Flowmax vs Daily Cialis?

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I've been on Flomax & fenasteride for a while. They've taken a toll on my sex life. Flowmax has worked well for keeping the urine flowing. I've been thinking about switching to Cialis. I'm curious if anyone has swithed from Flowmax to Cialis and if the Cialis is as effective. Thanks

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  • Posted

    Hi Unclefester,

    If you do a search you will find an older thread on this specific topic with some good answers. But briefly, I have used both and prefer 5mg of Daily Cialis. I think it works slightly better plus the sexual side effects might be viewed as positive versus negative. Individuals vary so you really have to try for yourself and see how it works.

    Jim

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  • Posted

    Hi, uncle fester;

    I tried a combo of Cialis and Flomax for about 5 months.  If I recall correctly the dosage of Cialis was 5.0 mg/day which was not enough to overcome my ED, so I'd up that dosage a bit before sex.  I saw absolutely no improvement in the quality of the sex in the BPH symptoms after taking the Cialis.  Still wasn't ejaculating and orgasms were dull.

    Talked with my doc.  I dropped the Flomax and switched to Alfuzosin.  And instead of Cialis, I now use Levitra, though not daily.  Within a day or two I was ejaculating normally and orgasms returned to their old intensity.  The Levitra handles the ED side of things very well and my BPH symptoms are very manageable.

    From my experience, Tamsulosin puts a major damper on sex.

    K

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    • Posted

      Whn you do 5mg/day of Daily Cialis, your constant serum level is only around 8mg/day much less than the 20mg some take specifically for ED. Therein may lie the problem although I seem to remember the study group showed little difference beyond the 5mg/day. What dose of Levitra are you taking? Have you tried Viagra? What dose?

      Jim

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    • Posted

      I take 10 mg of Levitra.  I've used Viagra in the past.  Although it works, I don't care for the side effects.  I notice no side effects with Levitra, and it works faster for me than V does.

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    • Posted

      Do you remember how much Viagra you took for the same effect as 10mg Levitra? Did you ever mix the Levitra with your Daily Cialis?

      Jim

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    • Posted

      Wow!  ?Such a diversity of opinion.  what works for one doesn't always work for another.  I couldn't handle the rapid heart beat with Flomax so I stopped taking it.  Tried another drug that gave me diarhea, brain fog,  and more so I stopped it too.    some men tolerate other durgs better than others.  See what people are saying and figure what works for you.  

      I am on Cialis 5mg and it DOES help with urine flow.  But it is expensive unless you purchase from Canada.  Not enough for me though to ultimately correct the problem which is prostate being squeezed into bladder neck.  Doc says, PVP Greenlight is best scenario for my situation.  Retrograde ejaculation is an enivitability and I've had to come to grips with that.  But, currently i am planning to go through with this surgery because effects of BPH are outweighed by potential benefits. Wish you all well regardless of your situation and needs.  It's hard to aquiesse to some outcomes like RE.  But Peeing normally or close to it is preferable to having an ejaculate.

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    • Posted

      Have you looked into PAE or Rezum to see if they might work. The green light can be a major crap show and you can always opt for it if the other less invasive stuff doesn't work. Both have MUCH lower rate of RE

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    • Posted

      gmoney, Does the daily cialis help with erections? Generic Flowmax has worked well for me but its taken a toll on the sex life.
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    • Posted

      I was under to impression that you shouldn't take viagra, cialis, levitra when on flowmax

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    • Posted

      The daily Cialis will help with erections.  Even at 5mg, it builds up in your system.  And yes, you could double it for a day.  But, having said that, I usually do a Viagra chaser to insure what goes up stays up.  I get 100mg Viagra tablets and cut into quarters.  The 25mg or so, helps me stay hard and lasts about 3-4 hours.  If timing is off and I am getting to that 3rd or 4th hour, I'll do another quarter.  

      On another note, I'm not sure if it's the Cialis or the testosterone shots, but I wake up at night, sometimes 2 or 3 times with some strong wood!  Haven't felt that in years and certainly enjoy how it feels.  Any wood feels good. overall though, I think it is the shots.  I used androgel for years and at $1000 a year with no effect, I stopped using it.  Then, I changed doctors and started the shots.  Got the first one from a buddy and then asked the urologist.  uro said he recommended it after blood work should very low T levels, 90, and wrote the prescription.

      This whole process and situation, growing prostate, maintaining a sex life, getting and staying hard, etc., is daunting.  Brings so many things into play.  But, the good news for us is that we have options.  Our fathers had to live with a limp dick, and/or peeing problems all night.  Guess that while having options is good, deciding the right course for your situtation is the issue and discussions like this forum help.  

      Can't say i'm not nervous about my PVP surgery on 12/6.  I'll try to keep you updated on how it goes.  

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    • Posted

      Didn't mean to imply that I remain erect for 3-4 hours with Viagra.  I mean that I am ready for action when stimulation is started and stay hard during sex.  After orgasm though, it can be repeated; but that usually takes a half hour break and I really need to be excited to have a second go.

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    • Posted

      Ha Ha I was just getting ready to bust your balls about the 3 - 4 hr sex sessions LOL 

      Looking forward to hearing your experience with PVP. I'm tanatively going in January for HOLEP. Although lately I've been having second thoughts due to improving BPH symptoms. 

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    • Posted

      The docs say not to do it per label but there's no logic there as I see it. If you take daily 5mg Cialis, your serum level after a week is only around 8mg which is less than  10mg dose and far less than a 20mg dose so I don't personally see why you couldn't take another 5 or even 10mg for a weekend of sex. Or, you could keep the 5mg and add some Viagra or Levitra I guess. But first you should see how things work with the 5mg. Some report very good results for sex, but compared to the Flomax you're taking, it's a no brainer as long as it agrees with you.

      Jim

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    • Posted

      I assume you're quite familiar with retro ejaculation from taking Flomax? For some people it isn't that big a deal, for others it is. But in any event, I tend to agree with OldBuzzard in that  you should look at some of the less invasive procedures first. You also might consider self cathing as an alternative to any operation or procedure. It's the route I took and have no regrets. In fact it rehabilitated my bladder to the extent that I don't have to cath daily anymore and hardly have any BPH symptons.

      Jim

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    • Posted

      I hate admit it, Its been a while since sex. I had 2 bad bleed events after sex. Still chasing what caused the bleeding but foregoing sex is better than trying to pss 1/2" long pencil diamter clots. RE is better than no sex.  Thats what is pushing me towards HOLEP. Uros & radiologists aren't very forthcoming with information. I'm on uro #3 now. I went to him specifically to have HOLEP. done. He knows my IPSS score is 8. Bleeding is the driving factor for HOLEP. I have  cystscopy coming up in December. I asked about the cialis because I'm gearing up to torture test my prostate. Not trying to trigger bleeding but seeing if sex triggers it now since being on fenateride & flomax since March 2016. If I avoid bleeding I will probably postpone HOLEP. I have a large median lobe so some treatments aren't available to me.

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    • Posted

      IPSS score of 8 is pretty darn good but I guess you know that. Bleeding is another issue and I sympathize. Not to ask the obvious but have you been assured that the Holep will fix the bleeding? Wouldn't be the first time that the operation was a "success" but it didn't fix what you wanted! Good luck with your sex testing! 

      Jim

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    • Posted

      No I have not asured HOLEP will fix it, thats the fly in the ointment, I'm hoping to have another scan of some sort. I've had ct scans in the last year. 2 of bladder prostate kidney area one of chest. My last uro mentioned that maybe I should avoid more radiation type scans. I'm going to discuss this with my new uro next visit. Thanks for the good wishes for the torture test. . Its been a while not sure I remember how to do it lol redface wink

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    • Posted

      So Alfusozin doesn't cause retro ejaculation like Flomax does ?

      I have read it lowers blood pressure too so that could be an issue for me

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    • Posted

      I've been taking 5mg Cialis for several weeks now and definitely find it helps with urinary symptoms

      If I'm feeling lucky 😁 I'll take a 20 mg instead of the 5mg and find it does the trick

      I didn't like the retro with Flomax and am considering adding alfusozin to the Cialis 5mg

      One study I read said combining the two gave excellent results

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    • Posted

      Mal;

      I'd like to clarify something.  I haven't experienced retrograde ejaculation since switching to Alfuzosin, however it can bring it on in others.  I suspect that this drug simply causes a lower rate of it among users than Tamsulosin does.

      Yes, it does lower blood pressure some but not significantly for me.

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    • Posted

      I took a similar drug for a while, Prazosin, and it did lower blood pressure too much even though it was great for BPH I stopped.
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