Cialis, hit or miss

[Kettlebells]

Has anyone else experienced problems with Cialis being hit or miss? I love Cialis when it works, but there are days where it feels like I ingested a sugar pill. I always take Cialis (20mg) on an empty stomach.

 

[CoastWatcher]

In over two years on daily Cialis I have no complaints. In those situations it does not work, is it a total bust, or a delayed response that you notice?

 

[Kettlebells]

Cialis is a total bust on the days that it does not work. I have experienced the same problem with Viagra as well. I am a type 2 diabetic, so that comorbidity complicates the picture. My endocrinologist currently prescribes my ED medication, but I am thinking about seeing a urologist to see if he/she can pinpoint the source of my problem. ED in diabetics is more complicated than it is in non-diabetics.

 

[Vince Carter]

Even 4/6/8/10hrs later you got nothing from Cialis? I know some of us has a real delayed timeframe to go in to effect. For instance I take it in the AM for activity 8-12hrs later.

 

[Kettlebells]

I have had instances where Cialis worked better the following morning than it did the previous evening. However, there are occasions where it does not work at all. We are talking about no response whatsoever. I am using Eli Lilly's product, so it should not be a tablet-to-tablet quality issue.

 

[blackebob]

I started taking a 20mg sildenifil(sp), mainly because having low T for a year and a half screwed up my confidence. Nothing guarantees failure better than your own brain. I have had very strong morning erections since taking the shot. However twice, I have lost it while in the process, and had to work to get it back to full strength,20mg an hour or so before. I am chocking it up to stress, and a little self doubt creeping in. I believe both times were towards the back end of my shot timing also.

 

[Vince Carter]

PDE5i's like Cialis and Viagra I myself seem to find that there's much more planning and execution to taking it than they let on. Things like empty stomach and what you've eaten during the day, I don't find use of either of those as easy as taking a pill. That's just my experience, I hate having to be more diligent and forethought to what I want to do even hours later.

 

[buggies100]

I can say somedays it seemed to work better than others. I have gone to 5mg/ day of cialis and that seems to have solved the problem of some inconsistency

 

[blackebob]

How does alcohol effect cialis since it is a longer acting pill?

 

[Kettlebells]

I underwent coronary artery bypass graft surgery in 2016 due to hereditary low HDL. None of my doctors will prescribe daily Cialis because it prevents the use of nitroglycerin in the case of an emergency. I had to get cleared by my cardiologist before my endocrinologist would put me back on TRT. I was working out post-surgery with a 240 ng/dl total testosterone level. Luckily, my SHBG was only 22, so I had a free testosterone in the 8 ng/dl range (LabCorp numbers). My endocrinologist will only prescribe Androgel or Axiron (IM testosterone is off of the table and so are hCG and off-indication use of Clomid). I was on Androgel before the surgery. I am currently on generic Axiron. My total testosterone hovers around 400, and my free testosterone hovers in the 12s. These are next morning before daily application test results. My endocrinologist also handles my type 2 diabetes comorbidity. She is very good at managing this disease. I was referred to her seven years ago when my hbA1C went over 10, resulting in diabetic wasting, and she righted the ship (hbA1C readings are now in the fives). She also recognized that I was hypogondal when I hot flashed in her office during a regular visit; therefore, I am reluctant to find another endocrinologist who takes a more progressive approach to male health.

 

[CoastWatcher]

Do I recall from an earlier post, that despite what many would consider a less than stellar objective response, total testosterone at 400, for example, you actually are subjectively pleased with what TRT has accomplished? Is this - the question of PED5i response - the last piece of the puzzle?

 

[Kettlebells]

Yes, the inconsistent response to PDE5 inhibitors is my concern. I am happy with a total testosterone of around 400 and free testosterone in the mid-12 range. The only problem I currently have with respect to TRT is a bit of bloating, mostly in my face and neck. I suspect that I am going to be a difficult patient with respect to ED treatment. I have several ED-related comorbidities and more than one endocrine disorder. I underwent LI-ESWT (a.k.a. GAINSwave) treatment back in October. LI-ESWT improved my response to PDE5 inhibitors, but did not cure the problem. I can now achieve an erection like I did in my teens and early twenties when PDE5 inhibitors work.

By the way, the machine that is being marketed by Dr. Gains under the GAINSWave brand is a Storz Medical D-ACTOR 100 (I looked at the back of the machine while getting dressed). Here is a publication on the use of D-ACTOR 100 in the treatment of ED: http://medcraveonline.com/UNOAJ/UNOAJ-04-00136.pdf

 

[Beef78]

Splitting Cialis dosing the way Gene recommends, 12 or so hrs apart, really made a difference for me. 5mg morning, 5mg pm.

Also getting my estrogen down worked wonders in terms of Cialis/Viagra effectiveness