When do you take ED Meds?

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LenB
Regular Member


Date Joined Jul 2009
Total Posts : 102
   Posted 5/4/2010 7:42 AM (GMT -6)   
Hi Guys:
 
Last week I went for my normal 3 month check up with my uro. He decided that it was time to wake up "Willie", tongue .  He prescribed Cialis (1 tablet 2X per week).  So far, no reaction from "Willie". My question is when do you take this medication?  In the morning I take my blood pressure meds, vitamin, etc.  I really don't think I should take Cialis at the same time.
Any advice??  The package instructions aren't clear, the instructions say take anytime.
 
Len

Age: 65
DX: 7/10/09
Gleason: 7
Biopsey: 2 chips with some cancer cells out of 30.
Robotic Surgery: 9/10/09
Cath out: 9/23/09
1st post op PSA: 10/20/09 <0.1
2nd post op PSA:  1/25/10 <0.1
3rd post op PSA  4/19/10 <0.1
As of 4/26/10 Still Wet 3 pads per 24 hr. period


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 5/4/2010 7:57 AM (GMT -6)   
I was instructed to take it at bedtime. Not to wake up willie but to help get blood flow to and through him to keep him healthy.

Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 5/4/2010 8:25 AM (GMT -6)   
If you are not among the lucky who Get Wood at the first pill pop (we never are it seems) then as Steve says the best chance is at bedtime and even then it will possibly only help with nocturnal erections.

Also I think (and other people have mentioned too) that Viagra seems a little more powerful in that regard -- cannot really say if Cialis (using Ceebus from India) is doing as good.

In the mean time .. keep using the pump.

Or go with Muse or Trimix or Trimix Gel or Caverject ... to really get things jumping .. at least it will get your spirits up for an hour or two ...

Jim
Age 59, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery ,Nerve sparing, 1 day in hospital.
02/18/09 Cath out -- passed 1 cm oblong bladder stone (not kidney!).
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
04/09, 07/09, 10/09, 01/15/10 PSA <0.1
03/2009 Levitra@20mg / Viagra@100mg/Cialis@20mg -- (nocturnal stirrings started 02-03/2010).
08/09-09/09,02-03/10 MUSE@1000mcg 80-90% (with some ache )
10/09-11/09 TrimixGel@(500/300/100mcg): 60,70,80%,
02/10-03/10 TrimixGel@1000/300/100mcg - 80-90% - just @ usefulness.
Gel + MUSE 500mcg -- 100% for 30-60 mins and 80-90% for hours after that).


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/4/2010 8:48 AM (GMT -6)   
I take mine at my middle of the night pee run, so I get the most therapudic effect without the side effects, which are pretty bad in my case. Since I am taking ti for infusion and not for sex, I figure I am timing its use to that part of the sleep cycle when we are supposed to be getting nocturnal erections (REM sleep?), and this may help that along. Just my theory.
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 5/4/2010 12:48 PM (GMT -6)   
For sexual function rehab, you should take the pill at night with the intent of achieving an erection (and a climax) in the morning.

Don't make the mistake of simply taking the pill and then looking down there in the morning to passively see if anything is going on. You need to actively "take matters into your own hands", both figuratively and literally, during rehab period. Additional manual stimulation will be required in the early days of rehab; more than might have been needed in the past. Once your rehab is well underway, less will be needed.

Some guys think all they have to do is take the pill and then "poof!"...and then they are disappointed with the poor results.
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