ED - Cialis dosage

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Regular Member

Date Joined Jul 2009
Total Posts : 47
   Posted 10/25/2009 8:58 PM (GMT -6)   
My doc precribed 10mg of Cialis. (breaking the 20mg pills in half!) It does nothing but give me a bear of a hangover headache!  Should I take 20mg and see if it works?  But I think my head will explode! What have you guys tried to overcome ED issues.  Surgery was 6/29/09 it would sure be nice to see some improvement in that department!  Thank goodness my wife is so wonderful and patient and creative!
Dad dx at 72 with Pca; RP at 73; Died 11/08 at 88 from Pca met.
3 Uncles have had Pca; 2 deceased from Pca met.
Me: Age 51: Joyfully Married; father of 7!
Routine Physical 11/07 PSA 1.73 DRE normal
Routine Physical 1/09 PSA 2.77 DRE abnormal.
1st Urologist visit 2/09 DRE normal, small - PSA 6.3!
Biopsy 3/17- St. Patty's Day! 3 of 12 cores positive with 5-8% Pca
3+3 Gleason; Visit Johns Hopkins 3/26/09 and decide for surgery.
Lapro RP 6/29/09; discharged 6/30/09
Cath out 7/9/09 Gleason unchanged 3+3;
"Larger amount of cancer" than expected.
Organ confined Pca, positive margin as "artifact" of surgery.
All other tissues clear.
7 wk psa 8/20/09 - 0.05
10/15/09 - 1 pad daily
ED - Still an issue! Cialise no help!

"We walk by faith, not by sight."

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4119
   Posted 10/25/2009 9:08 PM (GMT -6)   
You can always try Viagra or Lavitra. They all work a little dirrerent and have different side effects.

Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next

Regular Member

Date Joined Oct 2009
Total Posts : 103
   Posted 10/25/2009 9:51 PM (GMT -6)   
Cialis gave me back pain that was almost as bad as having a kidney stone. I use viagra and it has no side effects at all. Here is a bit of trivia for you. The only reason it is called Cialis is to bypass spam filters. speCIALISt.
Age 40
Pre-op PSA was 5.8 from wellness test on May 19, 09
Follow up test from uro was 4.6 with a 9.3% free psa
Gleason 3+3 in one core, 3+4 in second core of 12 samples taken
Uro recommended Robotic for someone of my age. My research confirms.
Surgery performed August 19th, 09.
One side nerves spared. Nerve graft on other side.
Six weeks incontinence almost over. ED a work in progress but seeing some response.
Post op October 2nd, 2009 All margins were negative. PSA results in a few days.

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 10/25/2009 10:36 PM (GMT -6)   
I found cialis to be pretty rough. viagra has some side affects, but for me they went away with usage. i still get a small stuffy nose and the blue light thing, but it has a pretty big bang for the buck as long as you take it on an empty stomach.
Try levitra. They all work slightly differently. Ask for samples, try them all.
Pump every day. Jo every day. keep it going no matter what. don't give up.
46 at Diagnosis.
Father died of Pca 4/07 at 86.
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
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
One year PSA - undectable!

ED Website: www.FrankTalk.org - frank discussions of Erectile Dysfunction - check it out.

Veteran Member

Date Joined Jul 2009
Total Posts : 504
   Posted 10/26/2009 8:20 AM (GMT -6)   

Never had the headache or backache issues but you may want to try taking a few Tylenol either with the Cialis or just before to get it into your bloodstream.

Most headaches like those caused by a hangover are caused by dehydration in the brain you may also try drinking more water than normal before taking the meds

Cialis 10mb is a good every other day dosage, its half life is far greater then the other 2 Ed meds and in theory would offer you the more blood flow to the area
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0

Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 10/26/2009 9:40 PM (GMT -6)   
I've been taking Cialis since my surgery 13 months ago, with no side effects.  I think you should discuss this with your urologist or primary care physician, not persons here who don't know your medical history and aren't medical professionals.  Best wishes for a speedy recovery.

Age:  60 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0


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