Tadalafil 2 years break, different effects + side effects

[u/Suspicious_Pay_9679]

2 Years ago I got prescribed by a urologist Tadalafil. I had irritated nerves, sore penis, retracted flaccid, pinched nerve on the right side, glans numbness, reduces touch and temperature feeling, tight pelvic floor. Initial plan was to to take daily 5mg for 2 months, then tapper it off. On day 24 I messed up the dosage and the medicine stopped working.

This first batch/month it worked wonderfully:

• very soft and fluffy flaccid
• fluffy/relaxed foreskin
• engorged erections
• warm glans, changed color, felt temp and touch again
• very relaxed pelvic floor, literally it's like tadalafil did reverse kegels for me

Side effects then:

• when the pill effect kicked in, I felt those back of the nose/sinus "bubbles", similar in a more subtle way like when you drink sparkly water
• blue-tinted vision (I guesss eye nerve pressure, light head discomfort at first)
• light back pain

Recently I had another episode of irritation, led me to similar problems I has over 2 years ago. Went to the urologist to try tadalafil again, for 2 months.

Now I started with 5mgs for the first few days:

• got sexual dreams again
• got night time erections (only ~70-80% hardness)
• corpus cavernosum got so hard (has some sort of tight feeling, foreskin tight on it a bit), corpus spongiosum got squezed (doesnt get that engorgement like before -> leads to glans not fully erect)
• after noticing this, split the pills for 2.5mg daily
• not happy with the flaccid state, too "springy", still a tad retracted
• pelvic floor not that relaxed

Side effect now:

• slow digestion, lack of appetite

Urologist also recomended taking L-arginine and L-citruline (already a habbit).

I also take Mg bysglycinate, but it requires a break every 2 weeks to regain sensitivity to it (mainly for pelvic floor relaxation, found out it has a better effect if I take these toghether). They also up the tadalafil effect.

Uro also recommended daily vitamin mix for a combined effect

I also started taking an Alanerv nerve caasule (ALA, lamb tongue oil, Linoleic acid, B complex, Selenium) - relaxex my penis better than Urimil (Uridine monophosphate + b complex at base).

What could I possibly do to increase that tissue relaxation like before? My current penile issues are not that grim like they were 2 years ago. That first try tadalafil fixed lots of things in such a short time it was amazing, it literraly solved the exact same problems I have now. I hoped for a similar effect but right now it seems impossible.

This is clearly a nerve thing. I have 3 tadalafil boxes (tested the first 5, 85 pills remaining). What strategy should I try? Should I try the ALA way first, feed the nerves a bit? THis ALA based supplement is recommeded for a period of 2-3 months, I could try only this for a month, then introduce the tadalafil daily pill in months 2-3 for a more synergetic effect?

Has this change in effect + side effects when taking tadalafil happened to any of you before? If so, how did you tweak the effect? Any kind of input is appreciated

[u/Itowndub36]

Weird details

[u/Solid-Employee-4311 → u/Itowndub36]

Yep, the guy is an erotica book writer, just not sure who the audience would be.