2 hours ago, NanLaew said:

How did that work out for you? A pretty low-energy Pattaya visit, eh?

Not at all.  Most of my weekends in Pattaya used to be pretty high-energy.

I came well prepared with my Cialis, but thought I'd check the prices down there and if cheaper, bring some back.  They weren't, so I didn't.  Much cheaper in Bangkok.  

4 minutes ago, lanng khao said:

Fenugreek extract seems to be the main ingredient, I've had them for six months and no hairs growing on the back of my hands yet,and no symptoms associated with Viagra or the jelly's, only thing I've noticed is the love wand doesn't really subside, it goes flacid but stays the same size as your erection, so when you're ready it just lifts up.100% would recommend them.

Hm, well worth a try.  I have heard fenugreek is good for that.  

12 minutes ago, ThailandRyan said:

+1, was going to post the same, many tables set up along Suk from Nana to Terminal 21, of course it is not a real pharmacy because you can also by sex toys as well....

I won't buy from the streetside sellers, because they are mainly all fake.  There are loads of pharmacies between soi 3 down to Asok and beyond,  as well as a few side sois, so I may have a little trip down there tomorrow.  I didn't have time yesterday. 
South East pharmacy may well have some because it's quite big, although it's more expensive than the small hole in the wall pharmacies.

38 minutes ago, lanng khao said:

Lazada have a product called CHU.., dietary supplements, god knows what's in them but if you died and you'd taken one they won't never get the coffin lid down,, am not talking 1/2 days they last for a week, thank me later .

Nice one.  Found it on Lazada at 135 baht for 10.  They're that good?  No idea what's in them?

Just now, ThailandRyan said:

No, I agreed with you and just reiterated it hence the +1.  Silly Mr. Fixit....lol

Thanks for making that clear!  Should have done it the first time!  <grin>

1 minute ago, ThailandRyan said:

+1, was going to post the same, many along Suk from Nana to Terminal 21.....

I know, which is what I posted in my OP, had you read it properly.  Another one who rushes to post ...  

12 minutes ago, mokwit said:

Some sachet Kamagra here was/is? fake - I was surpirsed that they were sophisticated enough to package it in foil, but that is what the bust 'photo showed. t might have been  - if they bought high quality generic Sidafanil and properly dosed it no reason with a gel why not just as good as Indian.

 

Kamagra in gel form, genuine or not I don't know, is available along with many other things from "Pharmacists" who operate from pavement stall;s on lower Sukhumvit from 4 pm onwards.

I know.  That's what I wrote about in my OP.  The Kamagra gels and pills I get certainly work.

The problem is that the pharmacists all seem to have run out due to no imports from India for the foreseeable future.

11 minutes ago, Denim said:

If its just to give you a lift in the relevant department no need to take Karmagra.

 

You might find Grakcu a lot easier to obtain and works just as well. Costs a couple of hundred baht .I believe the active ingredient is Cialis. Don't believe all that ' Chinese herb ' nonsense. Box of 6 lasts me 6-7 months. I take half a capsule every 2-3 weeks .  For me, the main reason is that if my blood pressure starts creeping up , half a tab of Grakcu normalizes it for about a week. Works a lot better than any blood pressure medication I've tried.

 

 

 

 

You should have read my other three threads!  Do a search back <smile - emojis still not working>
I've tried it and it barely did a thing apart from give me indigestion, which I had been warned about. 

I have quite severe ED and testosterone deficiency (being treated) and am due to see the andropause doc again next Tuesday to try to sort things out.

2 minutes ago, Liverpool Lou said:

Just love those organisms [sic] in the morning.

Me too,  but those days are long gone.  In my younger years, it was my favourite time just after waking.  

12 hours ago, ukrules said:

Stock up on all your meds, you never know when there's going to be a shortage which could last many months.

 

Personally I tend to keep about a years worth of anything I might need, keep it cool which might involve a special fridge set at a non normal fridge temperature - more like a 'wine cellar'

Yes, I found that my testosterone shots were in short supply, so now I have about a dozen in the fridge.

I have enough Kamagra for about a dozen bonks too.  Then it's celibacy from then on ...

I will trawl around various other pharmacies though - someone may still have some on a back shelf.

Getting the rest of my meds isn't a problem, it's the imports that are.

12 hours ago, Denim said:

What problem  ? Can you be more specific ?

How about re-reading my OP and having a good long think ...  (wink)

(Emojis don't seem to be working)  

5 minutes ago, sanuk711 said:

Understand that the Indian is your one of choice-- however you can not seem to obtain them.

I would think that unless someone gives you a BKK address, your best bet would be Pattaya--with all the tourist gone, they would probably have stocks. There is a small shop on 2nd rd next to the Villa shopping center..... you can pick the name up on Google street map or someone here will send it to you. She always had a lot of stock--there was a group of us in Issan that would buy from her, send the Baht and she posts or sends same day.

You can also do something about low Testo---but I guess thats for another thread......

It's not my 'one of choice' - it's the only one I know of.  I have now learned of some Thai equivalents, but as the Thai Sidegra was very poor and not very effective, I am sceptical about the others although I will have a look for them and try any I find.

There are about 20 small pharmacies in the lower Sukhumvit area which all do ED meds under the counter so no need to go all the way to Pattaya.  

I did once try to buy some in Pattaya many years ago but refused because wherever I went was about 50% more expensive than in Bangkok.  

I've been having testosterone replacement treatment since 2005 - search the forum for my various threads (about 3) on the subject.  

17 minutes ago, Sheryl said:

Kamagra is an indian made brand of Sildenafil. It is not registered for use in Thailand but back when there were tourists, some pharmacies were (illicitly) importing it because so many tourists were asking for it by name.. With no tourists there is little incentive to keep doing so, since Thais know and buy the locally made versions.

 

There are several Thai made generic equivalents:

 

Sidegra

Elobza

Sildenafil GPO

Silatio

Sildera

 

These work just as well, only advantage to Kamagra vs these as far as I know  is the gel form, these come only in pill form.

 

You should have no trouble getting any of the above at any large Thai pharmacy (i.e. avoid the tourist oriented places,) but they may ask to see a script.

 

Cialis is a different drug altogether,  it is Tadalafil and there is no locally made brand only the import which of course is ecpensive.

Sidegra is made by the GPO and didn't work well for me so I suspect sildenafil GPO is probably just the same.

I haven't heard of Elobza, Sildera or Silatio so will look for them  but if they are like Sidegra, then they won't be as effective as Kamagra which worked 100% until about last March - see my various other threads on here. 

I'm surprised the pharmacist didn't mention these other ones.    

As to Sidegra, see my post above where I say -

'I have tried them for a while and gave them up because they were useless , because they are made by the GPO.

I spoke to my local pharmacist who speaks great English and he says not to buy GPO if you can help it because the quality is not as good as buying generics.'

I know that Cialis is tadalafil and I have used it effectively in the past, but stopped due to the cost.

I also know that Levitra is vardenafil but the pharmacy I went to said they hadn't had any stock for about 6 months.

45 minutes ago, sanuk711 said:

 

There not under license anymore  Mr Fixit-- therefore you don't have to buy foreign ones, have you tried the Thai made ones they have been selling them for about 8-9 years now--I think they are about 50 baht each. There called  Sidegra.

------------------------------------------

September 26, 2012

Thailand to sell generic Viagra drug: officials

 

Thailand has approved an affordable generic version of the anti-impotence drug Viagra to go on sale next week, as the country looks to combat rampant counterfeit production, officials said Wednesday.

 

The Thai diamond-shaped little blue pill, which resembles the original produced by US pharmaceutical giant Pfizer, is called "Sidegra" and will be available on prescription across the country on October 1.

I know all about them thanks. I have tried them for a while and gave them up because they were useless , because they are made by the GPO.

I spoke to my local pharmacist who speaks great English and he says not to buy GPO if you can help it because the quality is not as good as buying generics.

And the GPO Sidegra is the same price as the Indian Kamagra so why waste money on something that doesn't work - for me.  I have a specific problem that means that my testosterone is low so I need all the help I can get.  ????

34 minutes ago, internationalism said:

I just got a box of 100mg, new packaging and new design of sachets (easy to squeeze). 

2x more expensive then the last time several years ago

You're talking about Kamagra gels, right?  If so, yes, the new design is much better.

Problem is, there isn't any more in in the Sukhumvit pharmacies, according to the one I went to today.

21 hours ago, WaveHunter said:

Again I state, oral form can be highly liver-toxic, and if you try to order oral without an MD you will get scammed big-time by scammers with fake medication..."testosterone pills" are one of the biggest scams on the net.

Excellent point.  I will give those capsules a miss then.

If I am going to change the testosterone variety, then I will only do it via a hospital.

Since changing to a fortnightly shot in early May, I have had 4 shots over 2 months (plus one yesterday) and have noticed an increase in libido, although not huge.  I have also had a few morning erections, which I haven't had for a long time but they don't last long.  

6 hours ago, WaveHunter said:

Of course it's up to you to decide what's best for you but I would stay away from oral forms becuase liver toxicity in an older person is particularly dangerous.  As for undecanoate, I see no advantage over Enanthate for TRT at all. 

 

I don't understand why you would want to switch.  Are you saying your serum levels have dropped while on Enanthate, and that is the reason you want to switch to undecanoate ??  

Well, I certainly take on board about oral use, and perhaps that's why the docs suggested the injectable version.

I do not necessarily WANT to switch, I want to establish just what's going on after 16 years and, if the enanthate is no longer as effective, then consider an alternative.  
 

If you recall from my previous threads, my ED has worsened and from those threads, people such as your good self suggested that the enanthate had too short a half life for a shot every 3 weeks.  I decided not to have any shots for 7 weeks just to get a baseline and my level was way down, as you'd expect.

So then I reduced the interval to a shot every two weeks and have had 4 shots since 7 May and one today.  I have felt a reasonable increase in libido and have had some not very long lasting morning erections since then so something is happening.  I even managed a short morning bonk once about 2 weeks ago!  ????

I had a shot this morning and see the doc again on 12 July when I will ask him to check my levels again and we'll see where we are then.  He's a really approachable guy and we decided I would use up my stock of enanthate with a shot every 2 weeks over about 3 months and if nothing much has changed over that regime, then consider the Nebido.  So that's the current plan - as well as checking my PSA regularly to see if it rises.  It's always been excellent though, never more than 2.3 and mostly about 1.8 even after 16 years.  

2 hours ago, jackdd said:

You say you have been getting injections since 15 years, so your Testosterone level 15 years ago, after you started with the injections, and now are the same.

 

Oral steroids damage the liver, which is why they are usually avoided, especially for long term use.

Not necessarily the same - 16 years is a long time and I am a lot older.  Last month the level was quite low.  I'll be getting another blood test done in 12 days so let's see what it is then after 2 months of fortnightly shots instead of one every 3 weeks.

Good tip about the oral method though.  Thanks, I'll look into that further.

18 minutes ago, WaveHunter said:

Personally I would not go for Nebido.  While it's true that Nebido has a significantly longer half-life than Enanthate (half life of around 30 days) so you only need to inject once a month or even once every 6 weeks, that is also its' main drawback for a new TRT subject.

 

The reason is that it will take significantly longer for your doctor to titrate to the optimal dosage since the titration schedule will be much longer due to the longer half-life.

 

Another issue is that the serum levels will fluctuate over the time between injections in sort of a sawtooth pattern which is not optimal compared with more frequent injections once or twice a week where the half life is only 4-5 days.

 

It's also significantly more expensive over the long run than Enanthate.

Oh yes, it's definitely a lot more expensive than the enanthate.  I can get the enanthate for 540 baht for 3 ampoules so 180 baht each, then my local clinic charges me 80 baht for the injection so a total of 260 baht per shot, or 520 baht a month.

The 2 docs told me that a shot of Nebido is 6,300 baht, which he says will need to be given in a few smaller doses until he has titrated my testosterone levels and can decide on what interval between shots 

I am prepared to pay that just to check how it goes.

I have about 8 amps of enanthate left so we decided I should use 4 of them for the next 8 weeks and leave the rest in reserve should I want to revert to enanthate at some stage.

I see him again on 13 July so I will discuss it further with him and the point made by @internationalism about capsules.  They did a lot on Tuesday with a physical exam and long discussions, and my wife was with me because I wanted her to talk to him about her menopause issues, so there was a lot to take in and I want to review things with him again in 12 days so I am clear.

2 hours ago, internationalism said:

it's a capsule, 1-2 daily. About 450b per box of 30.

Might be difficult to find, but possible to get.

No, the two docs I saw Tuesday say the injection is better.

However, I will look into it further.  If capsules are as effective and cheaper than the injection, I may well give them a go if I can find them.

9 hours ago, internationalism said:

there is much cheaper Testos 40mg by JSP Pharmaceutical Manufacturing.

 

What variety?  I can get 3 x 250 mgs test enanthate for 540 baht for a box of 3 amps and that's what I have been using for 15 years.  Then the lady doc at the local clinic does the shot for 80 baht, so 260 baht a pop in total.  

Time for a change as I have got 15 years older and my test levels have fallen, don't you think?  The docs think so.  

Following my various threads on my 15 years of testosterone enanthate due to a pituitary cyst, I went to the Army hospital yesterday and they suggested I try Nebido.

It's expensive at 6,300 baht so I would like to know more because my enanthate shots cost me 260 baht a pop.  I was on a shot every 3 weeks but I decreased the interval to 2 weeks due to ED problems.

I believe the injections are quite painful but as they are only every 10-12 weeks I am sure I can cope!

Anyone know anything about the stuff and can give some advice?  @WaveHunter  @rcuthbert ??

51 minutes ago, jackdd said:

It didn't give you your natural base line. Your testosterone was so low because you just stopped doing the injections. Your testicles didn't start working properly yet, so the result was to be expected.

To get your real natural level you would have to come off for 6 weeks or so, then do a proper PCT for a month, then wait a few more months, and then get your testosterone tested, this would then show your natural level.

OK, I see and I get it.  But it was a step in the right direction, and it did at least show that my level was pretty low.  

Let's hope the new doc gets off his butt and once he sees my haematocrit level he was worrying about, he starts getting me sorted out.  

I do get the feeling he will take a conservative approach though, and that is not my way.  My AD/HD means that I tend to take the bull by the horns and I am usually very proactive, as I hope can be seen in my posts.

If I have to, I will just find somewhere which won't sting me too much and get to the bottom of all this.  It is not my way to lie on my back and kick my legs helplessly in the air and just accept things said by anyone.  Hence the correspondence on here.