Hi, I Have Penile Arterial Insufficiency And Venous Leakage And

Posted on Mon, 21 Jan 2019

Question: Hi, I have penile arterial insufficiency and venous leakage and hence I have erection problem since 4 years and I now take Statin and LDL cholesterol lowering dose, so what is my solution?

Answered by Dr. Dr. Ashok Kumar Choudhary (45 minutes later)

Brief Answer:
5 PDE inhibitors are the solution

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

Although it depends on the magnitude of problem (arterial insufficiency and venous leakage) 5 PDE inhibitors are the mainstay of treatment. In this category three medications are available among which tadalafil is better option.

Since you have other medications part of treatment (thyroxine and statins) I feel 5 mg of tadalafil can be started. In case it does not yield desired results the dose can be increased to 10 mg per day.

I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)

Dear doctor,
Plz tell me Tadalafil dosage time ? How long time should I take this drug? My LDL cholesterol level is high as 157 mg/dl , so this can be reason of arterial insufficiency?plz take note that I take Empty at morning Levothyroxine and at night Statin.

Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)

Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)

Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for follow up.

At the dose of 5 mg./day, it should be taken at the same time of day. It is not necessary to be taken at bedtime or before sex as it covers complete day.

Most of my patients prefer to take tadalafil during evening hours although there are no such recommendations. You can fix your time as per your conveyance and take it on the same time every day.

Regarding duration of intake I feel your prescribing doctor will be best judge as he has the precise details about your condition (lab reports and physical examination). I must clarify here that most individuals with venous leakage need it for longer time.

There are multiple causes for arterial insufficiency and hypercholestromia is one among them but is not a cause for venous leakage.

I hope this answers you further.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Ashok Kumar Choudhary (7 hours later)

Thank u Dr. XXXXXXX XXXXXXX ..I ll start Tadalafil today ..
Can u tell me how long time approx. usually may require to get a result of Tadalafil for mild venous leakage patient like me ?

Answered by Dr. Dr. Ashok Kumar Choudhary (11 hours later)

Brief Answer:
within two weeks

Detailed Answer:
Hello,
Thanks for reverting back to me.

Tadalafil may show effect as early as one day (after a single dose) to two weeks as the half life (36 hours) is very long for this.

Most medications need almost five half lives to attain steady concentration of medications and same holds true for tadalafil. Considering 36 hours the level may reach at steady level after 240 hours or approximately 10 days.

I hope this answers you further.
If you have any further query, I would be glad to help you.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.

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Above answer was peer-reviewed by : Dr. Nagamani Ng