PENTOX - Questions

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ThisWontWork

Are there any evidence that pentox really reduces Peyronie's plaque / scar?
Pentox, CoQ-10, L-Arginine, VED, some Chinese herbs

james1947

Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

swolf

Quote from: MattFoley on January 13, 2013, 01:33:49 AM
If he wants to know why you've been using Pentox, you may wish to tell him that it's been recommended as a first line of attack by top Peyronie's doctors like Dr. Lue. Perhaps even bringing a print out of a study conducted by Dr. Lue and others to the appointment.

Yes, I'm printing all the relevant studies for Pentox and various other things mentioned on the boards. I'm sure they will be ok with the Pentox use as a therapy, but how I've been getting it will come up (I don't see any way in which it wouldn't), so... I don't know.

pizzaman

I just wanted to share this article. It's written by Patrick Arnold, who's basically a steroid and performance enhancing drug researcher. So it's an article about pentox directed more toward bodybuilders and athletes, but I found it interesting.

http://www.musculardevelopment.com/articles/chemical-enhancement/2950-trental-by-patrick-arnold.pdf

MattFoley

pizzaman, that is an awesome article!! Thanks for posting it.

I do in fact lift weights and although I can't tell you for sure what role Pentox is playing in my routine since I take a lot of NO supplements, I can tell you that when I'm standing in front of a mirror working my biceps or delts or whatever, I can see my veins blowing out of my body!! No one at the gym has the kind of vascularity that I have. Frankly, it looks awesome!! :)

I don't remember ever looking like that years ago when I was working out like that.

I have an on-again-off-again girlfriend who, for Peyronie's reasons, I'm putting off having sex with and last week when I was trying to impress her with my muscle development by flexing my bicep for her, she said, "Oh, wow, look at the vein bulging out of your arm like that!! You look like a bodybuilder." That was a beautiful moment. :)

For myself, even after hopefully the effects of Peyronie's are long gone, I have no intention of stopping the Pentox. I plan to take it the rest of my life.
Got Testosterone?

John B

Is there any proof Pentox can reduce the curve development in the acute pain phase?

Also, I will be starting Pentox 400mg twice a day, on Monday. Should that be enough to start on, or should it be three times a day?

swolf

John, I would start with two for a little while (a few weeks?) and if you are responding to it well try bumping it up to three pills.

james1947

In the Iranian research the patience were given 2*400mg daily with good results but on our forum most taking 3*400mg daily.
As Swolf wrote, start with two is fine, increase later to three.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

John B

Is Pentox ER the same as Pentox? Not sure if the *ER* makes it different.

james1947

I don't know what ER means. Have two kind of Pentox, slow release and fast release.
If ER mean slow release is good, if it means fast release is bad (for me) it make me side effects.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

John B

Ah, yeah. It's probably extended release. I'm going to start taking 3 - 400mg of the Trental ER, within a few days.

funnyfarm

I mentioned this a while ago:

I have used two types SR-sustained release (ie regular trental) and ER-extended release.

The extended release are thicker in size and in my case can be taken with no food, no problem.  The regular/sustained release seem to have a much shorter half life and at least for me have more side effects.  I would strongly recommend the extended release when you have the option.  I am now up to 2000mg/day.  I could not have gone this high in dosage without using the ER tablets.

The only downside of the ER version, is if you take the last pill at dinner time, it will still be effective when you go to bed.  So there is greater potential for insomnia vs SR.   On the plus side though, you know the drug is still working while you are asleep.

Also they all have the same active ingredient but the binders and encapsulation vary from manufacturer to manufacturer. I have tried three different brands and they all seemed a little different.  My preference is the avantis pentox from river pharmacy.

I am glad you have the ER pills John, and don't worry to much you will do fine.  
When you are in tune with the unknown, the known is peaceful.

LMP

Mine say 'modified release' - I'm assuming these are the same as extended??

Blacksammi

I have been taking Pentox for seven months, starting with 3x400/day for three months  but reduced to 2x400/day for next two months due to side effects. Then on doctors recommendation went to 4x400/day.  Bend has reduced from 65d to 40d after five months then to 30d after seven months. To me a huge improvement, most of it while on higher dosage, so I think time/dosage both count. May the progress continue! It is much easier to put up with side effects if there is progress in bend reduction.

I find in Australia that Trental is expensive (about five times the price of rivers brand) so I get a local script filled once while waiting for delivery from Rivers and then use Rivers. No questions have been asked other than how much I have been taking. Rivers ED easier to take for me.

Blacksammi

funnyfarm

Quote from: LMP on February 01, 2013, 08:10:16 AM
Mine say 'modified release' - I'm assuming these are the same as extended??

Sorry I don't know the answer to this.   If you are having problems you could always order a few from river and see how they compare.

Great news Sammi, wishing you continued success !
When you are in tune with the unknown, the known is peaceful.

KAC

Hey guys.  I would love some advice.

I've been on Pentox for over a year and a half.  Almost two.  While I seem to tolerate it well, I do struggle with anxiety (heart pounding in the middle of the night and occasional panicky episodes related to stress at work).  I don't know if they are related to Pentox.

My peyronie's has been stable for about a year as well--no new inflammation, no additional growth in plaques, curvature is stable (about 45 degrees).  Sex and erections are fine--though I'm careful.  I seem to have one long plaque stretching the full length of my penis.  My uro seemed to think there is little chance of recurrence.  

So now that I'm stable, I'm wondering about how long I should keep taking Pentox and using the VED.   I was so relieved to find these therapies through this forum, but I haven't seen many posts about exit strategies.  

I'd love any guidance from people who have been on these therapies for a couple years.  Are you planning to use these therapies for life?  Since I asked my uro for Pentox, which he doesn't usually prescribe, he's not offering advice.  I think he prescribed it to humor me.  He says the VED is only valuable if you are very consistent.

The VED has done nothing for my length.  I haven't kept measurements on girth, but I suspect it's helped a little.  It does seem to be stretching my foreskin a bit--(either that or I've lost length without really noticing) so I have a pucker of skin near the glans.  (I try to be very careful, but I do get some skin swelling after the VED  in this area; another post about VED's related to Dr. Liu made it sound like this is not a big deal.)  I am concerned that consistent use has decreased sensitivity.  Maybe I'm just getting older, but it does get harder to orgasm.

I also asked my uro whether my plaque will calcify over time.  He seemed to think it unlikely.  But with plaque stretching the entire length from pretty deep towards the root right to the tip, it's unpleasant to think about any of this getting calcified.  Of course I've also wanted to qualify for xiaflex should that become an option.  But I also wonder how that would help if the plaque is several inches long.

I used to take a whole cocktail of supplements including Ubiquinol (I'm 48).  Now I just take A-L-C in the morning and L-Arginine at night, and krill oil. I figured Ubiquinol was helping with the pain which is now gone.  Expense is an issue.

Anyway.  I posted this question earlier but didn't get much of a response.  I'd love to know what decisions others are making and you plan to stick with a therapy for life.

Thanks,
KAC

Old Man

KAC:

In answer to your quesion about using the VED therapy for life, I can honestly say that this is your decision. Based on what recovery you have seen with the VED usage, I would say that you be the judge about stopping. The VED's main purpose is to keep good blood flow into and out of your corpora which in turns helps keep your penis healthier.

I have used the VED now for over 19 years since a radical prostatectomy which left me impotent. The VED was prescribed for my ED as well as Peyronies Disease and over those many years, I now can get a natural erection with manual stimulation and then using a restrictor band/cockring to hold the erection up long enough for sex. Yes, I said sex and I am over 83 years old!! Just need a good willing partner.

Now about continued usage of VED therapy = I was told by my uro when he prescribed the VED that I should use it long enough to get any desired results. After getting my symptoms under control, I now use the VED several times a week to keep what I have gained for both symptoms.

Again, I want to reiterate that less vacuum pressure with VED therapy is much better than overpuming the pressure. It is a case where less is much better than more. Careful use of VED therapy can only help with at least getting better blood flow into the corpora.

Old Man
Age 92. Peyronies Disease at age 24, Peyronies Disease after
stage four radical prostatectomy in 1995, Heart surgery 2004 with three bypasses/three stents.
Three more stents in 2016. Hiatal hernia surgery 2017 with 1/3 stomach reduction. Many other surgeries too.

Hawk

I will let others address the Pentox for life question.  If you come off of it I would back off slowly and pay close attention.  If you have not taken BPSFL, girth, and angle measurements then shame on you.  It is the only way you have a clue when something is beginning to work or when Peyronies is winning.

As far as your uro thinking there is little chance of another flare up, ask him what he bases that on.  The same goes for the calcification question.  

Ponder this simple survey Can we ever be sure Peyronies Disease ever truly stabilizes - (Completed) - Peyronies Society Forums
Only 5 out of 27 men responding went 5 years with no flare up in their Peyronies Disease.  It is not scientific because maybe those that would be able to say "yes" are less likely to be here on the forum.  Needless to say, many men however have multiple flare-ups during their life time.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Skjaldborg

Hi KAC,

I was on Pentox for a total of 8 months. The major reductions in pain and inflammation happened in the first few weeks of taking the drug and the physical improvements became noticeable about 6 months in to the drug and have continued since stopping. I am 33 and generally healthy so that may have helped. Everyone is different.

I asked Dr. Lue if I could stop taking pentox at the 8 month mark (he had seen me about 5 months in to the drug) and he said yes, since when he examined me there was little-to-no inflammation. His opinion was that pentox is most useful during acute inflammation and won't do as much if things are stable. I too had a few side effects from the drug (nervousness, gas, sleep disturbances) and weighing the cost-benefit, decided to stop. I will go on pentox again if I notice pain again, but for right now I don't feel the drug is necessary.

I have never used VED so I won't comment on that.

Just use your best judgement and try to stay healthy all around. If it does flare up again you have options.

Best,

Skjaldborg

MattFoley

I can't perceive any real side effects from Pentox any longer so I'm encouraged to stay on it for the rest of my life. Why? Because Pentox has other benefits to the body including bodybuilding benefits. I may not stay on it at 2,400 mg/day but certainly 1,200 mg/day.

I'll re-evaluate my dosage at some point in the future.
Got Testosterone?

funnyfarm

As George pointed out:  Pentoxifylline depresses bone marrow. My white blood cell  count is a slightly below normal.  

Pentoxifylline and aplastic anemia - Peyronies Society Forums

So I would not recommend taking it unless you know you need it Matt.
When you are in tune with the unknown, the known is peaceful.

MattFoley

funnyfarm, thank you for the heads up. I greatly appreciate it.

Last Thursday, I had a full blood panel done so I will update you on how 2.5 months of 2,400/mg/day is treating my white & red blood count.

Hopefully it's OK because I need this to keep working.



Got Testosterone?

funnyfarm

Good, as long as my WBC is reasonable, and it is helping me, I plan to keep taking it.
When you are in tune with the unknown, the known is peaceful.

skunkworks

I'd wait for George99 to put in his thoughts to be honest, he was on it for ages then stopped and saw no negative effect as far as I know. I think there is an end point to the benefit it can bring, but that might be different for each person.
This is an emotionally destructive condition, we all have it, let's be nice to each other.

Review of current treatment options by Levine and Sherer]

MattFoley

I don't think there are any negative consequences once you stop. No withdrawals. If anything, my understanding from what funnyfarm pointed out is that while you are taking Pentox, it can suppress white & red blood cell count. It's not a guarantee but it's possible. As I mentioned, I'll have my results back this week so I'll see where we're at on the blood counts.

Got Testosterone?

funnyfarm

I totally agree skunk we reach the point of diminishing returns, but when is unique to each person.  And it is probably a good idea for everyone on pentox to get their blood checked occasionally.
When you are in tune with the unknown, the known is peaceful.

Skjaldborg

In addition, anything you bring into your body has to be processed by the liver. Medication use over long periods of time is not ideal unless the benefits outweigh the risks.

-Skjaldborg

ComeBacKid

I'm getting ready to make my third or fourth run on pentox ( I lost count) the drug works well and the side effects go away once you get off of it! With that being said, the liver does have to process it so you who knows the effects on the liver long term?  I don't want to take it forever but I'll take it for awhile since its helping so well!!

Kid

funnyfarm

Why did you stop taking it before Kid and did your Peyronies Disease symptoms come back after a few weeks ?  I noticed you posted quite a bit a few years ago, hope you are doing better now.
When you are in tune with the unknown, the known is peaceful.

KAC

Hey guys, thanks for the input.  I think I'm going to finish the pills I've got and take a break and see how I feel after a couple months.  If it decreases the anxiety I'll at least know more than I knew before.  I appreciate your help.

KAC

MattFoley

I got my blood counts back and they are all normal. So after 2 months of 2,400 mg/day of Pentox, there has been no identifiable change in my blood counts. So, that's nice. Thank God.

Got Testosterone?

George999

Indeed, I agree that whether to keep taking Pentox or not IS an individual decision.  I have not taken it for many months now and this time I have not had any serious flare ups, nor have I observed any significant regressions.  But, I still keep it handy.  It can depress bone marrow, that just goes with the territory, but I think it is a step too far to assert that it is "toxic" to bone marrow.  It can lower white cell counts, that is the bottom line.  But as long as those counts are not severely depressed, AND as long as your doctor is not worried about the pattern, I wouldn't waste time worrying about it.  "Normal" on lab tests is often a subjective number.  It is not like you are healthy at one point and the reading drops by .1 and suddenly you are at deaths door.  These lab test numbers are intended as a "heads up", not as a death rattle.  Slight depression for years can pose little danger although even a healthy reading might not be so good if there is a sustained downward tranjectory.  I guess what I am saying is that it is better to let the doctors interpret these numbers rather than to get in panic over them.  The benefits of Pentox are backed by evidence.  That is the important thing to keep in mind when weighing them against the side effects.  As for how long it should be taken, again, I don't think there is a simple answer.  One person might take it for a few months, get off it, and never need it again, another might need to be on it for years.  - George

Hawk

Bone marrow increases and recedes as needed.  For instance, if you give maximum blood allowed for a period, a scan will show bone marrow extending further down into the lower bones in your legs where it is not typically found in adults.  That is also true if you have any of a few forms of cancer that compromise bone marrow.  Your body will activate the bone marrow in your extremities.  The bodies of healthy adults normally do not need to populate these areas with active bone marrow.  In fact it is one diagnostic test used for some cancers.

Obviously I am not an expert so this is just a knucklehead opinion:  The fact that Pentox might suppress bone marrow MIGHT just be  because of the increased circulation, the body senses a reduced need for additional bone marrow and deactivates some based on that lack of need.  The same thing would happen if you got a transfusion of blood cells on a regular basis.  That does not mean transfusions are toxic.  They just reduce the need for what your bone marrow produces.

Again, I remind you that this is just another guy with no formal medical training speculating on why Pentox might reduce bone marrow activity.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

George999

Thanks Hawk,  That was a very interesting perspective.  If true, it would go a long way in explaining why most doctors don't seem to get too worked up over these issues.  - George

KAC

Hi George999,

I appreciate that this is a personal decision.  I'm not worried about bone marrow.  What I wish I understood is if there are long term gains in staying on Pentox.  For example--will it prevent calcification in plaques?  If xiaflex becomes a realistic treatment, will staying on Pentox make eventual treatment possible.  If Pentox is mainly useful during an acute phase then, I should just go off it--but if there is an overall benefit from staying on for years, then what is it?

My doctor is not going to answer these questions for me because I requested the drug based on this forum and he didn't see any harm it trying it.  I'd love any input.

KAC

George999

KAC,

I think the problem with this is that you are asking questions that, at least to some degree, NOBODY really knows the answers to.  Pentox is NOT a drug that is prescribed for Peyronie's by mainstream doctors.  The reason for that is that there is not a LOT of studies that would provide authoratative answers to just the kinds of questions you are asking.  Doctors do NOT like prescribing drugs that they don't know all the answers about regarding the particular malady in question.  Until a LOT of studies are done, which is probably not going to happen in our life time, we won't have these answers.  In the mean time the brave will take a risk and hope for the best and the rest ... well the rest will suffer the usual disease progression.

SOME of your questions, however, are no brainers.  Will Pentox prevent calcification?  The obvious answer is that it has been shown to cure it IN SOME CASES, therefore it is only logical that it would prevent it IN SOME CASES.  Will it prevent it in every case?  There are no large scale studies, we don't know.  So we are back to the reality that this is your personal decision and only your personal decision.  In this situation, you know as much as your doctor does which is not a lot.  So that is why he is not going to advise you on it.

- George

ComeBacKid

It works well for me when i'm on it, when I'm off it my condition comes back very slowly, so slow you can't notice it right away, after months and months my penis slowly gets harder and harder, more bent, less flexible, and erection quality decreases.  Yes there are some side effects with pentox like dry mouth, minor constipation if you don't drink a lot of fluids, and seems to cause sinus flare ups for me and drainage down my throat, leading to light headaches while I'm on it.  However, it works well and its worth it until they come up with a more permanent solution, for me it undid damage I had for a decade.

Comebackid

KAC

Thanks George and ComebacKid,

This, I suppose, is one of the challenges of relying on a forum rather than a doctor for medical advice.  Anyone who visits this forum is going to be inclined to start pentox and a VED or traction system.  Major proponents like Dr. Lue, and the patients who have seen him provide enough anecdotal evidence to support starting a Pentox regime ASAP.  But if we're going to help each other get on it, I figure we should also gather relevant data/experience to help each other know when it's a good idea to get off it.  Or if most are simply planning to stay on the drug for life, to know that that's the plan.  

I appreciate knowing your personal experience ComebacKid--helps me know what to look for if I get off.  And it sounds like getting off and back on helped provide evidence of a direct correlation of symptoms.  Are there any patients of Dr. Lue out there who were guided by him about getting off the medication?  Does he say anything about duration of treatment?  

George, i also didn't know Pentox had cured calcification.  While I seem to have extensive plaque, it also seems fairly pliable--so I'm of course wondering if Pentox is or might be the reason for that--which makes me very hesitant to get off.  But I don't want to stay on it for years without asking the question.

KAC

George999

1 - If you stop Pentox you can always restart it.
2 - You can always take CoQ10 in place of Pentox.
3 - You can always take Vitamin K2 to prevent calcification.

LWillisjr

Quote from: KAC on February 25, 2013, 03:53:04 PM

George, i also didn't know Pentox had cured calcification.  While I seem to have extensive plaque, it also seems fairly pliable--so I'm of course wondering if Pentox is or might be the reason for that--which makes me very hesitant to get off.  

Just to be clear....  pentox can help slow or maybe even prevent calcification. Tissue can progress from soft, pliable, stiff, to calcified. I was told by a very reputable doctor that once actual calicafication has happened that you can't reverse it.
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

RoyHobbs

Dr. Lue believes that Pentox can reverse calcification in some cases.  

George999

Dr Lue has done a full case study on a reversal of calcification through the use of Pentox.  I believe he has also documented additional cases as well.  - George

Hawk

It is one of the studies we link to in our MUST READ document for new members.  Here is a link to it in our Resource Library.  The following quote is a small setion of the document.  PTX = Pentox

Quote from: ppain on December 04, 2011, 01:48:24 AM
Descriptive statistics and x 2 analysis were used to characterize the effect of PTX on calcified tunical plaques. In all, 71 men (mean age: 51.9 years) with Peyronies Disease and sonographic evidence of calcification were identified. Of them, 62 of these men were treated with PTX for a mean duration of 1 year, and nine with vitamin E or no treatment. Improvement or stabilization in calcium burden at follow-up was noted in 57 (91.9%) of men treated with PTX versus four (44.4%) of those not treated with PTX (P,0.001). PTX users were much less likely to have a subjective worsening of their clinical condition (25.0% versus 78.3%, P50.002). Treatment with PTX appeared to stabilize or reduce calcium content in Peyronies Disease plaques. A randomized controlled trial is warranted to further explore this effect.

INTRODUCTION
Peyronie's disease (Peyronies Disease) is a relatively common disorder in men (3–9%) and a frequent (but not universal) cause of sexual distress.1,2 In its more severe and/or chronic forms, Peyronies Disease has been associated with calcium deposition in tunical plaques. The relative bother of calcium deposits in the penis varies, although calcified plaques tend to be more easily palpable and hence are presumably more likely to cause subject­ive distress. These plaques may also cause greater discomfort for men and their sexual partners.
A wide range of medical therapies has been used for Peyronies Disease,3–9 but there is no universally agreed upon standard medical treatment. Furthermore, medical treatment is generally thought to be efficacious only in the early phase of the disease, before plaque hardening and/or calcification has occurred.10 As such, the search for a pharmaceutical option that is effective, well tolerated, and effective in both the acute and chronic phase of Peyronies Disease continues.
Pentoxifylline (PTX) is a non-specific phosphodiesterase inhibitor with anti-inflammatory properties that has been used to treat clau­dication.11 PTX has also been used to decrease inflammation and fibrosis in kidney transplants, open heart surgery, dermatological con­ditions and after radiation injury.PTX has also been shown to reduce renal calcification in a rat mode of cisplatin-induced kidney injury.17 With respect to penile diseases, case reports have suggested that PTX may prevent intracavernosal fibrosis after priapism18 and decrease calcification in new-onset Peyronies Disease.19 In general, the side effects of PTX are mild and consist of nausea, dizziness and headache.11 These traits make PTX an interesting potential option for Peyronies Disease therapy.
Additional study is needed to determine the true utility of PTX as a treatment for Peyronies Disease. In the present retrospective cohort study, we invest­igate the utility of PTX as a treatment in men with Peyronies Disease and sonographic evidence of tunical calcification. We believe that this cohort represents a more severe and chronic subset of the Peyronies Disease population. Our primary outcome measure was quantitative and qualitative changes in the cal­cium content of the tunical plaque after PTX treatment versus no inter­vention or vitamin E monotherapy. Secondary outcome measures included patient assessment of treatment efficacy and clinical response.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

newguy

I kept on pentox for a good couple of years. In many ways I felt as if it was a kind of safety blanket for me, a constant I had in my favour in the treatment of peyronie's. I've not taken it for a while now though and haven't had any reason so far to believe that I made the wrong decision. I'm not on any other prescription drugs and I eventually began asking myself this same "pentox for life?" question, and that fed into my decision to stop. Should my condition worsen at any stage I will begin taking it again right away though.

MattFoley

I accidentally took 1,600 mg of Pentox this morning all at once. That would probably qualify as an overdose but the only side effect was a bit of nervousness and nothing more.

Just thought that I would share that.

Got Testosterone?

KAC

Newguy, thanks.  I've just wanted to hear a few people's experience and decisions a couple years into this since experience is the main thing we have to offer on this forum.  It is a security to have some consistent thing that I'm doing whether my doctor believes in it or not.  I often wonder if, with a lot of drugs, consistent use makes your body figure out how to tolerate or not respond.  That seemed to be what happened when I took a lot of Advil.  Who knows if periods of going off it can have more effect.

And Hawk thanks for posting the studies again. I had looked at them before.  I've wondered how many of Dr. Lue's patients kept going with it afterward.

MattFoley--be careful man!

KAC

MattFoley

KAC, thanks bro. I'm usually pretty careful about stuff like that but I was busy on the computer, drinking my morning protein shake, eating oatmeal, and taking down my vitamins. I accidently mixed my vitamins and Pentox together.

Also, I have my first appt. with Dr. Lue on 3/22. I pray that he can give me some good news on a strategy.
Got Testosterone?

james1947

Matt

How can take "accidentally" 1,600mg Pentox? It is four pills, no?
You have to be fully awaken when taking med's!!!

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

MattFoley

James, I mixed them in with a handful of vitamins I took in the morning. Definitely something I won't let happen again. Also, keep in mind that I take 2,400 mg/day (2 tabs at a time) and they look like my zinc vitamin so doing a whole bunch of stuff at once and not paying attention was the reason for the goof up.

Got Testosterone?

phatcat

Was wondering if anyone knew how long pentox keeps for??  i'm thinking about ordering a reserve of a few bottles for if/when my prescription runs out.  

So does pentox go bad if left for 6 months or so??