Sildenafil/Cialis

User

Posted 26 Jun 2014 at 11:23

First things first.

Has anyone any experience of "Chewable" Sildenafil please. What are the benefits against the general ones

It was prescribed by our GP who did appear surprised that they came up chewable but the pharmacist had never heard of it and said she would look into it and telephone us.

That was Monday morning and I came home and checked it on the web and it comes chewable in all sizes.

Now Thursday morning and as we hadn't heard anything I've just called in on the way home and had to wait twice. Apparently they had run out and had to send off for some and they were only just unpacking it. Then we had to wait for the pharmacist to approve it.

Eventually the pharmacist came out and handed me the prescription and I asked is it chewable and no it isn't. I said I know they do that version as I looked it up. Yes so did I she said but we got you the ordinary ones!!

Don't ask - I too am baffled.

Edited by member 29 Jun 2014 at 08:01 | Reason: Not specified

We can't control the winds - but we can adjust our sails

User

Posted 26 Jun 2014 at 15:54

I did not know that Sidenafil (Viagra) has a chewable version. If I had to guess at why one version was preferred to another, I would think that cost comes into it.

I was prescribed 5mg Cialis, aka Tadalafil, on a daily bias to promote circulation. It works, and I have wonderful nails to prove it. The intended benefits have become apparent as the months have passed. I was also prescribed Viagra, aka Sildenafil, that too ha sourced for me when I need it. Did not work too well early on, but I think I was trying for too much too soon?

My GP was always very supportive to me. I wrote him a letter asking for both meds and a pump explaining the potential benefits to me of each item requested, and that these had been referred to me by my surgeon to ask for. I was also able to point out that my surgeon had managed nerve sparing or saving on both sides and, as he had done all he could, and I was doing all I could with exercise and manipulation etc, I hoped that he, my GP, would do all he could to help facilitate my EF recovery?

It is all free once you have the medical card, and all prescriptions are free for 5 years. Can not remember if the 5 years starts at date of diagnosis, or after operation, sorry.

I would persevere in writing. But do n to worry 3 weeks without anything will not affect long term recovery I was told that my nearly 3 months before I learned about the meds and kit before I applied would not hinder my recovery.

Good luck.

dave

OOPs edited to add, I suppose they can refuse as it is their budget, but if you make a good business based and medical need based case for kit or meds then they will have to be very brave to refuse you.

Edited by member 26 Jun 2014 at 15:56 | Reason: Not specified

User

Posted 26 Jun 2014 at 16:33

Thanks Dave.

IT isn't so much the delay that's annoying me, more the fact that the left hand isn't talking to the right one and the pharmacist was no better, telling me she had never heard of chewable tabs and then confirming today she also had looked it up on the internet and then still supplied ordinary ones and not what was prescribed.

I was annoyed that he completely ignored the Consultant's request based on his own surgery budget it seems to me, after all Sildenafil (Viagra) no longer has a patent on it so is presumably generic now and much cheaper.

I can only assume the dismissal of including the ED nurse is for the same reason - cost.

IF she were to recommend a pump and or Cialis does she actually give you the prescription or is it "take this to your GP and get him to give it to you" ?.

I have since posting, asked Google the question re the difference between Cialis and Sildenafil. They both seem to work the same way and have the same possible side effects.

Being charitable to the GP, and bearing in mind my husband's age (73) perhaps he thought that the longer lasting effects of Cialis was not a good idea due to mild Arrythmia and might polish him off!

Three weeks from seed insertion and we appear to be back to more or less normal in all respects so we are indeed very lucky compared to some.

Ah well, shouldn't moan, I was just curious regarding the chewable version. I know from the net that it was trialled in Mexico and apparently works quicker because it's chewable. Perhaps it isn't readily available in the UK yet.

Thanks again for reply.

Sandra

We can't control the winds - but we can adjust our sails

User

Posted 26 Jun 2014 at 21:10

Follow up from RP surgery is a serious issue, and from what I have read, it seems to be a nationwide problem. The centres that deal with the operation call you back for the PSA test and give you the results of the testing on the prostate. However, I have had to chase up my GP for an incontinence referral, from which I now get free pads, and for ED issues. I was given daily ciallis (5 mg), but was advised to go back to my centre for a pump. I did this, and the urology nurse said she would get the registrar to write to my GP. How uncoordinated is that!

I would willingly get behind a campaign where ED and incontinence referral is done automatically along with the usual follow up after 6 weeks.

Stay Calm And Carry On.

User

Posted 27 Jun 2014 at 19:54

men with PCa don't have a right to a referral to ED nurse or andrology clinic. Men with ED as a result of a medical condition or medical treatment do have a right to NHS treatment, in line with the NICE guidelines (which vary depending on the cause of the ED) .

Perhaps the point the GP was trying to make was that three weeks after brachy is too soon to know whether your husband is even going to develop ED. I wouldn't be too happy if my GP had no money for other things because he had been funding treatments for someone who might develop problems later.

Re the daily Cialis, there is no research that I have seen to suggest that this helps men post-brachy.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 30 Jun 2014 at 14:11

I am so with you on this!!

Sean has had to ask at gp, via nurse,for continence referral.

So far we havent got an appointment.Would be good to just know that what we are doing is correct and time will sort it, or that we need more input!!

It is so rubbish that after the op you get forgotten.

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