Leuprolide and Impotence

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njac

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Today I was in a radiation oncology office and had a patient inquire about lupron induced impotence. He had a radical prostatectomy 11 years ago but apparently things still work fine. He was receiving his first Lupron injection today.

The question was would Sildenafil or any of the PDE-5 inhibitors help here. I can't find a specific answer - my inclination is to say no, because the erection isn't inhibited by a vascular process, but by a hormonal process.

Any opinions/experience? He'll be back next week and I told him I'd research it and stick a note in his chart.
 
Looked at efacts briefly...it said initially he may experience increased testosterone levels, but long-term testosterone levels will drop. Impotence was 4/98 from a table I assume is in the product insert.

No personal experience with this drug, but if there is no stimulation, i.e. no nitric oxide, then PDE-5's are not going to help him.
 
Today I was in a radiation oncology office and had a patient inquire about lupron induced impotence. He had a radical prostatectomy 11 years ago but apparently things still work fine. He was receiving his first Lupron injection today.

The question was would Sildenafil or any of the PDE-5 inhibitors help here. I can't find a specific answer - my inclination is to say no, because the erection isn't inhibited by a vascular process, but by a hormonal process.

Any opinions/experience? He'll be back next week and I told him I'd research it and stick a note in his chart.
give em Caverject or give em hell
 
so what if he's not interested in Caverject?

It's only 3 months but he kept emphasizing how active his life is and how he's taken all of these drastic measures to keep it that way etc.
 
so what if he's not interested in Caverject?

It's only 3 months but he kept emphasizing how active his life is and how he's taken all of these drastic measures to keep it that way etc.
give em Muse...got to keep it in the family!
 
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