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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.

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    All medicines are sellable over the counter (yes/no). We offer a wide range of products, including medicines, over the counter and online.

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    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.
    All drugs for blood pressure work the same in body. You can get better blood pressure results by eating healthy, safe, and moderate amounts of food.Start an online consultation with Dr. OrVERTIS with up to date blood pressure treatment information.See for Dr. OrVERTIS()s.Cialis (tadalafil) is a phosphodiesterase type 5 (PDE5) inhibitor. Tadalafil works by relaxing blood vessels, allowing for increased blood flow, which is usually healthy for people with common [email protected] for PAH and HOMELINES. Tadalafil is used to treat PAHs (high blood pressure that is not relieved by normal physical exertion) in people with pulmonary arterial hypertension (high blood pressure in the lungs) and in patients with coronary artery disease.Tadalafil is a -based medication that offers significant relief from the symptoms of PAH, offering people with PAH the benefit of a lower dose compared to nitrates. It is not recommended for use in people with angina or a coronary artery disease condition. or have a low blood pressure.

    Description

    Cialis 30 tablet

    Cialis 30 tablet contains the active ingredient Tadalafil, which is the main component of Tadalafil Tablets. It is used in the treatment of erectile dysfunction and benign prostatic hyperplasia in men. This medicine has a long duration of action and the recommended starting dose is 20 mg. It will help you to get an erection only when you are sexually stimulated.

    How to take Cialis 30 tablet

    Take this medicine by mouth as prescribed by your doctor. It is usually given with a meal, after you have eaten a large meal. Take your medicine at around the same time every day. You can take Cialis 30 tablet with a regular meal. Take this medicine at about the same time every day. If you miss a dose, you can take it as soon as you remember, but do not take two doses at the same time. If you take more than one dose of this medicine, you should consult your doctor before you take it.

    How long does it take to get an erection?

    You can get an erection only when you are sexually stimulated. Cialis 30 tablet lasts for about 30-60 minutes and it is possible to get an erection for up to 36 hours. This medicine does not affect the amount of blood that your body gets. You do not need to worry if you get an erection during this time period or not.

    Follow your doctor’s instructions about how to take Cialis 30 tablet. Take Cialis 30 tablet at the same time every day. It is possible to get an erection for up to 36 hours. You do not need to worry if you get an erection during this time period.

    What are the side effects?

    The most common side effects of Cialis 30 tablet are dizziness, headache, stomach pain, nausea, and an allergic reaction to the medicine.

    Do not take Cialis 30 tablet if you:

    • have an allergy to tadalafil or any of the ingredients in this medicine
    • have any other medical conditions
    • have an erection that lasts for more than 5-10 hours
    • are allergic to any of the ingredients in this medicine (hypersensitive ingredients)

    If you have any of the above-listed side effects, do not take Cialis 30 tablet.

    Read more

    Cialis 30 tablet side effects

    • Headache
    • Stomach pain
    • Dizziness
    • Sensitivity to the medicine
    • Vomiting
    • Flushing
    • Indigestion
    • Muscle aches
    • Abnormal liver tests (AST and ALT)

    How to store Cialis 30 tablet

    • Store at room temperature away from moisture and heat.
    • Keep Cialis 30 tablet in the original packaging.
    • Do not keep it in the blister or foil pack.
    • Do not open the capsule pouch.
    • Do not store Cialis 30 tablet in the bathroom, near a sink or other heat sources.

    Do not use Cialis 30 tablet if you are taking medicines containing nitrates,vasodilators,angiotensin converting enzyme (ACE) inhibitors, prodrugs,nonsteroidal anti-inflammatory drugs (NSAIDs), oranticoagulants.

    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:

    • Headache
    • Indigestion
    • Heartburn
    • Upset stomach
    • Gas
    • Nausea
    • Flushing

    More severe side effects include:

    • Painful erections or erections that last longer than 4 hours
    • Sudden loss of vision
    • Sudden loss of hearing
    • Ringing in the ears
    • Chest pain
    • Shortness of breath
    • Painful urination
    • Increased urination frequency
    • Fainting
    • Dizziness
    • Skin rash
    • Hives
    • Facial swelling

    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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    The U. S. Food and Drug Administration (FDA) has approved the first of its five drugs approved by the FDA on July 10, 2018, to treat erectile dysfunction, the first of its type of drug that can be prescribed by men. The drug is Cialis, the generic name for tadalafil. Cialis works by relaxing the blood vessels in the penis and increasing blood flow, helping men get and keep an erection.

    The FDA approves the following drugs in the United States:

    1. Cialis (tadalafil) - approved by the FDA on July 10, 2018.

    2. Levitra (vardenafil) - approved on July 10, 2018.

    3. Viagra (sildenafil citrate) - approved on July 10, 2018.

    4. Stendra (avanafil) - approved on July 10, 2018.

    5. Generic Viagra (sildenafil citrate) - approved on July 10, 2018.

    6. Cialis (tadalafil) - approved on July 10, 2018.

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    11. Viagra (sildenafil) - approved on July 10, 2018.

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