mg every night. There was a study that showed that the higher dose did indeed speed healing. The night thing is, as said earlier, to combine with normal nocturnal erections. In fact, my first sign of recovery was that i would wake up with an erection in the middle of the night - even if I could not get one during the day. My doc told me to JO as much as I wanted. If I saw any hint of action down there, go ahead and see what happens. Sure enough - closer to climax, it did start to firm up and was a recognizable erection. One fun technique is to try to keep from climaxing to see just how much blood you can get in there. Several times I was able to get a stuffable erection - had my wife only been around!
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.
 
 


StrictlyInc
Regular Member


Date Joined Dec 2006
Total Posts : 353
   Posted 4/3/2008 8:04 PM (GMT -7)   
I take 100 mg Viagra or 20 mg Levitra daily, in the evening.
____________________

Prostate cancer diagnosed: May 15, 2006 (age 40)
Gleason score: pre-surgery 3+3=6; post-surgery 3+4=7
daVinci radical prostatectomy: July 25, 2006
size of tumor: approx 1.1 inches; negative margins from surgery

- number of pads/day at 3 months after surgery: 3 to 5
- number of pads/day at 4 months after surgery: 1 to 2
- number of pads/day at 6-18 months after surgery: 0 to 1

- 1st post-surgery PSA: 0 (Nov 2006); 2nd post-surgery PSA: 0 (Feb 2007)
- 3rd post-surgery PSA: 0 (May 2007); 4th post-surgery PSA: 0 (June 2007); 5th post-surgery PSA: 0

The search for timber: took Viagra/Cialis approx. every other day, ErecAid once a day, injections. Peyronie's diagnosed 7/5/07. Now on daily Cialis, L-arginine and pentoxyfylline. Peyronies has stabilized and significantly reversed.

- PGE1 batting average: .364 (4 for 11)
- Bimix #3 batting average: .722 (13 for 18) Bimix #1 batting average (1 for 1)
- Trimix batting average: .500 (1 for 2) Grand total 19 for 32 = .594

"Lost in the valley without my horses, no one can tell me what my remorse is..."

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