How to use Tadalafil?

My husband had cystoprostatectomy in August 2022. He took 5 mg daily tadalafil immediately after the intervention and had to stop this year in May , due to terrible acid reflux. At that time he took instead 100 mg sildenafil twice a week with excellent results and no side effect.

But the days without sildenafil the penis did not look so healthy and there was less spontaneity in relations, therefore he tried again tadalafil, but only 2.5 mg every day. And 3 weeks later again 5 mg. To date the side effects are not so bad as before and the expected results are encouraging (rigidity not totally full but penetration is possible and enjoyable for both of us). We feel that tadalafil is the best help for long-term because there is permanent body impregnation. He never tried pump or injections.

Don't give up and try anything that is acceptable for you.

Catherine

All the PDE5 inhibitors can cause acid reflux, because your esophagus and lower esophageal sphincter also use PDE5 to contract, so the inhibitor can affect their ability to work properly. Usually this only happens in those who already have some level of acid reflux.

Snapping the tablets to take a half dose might not work in this case, because you break the film coating which is there to prevent the PDE5 inhibitor from coming in to contact with the esophagus. Both the 5mg daily low dose and the 20mg event dose are available in half doses (2.5mg and 10mg) for the case where they cause side effects, and often the half dose is still enough for the intended effect, but not the side effects.

You don't want to have frequent acid reflux, as it's a potential cause of esophageal cancer.

I think you should stop taking it if you get Tinnitus, as it can cause permanent deafness too.

This is illogical (but yes, I know it happens).

I don't know the mechanism for hearing damage, so I don't know how safe it is to take a lower dose to try avoiding this, but I certainly wouldn't continue taking it at a dose which gives hearing problems.