WrenchHead80
Member
The increase in NO systemically can cause a wide range of symptoms including the back pain. This is an indication that you actually are suffering from less than optimal NO levels. As other have said, you need to re-acclimate your system to the more persistent presence of NO, by starting with very low dosages daily and then titrating up as your side effects reduce. In the long term this will be better for your cardiovascular health as many studies are showing. My own anecdotal story was as a younger man (when it was questionable if I even needed a PDE5 inhibitor) my side effects were fairly insignificant, but as I aged, the occasional use of PDE5 became associated with increasingly severe side effects to the point where I did not even want to go through it. I believe this was indicative of my aging body's lowering NO, such that when the NO was improved, I really felt it (both the good and the bad). Eventually as problems got worse, I was determined to find a solution and by titrating up gradually with daily dosing things seemed to work out. It just took some effort.
Ive taken nitric oxide supplements before and never had any pain, let alone the pain I experienced using Cialis. So I'm not sure if that's the case for me or others here.