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.
If you have; healthy arteries; healthy health cells; cholesterol; blood cell disorders; blood flow problems, this medicine can affect all three of the following cells; mineralized oil glycerin; water-in-sulfur dioxide; talc (E132, E topylene glycol); and E45 director/scientist Dr Mouradha. This is a medicine not approved by the FDA.
are prescribed this medicine; however, this medicine is not usually used regularly as other medications may cause serious side effects.This medicine has been shown to cause serious, non-alcoholic liver problems
Drug-drug interactions this medicine may interact with, herbal products other than the medicine it is used for. Many other medications can, by their nature, interact with, or affect, this medicine.
are products used to treat erectile dysfunction this medicine is used to treat pulmonary arterial hypertension (high blood pressure in the blood vessels of the lungs) (pde12) (e.g. “tadalafil”). This medicine is also used to treat pulmonary arterial hypertension in adult men (“WHOath”).This medicine may also cause a serious drop in blood pressure.
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:
Dutourrap/flavored medications (e.g., dapoxetine, tadalafil, sildenafil) can interact with tadalafil, starting with a low dose and drinking thenaldil. Taking the medication with these products may cause a dangerous drop in blood pressure (hypertension), leading to dizziness, fainting, or stroke. Avoid the consumption of grapefruit or grapefruit juice while taking Dutourrap/flavored medications.
Generic Cialis (Tadalafil) is a medication used to treat erectile dysfunction (ED) in men. It works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. Generic Cialis can also be used for purposes not listed in this medication guide.
What is Generic Cialis?
Generic Cialis is a prescription medication that is used to treat ED in men. It is available as a tablet or extended-release (long-acting) formulation.
Generic Cialis is also used for purposes not listed in this medication guide.
Generic Cialis is used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis to help men achieve and maintain an erection.
ED is a condition where a man has trouble getting or keeping an erection sufficient for sexual activity. It can cause problems in getting or keeping an erection, and it can lead to low self-esteem and performance anxiety.
Generic Cialis is also used to treat pulmonary arterial hypertension (PAH) in adults. It works by relaxing the blood vessels in the lungs, allowing blood to flow in when you are rising from a sitting or lying position.
Generic Cialis works by relaxing the blood vessels in the penis, allowing blood to flow into the penis when you are sexually excited. When this blood flow occurs, it allows the penis to become hard and firm.
You will experience a temporary increase in blood flow when you get sexually excited. This increased blood flow helps you to achieve and maintain an erection.
Your health care provider will likely start you on a low dose of Generic Cialis and work up to a maximum daily dose of 36 hours in a 24-hour period.
You should take this medication exactly as directed by your health care provider. Do not take Generic Cialis more or less often than directed.
If Generic Cialis is not working, your health care provider may recommend another medication to treat your ED.
If you do not feel like you need to take Generic Cialis regularly, your health care provider may suggest a different medication. For example, if you do not feel like you need to take Generic Cialis and your health care provider recommends a different medication, they may suggest another medication.
If you do not have a prescription for another medication, your health care provider may suggest another medication. For example, you may be prescribed a different medication. You may not use Generic Cialis and have side effects that you cannot take a new medication.
If you take Generic Cialis regularly, your health care provider may advise you to take it as directed by your doctor. If you do not have a prescription for another medication, your health care provider may recommend another medication.
It is important that you do not feel dizzy or lightheaded while taking Generic Cialis. Alcohol and recreational drugs can affect how your body absorbs the medication. You should avoid alcohol while taking Generic Cialis.
If you are taking Generic Cialis daily, it may take less of a dose for you to experience the effects of Generic Cialis. If you experience side effects such as nausea, headache, or heartburn, you may need a lower dose.
It is also important that you continue to take Generic Cialis throughout the day. It is also important that you do not drive or operate machinery until you are finished with your medication.
If you are using Generic Cialis daily, you will most likely need to take it at least 8 hours before or after your medication.
If you are using Generic Cialis daily, you should avoid using it more often than prescribed by your health care provider.
If you forget to take your medication, take your medication as soon as you remember.
If you miss your dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take your medication as scheduled.
If you are taking Generic Cialis for erectile dysfunction, it may take longer to see the effects of Generic Cialis in your body.
Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
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