ED Question-length to take Viagra therapy

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James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4461
   Posted 10/9/2007 6:38 AM (GMT -7)   
Assume you are prescribed and take 25mg. Viagra 3x week and or 25mg. Viagra 6 X week  and 100mg once a week or when attempting intercourse.  You do get reliable erections in say, 4 months, with the 100 mg. Viagra dose.  Had anyone's doctors said when, if there is a when, to stop the 3x therapedic dosing?  I don't recall anyone wriiting of being able to stop the 25mg dosing if they have acheived good results. 
James C. 
 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
 
Age 60 
4/19/07   PSA 7.6, referred to Urologist
4/26/07  Urologist prescribes 3 weeks of antibiotics/anti-inflam. due to past history of Prostatis.  DRE- nothing detected but 'gross enlargement"
6/5/07    Recheck of PSA: 6.7, biopsy scheduled.
7/11/07   Biopsy- 16 core samples, ultrasound size of gland around 76 cc. Staging pT2c
7/17/07   Pathlogy report:  3 of 16 cancerous/ 5% involved, left lobe top, center, bottom, Gleason 3/3:6. 
8/3/07     Decision made for conventional RP surgery, scheduled for Sept. 24.
9/24/07  Conventional  Radical Retropubic surgery performed 
9/26/07 Post-op Path Report: Gleason unchanged 3+3=6 Staging pT2c,
Prostate 110 gms, 2.2"x2.2"x1.75"
10/5/07  - Catheter out, no leaks, good control, so far, so good- end of first day
1st PSA scheduled 11/15/07


Mike A
Regular Member


Date Joined Feb 2007
Total Posts : 213
   Posted 10/9/2007 7:12 AM (GMT -7)   
James,
I was prescribed the Viagara 25mg/3x for only a month "to promote healing". It's just as well, because I never could have afforded to stay on it for an extended period of time. I can't answer your question authoritatively, but common sense would suggest you try lowering or weaning yourself off the therapeutic dose, and see if you continue to have good results.
Good Luck!
Best,
Mike
June 2005 - Age 53 PSA 4.8 at regular physical
October 2005 - After several rounds of anti-biotics, PSA 5.2 at Urlogist
November 2005 - Biopsy negative
July 2006 - PSA 5.9 at regular Physical
October 2006 - After several more rounds of anti-biotics PSA 8.1
November 2006 - Second biopsy - Positive
December 2006 - Gleason (3+4=7), Tumor T1c, CT Scan and Bone Scan Negative
January 2, 2007 Robotic Prostatectomy, University of Rochester Medical Center - Tumor confined but larger than thought, only one nerve able to be spared. Margins clear.
February 2007 - Three to four pads a day, no erection with viagara.
March 2007 - Down to two pads a day, had first intercourse with Erecaid pump and bands, otherwise still flat tire.
April 2007 - First Post-Surgical PSA 0.02 and a great relief! Down to one pad a day. Still unable to achive erection without pump.
May, 2007 - Still one pad a day, even try a smaller pad on occasion. Slight improvement on the ED.
July, 2007 - Six Month Post-op: PSA 0.04 still Non-Detectable. One small pad/day for a few drops only! No change in ED.
October, 2007 - Nine Month Post-op: PSA back down to 0.02 Non-Detectable...Yay! Almost totally dry! Only slight improvement in ED - Will try injections if not improved by next appointment.
"If patience is a virtue, I feel like the most virtuous guy on the planet!"


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 10/9/2007 10:46 AM (GMT -7)   
Up to a year James. Check out the International Journal of Impotence Research or MedScape (urology) for some good articles on postoperative recovery.

Swim
 


AndrewJ
Regular Member


Date Joined Jul 2007
Total Posts : 25
   Posted 10/9/2007 12:01 PM (GMT -7)   
My uro is suggesting I stop taking Levitra. I am a bit reluctant as I don't want to kill the goose that laid the golden eggs. But I have reduced the dose and things are still OK (i.e. erections with occasional very small doses and even spontaneous erections without the drug). I only have 3 tabs left and was wondering whether to fill the prescription I have. I think I will, but keep on phasing out the dose to none over time.
45 years old, Australian living in Germany
PSA: started around 3.5 in 2005, 6.1 at time of surgery
Biopsy: nothing found in 2006, 3 May 2007 3 of 24 cores positive, Gleason 3+3 or 3+4 depending on pathologist
RPE in Munich, Germany on 22 June 2007
Post surgery pathology: organ confined but less than 1mm from margins, Gleason 3+3, pT2c, Lymph nodes removed and clear
First post-surgery PSA 31 July 2007: 0.01 Confirmed on 24 September, 2007. Yippee!
Fully continent immediately after removal of catheter on Day 8. Double yippee!!
No potency issues & looking at discontinuing daily small doses of Levitra. (Still holding onto it as my security blanket.) Triple yippee!
This man knows he has been VERY lucky.


Ripandburn
Regular Member


Date Joined Aug 2007
Total Posts : 125
   Posted 10/10/2007 6:52 AM (GMT -7)   
Chas,

I have found that there is some leakage for me with an erection. I have been taking Cialis every other day since shortly after catheter removal. I do my best to urinate before any activity. I can also say that once my penis is hard there is no leakage.....except, when I have an orgasm. The big guy is still looking for something to shoot, I guess.

One thing that I am sure of is that everyone is different. But, good things come to those that wait. I am confident that if we follow our doctors advice, and question when appropriate, we will all achieve good results.
51 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
PSA after 6 weeks <0.1 - undetectable
11 weeks post-op - no more pads

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