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.
The most common side effects are a few were a were a were some were a were some were a were a were some (1,1) you may also be asked to make lifestyle changes.
More information Information Information Keep from trusted pharmacist Read a patient information sheet for the medicine before you take your first dose. There is a list of side effects in the patient information sheet.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:
| Drug-Drug Interaction | Nitrates (e.g., nitroglycerin) |
|---|---|
| Tadalafil | |
| Cialis |
To the Editor:The U. S. Food and Drug Administration has approved a generic version of Cialis (tadalafil) to help treat erectile dysfunction (ED) in men. Tadalafil belongs to the class of phosphodiesterase type 5 (PDE5) inhibitors and works by relaxing the blood vessels in the penis. It is a prescription drug, which means it is available over-the-counter for once a month. The FDA’s approval of Cialis is a significant step in addressing ED, a condition that affects millions of men worldwide.
One of the many advantages of Tadalafil is its ability to be used both as an ED drug and as a treatment for erectile dysfunction (ED). Tadalafil, a generic version of Cialis, is also available in the United States. Unlike the generic form of Cialis, which is typically available in the form of tablets, Tadalafil is available over-the-counter in pill form. The medication is taken once per day, with or without food. It’s important to note that Tadalafil must be taken at least 45 minutes before sexual activity. This can vary depending on the individual’s health condition and other factors, including how quickly they take it. It’s important to note that while Tadalafil can be taken as an ED drug, it’s important to understand how it works in order to be sure that it’s safe and effective for everyone.
As with many other medications, Tadalafil can cause side effects. These side effects can include headache, flushing, nasal congestion, and dizziness. If you’re experiencing any of these symptoms, it’s important to speak with a healthcare professional right away. They can help determine if this is the right treatment option for you. If you have any questions about side effects, it’s best to speak with a healthcare professional, who can provide guidance on how to best manage them.
It’s also important to note that Tadalafil is not a cure for ED, and it’s not intended to treat the underlying causes of ED. This is because it may cause a temporary, temporary effect on ED, but it doesn’t address the underlying causes of ED. It’s also important to note that Tadalafil does not increase sexual desire. It can only help with ED if it’s working as intended. It’s important to discuss any concerns you have with your healthcare provider before taking Tadalafil. If you have any questions, don’t hesitate to ask and reach out to a healthcare provider, who can provide guidance on how to safely and effectively use Tadalafil.
Remember, it’s always best to consult with a doctor if you have any medical conditions that may make you unsuitable for Tadalafil or other ED medication. They can evaluate your medical history, potential drug interactions, and help you determine the best treatment option for your specific needs.
Tadalafil is also available as a generic version of Cialis (tadalafil) and is manufactured in various forms. Tadalafil tablets are available in various strengths and are typically taken once a day. The medication is usually taken either with or without food. It’s important to follow the dosage and usage instructions provided by your healthcare provider to ensure that Tadalafil is the right dose for you. It’s also important to only take one tablet a day.
It’s important to take one tablet a day. If you have been prescribed a dosage of Cialis or Tadalafil, it’s best to take the medication at the same time each day to maintain consistent levels in your body. It’s also important to follow the instructions provided by your healthcare provider regarding how much to take. Typically, you will start taking the medication at the same time every day. If you miss a dose, take it as soon as you remember, unless it is near the time of the next dose. However, if it’s almost time for your next dose, take it as soon as you remember, unless it is near the time of the next dose. It’s important to take Tadalafil at the same time every day. If you take any additional medication, such as nitrates or alpha-blockers, it’s best to skip the missed dose and continue with your regular schedule. It’s also important to take the medication as directed by your healthcare provider.
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
Read available consultation questionnaireTadalafil is the generic version of the medicine name – Cialis. This drug is used to treat two conditions:
• Erectile dysfunction
Cialis is a Tadalafil medicine that works by relaxing the blood vessels in the penis, allowing blood to flow into your penis when you get sexually excited and causing an erection. Cialis helps men get and keep an erection during sex. It is important to use Cialis to ensure that you are able to get and maintain an erection that is hard enough for intercourse.
Yes! Cialis can be taken with or without food. However, it is recommended that you take the lowest dose of Cialis that is effective against your erectile dysfunction for the best results. To help you find the lowest daily dose for erectile dysfunction, Cialis is taken at the dose that is the most effective for you. Do not take lower doses than your GP recommends without checking the dose that you start taking before you buy Cialis.
Cialis is the generic version of the medicine name – Cialis.
Cialis is the generic version of the drug that is in a class of medicines called phosphodiesterase type 5 (PDE5) inhibitors. These medicines work by helping to relax the blood vessels in your penis, thereby causing blood flow into the penis to help you get and keep an erection.
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