Unhappy w/ Cialis. What to try next?

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Regular Member

Date Joined May 2010
Total Posts : 129
   Posted 9/24/2010 4:52 PM (GMT -6)   
Did 40mg Cialis (ADC) every 3rd day for a month, then 5mg every night for 6 weeks. Erection about 60%, but backache & moodiness were too much.
What pill and what dosage should I try next?
50 Yrs. old. DX Feb, 2010 w/6.6 PSA.
Biopsy 04-24-10, Gleason 3+3=6
4 of 5 cores left side inv. 4 of 6 rt side
RRP 06-07-10....
16 days post-op, catheter out.
Gleason upgraded to 3+4
No involvement of lymph nodes & seminal vesicle.
Perineural invasion present :(
Totally continent @ 8 weeks post-op. (!!!)
1st post-op PSA @ 12 weeks - Less than 0.05

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4848
   Posted 9/25/2010 4:18 AM (GMT -6)   
There are only two others to try. Try em both.
But its a wee bit early for you to worry about erections since your surgery was just 2 and a half months ago.

Forum Moderator

Date Joined Jan 2010
Total Posts : 7078
   Posted 9/25/2010 8:40 AM (GMT -6)   
I agree on the timing.
My Uro has me on daily 5mg Cialis for circulation only. I had to go off it during RT because of minor back pain. He believes that you need at least 6 months, possibly much more, of recovery before anything significant can be expected, unless things just fell into place (minimum shock & damage to the nerves).

Veteran Member

Date Joined Jul 2009
Total Posts : 504
   Posted 9/25/2010 9:37 AM (GMT -6)   
Your Uro should have samples of all 3

I agree though that at 2.5 mo post p you may not get an erection BUT the Ed drugs are necessary to aid in recovery. You will not see the positive effect they have now as the goal is increased blood flow and nocturnal erections

2 things you may want to try,

One go with the standard max dose of 20mg and see if your side effects are less, 40mg is double

Second 5mg is very low and may not be helping at all, instead you may want to do 10mg every other night

check with your Dr on what dosage to try next, note that Viagra and Levitra are very food dependent
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