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Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • Authiliation name CIALIS_Finasteride 1mg Finasteride 0.5mg

    How to take this medicine

    Cialis starts working within 30-60 minutes using the medicine, and you can take the medicine up to 4 hours per day.

    Cialis is taken orally, with or without food, and it’s usually taken with a meal.

    Do not take CIALIS if you have an allergy to:

    sildenafil or similar drugs, other antidepressants or pain medications, anticoagulants (blood thinners), warfarin, activated�37, Guanylate cyclase stimulators (such as Angiotensin II Receptor blockers,ace enzyme inhibitors), EMLs, GABAA-type blockers (such as St. John’s Wort), St. John’s Wort, sildenafil or similar drugs, E. coli or other viruses, e.g. Helicobacter pylori (other types).

    For how long? (within a 24-48 hour period, if taking CIALIS (sildenafil and otherlderly medicines) with alpha-blockers (such as doxazosin, tamsulosin, or olanzapine). CIALIS will stop working when you stop taking it.

    Cialis comes as a tablet to take? (1mg).

    For faster absorption than 1mg CIALIS usually is taken with a meal.

    Cialis (tadalafil) is used to treat erectile dysfunction (ED), which is when a man cannot get, or keep, a hard erect penis suitable for sexual activity. It belongs to a group of medicines called phosphodiesterase type 5 inhibitors (PDE5i).

    You can buy Cialis at the pharmacy, either over the counter or without a prescription. However, it is important to read the label to see if Cialis is suitable for you.

    How long does it take for Cialis to work?

    Studies have shown that Cialis can start working within 30 minutes to an hour after taking it. However, this can vary from person to person and may take several days to a week. The effects can last for up to 36 hours, although some people may experience better results after 36 hours.

    If you have any questions about taking Cialis, talk to your doctor. They may be able to give you a prescription for the medication.

    Is Cialis a long-lasting drug?

    Studies have shown that Cialis (tadalafil) can last up to 36 hours, making it an effective treatment for ED. However, it is important to tell your doctor about other treatments you may be taking to ensure your treatment lasts longer than recommended.

    Can I take Cialis to treat erectile dysfunction?

    There are several different types of erectile dysfunction treatments available to treat it. Some of these are:

    • Prostaglandins
    • Tadalafil
    • Vardenafil

    Cialis Side Effects

    The most common side effects of Cialis include headaches, flushing, indigestion, back pain, muscle aches, stuffy nose, and backache. These side effects are generally mild and go away on their own. However, if you experience any serious side effects, such as severe allergic reactions or chest pain, seek immediate medical help. If you experience an allergic reaction, stop taking Cialis and seek immediate medical help.

    Cialis Drug Interactions

    Cialis interacts with certain drugs, including some medicines used to treat HIV and hepatitis C. It is important to tell your doctor about all the medicines you are taking, including over-the-counter medicines, vitamins, and herbal supplements.

    Cialis may interact with nitrates found in some medicines, which can lower blood pressure. Your doctor can help you determine whether Cialis is safe for you or not.

    Cialis Drug Interactions FAQ

    The following list lists possible Cialis drug interactions.

    • Citrate K22 may reduce the effects of nitrates.
    • Cialis may also affect the effects of some other medicines used to treat erectile dysfunction.
    • Cialis may also affect some antibiotics.
    • Do not take Cialis if you have recently taken an MAO inhibitor (MAOI) or if you are taking another type of medication known as a nitrate. Your doctor will tell you which type of medication is best for you.

    Cialis may interact with alpha-blockers found in some prescription drugs. Alpha-blockers are stronger than Cialis, so it may be more difficult to get an erection. If you take any other type of medication, including alpha-blockers, your doctor may adjust your dose or recommend other treatments to suit your needs.

    It is important to tell your doctor about all the medicines you are taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements. They will be able to determine whether Cialis is suitable for you.

    If you take Cialis to treat erectile dysfunction, you may experience side effects such as headaches, flushing, indigestion, back pain, muscle aches, stuffy nose, and backache. These side effects are usually mild and go away on their own.

    Interactions

    A. Top Drug-Drug Interactions:

    1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

    2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

    3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

    Other Drug-Drug interactions:

    • Ketoconazole, itraconazole (used to manage fungal infection)
    • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
    • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
    • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
    • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

    B. Drug-Food Interactions:

    Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

    1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
    2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
    3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
    4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
    Described:

    C. Preventer Guidelines

    Antihypertensive PropertiesAbout Cialis (tadalafil) Cialis is used to treat erectile dysfunction (ED) and pulmonary hypertension (high blood pressure in the blood). It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Cialis works by increasing blood flow to the penis, thereby reducing the amount of time it takes for the penis to erected. It is a phosphodiesterase 5 (PDE5) inhibitor.

    Cialis works by relaxing blood vessels, thereby increasing blood flow to the penis. This increases sexual desire and helps men with erectile dysfunction achieve and maintain an erection. Sildenafil is a non-Sildenafil drug.

    Cialis comes in different strengths and is available in several formulations - taken as needed (by men who do not have erectile dysfunction), as required (by women), or daily (by men).

    Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

    Common side effects reported from Cialis use include:

    • Headache
    • Indigestion
    • Heartburn
    • Upset stomach
    • Gas
    • Nausea
    • Flushing

    More severe side effects include:

    • Painful erections or erections that last longer than 4 hours
    • Sudden loss of vision
    • Sudden loss of hearing
    • Ringing in the ears
    • Chest pain
    • Shortness of breath
    • Painful urination
    • Increased urination frequency
    • Fainting
    • Dizziness
    • Skin rash
    • Hives
    • Facial swelling

    If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

    As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

    Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

    In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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