Cialis

Cialis (tadalafil) is an affordable generic drug used to treat male sexual function problems (impotence or erectile dysfunction). It is similar to Viagra and Levitra.

How does it work?

The main active ingredient of the drug is tadalafil, which belongs to the category of phosphodiesterase-5 inhibitors. By blocking this enzyme, Cialis provides relaxation of the smooth muscles of the penis and stimulates increased blood flow to it. As a result, in the presence of sexual excitement, a man achieves a stable and prolonged erection.

Indications for use

Cialis is used to treat or physiological erectile dysfunction in men aged 18 years. At the same time, the drug is not recommended for men over 65 due to the increased likelihood of side effects.

How to take this medicine?

It is easy to drug is easy to use and does not require compliance with any conditions regarding food intake, alcohol consumption, etc. Take 1 tablet once a day half an hour before sexual intimacy, with water and without chewing.

If you have renal or liver failure, the dosage can be reduced to half the tablet. If you have frequent sexual activity (2 times a week or more), it is recommended to take 5 mg once a day daily, at the same tome each day, regardless of meals. If you have individual sensitivity to the drug, the dose should be reduced to 2.5 mg.

Adverse reactions

Cialis is usually tolerated well. Side effects are usually mild/moderate and temporary.

Common side effects:

headache;
nasal congestion;
dyspepsia, gastroesophageal reflux;
back pain, myalgia, limb pain;
rush / blood flow.

Rare side effects:

hypersensitivity reactions;
dizziness;
blurred vision, pain in the eyeball;
tinnitus;
tachycardia, palpitations, hypotension, hypertension;
shortness of breath, nosebleeds;
abdominal pain;
rash, hyperhidrosis (excessive sweating);
hematuria, penile bleeding, hemospermia;
chest pain.

Very rare side effects:

angioedema;
stroke (including hemorrhagic type ONMC), fainting, transient ischemic attack, migraine, seizures / convulsions, transient amnesia;
violation of visual fields, swelling of the eyelids, conjunctival hyperemia;
non-arteritis-related anterior ischemic optic neuropathy, retinal vascular occlusion;
sudden hearing loss;
myocardial infarction, unstable angina, ventricular arrhythmia;
urticaria, Stevens-Johnson syndrome, exfoliative dermatitis;
prolonged erection, priapism;
facial edema.

If you have any severe/lasting adverse reactions after taking Cialis, stop taking the drug and contact your doctor.

Who should not take Cialis?

You should not use Cialis only if you are hypersensitive to tadalafil, if you are under 18 years of age, or if sexual life is contraindicated for you for health reasons. The drug is not intended for use in women.

In some cases, a risk of complications after taking this drug increases, so you must first consult your doctor. These include:

cardiovascular disease;
high or low blood pressure;
anemia, leukemia, or other blood diseases;
acute liver or kidney problems;
priapism;
penile deformities of different nature.

Can it interact with any drugs?

Do not combine Cialis and nitrates. These drugs include:

drugs to normalize blood pressure;
antifungal agents;
erythromycin;
drugs for HIV infection;
other drugs to increase potency, especially tadalafil, sildenafil.

Overdose

An overdose of tadalafil increases the risk and intensity of side effects mentioned above. Never exceed the maximum recommended dose.
Treatment should be supportive. Hemodialysis is useless. There is no antidote.

Precautions

The drug is not intended for use in women!

Before starting drug therapy, it is necessary to consult a doctor who will study your medical history and conduct a physical examination to diagnose erectile dysfunction and determine the potential causes of this condition.

Like other PDE5 inhibitors, Cialis has systemic vasodilating properties, which can lead to a transient decrease in blood pressure, and thus enhances the hypotensive effect of nitrates.

Before starting erectile dysfunction therapy, doctors should consider the condition of the patient’s cardiovascular system due to the presence of a certain degree of risk of developing cardiovascular pathology associated with sexual activity.

The safety and efficacy of a combination of Cialis with other PDE5 inhibitors and treatments for erectile dysfunction have not been studied. Therefore, the use of such combinations is not recommended.

Despite the fact that the incidence of dizziness on the background of placebo and tadalafil is the same, during treatment, care must be taken when driving vehicles and engaging in other potentially dangerous activities.