Doctor's reaction to Generic ED Meds

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Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 8/11/2010 8:58 AM (GMT -6)   

Tomorrow I have an appointment with the urologist that is providing me post-operative treatment for ED and incontinence.  I don't understand the second one since I was one of the lucky few to never have incontinence.

 

The doctor has mentioned that it is not financially feasible to take Viagra or Levitra on a daily or every other day basis.  As a result he has me on a 5mg daily dose of Cialis.  I have experimented with some Vardenafil (Levitra active ingredient) that I got from ADC. I got some reaction which is more than I can say for the Cialis. I have also tried the gel version of Viagra and that stuff works a bit better than the Levitra generic.

 

I would like to start using either the Levitra of Viagra every couple of days.

 

My concern is the doctor's reaction if I tell him that I am buying generics from ADC and cost is not an issue. This particular doctor is very high powered in the Urology field.

 

Has anybody else had any experience with this, good or bad?


_________________________________________
Age : 56
Diagnosed 3/29/2010
Pre-Surgery
Placed on 5mg Cialis daily on 6/2/2010
Started pre-operative physical therapy on 6/2/2010
PSA 2.7; Gleasen (3+4) Biopsy 2 cores of 12 25% positive
 
DaVinci surgery 6/25/2010
 
Returned to work: 7/12/2010
 
Post Surgery
    Final Biopsy report
   5 slides of 35 showed 2% positive for cancer
   Clear Margins
   Final Gleason (3+4)
Incontinence:  None
ED:  Still dead as a door knob
        Still taking 5mg Cialis Daily
 
 

lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 8/11/2010 9:29 AM (GMT -6)   
I talked to my surgeon and also local urologist that provides my current followup care. Asked them both about the Generics and they were both positive and stated they had numerous patients using the generics.
 
So I've been using the Levitra from All day chemist.
 
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 Involved
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0
Six month PSA - 0
Ten month PSA - 0

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 8/11/2010 9:41 AM (GMT -6)   

My surgeon had no comment on out of country meds.

My friend that is a surgeon from INDIA told me to RUN FOREST RUN when I'asked him about meds from India. He lives in Canada and said if I had to get em out of country to buy from Canada.

Then again - MANY guys here are getting great results.


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
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 8/11/2010 10:12 AM (GMT -6)   
My Uro was the one who suggested I buy Viagra for $3/pill from Canada, so he must think it is OK! I didn't bring up the place in India though.

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery on 6/1/10
Pathology report shows cancer confined to prostate and all other tissue clean
PSA tested on 7/15/10: Zero Club membership card issued (trial membership with 90 day renewal)

Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1211
   Posted 8/11/2010 12:04 PM (GMT -6)   
Dan, where would you get Viagra for $3/pill in Canada? My Dr. gave me a prescription, but the Drugstore still tried to charge me about $12/pill (I live in B.C.). I told them in no uncertain terms what they could do with those pills and ordered them from ADC. Quite happy with their price and the results. Never talk about it with my Dr.
All the best to you.
 
Mag

Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
open RP 28 Nov 06 (nerve sparing), Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 days - 66 Grays) on the 19th Dec., 08.
PSA in Jan., 09=0.05; July 09 <0.04; JAN 10 <0.04; Jul 10 <.04

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 8/11/2010 12:13 PM (GMT -6)   
April6th,

Some Viagra from Canada is the real branded drug, you just have to send them your Rx and you get the real thing

Some also is generic that is most likely made in India, so getting it from a Canadian pharmacy is no different in this case than from India

Many people I know go on these Canadian Bus trips with Rx's in hand and get their name brand drugs over the boarder, I believe one can bring back over a 90 day supply of each script

Your Dr most likely thought you were talking about the real deal Viagra
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

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 8/11/2010 12:22 PM (GMT -6)   
Woodworker

the 5mg daily Cialis is new and also very weak compared to the the 20mg version or the other 2. I tried it last summer as a trial. In a healthy male it may have enough horsepower to help but for us we need a bigger boost to restore order

You can still get the 30 day 5mg trial from their website or the 3 x 20mg version
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

Arnie
Regular Member


Date Joined Aug 2009
Total Posts : 374
   Posted 8/12/2010 8:30 AM (GMT -6)   
My surgeon didn't flinch when I asked about ADC..........instead he endorsed the use of, saying that they worked just fine. I said, "well how do you know? Just from feedback from patients?" He said, "no, because I tried them. How else could I recommend them to my patients".----------this from a very reputable surgeon. I think you'll see similar endorsements on this forum.
 
Arnie in DE
Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
 
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
 
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, NO MX, Prostate 61.8 grams, gland involvement 2-10%
 
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point......ED at 10 months continues to improve, albeit slowly. Continued daily use of 100mg Viagra (ADC). Discontinued pump use; manual stimulation to varying states of erections; achieved penetratable erection on a couple of occasions----At 13 months, nocturnal erections are frequent. Still taking 100mg of ADC Viagra nightly. Libido still in the dumper, but working on it with doctors.
3 month PSA--<0.1
6 month PSA--<0.1
10 month PSA--<0.1
13 monthPSA--<0.1
18 month PSA--<0.1

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7084
   Posted 8/12/2010 9:02 AM (GMT -6)   
My surgeon/uro is completely against out-of country meds. He was not happy when I asked that question.

tarhoosier
Regular Member


Date Joined Mar 2010
Total Posts : 495
   Posted 8/12/2010 9:13 AM (GMT -6)   
India does not recognize a patent on a compound, only a patent on a process. Thus, if a clever chemist can create a compound through a slightly different process the drug may be offered. India has many, many clever chemists. Part of this legal stand is because if India were required to recognize patents for drugs from elsewhere, then their many poor citizens would have nothing, or even less than they have at this time. So it was a political position as well as a medical and legal one.
Drugs made in India are sold worldwide. Western countries with national health and drug systems use them and many third world countries depend on them; a prime example is for AIDS treatment.
Drugs from China is a whole other issue which I would avoid.

Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 8/12/2010 9:55 AM (GMT -6)   
I hold in my hand a trade name medication from ADC. Aparently they forgot to give it some funky name this time. In researching the overseas drug compamies, ADC and one or two other india based manufacturers were on the list fo FDA inspected sites. As long as the FDA is allowed in to inspect, I will continue to trust that our own US drug distributors are also purchasing from approved manufacturers. Canada allows inspections, most of europe does. Mexico as far as I know does not, nor will China.....shocker there! The list is somewhere in the HW archives. One of our members did the initial research.  
 Hilarem datorum diligit Deus

Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 8/12/2010 11:10 AM (GMT -6)   

Well I have had my visit with the urologist. It went better than expected.

You are initially seen by the PA or a resident for the preliminary items. They brief the doctor and then he talks to you and decisions are made based upon the information gathered by the PA or resident.

 

I prefer the PA. She has a better personality, is young, and is very good looking. I digress.

 

I told her about the imported generics and the fact that a large portion of our generics were manufactured in India in FDA approved facilities.  She seemed skeptical.  I knew she would tell the doctor.  That is her job.

 

When I sat down with the doctor, he did not endorse using the generics nor did he condemn it. His sole concern is possible side affects because of slightly different formulations (other than the active ingredient). He was explicit that he wasn't talking about serious side affects.  Just headaches, muscle ache etc.  He also mentioned that adding Levitra to the Cialis two or three times a week was an expensive option.  I didn’t remind him that we were talking about Generics and that the Vardenafil (Levidtra) was only $1.05 per dose and that with pill cutting a 10MG dose Tadalafil (Cialis) was only $.38 a dose.

 

I believe the reason he was so circumspect is because he is quite prominent on the national level and does a lot work or consulting internationally.  The bottom line is that I feel like he needs all facts so he can do his best job for me.

 

As I am writing this my wife is picking up the 4th order we have placed with ADC since January. The first one was an experiment.  We now order in 90 day increments. If we use it and they carry it, we buy it.  That includes OTC items as well.  We have insurance and we are still saving about $400.00 per month by purchasing from ADC.

 


_________________________________________
Age : 56
Diagnosed 3/29/2010
Pre-Surgery
Placed on 5mg Cialis daily on 6/2/2010
Started pre-operative physical therapy on 6/2/2010
PSA 2.7; Gleasen (3+4) Biopsy 2 cores of 12 25% positive
 
DaVinci surgery 6/25/2010
 
Returned to work: 7/12/2010
 
Post Surgery
    Final Biopsy report
   5 slides of 35 showed 2% positive for cancer
   Clear Margins
   Final Gleason (3+4)
Incontinence:  None
ED:  Still dead as a door knob
        Still taking 5mg Cialis Daily
 
 

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 8/12/2010 2:58 PM (GMT -6)   
Hi Wood,

I think any Board certified Dr would give the same answer, it likely has nothing to do with how connected or respected he is

What is odd, do a search on Cooper Pharm which ADC sells its generic Viagra, yet on its website it does not list this product or even ED medications, it makes vitamins , aspirin, antibiotics and Ibuprofen formulations

Not saying these are bad, but it raises a red flag

Perhaps your Dr read these articles, I found these in just a quick search


http://latimesblogs.latimes.com/booster_shots/2008/09/fda-issues-warn.html

http://www.cnn.com/2009/HEALTH/02/25/fda.india.generic.drugs/index.html[url]
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 undetectable tests , <0.01 – 3,9 and 16 months post-op
Trimix provides 100% erectile function

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 8/12/2010 5:15 PM (GMT -6)   
Doctors get big kick-backs for prescribing any drug you see advertised on television.. If Big Pharma sees ADC as a threat to its profits, it will lobby for a customs crack-down to block their shipments. Most of these ED drugs are simple compounds that ANY drug company can make for pennies a pill. The entire medical establishment enjoys the river of profits generated by these drugs when sold to the captive U.S. audience for $10 a pop or more.

We would all do well not to mention ADC or any other foreign source of medications when chatting with our doctors...You are threatening their lifestyles and they will take retaliatory measures.."To keep these dangerous drugs from pouring into the U.S."
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/12/2010 6:24 PM (GMT -6)   
What doctor with real credentials and a licencse to protect, would in their right mind, reccomend a patient to buy any drugs outside of the United States, where the company doesn't even require a real legitmate prescription to fill it? I wouldn't buy drugs the way that many here do if I needed them, but I am very paranoid about being poisioned, food wise or drug wise, so I would never trust the out of the country source. But I don't think its this big Doctor-Drug Company comspiracy thing going on. I think that theme gets pushed and promoted here too often. I think for us Americans, its easy to forget how lucky we are to live somewhere where there is so much protection in place with doctor's credentials, etc, and the safety of buying FDA approved meds from legitmate stores without worrying if you are doing something wrong or if you are going to get contaminated products in the mail.

David in SC

Sorry, not against saving money, but have low tolerance of conspiracy theories. Think that sends the wrong message to people new here looking for help
Age: 58, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin

Incontinence: 1 Month ED: Non issue at any point post surgery, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16

Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, next test 11/10
Latest: 7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped 9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 ,Cath #11 - 21 days, Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 8/12/2010 6:42 PM (GMT -6)   
Sidenafil Citrate can be produced by any decent chemistry lab for around sixty cents per 100mg...In the real world, this is considered a recreational drug..If paying $10 per pill makes you feel better, or perhaps makes it work better, go for it! But realize, only people who live in the United States get clipped like that...

Postop
Regular Member


Date Joined Feb 2010
Total Posts : 385
   Posted 8/12/2010 6:50 PM (GMT -6)   
In the U.S., doctors can be prosecuted for taking kickbacks, it's illegal:

http://www.nytimes.com/2009/03/04/health/policy/04doctors.html

Most medical societies, universities and large clinics have policies limiting gives and contacts of doctors with drug company representatives:

http://www.acponline.org/running_practice/ethics/issues/relations/

This doesn't mean that drug companies don't do their best to try to influence what doctors do, I don't think they profit directly from drug sales--it's against the law.

My doctor has written several prescriptions for me to obtain generic drugs from overseas, no problem.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/12/2010 6:55 PM (GMT -6)   
Fairwind, I do agree that we do get "clipped" here in the US on most drugs, I am thankful that most of my meds over the years have dropped down to the 4-10 range, its helps when you are long term meds

Postop - thanks for posting the facts on that. I have never had a doctor in my life try to push a particular drug on me, we usually have discussions of choices and side effects, etc related to the drug or drugs in question.
Age: 58, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin

Incontinence: 1 Month ED: Non issue at any point post surgery, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16

Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, next test 11/10
Latest: 7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped 9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 ,Cath #11 - 21 days, Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 8/12/2010 10:41 PM (GMT -6)   
Kick-backs can take many forms...There are times when the drug company reps outnumber the patients in doctors waiting rooms..I'm glad to hear the larger institutions have taken steps to limit these contacts. They must have had good reason for doing so...
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 8/13/2010 6:32 AM (GMT -6)   
Postop,

You wrote: "My doctor has written several prescriptions for me to obtain generic drugs from overseas, no problem."

The way you did it is the best way and protects the patient

You had your Dr write on the Rx that it was OK to fill generic from an overseas pharmacy. That protects you in case the drug is not really what it is supposed to be. Any problems then at least you can go after the prescribing Dr and his malpractice will cover you

Keep the original in a safe place
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 undetectable tests , <0.01 – 3,9 and 16 months post-op
Trimix provides 100% erectile function

Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 8/13/2010 8:33 AM (GMT -6)   
I guess I need to clarify my position about pharmacuticals. Some of the things I considered were:
 
  • I told my doctor I got them from India. Nothing more.
  • India produces a large percentage of the generic drugs used in the United States.
  • I lived overseas for almost 8 years.  After that I made at least another 100 trips overseas.  I guess I have a comfort factor because of that.
  • I do not believe that there is some huge conspiracy.  However, the pharmaceutical companies are gouging the United States.
  • Canada carefully regulates its pharmacies. A large portion of Canadian generics come from India. You just pay more for the same thing.
  • I researched my source adnauseum. The only complaint I found was some problems with taking credit cards for a little while.
  • The company I buy from provides the manufacturer of the items and all of the normal safety information that we in the United States expect
  • A large number of the pharmaceutical plants in India are FDA inspected and approved.
  • You do have to be careful whom you buy from
  • We NEVER buy anthing that hasn't been prescribed. This means we can fax them a prescription for ever item (except OTC items) that we buy.
  • I would NEVER knowingly take anything made in China

I am not trying to convince anybody of my views.  However, I do not make these kinds of decisons until I have considered a lot of facts that I have researched.


_________________________________________
Age : 56
Diagnosed 3/29/2010
Pre-Surgery
Placed on 5mg Cialis daily on 6/2/2010
Started pre-operative physical therapy on 6/2/2010
PSA 2.7; Gleasen (3+4) Biopsy 2 cores of 12 25% positive
 
DaVinci surgery 6/25/2010
 
Returned to work: 7/12/2010
 
Post Surgery
    Final Biopsy report
   5 slides of 35 showed 2% positive for cancer
   Clear Margins
   Final Gleason (3+4)
Incontinence:  None
ED:  Still dead as a door knob
        Still taking 5mg Cialis Daily
 
 

Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 8/13/2010 8:53 AM (GMT -6)   
MrGimpy

I read the articles you provided the links to. I am not saying that the FDA actions are not legitimate. However, they affected only one or two plants of one very lagre manufacturer. The article also said that they did not find any bad drugs and recommended that people keep taking them. However, it does highlight another problem. The FDA is not doing its job. Since a lot of these same generics are shipped all over world it means that the regulatory bodies in Canada and Europe are probably not doing as well as they should. During this same time frame a congressional House Comittee ripped the FDA a new one. Part of it was CYA after the fact. The link is:
http://www.kktv.com/11forhealth/headlines/18032594.html

I do take the articles seriously, but with a grain of salt, and I try to keep them in their proper perspective.
_________________________________________
Age : 56
Diagnosed 3/29/2010
Pre-Surgery
Placed on 5mg Cialis daily on 6/2/2010
Started pre-operative physical therapy on 6/2/2010
PSA 2.7; Gleasen (3+4) Biopsy 2 cores of 12 25% positive
 
DaVinci surgery 6/25/2010
 
Returned to work: 7/12/2010
 
Post Surgery
    Final Biopsy report
   5 slides of 35 showed 2% positive for cancer
   Clear Margins
   Final Gleason (3+4)
Incontinence:  None
ED:  Still dead as a door knob
        Still taking 5mg Cialis Daily
 
 

BobCape
Regular Member


Date Joined Jun 2010
Total Posts : 416
   Posted 8/13/2010 11:32 AM (GMT -6)   
I guess only doctors and their patient's from the US are in their right minds. I must have forgotten how ethically and morally superior ONLY our great government and the FDA is? My doctor KNOWS that the insurance company considers Cialis a recreational drug, even AFTER he written them to explain in the case of RRP it is NOT. MY doctor ALSO knows I cannot afford the $400 a month out-of-pocket it would cost me to take the meds he feels are in my best interest to take.

SO - when you ask WHAT doctor in his right mind? MY Doctor. The one who SHOULD decide what drugs I get and who would PREFER that OUR system was such that the money I paid for insurance would cover me for medications I need. But dont.
First ever PSA test Jan 2010 @ 51 years old. 4.0.
Digital exam in March 2010 showed 1 side hard, other soft.
Biopsy, positive in 3 of 12.
Davinci @ Boston Medical Center, May 17, 2010.
Was suggested prior to it was likely contained.
June 1 advised 3+-4 was really 4+3 per pathology. Pos margins.
Listed on patholgy as PT3, but with extraprostatic extension,
microscopic invasion of the bladder neck, PT3A is perhaps the case.
Catheter removed June 1.. 1 pad/day, doing ok. ED, but not in rush.
Sore as heck down there, but doing much walking with my wife.
To meet with my Uri (1st meeting since) June 17 - 1 mo point, to discuss.
BMC already has me setup to meet with radiology.
Felling a little better each day. Cant tell if my expectancy just went from 10-15 down to 5-7, the information out there appears to be all over the place. I WILL NOT radiate my insides to the point of being a veg for the sake of a few years. QOL is primary to me. Selfish I guess. I pray for all of you as I do for myself, but must remember that i've had a pretty good 50+ years, and know others who have lost their children to disease.. so I dont have the nerve to complain! Update 7/14/2010: When I tried changing this sig a few days after creating it, system was broken. My new rad oncologist are discussing IMRT.. though he says he can see why waiting a bit and watching the PSA on super sensitive basis might make sense. I am leaning towards IMRT.. thinking is my body is pretty strong now, i'm 51, and if I can rid my body of this while trying to minimize the side effects.. I dunno. No really Good answers. When I said I didnt want radiation to the point of being a veg.. I really meant there is a limit as to where I wish to go in order to realize only a small increase in life expectancy.. and not that I am an unreasonable person. I do, after all, have an obligation to my wife and kids.

Postop
Regular Member


Date Joined Feb 2010
Total Posts : 385
   Posted 8/13/2010 1:23 PM (GMT -6)   
MrGimpy,

The doctor didn't write OK for drugs from overseas. He wrote "substitution permitted". There is no generic version in the US, so where else could they come from? The ones I take are manufactured by a company in India (Cipla) that also manufacture many of the generic drugs that are licensed in the US. I wouldn't get drugs from China, nor would I buy them from one of those pharmacies in border towns in Mexico (not that I would even set foot in one of those towns these days). I think that any risk is tiny, and that risk is of getting counterfeit drugs that don't work. That rarely also happens in drugs sold in the US. What are the consequences of taking a counterfeit ED drug? What do you think?

There isn't any way that I would hold my US doctor responsible for any problems with these drugs. That would be stupid. He knows that I would never do that. If I were that stupid and went to a lawyer, to take the case that attorney would need 1) evidence of real harm done and 2) evidence that the doctor told me to buy the drugs from India. No personal injury lawyer would take such a case, because THEY aren't stupid, only greedy and dishonest. How much money do you think a jury would award you for failure to get an erection?

Who wants us to believe that generic drugs are not safe? It is those who market brand name drugs. It's call fear mongering.

usmc155
Regular Member


Date Joined Mar 2009
Total Posts : 22
   Posted 8/13/2010 6:14 PM (GMT -6)   
Pills may work but if you want instant help you need to try TRIMIX. This is a injectable that WILL give you an etection in 10-30 min that lasts for at least an hour.
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