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.
CIALIS (tadalafil)
Inactive ingredientsTadalafil 10mg
INGREDIENTS
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ABBfaith_EN_PHILIPSEckett_20_008_000927_00006_00007_CIALIS_5MG_28S_INTRODUCTION Cialis 5mg (Tadalafil) is a prescription medication used to help men manage their erectile dysfunction (ED) by increasing blood flow to the penis. Cialis 5mg tablets come in a convenient pack of 4 tablets, offering a steady and reliable aid when it comes to maintaining an erection. 2. Factors that influence Cialis 5mg dosage: - Dosage: The 28 tablet pack offers almost a month's worth of dependably support. - Healthcare Professional: Always consult with a healthcare professional before starting Cialis 5mg tablets to ensure it is the right choice for you. - Administration: Use Cialis 5mg tablets as directed, typically on the First Dimensional Levels level on the outside of the pack, or on the Daily Supervision level. - Dosage Adjustment: If needed, it may be helpful to adjust the dosage based on your medical history and needs. - Drug Interactions: Do not take Cialis 5mg if you are taking medications that interact with tadalafil. Cialis 5mg should not be taken with medications containing nitrates, alpha-blockers, or other oral antifungal medications. - Dosage Adjustment: Do not use Cialis 5mg if you are taking any of these drugs. Cialis 5mg can interact with certain foods, such as grapefruit or grapefruit juice, making them an ideal combination for taking. - Potential Side Effects: If you experience side effects, such as headaches, indigestion, or back pain, consult with your healthcare professional before ordering Cialis 5mg. It is important to note that Cialis 5mg should be used as directed and not used as intended. Cialis 5mg is a prescription medication, and it is important to follow the instructions provided with the medication. Bottom Line: A convenient and reliable pack of 28 Cialis 5mg Tablets. Order Now and take advantage of our free online order and you will be provisionally delivered in 1 to 2 hours 24/7. Benefits of Cialis 5mg: - Consistency is key. Always take their meds as directed. - Quick and Easy - Convenience is key. - Time is essence. - Balanced Benefits - Enjoy peace of mind and empowered control. 3. Important Considerations: - Use according to instructions provided by your healthcare professional. - Keep in mind that Cialis 5mg may be taken with or without food. - Follow the recommended dosage. - Consult your healthcare professional before use. 4. Packet: 1 pack of 4 tablets for 28 tablets. Available to be taken in 1 to 2 hours. Storage: Store Cialis 5mg tablets in a cool, dry place away from direct sunlight to preserve the efficacy of the product. 5. Dosing: 1 tablet a day for 5 days.Cialis (Tadalafil) is a medication for men who have erectile dysfunction (ED). Tadalafil is used for the treatment of erectile dysfunction. Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. Tadalafil works by relaxing muscles in blood vessels, which increases blood flow to specific areas of the body. This increases the effect of an erection by improving blood flow to specific areas of the body, and allowing the penis to become erect. Tadalafil may be taken without regard to food or drink, but it is advisable to take it on an empty stomach. If you are taking tadalafil for erectile dysfunction, you should be aware that taking tadalafil will not cause you to have an erection if you are not sexually stimulated. It is important to note that this medication will not work if you do not have erectile dysfunction.
Side effects
Although the effects of tadalafil are not completely known, there are some side effects you should be aware of. The most common side effects reported with tadalafil are:
Precautions
You should only take this medication if you are taking nitrates, as it is not approved for use in the treatment of angina. You should also avoid using tadalafil if you have uncontrolled high blood pressure, heart failure, or other cardiovascular problems. If you have taken tadalafil and you experience an erection that lasts more than 4 hours, you should seek immediate medical help. If you experience an erection lasting longer than 4 hours, you should have a second opinion.
There are also some contraindications with tadalafil.
Drug interactions
Inform your doctor if you have any of the following:
It is not known whether tadalafil is more potent or more potent than sildenafil in treating erectile dysfunction. It is important to discuss the use of tadalafil with your physician, as well as with other medications you are taking, to determine the most appropriate dosage.
Although tadalafil is a PDE5 inhibitor, there are some side effects reported with sildenafil and tadalafil.
You should not take this medication if you are allergic to tadalafil or any other PDE5 inhibitor, or if you have uncontrolled high blood pressure.
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf
4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs
Central drug standards (CDS) ¨ ¨ [ouston, New York, Los Angeles, New York, New Jersey, Oxford, Philadelphia, Sofosbuosa, Switzerland: Presented in the United States of America, 2015] [ Rockville, Maryland, United States] [Upper white: National Library of Medicine ¨ National Health and -itamin B-12 Analysis and Warning System and Prescribing Information, Presented in the United States, 2015] [Upper white: Presented in the United States, 2015] [ Rockville, Maryland, United States] [ dysphoric: Presented in the United States, 2015] [HAELC: Presented in the United States, 2015] [Oxford, United Kingdom] [Upper white: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ Oxford: United Kingdom] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015] [ oxide: Presented in the United States, 2015]Keywords: Pulmonary arterial hypertension; and Executive Summary¹Alicante A, Wiersz L, Wiersz B. Response to sildenafil in patients with pulmonary arterial hypertension: a meta-analysis. Br Med Sci. 2016; 14 (9):e01220. erossover: e110113. erossover: e1150113. erossover: e1101130. erossover: e11501131. erossover: e11501132. erossover: e11501133.
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Bennett M, Bartolone A, Calabrese P, De Andriole P, Moreno R. Efficacy and safety of sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) in patients with pulmonary arterial hypertension. Curr Med Drugs. 2015; 16(2):115. erossover: e1185616. erossover: e12597516.
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