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Cialis

Cialis (tadalafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.

Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).

Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension. Do not take Cialis while also taking Adcirca, unless your doctor tells you to.

Important information

Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).

Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

Stop using Cialis and get emergency medical help if you have sudden vision loss.

Before taking this medicine

You should not take Cialis if you are allergic to tadalafil, or:

if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).

Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:

heart disease or heart rhythm problems, coronary artery disease;

a recent heart attack (within the past 90 days);

a recent history (in the past 6 months) of a stroke, or congestive heart failure;

angina (chest pain), high or low blood pressure;

liver or kidney disease (or if you are on dialysis);

a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

a bleeding disorder such as hemophilia;

a stomach ulcer;

retinitis pigmentosa (an inherited condition of the eye);

a physical deformity of the penis (such as Peyronie's disease); or

if you have been told you should not have sexual intercourse for health reasons.

Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra or other drugs similar to tadalafil. Most of these people also had certain pre-existing eye problems or risk factors for blood vessel disorders (such as heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether Cialis is the actual cause of vision loss.

tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether tadalafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I take Cialis?

Cialis is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Cialis can be taken with or without food.

Do not break or split a tablet. Swallow it whole.

For erectile dysfunction, take this medicine just before sexual activity but not more than once per day.

Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Cialis.

Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.

Store at room temperature away from moisture and heat.

Cialis dosing information

Usual Adult Dose for Erectile Dysfunction:

Use as needed for ED:
-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity
-Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability

Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.

Once a day use for ED:
-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
-Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability.

Once daily use for ED and Benign Prostatic Hyperplasia (BPH):
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Use: Treatment of erectile dysfunction (ED)

Usual Adult Dose for Benign Prostatic Hyperplasia:

Once daily use for BPH:
-5 mg orally once a day at approximately the same time

Concomitant administration with finasteride:
-5 mg orally once a day at approximately the same time, for up to 26 weeks

Comments: The incremental benefit of this drug decreases from 4 weeks until 26 weeks. The incremental benefit of this drug beyond 26 weeks is unknown.

Once daily use for ED and BPH:
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)

What happens if I miss a dose?

If Cialis is used as needed, you are not likely to be on a dosing schedule.

If you take Cialis every day and you miss a dose, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking Cialis?

Drinking alcohol with this medicine can cause side effects.

Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.

Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.

Cialis side effects

Get emergency medical help if you have any signs of an allergic reaction to Cialis: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Cialis and get emergency medical help if you have:

erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis);

vision changes or sudden vision loss; or

heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.

Also call your doctor right away if you have:

ringing in your ears, or sudden hearing loss;

swelling in your hands, ankles, or feet;

shortness of breath;

Do You Need Erectile Dysfunction Drugs?

What Can You Expect from Drugs?
The class of drugs that Levitra, Viagra, Stendra, and Cialis belong to are called PDE5 inhibitors. They work by relaxing tight blood vessels, allowing more blood to surge into the penis and cause an erection, says Gregory Bales, M.D. an associate professor of urology at the University of Chicago.

The little pills do the trick for more than two-thirds of men with erectile dysfunction (ED). They also work for guys who simply need them for a short time to get their "confidence back," says Michael Eisenberg, M.D. director of male reproductive medicine and surgery at Stanford University. (Do you have erectile dysfunction? Click here to learn the signs. )

ED drugs also reduce the recovery period between bouts of sex, which can be helpful for the 40 percent of men who suffer from premature ejaculation and come in 1 to 2 minutes, says Harry Fisch, M.D. clinical professor of urology and reproductive medicine at Weill Cornell Medical College/New York Presbyterian Hospital, and author of Size Matters. "Even if it is premature [the second time], at least it's another 2 minutes. You can have overall more erections." And guys who take the long-acting Cialis, particularly if they get the daily dose, can have them with more spontaneity, says Dr. Fisch. "You don't have to take a pill two hours before you have sex." (For easy tricks to try tonight, click here for 3 Ways to Last Longer in Bed .)

No drug is without side effects. Viagra, Cialis, Stendra, and Levitra may cause headaches, dizziness, facial flushing, a runny nose, and indigestion. But many men either don't experience side effects or don't mind them. "If you have real erectile dysfunction," Dr. Fisch says, "you'll put up with nasal congestion."

To decrease the risk of potential side effects, take the lowest dose that works for you. Your doctor will probably start you on a low dose, and then up it until it works. And don't worry about jonesing for your Viagra. "These drugs are not addictive," Dr. Eisenberg says. "You're not going to form dependency."

What’s Going On Down There?
The big culprits to blame for erectile dysfunction: heart disease, diabetes, hypertension, and high cholesterol. With these diseases, vessels are constricting rather than opening to let blood flow to extremities, such as the penis, says Dr. Fisch. In fact, men with severe erectile dysfunction are 35 percent more likely to be hospitalized for cardiovascular disease in a 2-year period compared to men without erection issues, according to a study released January 29 in PLOS Medicine. (Are you at risk for heart disease? Take this 5-minute quiz to find out .)

If you have sex scheduled into your iCalendar because you and your partner are trying to conceive, drugs might also help you. "Scheduled sex is stressful," says urologist Paul Turek, M.D. who runs The Turek Clinic for male fertility. "This avoids that stress. You can get a reliable erection with less willpower."

Strengthen Your Erection without Drugs
"Nobody has to be impotent," says Dr. Bales. "There's always a way." The easiest ones:

Throw out your cigarettes. "It affects the ability of the vessels to relax," which is necessary for an erection, says Kevin T. McVary, M.D. chairman of urology at Southern Illinois University School of Medicine. "Stopping smoking is better than any ED drug," says Dr. Bales.

Lose weight. Do anything you can to lower your blood pressure. "With hypertension, you lose the ability of the blood vessels to dilate appropriately," says Dr. McVary. "Losing weight is the best, least costly method to control high blood pressure."

Drink in moderation. Have you ever heard the term "whiskey dick?" "Alcohol increases the desire to have sex but decreases the ability," says Dr. Fisch. Cap your drinks at two a day maximum.

Pass on Sudafed. The nasal decongestant, which contains the blood vessel-constricting chemical pseudoephedrine, can kill erections. (In fact, doctors inject epinephrine into the penis if a man suffers from a prolonged erection.)

Check your other medications. A long list of drugs—including anti-hypertension meds such as thiazines and beta blockers, and antidepressants such as Prozac—can reduce blood flow and contribute to ED. Don't ever go off your medications on your own, but mention the sex life-busting side effects to your doctor.

Switch from night to morning sex. Erections are usually better then, says Dr. Bales. "It's a physical activity, and you’re better rested, and your testosterone level tends to spike in the morning." (Click here to find out What More Testosterone Can Do for You !)

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CIALIS is approved to treat erectile dysfunction and the signs and symptoms of benign prostatic hyperplasia.

CIALIS – The Only Drug Approved to Treat Both ED and BPH

Erectile dysfunction (ED) is a common problem for many men. It describes a difficulty in achieving or maintaining an erection and can disrupt normal sexual activity. BPH, or benign prostatic hyperplasia, affects roughly 50 percent of all men who suffer from ED. In BPH, the prostate becomes swollen, partially blocking the urethra and affecting urinary frequency. CIALIS is the only drug currently approved to treat both conditions concurrently.

CIALIS is the brand name for tadalafil, a drug that is also used in ADCIRCA, used to relieve pulmonary arterial hypertension. There is currently no generic form of CIALIS, so be wary of imitators when buying CIALIS online.

How Does CIALIS Work?

Erectile dysfunction is caused by poor blood circulation. Since the penis must have ample blood flow to become erect, problems with circulation will result in difficulty achieving or sustaining that erection. In many cases, this reduction in blood flow is caused by an enzyme called phosphodiesterase 5, or PDE5, which occurs in both smooth muscle tissue and blood vessels. The presence of too much PDE5 keeps blood vessels from relaxing, prohibiting them from filling up with enough blood.

CIALIS is a PDE5 inhibitor. This means that it halts the production of the PDE5 enzyme, which in turn will relax the affected blood vessels and encourage better circulation. This is also why the drug is effective against certain types of hypertension.

The effect of CIALIS on the prostate is still being investigated, but clinical studies show that patients have a reduction in BPH symptoms after taking CIALIS.

It’s important to remember that taking CIALIS by itself will not cause an erection. It will simply make it easier to achieve and maintain one. The patient will require sexual stimulation to achieve an erection after taking CIALIS. Once sexual activity has been stopped, the penis should return to a flaccid state as normal. In some situations, a prolonged erection can occur. If this happens for longer than four hours, it is imperative to seek medical attention.

What Makes CIALIS Different From Other ED Drugs?

The effects of all ED drugs are quite similar. All of them work by improving blood flow. Different drugs utilize different active ingredients and release into the body in different ways.

There are two primary benefits to using CIALIS instead of a different drug. First, CIALIS can be taken daily rather than on an as-needed basis. Second, the effects of the drug last in the system longer than with other ED drugs. While a dose of similar brands last approximately four hours, the effects of CIALIS can last up to 36 hours. Some users find these results preferable as they provide for more flexibility and spontaneity for timing periods of intimacy.

Two Types of CIALIS Dosage

Depending on the patient’s needs, CIALIS dosage is available in several levels. The drug can be taken on an as-needed basis, similar to Viagra, or it can be taken every day. The latter is the only way to take CIALIS as a treatment for BPH; the as-needed dose will not be effective for treating prostate swelling.

If taking CIALIS daily, the recommended dose is 2.5 to 5 mg. Patients will often be started at the lower dose, with a higher dose being administered if the drug lacks effectiveness. For best results, the drug should be taken at roughly the same time each day. Taking CIALIS every day, the patient should begin to see ED symptoms improve within four to five days. BPH symptoms should show signs of improvement within two to four weeks.

If CIALIS is taken on an as-needed basis, the dosage goes up to 5, 10 or 20 mg. The average starting dosage is 10 mg. The drug becomes effective within 30 minutes and can stay in the patient’s system and remain effective for up to 36 hours.

Regardless of which CIALIS dosage the patient takes, the pill can be taken with or without food. However, alcohol consumption should be moderated while taking CIALIS.

CIALIS Side Effects and Warnings

When researching CIALIS online, you will come across a number of warnings. Be advised that not every patient experiences side effects, and most CIALIS side effects are very mild and clear up within a few hours. These are the most commonly reported side effects:

• Headache
• Indigestion
• Back pain
• Muscle aches
• Flush skin
• Nasal congestion or discharge

Other side effects are uncommon but serious. If experiencing any of these CIALIS side effects, seek immediate medical care:

• Persistent erection lasting more than four hours
• Sudden decrease or loss of vision or hearing

Some patients may also experience an allergy to the active ingredient in CIALIS or to other ingredients in the drug. Discontinue use if you experience swelling of the lips or throat, break out into a rash or have difficulty swallowing as these may be signs of an allergic reaction. If you do experience these symptoms, seek prompt medical attention.

Additionally, before taking CIALIS, it’s important to tell your doctor about any other medications you are taking to prevent potential drug interactions. In particular, certain drugs should not be mixed with CIALIS:

• ADCIRCA, a drug containing the same ingredients as CIALIS and used to treat pulmonary arterial hypertension
• Heart medications including nitrates
• Alpha blockers, such as those prescribed for prostate problems
• Blood pressure medications
• Certain anti-fungal medications and HIV treatments
• Certain antibiotics
• Any other medications for erectile dysfunction
• Recreational drugs called “poppers,” such as amyl nitrite or butyl nitrite

Combining any of these drugs with CIALIS can result in potentially serious complications. Talk to your doctor about potential drug interactions with any of your current medications; there may be specific contraindications that you would not find from general research of CIALIS online.

Finally, it’s important to discuss your overall health and fitness with your doctor. You should be in good enough health for sexual activity before attempting to treat erectile dysfunction. Your doctor may advise against taking CIALIS if you have any of the following conditions:

• Heart problems
• Stroke
• High or low blood pressure
• Liver or kidney disease
• Degenerative eye disease
• Bleeding disorders
• Stomach ulcers
• Sickle cell anemia, leukemia, multiple myeloma and other blood disorders

During sexual intercourse, stop immediately if you begin to feel dizzy or nauseous or if you experience chest pain.

Buy CIALIS Online

CIALIS is only available by prescription. If you have been researching CIALIS online, make a point of bringing it up at your next doctor appointment. This can open discussion about treatment options for erectile dysfunction.

Before you talk to your doctor, it’s a good idea to search for information about CIALIS online so that you can make an informed decision. This will make it easier to discuss your needs with your doctor. To aid in the discussion, bring along this page or other information you’ve found about CIALIS online.

Once you have obtained a prescription, you have the option of buying CIALIS online or in person at the drugstore of your choice. If shopping for CIALIS online, be sure that the pharmacy you choose is reputable. You can check the reputation of a pharmacy by visiting LegitScript.com. In general, the websites of major chain pharmacies like Walgreens and CVS will be safe. Many other independent pharmacies offer CIALIS online and are totally legitimate. Ask your doctor for additional recommendations.

At this time, CIALIS is not covered by all forms of insurance, but many insurance companies do cover drugs for erectile dysfunction. Check with your insurance company to see whether you can save money by ordering CIALIS online or through your local pharmacy. Also be advised that Medicare does not currently pay for erectile dysfunction medication.

You can, however, save money by taking advantage of a CIALIS coupon. The CIALIS website offers coupons for a free trial of CIALIS online. This free trial allows you to receive a 30-day supply of daily 5 mg CIALIS or three tablets of the as-needed CIALIS dosage. You can only redeem this offer if you have a doctor’s prescription, but it’s a good way to try out the drug and see if you like it. If you are unsatisfied after using the CIALIS online offer, you can receive an additional coupon for any other CIALIS product or competitor ED drug.

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