what time to take ed drugs?

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t-dog
Regular Member


Date Joined Dec 2009
Total Posts : 154
   Posted 2/10/2010 5:49 PM (GMT -6)   
Hey folks, supposed to start taking 5mg cialis daily for therapy now and was wondering if it matters what time of day to take it. Full stomach or not matter? I have read all the side effects and thought maybe a certain time of day might help minimize? Any thoughts? Thanks Tim
Dx at 50 in 12/09 Merry Christmas its cancer....
3 of 12 positive, right side only, psa at dx 2.6 free%14
gleason 3+3=6
routine physical, no symptoms
Da Vinci scheduled Feb. 2k10


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/10/2010 6:13 PM (GMT -6)   
Cialis (Lilly) web site says that it can be taken with or without meals. If you get a headache (common side effect), then next time try proactively taking a couple of ibuprofin either before or with the Cialis.

DS Can
Regular Member


Date Joined May 2009
Total Posts : 195
   Posted 2/10/2010 6:14 PM (GMT -6)   

Tim,

My uro had me on 25 mg viagra for 3 months taken right before bedtime.  Hope things are going well for you,

Dan


PSA 01/07 1.2, PSA 01/08 1.9, PSA 01/09 2.5
BIOPSY 02/24/09  PCa DX age 52
Right: 3+3=6, 3/6 cores 10% involved,PNI-Y
Left:  3+3=6, 1/7 cores <5% involved,PNI-N
LARP 04/09/09 nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter out 04/17,1st no-pad day 05/03
Followup PSA 05/28/09,08/20/09,12/08/09 <0.1
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 2/10/2010 6:27 PM (GMT -6)   
I guess most takes it just before bedtime, but I have always taken mine about 3am, on one of my pee runs, when my stomach is empty and I can sleep thru the side effects, while hopefully taking advantage of the brains urging for nocturnal erections being provided with the drug.. rolleyes
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


TheoTeacher
Regular Member


Date Joined Jul 2009
Total Posts : 47
   Posted 2/10/2010 8:08 PM (GMT -6)   
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."


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 2/10/2010 8:09 PM (GMT -6)   
T-Dog,

If you are taking Cialis BEFORE surgery it is meant to make sure you have successful intercourse, so the nerves are in peak condition to handle the surgery. The time to take it would be 1 hr prior to intercourse

AFTER Surgery is a different matter
Stats:
Age: 52, PSA (2008)=1.9
Biopsy on 01/09/09, Gleason Score = 3+3
One (1) out of twelve (12) cores was positive, plus external nodule found
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Post Op Path 3+3
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, <0.01 - 3 months post-op
PSA 1/10 undetectable, <0.01 - 9 months post-op
Trimix provides 100% erectile function


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 2/10/2010 9:23 PM (GMT -6)   
I take Levitra on an empty stomach since it works best for me then. Usually about 1.5 to 2 hours before sex. Get a bad headache even with taking ibuprofin along with and the stuffy nose but It beats not having an erection.

Larry
Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0


t-dog
Regular Member


Date Joined Dec 2009
Total Posts : 154
   Posted 2/10/2010 10:04 PM (GMT -6)   
This is for post surgery, just didnt want to take it before bed and then stay up with a headache. Thanks
Dx at 50 in 12/09 Merry Christmas its cancer....
3 of 12 positive, right side only, psa at dx 2.6 free%14
gleason 3+3=6
routine physical, no symptoms
Da Vinci performed Feb 2k10 by Dr Marc Milsten [hes got mad skills]
99% continent from cath out, we`ll see about mr happy
path showed same gleeson with no other blips other than one slight margin, organ confined 20% right, 5%left, 34grams
 
 


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 2/11/2010 7:26 AM (GMT -6)   
Not sure 5 mg is going to do it for you, Post-Op, it was way to small of a dose for me. The Dr told me it would be more effective to take 2 x 5mg pills every other day. That would provide a bigger blood flow boost

As each of the 3 ED drugs works better or worse on each patient, they had me rotate the ones I took, this way I was assured of getting the best possible effect. (3 days on Cialis, 2 on Viagra, 2 on Levitra) At that time nothing created an erection so it was hard t tell one from the other ( Cialis did cause back pain though)

When it come time to try intercourse you would need the full 20mg dose one hr prior
Stats:
Age: 52, PSA (2008)=1.9
Biopsy on 01/09/09, Gleason Score = 3+3
One (1) out of twelve (12) cores was positive, plus external nodule found
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Post Op Path 3+3
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, <0.01 - 3 months post-op
PSA 1/10 undetectable, <0.01 - 9 months post-op
Trimix provides 100% erectile function

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