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Tadalifil/cialis leg aches/ incontinence

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User
Posted 30 Apr 2025 at 06:50

Morning all,

I am 7 weeks post ralp and have been on 5mg daily of tadalifil/cialis for about a week now.

I'm experiencing leg aches which make it hard to sleep. Anyone else had this? Does it go away or do you end up stopping the drug.

I have bought a pump but only tried it once and it didn't go so well. I will persevere with it though as this could be a better option without the drugs?

So far the tadalifil has produced a half decent semi!

Also I was really pleased at the 6 week mark  with incontinence as my leaking was massively reduced but the last couple of days it seems to have come back. Does this happen? I have been quite tired.  I was wondering if there was any link with taking the tadalifil and incontinence getting worse.

Thanks, Mike

User
Posted 30 Apr 2025 at 20:18

Hi Mike. It's very much early days regarding erections. The dose of Tadalafil you are on is really a rehab dose rather than an event dose. The fact that you are getting a semi at this stage is promising though. The most common  side effect with this drug can be acid reflux. I'm not aware of leg aches being a typical side effect, nor incontinence. I always found that continence recovery was not linear. It was quite often three steps forward then two back. I imagine you are just experiencing a blip in the recovery. Keep using the pump as it's great for rehab regardless of whether you are going to use it for erections. Personally I never managed to master the constriction rings so I just used it for rehab.

User
Posted 30 Apr 2025 at 20:49
I agree with Chris, you are so keen to see an improvement in continence that "good day" can deceive you into thinking things are OK - usually it is just a high point along a very jagged recovery graph. But over time the highs will get higher, and the lows not nearly as low.

The primary use of tadalafil is to ensure the blood flow to your penis is enough to ensure the tissue remains healthy, and the pump does the same and also ensures the bits that need to stretch during an erection can still do so. So both are worth persisting with.

In both cases it will be several months before you get a real impression of how good your recovery is, 7 weeks feels like a long time but considering the trauma your body has been through there is a lot of recovery still to come.

I have never heard of leg problems related to tadalafil. I don't know how active you are, it may simply be a reaction to a forced period of relative inactivity. When I have suffered musculoskeletal aches in the night (probably attributable to age!) I have found a couple of ibuprofen at bed time stops them happening.

User
Posted 02 May 2025 at 11:15

Hi Pablozzz, 

I’m just behind you at 5 weeks post op. 

I was out on Tadalafil after the catheter removal appointment at 2 weeks post op.

If I recall correctly the CNS was very clear with her instructions to stop the Tadalafil if I ever got leg pains.

You might want to check back in on this. 

 

 

User
Posted 02 May 2025 at 11:28

I'm 3 weeks post surgery and started Tadalafil 3 days ago, mild leg aches started overnight. I've not been told to stop if this happens so will monitor but I also found this on the internet...

 

Yes, leg aches can be a side effect of Tadalafil (Cialis). It's a common side effect, along with back pain and muscle aches. The muscle pain is usually mild and resolves within a few hours, or a couple of days at most. 

 

Elaboration:

Tadalafil affects smooth muscle relaxation, which can lead to discomfort in the lower back or legs. Some studies have shown that muscle pain due to Cialis can affect the lower back, buttock, and thigh muscles. If you experience leg aches, they should subside after the medication has been taken, or upon discontinuation. If the aches persist or are severe, it's recommended to talk to your doctor or pharmacist. 

 

Key Points:

  • Common Side Effect: Leg aches are a relatively common side effect of Tadalafil. 

     

  • Mild and Temporary: The pain is usually mild and resolves within a day or two. 

     

  • Consult a Doctor: If the pain is severe, prolonged, or bothersome, consult with a healthcare professional. 

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User
Posted 30 Apr 2025 at 20:18

Hi Mike. It's very much early days regarding erections. The dose of Tadalafil you are on is really a rehab dose rather than an event dose. The fact that you are getting a semi at this stage is promising though. The most common  side effect with this drug can be acid reflux. I'm not aware of leg aches being a typical side effect, nor incontinence. I always found that continence recovery was not linear. It was quite often three steps forward then two back. I imagine you are just experiencing a blip in the recovery. Keep using the pump as it's great for rehab regardless of whether you are going to use it for erections. Personally I never managed to master the constriction rings so I just used it for rehab.

User
Posted 30 Apr 2025 at 20:30
Thanks Chris, it's reassuring that it's not necessarily a linear recovery of continence, its horrible and worrying taking a step back once things improve! Improving continence is my priority at the moment and erections can wait.

I will try the pump again and I think I would only use it for rehab too.

User
Posted 30 Apr 2025 at 20:49
I agree with Chris, you are so keen to see an improvement in continence that "good day" can deceive you into thinking things are OK - usually it is just a high point along a very jagged recovery graph. But over time the highs will get higher, and the lows not nearly as low.

The primary use of tadalafil is to ensure the blood flow to your penis is enough to ensure the tissue remains healthy, and the pump does the same and also ensures the bits that need to stretch during an erection can still do so. So both are worth persisting with.

In both cases it will be several months before you get a real impression of how good your recovery is, 7 weeks feels like a long time but considering the trauma your body has been through there is a lot of recovery still to come.

I have never heard of leg problems related to tadalafil. I don't know how active you are, it may simply be a reaction to a forced period of relative inactivity. When I have suffered musculoskeletal aches in the night (probably attributable to age!) I have found a couple of ibuprofen at bed time stops them happening.

User
Posted 01 May 2025 at 05:56
Thanks for your reply J-B

Well I had 5 plus days of next to no leaking and then it came back with a flood everytime I walked and small leaks around the house. I suppose I was so overjoyed with the good days that it was really depressing and worrying to go back again. Seems like I am the same as everyone else though and need to stay patient and calm!

I have started gentle running again so at first thought it was that but it feels different and I looked up side effects and leg/ muscular aches are listed. Hope it reduces on its own with time!

Thank you

User
Posted 02 May 2025 at 11:15

Hi Pablozzz, 

I’m just behind you at 5 weeks post op. 

I was out on Tadalafil after the catheter removal appointment at 2 weeks post op.

If I recall correctly the CNS was very clear with her instructions to stop the Tadalafil if I ever got leg pains.

You might want to check back in on this. 

 

 

User
Posted 02 May 2025 at 11:28

I'm 3 weeks post surgery and started Tadalafil 3 days ago, mild leg aches started overnight. I've not been told to stop if this happens so will monitor but I also found this on the internet...

 

Yes, leg aches can be a side effect of Tadalafil (Cialis). It's a common side effect, along with back pain and muscle aches. The muscle pain is usually mild and resolves within a few hours, or a couple of days at most. 

 

Elaboration:

Tadalafil affects smooth muscle relaxation, which can lead to discomfort in the lower back or legs. Some studies have shown that muscle pain due to Cialis can affect the lower back, buttock, and thigh muscles. If you experience leg aches, they should subside after the medication has been taken, or upon discontinuation. If the aches persist or are severe, it's recommended to talk to your doctor or pharmacist. 

 

Key Points:

  • Common Side Effect: Leg aches are a relatively common side effect of Tadalafil. 

     

  • Mild and Temporary: The pain is usually mild and resolves within a day or two. 

     

  • Consult a Doctor: If the pain is severe, prolonged, or bothersome, consult with a healthcare professional. 

User
Posted 02 May 2025 at 20:55
Thanks adthedad

Looks like it is a common occurrence then. I think I'll give it a couple of weeks and see if it clears up. I'm starting daily running this week so it'll be interesting to see if that helps or makes it worse....

 
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