Every man is likely to have problems getting an erection at some time in his life. This is especially true as men get older. This problem, called erectile dysfunction or ED for short, is a common experience. It is no more to be ashamed of than an aching joint or graying hair. If your joints ache you may take Tylenol. If your hair turns gray you may decide to color it. And if you experience ED you may take Cialis. Cialis is a top choice for treatment of ED.
Cialis is made by Eli Lilly and Company. The generic name for the active ingredient in Cialis is tadalafil. There are other companies worldwide that make tadalafil products. Some companies use the generic name, and others have their own brand name, such as Tadacip, Apcalis, Regalis, Tadalafilo, and Tadalis. All of these different brands contain the identical active ingredient, tadalafil.
Erectile dysfunction can be caused by blood flow problems. A natural erection happens because of an increase in blood flow into the penis. As the chambers in the penis fill with blood, it enlarges and becomes hard. Some men have a reduced blood flow into the penis. This can happen because of smooth muscle that forms bands around the blood vessels flowing into the penis. When the smooth muscle contracts, the blood vessels become narrower, and less blood flows through.
There is a natural substance in the body that affects the smooth-muscle bands around the blood vessels. This substance is called phosphodiesterase-5 enzyme, or PDE5. When PDE5 is present, the smooth muscle will be contracted, narrowing the blood vessels. Cialis is a type of drug called a PDE5 inhibitor. Cialis works by blocking the PDE5 enzyme. When PDE5 is blocked, the smooth muscle can relax around the blood vessels leading into the penis. This makes the blood vessels wider so more blood can flow into the penis.
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Cialis can thus help to both get an erection and sustain the erection. It is important to know that Cialis does not automatically start an erection on its own, though. Sexual stimulation is also needed for the erection to happen.
Cialis is mainly used to treat ED, but it does have other uses. A second approved use of Cialis is for treatment of benign prostatic hypertrophy (BPH). Cialis can help with some of the urinary problems experienced by men with BPH. Another approved use is the treatment of pulmonary arterial hypertension (PAH), which is high blood pressure in the lungs. The newest use of Cialis is for treatment of some of the symptoms of Duchenne muscular dystrophy.
Cialis has also found an off-label use in the world of bodybuilding. Some bodybuilders take Cialis along with anabolic steroids. Cialis can increase blood flow in other parts of the body, including the muscles, and bodybuilders believe this helps deliver the steroids and other supplements to their muscles. They also claim the increase in blood flow leads to better pumps in the gym. Also, bodybuilders may experience prostate enlargement due to the steroid use. Cialis may help with some signs and symptoms of this prostate enlargement, as it does with BPH.
Cialis does not protect against sexually transmitted diseases. It does not protect against pregnancy. Cialis does not improve libido or male fertility.
Cialis has some important advantages over other PDE5 inhibitors, such as Viagra and Levitra. It takes at least 30 minutes for Viagra or Levitra to start working, but Cialis takes effect in as little as 15 minutes. Viagra and Levitra each last for about four or five hours. But Cialis lasts much longer, being active for up to 36 hours. For this reason, Cialis has earned the nickname of “the weekend pill.”
Brand name Cialis comes as a yellow, almond-shaped, film-coated tablet in 2.5 mg, 5 mg, 10 mg, and 20 mg strengths. Generic tadalafil and other brands may have a similar or different appearance. Some companies also make other dosage forms, such as gel-filled capsules known as Cialis Super Active, and chewable tablets known as Cialis Professional.
The standard starting dose to treat ED is 10 mg, to be taken 30 minutes before desired sexual activity. Only one dose of Cialis should be taken per day. Cialis tablets should not be split; the entire dose should be taken.
Cialis is used differently when treating men with BPH. In this case, the standard starting dose is 5 mg daily, and the dose is to be taken every day at approximately the same time, regardless of sexual activity.
Some health conditions make the use of Cialis unsafe. Men with conditions such as heart disease, heart failure, liver disease, and kidney disease should use Cialis only under medical supervision. Cialis should also be used with caution by men with bleeding disorders, active peptic ulcer disease, or retinitis pigmentosa.
The most common side effects that men experience while taking Cialis include headache, indigestion, back pain, muscle aches, flushed skin, and stuffy nose. Most side effects are related to the increase in blood flow, and will go away in a few hours. Back pain and muscle aches may last somewhat longer, up to 48 hours.
Serious side effects with Cialis are rare, and include priapism and sudden loss of hearing or vision. Priapism is the name for an erection that lasts too long, and is usually painful. If you experience an erection that lasts for four hours or more, you should seek medical help right away, even if it is not painful. An erection that lasts too long can cause permanent damage to the penis. You should also seek immediate medical help if you have sudden changes to your hearing or vision.
You should never use more than one kind of PDE5 inhibitor at the same time, or use more than one form of Cialis at the same time. Combining two PDE5 inhibitors at once can cause your blood pressure to drop dangerously low.
Other medications, foods, and herbal products can have harmful interactions with Cialis. Do not use Cialis if you use nitrates for your heart. Nitrates are medications that include nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. There is also a nitrate used as a sex drug on the street, amyl nitrite or nitrate. This sex drug goes by the name of “Poppers”. Combining Cialis with any of these can also cause a dangerous drop in blood pressure, and even be fatal.
Some other medications that can interact with Cialis include certain antibiotics, antifungals, HIV medications, blood pressure medications, antidepressants, Cimetidine (Tagamet), and riociguat (Adempas).
Cialis can also have interactions with grapefruit and grapefruit juice, so avoid eating these foods at the same time. Do not drink alcoholic beverages with Cialis. You should also not use certain herbal supplements, such as St. John’s Wort, due to the potential for interactions.
Be sure to tell your doctor about any over the counter or herbal products you use, as well as all your prescription medications. The bottom line is, the best way to be sure it is okay for you to safely use Cialis is to start with your doctor. This way you can be sure you start with the correct dose for your health conditions.
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In Australia, medications are regulated by the Therapeutic Goods Administration (TGA). The TGA has classified Cialis as a prescription-only medication. The TGA has an online information site about Cialis that can be found at https://www.healthdirect.gov.au/cialis. They encourage everyone to get a valid prescription from their doctor, and fill the prescription at a brick and mortar pharmacy or a reputable online pharmacy that requires a prescription.
It may be, if you have private health insurance, that your plan will cover a Cialis prescription. It is worth checking your policy out. Are you a veteran? The Department of Health’s Pharmaceutical Benefits Scheme (PBS) may offer you coverage. Cialis is listed as Repatriation Pharmaceutical Benefits for Department of Veterans Affairs beneficiaries.
There are also many websites online where you can obtain Cialis and other tadalafil brands without a prescription. A few examples of sites are edonlinestores.net. There are some advantages to buying from an online source. Some men feel they want greater privacy, or they want to save money by buying lower-cost online Cialis. Another plus is the discrete delivery right to your door.
Before you decide to make an online purchase, educate yourself about the risks of ordering online. ED drugs are some of the most-counterfeited drugs worldwide. Some counterfeits have been found to contain amphetamines, harmful dyes, and other dangerous substances. Some products have too much active ingredient in them, and others have no active ingredient at all. The safest way to get Cialis is by making a visit to your doctor, and taking your prescription to a reliable store-based pharmacy or online pharmacy that requires a prescription.