The Lily site says with or without food and anytime works. I take mine, 10 mg, in the afternoon on an empty stomach. I get a headache everytime I take it, no matter what I have in my stomach or whatever time I take it! Neither Tylenol nor iboprophen cuts the headache. I stopped taking it because of this but my doc said to continue to take it because it keeps the blood vessels soft. With or without it, it does not seems to make a difference with the erections but if it helps the blood vessels from hardening up I'll deal with the headaches. My insurance covers it with my $25 copay; 6 20mg pills which I cut in half! Hope this helps, good luck.
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 with ed but keeping things flowing!
12/09 ED improving, Half mast works for me!
1 pad/day at work; pad free at home!
2/5/10 psa 0.01
"We walk by faith, not by sight."