₦airaland Forum

Xiadnat:
Since he has sickle cell trait, should probably avoid clozapine then.

It gets a bit hairy when you have sickel cell. First thing is to manage the sickle cell because that is cause in most cases really. Options: nonsurgical approach with penile injections or surgical approach.

But! First:

Visit your GP. Need to check his hemoglobin. He may have significant anemia that is triggering this. If he is anemic, first thing would be transfusion.

Just need to make sure he is SS trait and not the disease. It makes a huge difference in the management.

In the mean time, Keep hydrated- drink lots of water. Take analgesic if you need it. Stop drinking alcholic beverage and stop smoking cigs, MJ, cocaine etc if he does.

Act tho: long term complication is impotence.

Let me know how it goes.

Xiadnat:
It is called intermittent nocturnal priapism.

Is he sickle cell carrier/trait or disease?

Anyway!

Need to get a urological consultation + or - neurological consultation for history and exam and tests: polysomnography and other tests to test penile functions.

If cannot afford those consultations, there are proposed treatments but are not permanent. Such are propanol, amitriptyline, clozapine. Can get prescription from GP for: clozapine 25mg qd is the most effective but carries much side effects; so read the black box warning and side effects of this drug if you choose it.

Take care

motemi111:
Doc in d house, a friend of mine told me a problem he has been facing for 3yrs today and i feel i shld seek for advice here. He told me he sleeps less than 2 hrs everynight due to painful manhood stiffness he has anytime he sleeps. He said the stiffness is always painful and only come down after taking a cold bath like 6 to.8 times in a night. Pls what can he do to have a normal life and sleep again cos he is being traunmatized. Thanks in anticipation for a solution.