ED Unpredictability - is this just the way things go on the healing timeline?

I take 10mg of Cialis daily. I can take more Cialis or add a small amount of Trimix (yeah, I know some docs are OK with this, some not) if my wife and I are planning things ahead of time, especially for an evening.

But, we have most of our free time together in the mornings. I usually take the Cialis in the morning, although I have considered switching to bedtime. So, if my wife gets out of the shower and comes back to bed, it's usually been 24 hours since the last 10mg of Cialis. Sometimes, everything works great. And, sometimes, I get an erection and then it fades away. I never know which is going to happen.

Have others found this to be true? Do you need some sort of magical alignment of the stars for things to work out all the time? Will it just get better with time?

I'm approaching 14 months post-op, so I assume I'm still on the healing curve. In the past 2 weeks, we are 2 for 4 in the mornings. In 1 of the 4, the erection was like before surgery. In another, it was not quite that good, but good enough to get there. In the other 2, it just faded away. The lack of predictability is what has me most curious. I can't think of anything specifically different about the day/night before when things worked or didn't. My wife has been great about it all, but I'd like to see these encounters be more fun for her, on a regular basis.

Is this something others have seen? A normal part of the healing process?

Do others take Cialis (or any other long lasting PDE5i drug) at night rather than in the morning? In some ways, this might make sense, so it would be "onboard" in the morning, and if I needed a boost in the evenings, it would be 24 hours since the last pill, and Trimix would be a good substitute.

Thanks.


Damon

The 10mg of Cialis daily is generally taken at night to help in the rehab department.

BUT, if and when you married and are getting rehab done in other ways - the meds aren't needed... Try stopping the nightly meds for a couple of weeks. (give junior a break)

And if needed - use the trimix while the Mrs. is in the shower.

dmlvt, Tadalifil (brand name Cialis) works differently than the other PDE-5 inhibitors.   Tadalifil has a 17.5 hour half-life, so the notion of taking one an hour before trying for an erection is unnecessary.   (Sildenafil and Vardenafil both have a half-life of 4-5 hours.)   This pharmacologic distinction is partly responsible for the 20mg Cialis “weekend pill.”     I would just comment that I have never heard of 10mg Cialis for daily treatment.   I have heard of 5mg, and the new 2.5mg, for daily use…the 2.5mg/day dosage is referred to as the “starting dose” for the treatment of ED.   Similarly, 10mg is the “starting dose” for “as needed” usage.   I suggest you see THIS Cialis website which addresses daily use...what you will find is exactly what I just said, above, about dosing.

One last comment...consider 10mg Cialis every other day to closely simulate 5mg of daily dosing.

I do recall reading somewhere that too much tadalifil in the system can have an opposite effect, and if you are taking 10mg/day with the long half-life you are accumulating more than daily dose recommended by the manufacturer.