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What is Cialis?

Cialis is a popular medication used to treat erectile dysfunction (ED). It is one of the most popular erectile dysfunction medications, making it one of the most popular erectile dysfunction treatments available. It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. This class of drugs is used to treat male erectile dysfunction, a condition where the muscles in the penis do not get stiff enough to keep an erection. The medication works by increasing blood flow to the penis, which helps men to get and maintain an erection.

How does Cialis work?

Cialis is a type of medication known as a PDE5 inhibitor. It works by relaxing the blood vessels in the penis, allowing more blood to flow into the penis during sexual arousal. This increased blood flow is necessary for the user to achieve and maintain an erection.

It works by increasing the production of a hormone that controls erectile function. This hormone is responsible for regulating the body’s response to sexual stimulation. Cialis works by inhibiting the enzyme that converts testosterone into the active form of sildenafil (Viagra) in the penis. This increased blood flow into the penis makes it easier to achieve an erection during sexual arousal.

How to take Cialis?

You can take Cialis with or without food, but it’s important to follow the directions provided by your doctor and to swallow the tablets whole. The tablets should be swallowed whole with water. Do not crush, chew, or open the pills.

The recommended dose of Cialis is once daily, and the effects may last up to 36 hours. However, some men may require a dose of up to thirty-six milligrams per day. If you have an existing medical condition that is causing the symptoms of erectile dysfunction, you should consult your doctor.

If you are taking other medications, including those that interact with Cialis, you should not take Cialis if you are taking nitrates for chest pain or heart problems. You should not take Cialis if you are also taking alpha blockers or a type of alpha-blocker to treat high blood pressure.

In addition, you should not take Cialis if you are taking any form of nitrates for chest pain, as they can worsen your erectile dysfunction symptoms.

Do not take Cialis if you are taking or have recently taken nitrates for angina (chest pain).

Interactions

A. Top Drug-Drug Interactions:

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.

Other Drug-Drug interactions:

  • Ketoconazole, itraconazole (used to manage fungal infection)
  • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
  • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
  • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
  • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

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:

  1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
  2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
  3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
  4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
Added/Extended:

C.

Tadalafil,, and, used to manage erectile dysfunction, can interact with tadalafil or tadalafil-containing medications. They can cause dizziness or fainting. If you need to take Cialis with tadalafil or tadalafil-containing medications, your doctor should evaluate these interactions directly.

For Men:

  • Prescription-only medication (e.g., Viagra)
  • Prescription-only treatment (e.g., Cialis) for adult men

D.

Viagra, the brand name for, used to treat erectile dysfunction, is a sexual-related health medication.

In the US, Cialis (tadalafil) is the brand name for the generic medication tadalafil, a drug used to treat erectile dysfunction (ED) in men. The medication is also sometimes known as the weekend pill. In most countries, Cialis has also been approved by the FDA. The active ingredient of Cialis is tadalafil, which is in a class of medications called phosphodiesterase type 5 (PDE5) inhibitors. They work by relaxing the blood vessels in the penis, allowing increased blood flow and facilitating an erection. Tadalafil may be taken on an empty stomach, and can be taken with or without food. It is important to note that while Cialis is effective, it does not work immediately. It may take up to a few hours for it to be effective, and the effects can take longer to manifest. It is important to speak with a doctor before taking Cialis or any other medication.

How does Cialis work?

Cialis belongs to the PDE5 inhibitor class of medications and works by relaxing the blood vessels in the penis. This allows increased blood flow and an erection when a man is sexually aroused. By blocking the enzyme PDE5, tadalafil, a PDE5 inhibitor, allows the blood vessels in the penis to relax and widen. This allows more blood to flow into the penis, which in turn can help achieve and maintain an erection. Cialis is also known as the weekend pill, and can be taken on an empty stomach, and can be taken with or without food. It may take up to a few hours to see its effects, but it's important to speak with a doctor before taking it. It is not recommended for use on children under the age of 18.

How long does Cialis last?

Cialis is a once-daily medication that lasts for up to 36 hours. This is the same window as most other medications. Cialis has a longer half-life of about 4 hours. It is important to note that this does not mean that Cialis is longer than most other medications. It simply means that Cialis has a longer half-life compared to other PDE5 inhibitors. It may take up to a few hours to see its effects. However, the effects can be noticeable within 30 to 60 minutes of taking the medication. This can vary depending on the specific medication and the individual's health. It is important to note that Cialis has a lower risk of side effects compared to other PDE5 inhibitors. It may take up to a few hours to see its effects, but it is not recommended for use on children under the age of 18.

Is Cialis safe?

Yes. Cialis can be effective in treating erectile dysfunction (ED) and is generally safe when taken as directed. However, there are some potential risks associated with taking Cialis. It is important to discuss any concerns or side effects with a doctor before starting any PDE5 inhibitor medication. It is also important to speak with a doctor if you have any pre-existing health conditions or are taking other medications. It's generally recommended to avoid using Cialis with nitrates, as this can lead to a dangerous drop in blood pressure.

Cialis side effects

Common side effects of Cialis can include headache, flushing, nasal congestion, and indigestion. These side effects are usually mild and temporary, but they can be serious and require immediate medical attention. If you experience any severe or persistent side effects, it is important to seek emergency medical help. If you have any severe or persistent side effects, you should contact your doctor immediately.

If you are taking Cialis for erectile dysfunction, it is recommended that you consult with your doctor. It is also important to avoid taking Cialis or other PDE5 inhibitor medications if you have heart problems or are taking other medications that could interact with the medication. In particular, it is recommended to avoid taking Cialis with nitrates, as this can lead to a dangerous drop in blood pressure. If you experience chest pain, dizziness, or nausea while taking Cialis, you should seek medical attention immediately. In most cases, Cialis is only taken as needed. However, it is important to discuss any concerns or side effects with a doctor before starting treatment with Cialis.

Does Cialis have an effect on sperm?

Cialis is a once-daily medication that can be effective in treating erectile dysfunction (ED) and is typically used for up to 36 hours.

Erectile Dysfunction

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

  • Side Effects

    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.

  • [+- 1901,10 common,]. In addition to the above side effects, there are a further two other side effects that can occur when taking CIALIS. These effects include:

    headache, shortness of breath, nausea, vomiting, loss of appetite, information confusion, very low blood pressure, muscle cramps, irregular, rapid heart rate, high blood pressure, common cold and allergy. Serious side effects include:

    paranoia, depression, anxiety, anxiety disorder, ideas disorder, thoughts about death, thoughts about family member to wrong the person. Very low blood pressure and increased heart rate.

    [/europe]

    Generic CIALIS is only for men over the age of 40 who suffer from erectile dysfunction. It is not recommended for women or children. Generic CIALIS is not recommended for use in men who have pulmonary arterial hypertension (PAH) or are taking medicines called nitrates for this purpose. There is a risk of low blood pressure, heart attack, and stroke, as well as certain side effects, including anxiety, sleepiness, dizziness and weakness.

    If you are taking CIALIS and have any of the following side effects they are usually mild to moderate to severe and are treated immediately by calling your doctor:

    allergic reactions, including rash, itching or hives, swelling of the eyelids, eyelids, face, lips, and throat, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, common cold and allergy.