ED medications

couple of things - Viagra now has a generic: Sildenafil My health plan switched to that. Works the same and cheaper. The other thought, have you tried just half a pill? I find a 20gm sildenafil is enough.

You're milage may vary.

Andrew

If you have a Sam's Club nearby - With the executive level Sam's Club membership, 100 tablets of Sildenafil 20 mg cost $30.00. If you need 100mg you can combine five of the 20mgs pills and the cost becomes 20, 100mg doses for only $30. Any way you shake it, that is a great deal.

JackH said...
I order from a company out of India, and it arrives via USPS. With 8 years of ordering experience, I'm pleased with the cost, quality, delivery and performance.

Maybe good for you but you contribute to poisoned watercourses and multiresistent bacteria in places far away from where you live. There is no free lunch...

The Indian pharmaceutical industry generates large export revenues. However, the price of cheap medicines in US and Europe is poisoned watercourses and large-scale production of multiresistent bacteria. An analysis of wastewater from the purification plant in Patancheru, near Hyderabad, India, where a large part of the world's active substances for pharmaceuticals are produced found that the content of certain substances was higher in the water than in the blood of patients treated with the preparations.

One nice detail to keep in mind: Pfizer's USA patent on Viagra will expire this December, and Teva will have its generic sildenafil ready for sale.

I get it from a Canadian online pharmacy recommended by my RO.
PM my for details if so desired.

For that matter, isn't Cialis (tadalafil) also used in the US for something else (I don't remember off the top of my head). If you can get your physician to prescribe it for whatever it is, your drug plan will pay for it.

This comes up regularly in here...and there is a tricky potential rule violation here, isn't there? Something about proposing illegal activity? Whether we like it or not, it is illegal to import medications into the US.

I know, it sucks. My current drug plan, once I've satisified my deductable, covers cialis at a fairly low cost. I take 0.5 mg daily, and no issues.

halbert said...
This comes up regularly in here...and there is a tricky potential rule violation here, isn't there?

halbert, and others...

This is one of two areas where we have special, "informal rules" at HW/PC which moderators have put into place and enforce which supplement the HW published "Forum Rules"...both of the "informal rules" are (loosely) in regards to "spam" and have been put in place with the best of intentions to "protect" members.

The first of two "informal rules" has to do with past experiences with so-called first-time posters writing over-the-top glowing "reviews" of doctors which, as it turned out, were being sent by those doctors to create some free advertisement in social media sites like HW/PC...these got labeled as "spam." Moderator PDA described this "informal rule" (aka "the Spamadi rule") this way:

"...the informal rule that new members are discouraged from making posts whose only purpose is to praise or criticize a doctor or medical organization during their first 10 posts. This is intended to prevent organizations from creating questionable "memberships" in an effort to adjust their online reputation, or that of a competitor."

The second "informal rule" (the one halbert refers to) of not providing the URLs of online drug providers was created a number of years ago because a HW/PC member reported that his credit card had been compromised after he made an online purchase of PDE5i's, and he was convinced that the two were connected. Members had previously been sharing amongst themselves the URLs & names of the sites they were buying PDE5i's from, but HW/PC started getting hit with spam ads being posted from various online sellers, as well as their personal experiences. The appearance of posters popping-in to advertise their website, as well as the instance of a compromised credit card, led to the ban. Moderator PDA, once again, described it best:

"We don't allow specific information to be posted here about offshore pharmacies that offer drugs at deep discounts. You can share such information among yourselves but we don't allow it here because if we did we would quickly be up to our keisters in spam."

The question at-hand in this thread is not a question of legality; that's been debunked repeatedly and in detail in other prior posts.

Post Edited (JackH) : 5/25/2017 2:10:29 PM (GMT-6)

RayPaul,

Dunno if you have seen these but there are a number of pretty good videos on YouTube that go over the theory and practice of Penile Rehabilitation. They might answer most of your questions.

Dr John P Mulhall Memorial Sloan Kettering Medical Center, NY
/www.youtube.com/watch?v=ie8NkOu2VNA

Dr Michael Gillman Prostate Cancer Foundation of Australia
/www.youtube.com/watch?v=pWyMzYp1UXg

In particular you asked about a pump. In Mulhall's video he said he didn't know whether or not a pump is useful because the research wasn't in yet. Dr Gillman was a bit more downbeat about the usefulness of a pump, perhaps because his video was made a few years later and some less-than-stellar results had come out.

My feeling about pumps is that they are useful but only as an adjunct to other, more-effective treatments. I had a pump and used it for several years -- on the days when I didn't inject. As Dr Gillman's video points out the pumps draw mostly venous blood into the penis which doesn't do as good a job of oxygenating the tissues as do pills or injections. But, if you are already doing one of those regularly, then adding a pump on your off days won't hurt*.

*OK, the pump does occasionally hurt, as in "Ouch, dang it! It's trying to suck in my left testicle again!" But it doesn't hurt in the sense of setting back your rehabilitation objectives.

Viagra and the other PDE5 inhibitors only address blood flow.

Getting an erection (and orgasms) starts in your brain. It is a very complex process that depends on chemicals. If you are deficient in these chemicals, erections won't happen or are weaker than they could be. I think you may recall times in your life when you had a hard erections but lost it because of the thoughts in your mind changing. I certainly have.

The best doctor I have found who explains the erection process is Dr. Irwin Goldstein, a Urologist in San Diego.

Google him and you will find lots of useful information.

Using Dr. Goldstein's findings, I have found success in obtaining and maintaining erections capable of penetration for at least a half an hour. This is in spite of the fact that I have had a prostatectomy and SRT with a 15 month triple hormone blockade.

Here is what I use:

The penis pump without the constriction bands. Instead I use a "cock ring" I bought on Amazon that has an adjustment ball that goes around the penis and testicles. This hopefully will take direct pressure off the penis and won't aggravate my Peyrones Disease. My penis doesn't turn blue or get cold like it does when I used the constriction bands. I also am not limited to using it for less than 20 minutes like I did with the constriction bands.

100 mg of Viagra

.5mg of Cabergoline (Dopamine Agonist) three times weekly

100 mg of Levodopa in the form of Mucuna Pruriens. This boosts Dopamine levels in the brain which supports desire

5 mg of Yohimbine HCL

2 grams of L-Argineine (a precursor to nitric oxide - an important component of blood flow to the penis)

60 mg of Pycogenol (increases the bio-availability of the L-Arginine

Except for Viagra and Cabergoline, these are supplements that are all available over-the-counter. Never give up on your sex life. You do NOT need erections to orgasm. Oral sex worked for my wife and I until I recovered from ED both times.

Best of luck to you!