Follopw-up to How Much the Pills Help in the General Forum
Posted: Mon Nov 12, 2012 2:19 pm
Although the original query was from member "midlifeED" in the General Discussion Forum, I have posted these experiences in the Injection Forum because it seems more apprpriate.
My experience mirrors that of dtwarren1942 in the General Discussion Forum. I assume that my ED is mainly diabetes (type 2) related (there are also many men of 50+ years with ED who do not have diabetes or other obvious reasons e.g. low testosterone).
I started with mild ED about 15 years ago and 25mg of Viagra completely solved the problem - erections as good as when I was a 20 year old. Gradually, over time, I found that I needed 50mg and at about the 12 year point I found that a constriction ring was needed to get a firm erection which would last at least 30 mins (I used an ordinary O ring available from many hardware stores - very cheap and available in a wide variety of sizes). Over the years my doctor suggested I try Cialis both single dose and daily but neither worked. I also used Levitra on my doctor's advice (supposed to be better for diabetics) for about 2 years. Levitra was quicker acting than Viagra but, after a time, I started to get indigestion about 4 or 5 hours after using Levitra which often lasted about 24 hours. Probably an interaction with my oral diabetic pills. So I returned to using Viagra.
At the beginning of this year, I was finding that even with 100mg of Viagra and a ring I was sometimes not really hard enough for easy penetration and tended to lose most of my erection after about 5 or 10 minutes of intercourse. My doctor referred me to the Erectile Dysfunction Clinic at my local hospital where a VED (vacuum erection device) was suggested, but I had already tried this and, whilst it worked for about 15 minutes it not very spontaneous (you have to stop foreplay to use it) and did not give a natural feeling erection. We also discussed MUSE but but I have read that it is not that effective with many men and so I started on Caverject (Alprostadil) which is the only penile injection therapy available in the UK - We do not have Trimix. After the usual trials, I found that I needed about 20 to 25mcg of Caverject to produce a really firm erection which would last between 40 mins to 60 mins depending on the dose. I have now been using Caverject for 6 months, have no problem with pain either at the time of injection or afterwards and it works really well.
I have found that 50mg of Viagra plus 10mcg of Caverject works just as well as 25mcg of Caverject alone. I have had no problems with erections lasting too long (priaprism). Fortunately, ED associated with diabetes means that the (expensive) Caverject is free under our National Health Service and I am allowed 8 x 20mcg dual chamber syringes each month. I hpoe this information will be of help. Don't be put off by the thought of injections!
My experience mirrors that of dtwarren1942 in the General Discussion Forum. I assume that my ED is mainly diabetes (type 2) related (there are also many men of 50+ years with ED who do not have diabetes or other obvious reasons e.g. low testosterone).
I started with mild ED about 15 years ago and 25mg of Viagra completely solved the problem - erections as good as when I was a 20 year old. Gradually, over time, I found that I needed 50mg and at about the 12 year point I found that a constriction ring was needed to get a firm erection which would last at least 30 mins (I used an ordinary O ring available from many hardware stores - very cheap and available in a wide variety of sizes). Over the years my doctor suggested I try Cialis both single dose and daily but neither worked. I also used Levitra on my doctor's advice (supposed to be better for diabetics) for about 2 years. Levitra was quicker acting than Viagra but, after a time, I started to get indigestion about 4 or 5 hours after using Levitra which often lasted about 24 hours. Probably an interaction with my oral diabetic pills. So I returned to using Viagra.
At the beginning of this year, I was finding that even with 100mg of Viagra and a ring I was sometimes not really hard enough for easy penetration and tended to lose most of my erection after about 5 or 10 minutes of intercourse. My doctor referred me to the Erectile Dysfunction Clinic at my local hospital where a VED (vacuum erection device) was suggested, but I had already tried this and, whilst it worked for about 15 minutes it not very spontaneous (you have to stop foreplay to use it) and did not give a natural feeling erection. We also discussed MUSE but but I have read that it is not that effective with many men and so I started on Caverject (Alprostadil) which is the only penile injection therapy available in the UK - We do not have Trimix. After the usual trials, I found that I needed about 20 to 25mcg of Caverject to produce a really firm erection which would last between 40 mins to 60 mins depending on the dose. I have now been using Caverject for 6 months, have no problem with pain either at the time of injection or afterwards and it works really well.
I have found that 50mg of Viagra plus 10mcg of Caverject works just as well as 25mcg of Caverject alone. I have had no problems with erections lasting too long (priaprism). Fortunately, ED associated with diabetes means that the (expensive) Caverject is free under our National Health Service and I am allowed 8 x 20mcg dual chamber syringes each month. I hpoe this information will be of help. Don't be put off by the thought of injections!