Cialis 20 mg not working

[Roman_Tycka]

Hi, I am 23 years old and I have ED issues since 19. My urologist diagosed me with ED (I didn’t undergo any examination, we just talked), prescribed me Cialis 10 mg and I am taking it 2-3 times a month for over a 2 years now. I buy 20 mg of Cialis (4 tablets), halve them to 8 tablets of Cialis 10 mg. When I first took it it didn’t work. Sometimes I take 10 mg, sometimes 20 mg, couple hours before sex but lately it stopped working. It didn't work properly from the beginning I think, because it got me a erection when I was stimulated but sometimes it disappeared after a while of having sex. In last couple of weeks it got worse. I tried to have sex with my girlfriend (we are together for about a year now) for few  times  last month, everytime I took Cialis 20 mg (few hours before), and everytime my erection disappeared a moment (1-2 minutes) after penetrating my girlfriend. While on Cialis, everything is fine when she gives me a ******* or a handjob but the moment we are going to have sex, even when I think about it, my heart rate increases and my erection disappears. I am a stresser, my heart rate rises wery easily in some situations. When we are turned on and I start to stimulate her with my fingers or tongue, my erection disappears even if I took Cialis. When I’m not on Cialis I can‘t maitain an erection regarding any sexual activities with my GF sometimes I can but it is not very strong. I can maintain strong lasting erection when I’m alone - watching porn, I could do that few times a day and I have never had problem with this. I started to watch porn at 13 I think and since than I have been watching it daily, sometimes more times a day. I reduced watching of porn to once a week few months ago because I thought it may contribute to my problems. When I first experieced this issue, I was 19 and I watched porn everytime couple hours before we were about to have sex with my (former) girlfried to increase my endurace. I have seen a cardiologist about my increased heart rate, she prescribed me beta blocker and told me I have increased heart rate due to smoking,  but I didn’t take it. I have no other medical issues (cvs, hormoes..) and I’m smoking 15 – 20 cigarettes per day for 7 years now. My father, his brother and my grandfather died due to stroke. So my question is: What should I do when Cialis 20 mg is not working properly? Is it cardiovascular or neurological issue? Thank you wery much!

[Roman_Tycka]

I know, starting with smoking was big mistake, it is poison. I tried to quit for few times but it didn't last long..It was horrible when I quitted smoking, I was nervous all the time, couldn't sleep and I was shaking..literally. At the moment I have som much stress in my life, regardless ED, that I can't imagine it without cigarette.

[solace21]

Hi,

"You think that if I stop smoking my heart rate will go back to normal? " .

I can not say for sure, but yes, smoking is one of THE factors that increases the heart rate, and in your case 15 to 20 cigarettes a day is indeed a huge number. There may be other congenital factors for your tachycardia, considering your family history, nevertheless, you can atleast avoid a mojor factor that is under your control. Further, cigarette smoking have multifold damaging effect on your health, so why don't you stay away  from it?.  

Solace

[Roman_Tycka]

Hi,
thank you for your response. I had complete check at my cardiologist - I had attached HOLTER for 24h and it showed up high heart rate..as I mentioned before cardiologist prescribed me beta blocker which should decrease my heart rate and told me that if I stop using beta blocker my heart rate will increase again. So whats the point, I didn't start using it at all.. You think that if I stop smoking my heart rate will go back to normal?

[solace21]

Hi,
    Considering your family history, the first thing you should be concerned about is to improve your general health and completely to stay away from smoking. Get a complete check up of your heart by a good cardiologist. I hope if these areas can be cleared, you may not need cialis at all.

Good luck,

Solace