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
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.
Note:Although the safety and effectiveness of CIALIS are not fully established, the effects of CIALIS have been reported in many patients. It isrecommended that you discuss this medicine with your doctor.
The safety and effectiveness of CIALIS has not been studied in men under the age of 18 years.
See for details. Generic form (c)
CIALIS
10mg (one tablet) every 12 hours ( ITV) or 10mg (two tablets) every 24 hours ( ITV)
Generic form (d)
20mg (one tablet) every 8 hours ( ITV)
Generic form (e)
30mg (two tablets) every 6 hours ( ITV)
Generic form (f)
80mg (one tablet) every 24 hours ( ITV)
Generic form (g)
120mg (two tablets) every 12 hours ( ITV)
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.
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:
As with any drug, Cialis can cause other drug reactions. If you have any other drug interactions, don't rely on the interaction information provided in the medication guide, especially if you are taking any other medication.
Ex. sildenafil
Molotone, Edenert
Amer. Dr. G
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Cialis (tadalafil) can interact with certain foods and beverages, possibly altering the effectiveness of the medication.
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:
More severe side effects include:
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.
Read more about Cialis's side effects.azathomide for diabetes: Can Cialis cause dizziness? Cialis can cause dizziness. What you should do if you have memory loss or memory loss while taking Cialis is to call your doctor. This side effect is especially severe if you have heart problems or if you take nitrates used for chest pain. You should tell your health care provider if you have memory problems or nerve problems. You should also not drive a car or take other potentially dangerous sexual activity drugs until you know how the side effects compare to them.As part of a comprehensive health care review, you may be prescribed Cialis if you have high blood pressure, have heart problems, are taking nitrates used for chest pain, or are taking ritonavir. Cialis can interact with certain medications, causing a potentially serious reaction. You should not take Cialis if you are taking nitrates used for chest pain.If you are taking any type of medication for diabetes, you should avoid Cialis. This side effect occurs in less than 1 in 10 people taking the medication. You should not take Cialis if you are taking or have taken any type of blood pressure medication, including blood thinners.
If you are taking any form of blood thinning drug, including an anticoagulant, tizanidine, or a nitrate medication, you should avoid the medication.
If you are taking any form of blood pressure medication, including a nitrate medication, you should avoid Cialis.
If you are taking any form of medication for diabetes, you should avoid Cialis.
Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.
Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.
Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.
If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.
For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:
Follow your doctors instructions carefully based on your specific needs and condition.
If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.
Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.
irlwindErectile dysfunctionTadalafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain an erection. This compound works by relaxing the muscles in the penis, leading to increased blood flow.
Unlike other PDE5 inhibitors, Tadalafil citrate does not slow down the action of the enzyme responsible for breaking down cyclic guanosine monophosphate (cGMP). This enzyme is responsible for generating the excessive levels of nitric oxide in the body. This increases the levels of a nitric oxide synthase enzyme, which in turn increases the levels of cGMP in the body.
Tadalafil citrate tablets are not meant to be taken with other medications or routine health conditions. Before engaging in sexual activity, consult with your doctor to ensure that you take the appropriate dose.
If you are taking Tadalafil generic medication, there is currently very limited research into the topic. However, published evidence suggests that Tadalafil may be an effective PDE5 inhibitor for erectile dysfunction. This is due to the fact that Tadalafil inhibits the action of cGMP, reducing the levels of this enzyme in the body.
Discuss any other medications you are taking with your doctor before taking Tadalafil generic medication. Tadalafil can interact with several medications, including nitrates used for chest pain or heart conditions, alpha-blockers (used to treat high blood pressure and benign prostatic hyperplasia (BPHa)) like alfuzosin and prazosin, and certain anti-VEXian medications.
Amiodarone (a PDE5 inhibitor) is commonly taken with Tadalafil to treat ED. It belongs to a class of medications called non-benzodiazepine anti-seizure medications and works by affecting certain chemicals in the body, including serotonin. This increases the production of PDE5 inhibitors, the primary inhibitory chemicals.
Amiodarone may not be suitable for everyone, including people with diabetes, high blood pressure, or certain heart medications.
Information on how to prevent the spread of bacteria and other microorganisms to others may be available on antibiotic capsules.
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