Any experiences with low dose Cialis?

[jimmy80]

I was visited by an andrologist who suggested me to take low dose Cialis (5Mg ) twice a week because he said it could help improve the symptoms.

At first I thought that it's a crazy idea suggesting an ED pill for CPPS, but googoling it, actually I found many studies claiming that low dose Cialis has the ability to relax the pelvic floor muscle and to reduce the pain.

Anyone here has experience with this kind of therapy?

[NathanDrake]

I am trying this out now with my Uro. I am 35 and don't have erectile dysfunction associated with CPPS (nor any morning wood issues), but I read the same studies and asked for a prescription.

I am taking 5 mg tablets and splitting them in half, so 2.5 mg per day. I'm using it concurrently with antibiotics to increase blood flow to the prostate and possibly knock out an infection (if that's what's causing my symptoms).

I will say that between it and the floxmax, it has definitely reduced my "hard flaccid" penis symptoms (not sure if you are suffering from hard flaccid as well). My flaccid penis is now very loose and spongey...and I seem to get more spontaneous erections (which I haven't had for a while).

[lroyal]

I was told to try this by one Urologist, however I declined after reading online and the warnings inside the box it stated treatment may decrease fertility. I would only take this drug on one off occasions unless you have already had children.

[webslave]

treatment may decrease fertility

No, not true
https://pubmed.ncbi.nlm.nih.gov/23581543
https://www.sciencedirect.com/science/a ... 0013600883
https://pubmed.ncbi.nlm.nih.gov/26428642

Viagra is the one with possible negative effects on sperm

[dihard]

I definitely get a pelvic relaxing effect with cialis. Even more than with alpha blockers like Flomax even though I thought alpha blockers focus more on the muscle component.

I'm curious if one is safer over the long term since I'm starting these relatively young. Or perhaps if alternating between them would be beneficial.

Those of you who have tried both how does Cialis compare to Alpha blockers for you?

[User-CPPS]

I am also interested, if Cialis or Alpha Blockers works better

[ChgoGuy]

I have a question. When taking the Cialis for this, what is the recommended time of day to take it?

I am doing better than I was doing 4-6 months ago, but when this stuff flares up, it's still frustrating. I could be perfectly fine, and either sex or a bowel movement is going to cause a flare 3/4 of the time even still.

[webslave]

Dose should be 5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

[ChgoGuy]

Dose should be 5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Due to its half life, I was wondering that if I took it before bed, would I be losing out on any of its advantages for pain and urgency during my hours awake? I've never taken the stuff before, so I don't know what to expect. But with a 5mg dosage, I'm guessing it's relatively low compared to higher doses available. Also, I've read that when you use it everyday for our type of issues, the amount that stays in your body slowly increases over time. I've had so much bad luck with everything else I have taken, I'm always the skeptic with trying anything else.

[webslave]

No, you are not using it for sexual purposes so timing is not important. I would take it any time that it's convenient.

[ChgoGuy]

No, you are not using it for sexual purposes so timing is not important. I would take it any time that it's convenient.

Thanks!!

[LivingRoomFanatic]

What’s the view on the eye related issues nowadays?

I find Cialis 5mg every second day (one a day was too much for me) has been a game changer. One of the things that has literally saved my life, so I’m hesitant to stop taking it.

As noted in my own thread (called ‘Anyone have hyperactive testicles?’) I’ve noted this electric/pins and needles feeling in and around my eyes. Sometimes with pressure and very slight occasional twitch.

I think it’s likely the effect of the cialis (or duloxetine) on my sinuses. But I worry due to noting the sudden sight loss warnings.

What’s the feeling here in 2022? I was thinking of trying to go down to 2.5 mg every 2 days. I did try 5mg every 3 days but it wasn’t as good.

Apparently the labelling has changed in 2017 to the following:

5.4 Effects on the Eye

Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including LEVITRA, and seek medical attention in the event of sudden loss of vision in one or both eyes. Such an event may be a sign of nonarteritic anterior ischemic optic neuropathy (NAION), a rare condition and a cause of decreased vision, including permanent loss of vision, that has been reported rarely postmarketing in temporal association with the use of all PDE5 inhibitors. Based on published literature, the annual incidence of NAION is 2.5–11.8 cases per 100,000 in males aged ≥50.

An observational case-crossover study evaluated the risk of NAION when PDE5 inhibitor use, as a class, occurred immediately before NAION onset (within 5 half-lives), compared to PDE5 inhibitor use in a prior time period. The results suggest an approximate 2-fold increase in the risk of NAION, with a risk estimate of 2.15 (95% CI 1.06, 4.34). A similar study reported a consistent result, with a risk estimate of 2.27 (95% CI 0.99, 5.20). Other risk factors for NAION, such as the presence of “crowded” optic disc, may have contributed to the occurrence of NAION in these studies.

Neither the rare postmarketing reports, nor the association of PDE5 inhibitor use and NAION in the observational studies, substantiate a causal relationship between PDE5 inhibitor use and NAION [see Adverse Reactions (6.2)].

Seems quite rare and they mention over 50’s also. I’m late 30s and just starting it since September last year. Just worried due to the things I’m experiencing.

Thanks.