3 Years Later - My ED Symptoms

I had radical prostate removal at Sloan Kettering, 2 years and 10 months ago. They did the nerve sparing and i did the viagra thing but it never really helped much except for soft erections for 2 years. And i just could not do the needle as I have serious anxiety about needles and physically will pass out.

Anyway... good news.... after about 2.5 years Viagra started affecting me differently.. instead of getting just head aches, i notice now that ONLY ON A COMPLETELY EMPTY STOMACH and ONLY ON DAYS WHERE I DONT DRINK MUCH COFFEE.... i can get a very good erection for a long time ... i'd say an 8 on a scale of 10.. sometimes a 9.

I also notice this.... sometimes the Viagra will not work on me even when i 'help myself' 1 hour or 2 after i take the Viagra... but it always is when i had something to eat.

Another thing i noticed.... If I took the Viagra at say 9pm the night before... i usually have a woody when i wake up... one around 6 out of 10... but it's really nice.. like the old days.

Does anyone else have advice/tips on how to maximize Viagra impact ? (100mg)

For now i see this:

1. Take on a COMPLETELY empty stomach... like skip dinner for maximum affect at night
2. Don't drink alot of coffee after say 11am if you are going to use it at night
3. You might be able to get a strong erection in morning, even if it didn't work night before

I'd like to see what others are seeing/finding out with 'tricks' and tune ups for how to maximize the Viagra impact.

Thanks

You might talk to your urologist about trying some different phosphodiesterase 5 inhibitors (different drugs like Viagra). Some of the others might suit you better.

As you have noticed, food interferes with Viagra. It's best to take it on an empty stomach. The same is true of Levitra. Cialis lasts longer and is less affected by food. There is also a new drug called "Staxin" that is similar to Levitra but avoids the food problem because you don't swallow it. It dissolves on your tongue and is absorbed through your mouth directly into your blood stream.

Since you had your RP at Sloan Kettering you may have heard of Dr Mulhall who is their sexual medicine guy there. He has a couple of videos on YouTube from a lecture he did several years ago. Here they are:

youtu.be/OQlGVT7HiF8 part 1 18:33
youtu.be/o7GmTZITJ5s part 2 15:20
youtu.be/ie8NkOu2VNA part 3 31:20

He talks about food effect about 11 minutes into the third part. You might find part three worth watching.

Reachout,

There is another form of phosphodiesterase that plays a factor in color vision. I think it is called PDE3 (instead of PDE5). All of the PDE5 inhibitor drugs can cause temporary vision effects at large doses since they will also affect PDE3 to a lesser degree. Viagra is the worse offender. You might try Cialis. It doesn't do it as much.