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Cialis Alternatives

User
Posted 08 Nov 2018 at 19:57

Hi All, I had RARP with both nerves spared just over two years ago. The surgery went really well and I now have a consistent >0.1 PSA level but I've been left with the usual ED issue.


I've been on Cialis since surgery, which for ED works really well for me, but I have been struggling with some side effects - initially it exacerbated a pre-existing acid reflux problem so I had to take Lansoprazole to combat this but now I'm getting joint pains too. I tend to get joint inflammation which I can only shift after stopping both medications for a week or two. I'm not sure which medication is causing it but I suspect it's the Cialis which is unfortunate as there's not a great deal of movement down there without it.


Are there any alternatives like Cialis which can be taken daily? I appreciate how close to normal things are with it for me and am really unhappy with the thought of how things are without it. I appreciate I should probably get a referral for ED advice but thought I'd check here first to see what options were out there.


Thanks,


Andrew.

User
Posted 08 Nov 2018 at 20:34
Great post Andrew. I’m 51 and 3 1/2 yrs post op. Nothing but invicorp injections directly into the penis really worked for me , until I begged for daily 5mg Cialis ( Tadalafil ). This worked great after 2 yrs with a penis ring , and now without a ring at all. I’m enjoying the recovery to the full as is my wife I do however have horrendous leg pain from hip to ankle which has been proven to not be cancer related. I guess it could be the Cialjs. However now being told incurable , I’m happy to put up with it before HT starts and turns me into a eunnoch.

If life gives you lemons , then make lemonade
User
Posted 08 Nov 2018 at 21:29

Originally Posted by: Online Community Member


I'm on the daily 5mg dose. I like the aspect of not having to take something event based but the joint problems are really starting to get me down.



you could ask the pharmacist whether you could try a packet of 2.5mg instead - or ask the GP about changing the prescription (although I would be worried about having a fight to get the 5mg back if the 2.5mg didn’t work) or you could get a pill cutter and cut your tablets in half as an experiment? 


 


When Cialis daily was first approved by NICE for men with post-RP ED, it was 2.5mg and the intention was that men would only be given the 5mg if the lower dose wasn’t working. 

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
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User
Posted 08 Nov 2018 at 20:19
What dose are you on Andrew?
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
User
Posted 08 Nov 2018 at 20:34

I'm on the daily 5mg dose. I like the aspect of not having to take something event based but the joint problems are really starting to get me down.

User
Posted 08 Nov 2018 at 20:34
Great post Andrew. I’m 51 and 3 1/2 yrs post op. Nothing but invicorp injections directly into the penis really worked for me , until I begged for daily 5mg Cialis ( Tadalafil ). This worked great after 2 yrs with a penis ring , and now without a ring at all. I’m enjoying the recovery to the full as is my wife I do however have horrendous leg pain from hip to ankle which has been proven to not be cancer related. I guess it could be the Cialjs. However now being told incurable , I’m happy to put up with it before HT starts and turns me into a eunnoch.

If life gives you lemons , then make lemonade
User
Posted 08 Nov 2018 at 20:38
PS yes it gives you acid reflux too. I switched to Pantoprazole which fixed everything.

If life gives you lemons , then make lemonade
User
Posted 08 Nov 2018 at 21:29

Originally Posted by: Online Community Member


I'm on the daily 5mg dose. I like the aspect of not having to take something event based but the joint problems are really starting to get me down.



you could ask the pharmacist whether you could try a packet of 2.5mg instead - or ask the GP about changing the prescription (although I would be worried about having a fight to get the 5mg back if the 2.5mg didn’t work) or you could get a pill cutter and cut your tablets in half as an experiment? 


 


When Cialis daily was first approved by NICE for men with post-RP ED, it was 2.5mg and the intention was that men would only be given the 5mg if the lower dose wasn’t working. 

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
User
Posted 08 Nov 2018 at 22:14
Thanks Lyn, will give the pill cutter idea a try to see how a reduced dosage works out.

Andrew.
 
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