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.
Risk factors for sexual dysfunction include smoking, diet high in fat, high blood pressure, heart disease, low blood pressure, high blood cell – per the
ortality information includes 10,000 personal experience from 500 men who have had death thoughts before using CIALIS.
Stop taking CIALIS and seek immediate medical help if you have mild to moderate cases.
medicines to treat erectile dysfunction other medicines can be taken with this medicine such as riociguat (rifazosin,ceryleton,celexamine), nitrates for hypertension, alpha-blockers (for angina), and diuretics (for stomach bleeding).When you are not using any medicines for treating erectile dysfunction other than CIALIS, hematoprion (clopidogrel) is used at higher doses for the risk of haemostasis (chest pain) and on transfer to a hospital because it can increase the risk of developing a patent blood vessel infection.
CIALIS on transfer to a hospital
men over 40 years old taking riociguat or nitrates for hypertension treated with CIALIS at a dose of 2 mg a day.
men taking riociguat or nitrates for hypertension treated with CIALIS at a dose of CIALIS 100 mg per day for 4 days.
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 FAQs Zanoxantib 20mgThis is not a completelist. The following details are based on experience only and may vary from person to person.
Warnings:
Do not take Cialis if you are pregnant or plan to become pregnant. Cialis can affect your developing baby teeth and lead to potential tooth loss. Avoid or delay discontinuation of Cialis.
Before taking this medication:
Before taking Cialis,
Do not take Cialis if you have recently had heart surgery or are taking other medications that can affect your heart rhythm.
In addition, let your doctor know if you have previously experienced liver disease, severe dizziness, or kidney disease before starting Cialis.
In addition, let your doctor know if you are pregnant or plan to become pregnant. Avoid or if possible, delay discontinuation of Cialis.
In addition, let your doctor know if you are breastfeeding.
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:
16.8%
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Medical Editor
Published : 2017
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Last updated 4 June 2024
Cialisis a non-prescription drug. It is also used to treat symptoms of erectile dysfunction, to treat symptoms of benign prostatic hyperplasia (enlarged prostate), and to treat symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Cialis is produced by: Taro pharmaceuticals; GPhC; and Taro Pharmaceuticals Limited, both country-licensed in four Synthetic derivatives: Taro Pharmaceuticals® Taro® tadalafil 20mg 10mg, tadalafil 40mg, and tadalafil 60mg 60mg. Taro® is supplied as a tablet, a liquid, and a dispersed suspension (at a concentration of 10mg/mL).
Taro® is supplied in a concentration of 10mg/mL in a concentration of 10mg/mL. Taro® contains 2 different active ingredients: tadalafil and tadalafil citrate. Taro® contains 2 different active ingredients: sildenafil (20mg) and vardenafil (40mg) tadalafil.
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10mg/mL in a single dose
2 x Taro® 10mg/2 x 10mg/1.5x10mg/mL/10 x 10mg/5 x 5mg/1.5ml/5 x 5mg/5ml
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