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Urology/Cialis, priapism..

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Question
Hi,
My doctor prescribed to me Cialis 5mg in the mornings for 1-2months for prostatitis and erectile difficulties caused by post-ssri sexual dysfunction. I have a little fear that I might get priapism from using Cialis, so I have heard that if you get priapism you should take pseudoephedrin for first aid, is this correct? Is 1 Duact (60mg pseudoephedrin) enough or should I take more if something happens? Is there something else I should do for first aid in that situation? And finally can I get priapism while I'm sleeping, do I wake up if I get priapism during sleep??

Thanks a lot!

Answer
It is true that priapism can occur with cialis, but it is extremely rare.  I have never seen a case of priapism from cialis so it's not that common or likely.  Pseudoephedrin is a good first step in treatment.  If 1 or 2 tablets work, you may save yourself the trip to the ER.  If not, then go to the neearest good ER for treatment.  Priapism rarely occurs during sleep.  If it did, the pain would certainly wake you up.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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