I am looking for the best medical therapy for a moderate Peyronie’s case (no ED, age 30, healthy) and have questions about a combination Dr. Levine once proposed (PDE5 e.g. Sildenafil 25mg daily, L-arginine 500 mg twice daily, pentoxyfiline 400 mg thrice daily). 1. L-Arginine is known to be a precursor to nitric oxide. Why is that not contraindicated with Sildenafil (“no nitrics”) 2. Pentox says it should not be combined with substances that lower the blood pressure. Any problem with Sildenafil?
At this time, there is no FDA approved, non-surgical treatment for Peyronie’s disease, but several treatment options have been proposed, Dr. Levine’s three-armed, non surgical therapy includes pentoxifylline 400mg 3 times per day, L-arginine 1000mg twice per day, or L-citrulline 750mg twice daily. The second arm includesRead more →