Tadalafil (Cialis): Any advice to manage muscle aches?

Posted by fritzo @fritzo, Mar 29 10:28pm

Hi everyone,
Ahead of surgery in three weeks, I started a low dose regimen of daily 5mg of Tadalifil . I've started getting one of the known side effects where I suffer muscle pain (mainly my thighs/quad muscles in the legs and my shoulder muscles). I would describe it as a deep muscle ache. It's annoying enough that I haven't gotten great sleep the past couple of nights. I did wake up last night and took some Tylenol and that helped.

Question: Any strategies for dealing with tadalis induced muscle ache? Does it go away? Should I switch from taking it at night to the morning?

Thanks for any advice!

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You offer interesting info here that I had not been previously advised by my urologist, or in what should have been a more detailed read of the drug information paperwork for Tadalafil. I was given the post-op low dose, and after a couple weeks without effect, my doctor increased it to the 22mg dose. I still have not enjoyed the desired outcomes of the drug, although I have heard that it helps in "healing" as well as sexual function. But...your description of muscular pain is interesting. I have wondered why I get up every morning feeling like I had the workout of a lifetime...everything aches/hurts. That did not happen prior to my surgery...I was actually going to the gym 4-5 days/week, and the workouts should-have/could-have caused me pain, but I was in pretty good shape for a 70 year old man (no pain/aches). Since my surgery 17 months ago - and starting Tadalafil - I feel like I was used a punching bag most mornings. I just attributed it to a new phase of "getting older." Since the Tadalafil does not work for me, maybe I will stop taking it for a few weeks to see if these muscle aches subside. Thanks for the interesting post.

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Profile picture for rlpostrp @rlpostrp

You offer interesting info here that I had not been previously advised by my urologist, or in what should have been a more detailed read of the drug information paperwork for Tadalafil. I was given the post-op low dose, and after a couple weeks without effect, my doctor increased it to the 22mg dose. I still have not enjoyed the desired outcomes of the drug, although I have heard that it helps in "healing" as well as sexual function. But...your description of muscular pain is interesting. I have wondered why I get up every morning feeling like I had the workout of a lifetime...everything aches/hurts. That did not happen prior to my surgery...I was actually going to the gym 4-5 days/week, and the workouts should-have/could-have caused me pain, but I was in pretty good shape for a 70 year old man (no pain/aches). Since my surgery 17 months ago - and starting Tadalafil - I feel like I was used a punching bag most mornings. I just attributed it to a new phase of "getting older." Since the Tadalafil does not work for me, maybe I will stop taking it for a few weeks to see if these muscle aches subside. Thanks for the interesting post.

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@rlpostrp

Couple of quick points:

• Physical recovery post surgery takes a lot of time. So, your aches and pains (and fatigue) may be post surgical recovery.

• Talk to your doctor about the Tadalifil. They can also prescribe Viagra or the other related PDE5 inhibitor drug (not at the tip of my tongue). They have a completely different side effect profile. You do need the assist from the increased blood flow to the region because you will not get erections for a very long time. So, encouraging blood flow will prevent atrophy and fibrosis. If those set it, it's likely that natural erections will not return properly. There are surgical options but if natural works, best to go that route.

• I just took two days off of Tadalafil and then started taking it in the morning. That solved my problem. So, that might be worth a try.

Finally, get yourself a sexual function doctor. I got a referral and its very helpful. Surgeons don't typically have all the knowledge you need for this type of followup care. So, a sexual function urologist is a smart move.

Good luck!

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