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Cialis
Cialis overview
Cialis (tadalafil) is a phosphodiesterase inhibitor that can be very efficient in the treatment of erectile dysfunction – a common sexual disorder characterized by the inability of the patient to get and maintain an erection stable enough to have sex.
How does this drug work?
Cialis works by inhibiting the activity of PDE5 enzymes that make the erection go away (a natural process that usually happens once sexual activity is over). This is why it is classified as PDE5 inhibitor. Cialis makes sure your erection does not go away too fast and can provide for up to 36 hours of sexual pleasure and ability. Of course, this period is given just for the general idea and can depend on every patient taking Cialis. Nevertheless, of all the impotence treatment medications Cialis is most long-lasting one, which makes it number one choice for millions of men all over the world.
How Cialis needs to be taken
It doesn't matter whether you take Cialis with some food or without it. Make sure you do not take this medication more often than every 24 hours. Your dose may be low at first, but will be increased if it is not efficient for you. Cialis is efficient in most cases, but if the dosage prescribed is not working, and changing it seems to produce no effects at all – you may be unable to take Cialis. Take it with a full glass of water about 60 minutes before having sex, and make sure you never combine it with the drugs it is not supposed to be combined with.
Health conditions to be discussed
Your doctor needs to know as much as possible about your current health condition and any diseases you have ever been diagnosed with, including heart attack, blood cell problems, bleeding disorder, irregular heartbeat, cavernosal fibrosis, Peyronie's disease, high cholesterol, a stroke, diabetes, ulcers in the stomach, low blood pressure, liver, kidney, or heart disease, chest pain, as well as a personal or family history of eye disease. If you have a history of priapism or if you smoke regularly – also tell your health care provider about it, as this can be important and affect the dose you are prescribed. Priapism is a condition that can be described as a prolonged and painful erection that can stay for hours and hours, and may result in permanent damage of the penis tissues. A history of priapism is therefore a risk factor for developing the same reaction again. If you have taken Cialis in spite of your history of priapism and get this reaction –make sure you contact your health care provider immediately, as the sooner you treat this condition – the less your body and your penis will suffer from the damage done.
Does Cialis have side effects?
Side effects of Cialis are uncommon and if they do take place – they are unlikely to last for too long. If you think the mild side effects you originally had are getting way too bothersome – make sure you report them to your health care provider. The following ones are mild side effects: headache, indigestion or heartburn, diarrhea, flushing, pain in the stomach, back or muscle pain, and cough. There are also some serious side effects possible that are supposed to be reported directly to your doctor as soon as you get them, as they are likely to get even worse. You can experience blurred vision, changes in color vision, sudden loss of hearing, ringing in the ears, priapism, dizziness, chest pain, hives, and rash, although this happens quite rarely and Cialis is well tolerated in most cases.
Cialis interactions
Cialis must never be combined with such medications as nitrates - isosorbide dinitrate, isosorbide mononitrate and nitroglycerin, as a dangerous drop in blood pressure is possible. To avoid this reaction, make sure you know what the drugs you are taking at the moment are called. Also tell your health care provider if you are currently taking alpha blockers, protease inhibitors, fluoxetine, cimetidine, ketoconazole, antifungals, clarithromycin, erythromycin, nevirapine, sertraline, other erectile dysfunction drugs, nefazodone, ritonavir, indinavir, fluvoxamine, danazol, rifampin, high blood pressure medications, phenytoin, or phenobarbital, as some of these medications can make it impossible for you to take Cialis, while others will affect the dose you are being prescribed. Alcohol has been reported to worsen some of the side effects you may have when taking tadalafil. Drinking grapefruit juice is not recommended, as it may interfere with the success of your treatment.
Is an overdose of Cialis possible?
Overdose is not expected to be lethal but nevertheless should be reported to your doctor as soon as possible. The following are the signs of an overdose: headache, indigestion or heartburn, flushing, muscle pain, stuffy or runny nose, and priapism (an abnormally long and painful erection). |
