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.
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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:
This box contains 2,5 mg of tadalafil and 5 mg of orlistat. Beds of this medicine contain this medicine: TADALAFIL 25 mg and orlistat 10 mg.
5 mg of tadalafil and 10 mg of orlistat. These medications can interact with each other to the extent of creating an interaction risk, leading to adverse effects or increased blood pressure levels. Beds of this medicine: TADALAFIL 25 mg and orlistat 10 mg.
The study aimed to investigate the effects of two common medications, cialis and sildenafil citrate, on the effects of the phosphodiesterase type 5 inhibitor, tadalafil. Twenty-one male volunteers with erectile dysfunction (ED) and normal body weights were included. Tadalafil citrate (Cialis) was taken orally. The study was a single-blinded, single-dose, placebo-controlled study. The study participants received the same drug in a random order. The efficacy was assessed through a single-dose test, which was repeated up to the end of the study. The study was terminated by the subjects being advised to return for the next one. The study outcomes were as follows: 1) the change in the maximum standardized intra-arterial pressure (MI) of each subject at the end of the study (baseline) and after the first treatment, 2) the change in the maximum standardized intra-arterial pressure (MI) at the end of the study (week 1, 2, and 3) and the change in the maximum standardized intra-arterial pressure (MI at week 3) after the first treatment and after the last treatment, and 3) the change in the maximum standardized intra-arterial pressure (MI at week 2) after the first treatment and after the last treatment. Tadalafil citrate significantly increased the maximum standardized intra-arterial pressure (mSEP) and maximum standardized intra-arterial pressure (mSEP-ASP), and the maximum mSEP-ASP did not change in any of the groups at all. In comparison, Cialis significantly increased the maximum mSEP-ASP, whereas sildenafil citrate increased the maximum mSEP-ASP of the study participants, but did not affect the maximum mSEP-ASP of the study participants. The maximum mSEP-ASP was not significantly different in the two groups at all. The maximum mSEP-ASP did not change in any of the groups at all. There was no significant difference between the results of the MSEP test in the Cialis group (mSEP, 0.98, 95% confidence interval [CI], -0.01; mSEP-ASP, -0.04; mSEP-MI, 0.98; CI, -1.01; CI, -0.01; CI, -0.09) at week 1, 2, and 3. The maximum mSEP-ASP did not change in the Cialis group at all. There was a significant difference in the maximum mSEP-ASP (mSEP-ASP, -0.04; mSEP-MI, -0.04; CI, -0.02; CI, -0.01; CI, -0.01) at week 3. The maximum mSEP-ASP was significantly increased by sildenafil citrate and Cialis and significantly decreased by tadalafil citrate. There was no significant difference between the results of the MSEP test in the Cialis group (mSEP, -0.04, CI, -0.01; mSEP-ASP, -0.04; mSEP-MI, -0.03; CI, -0.01; CI, -0.01; CI, -0.09) at week 3. There was a significant difference in the maximum mSEP-ASP between the results of the MSEP test in the sildenafil citrate group (mSEP, -0.01; mSEP-ASP, -0.03; mSEP-MI, -0.02; CI, -0.01; CI, -0.09) at week 3. The maximum mSEP-ASP did not change in the sildenafil citrate and tadalafil citrate groups. At the end of the study, the changes in the maximum standardized intra-arterial pressure (mSEP-ASP, -0.04; mSEP-MI, -0.04; CI, -0.02; CI, -0.01) at week 3, and the change in the maximum standardized intra-arterial pressure (mSEP at week 2) at week 3 were similar between the groups.
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 Is Cialis Legal in u See More Products Similar to Cialis u Get Pfizer’s How Does Cialis Less effective vs. Cialis No, It Cialis is not available in a generic form, but it can be available at a lower cost. Cialis has a specific brand name called tadalafil. This medication is used to treat erectile dysfunction (ED) in men. Cialis can also be used for the treatment of pulmonary arterial hypertension (PAH). PAH is a heart condition in which a small pressure in the heart causes blood vessels to relax, allowing for a more effective treatment of symptoms of heart problems.Read More Cost-Effective U. S. Patents Tadalafil Generic Cialis. See More Products Similar to Cialis. See More Products.Read More Serious Side Effects Quick facts about Cialis.As with all prescription medications, inform your doctor if you experience any of the following side effects.
Liver and Kidney Side Effects:
If you experience any of the above, contact your doctor.
Blood Pressure and Hypertension:
This side effect is also reported in rare cases of sudden vision loss, especially in men over 40. If you experience any unusual vision, contact your doctor immediately.
As with all prescription medications, inform your doctor if you have or have ever had an eye problem, such as non-arteritic anterior ischemic optic neuropathy (NAION), retinitis pigmentosa, retinitis neun lymphangitis, retinitis bleeding from the eye, any eye disease, or if you have ever had a vision loss caused by brain tumor or retinitis pigmentosa.
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