Buy Cialis Online
Cialis, also known as tadalafil, is a prescription medication used to treat erectile dysfunction, or ED. The drug may be used to treat men who have ED alone or who also have benign prostatic hyperplasia, or BPH, which is sometimes called an enlarged prostate. Cialis is not a permanent cure for ED, nor does it increase a man's desire to engage in sex. The drug does not offer protection from sexually transmitted diseases and is not a type of male birth control.
How Does Cialis Work?
Cialis is classified as a phosphodiesterase-5, or PDE5, inhibitor. This means that it delays the action phosphodiesterase type-5 enzyme. This particular enzyme is works in several areas of the body, including the penis, to relax smooth muscle tissue. If the muscles relax, the penis does not receive adequate blood flow to achieve or maintain an erection. PDE5 inhibitors block the enzyme's action, allowing the penis to retain the needed blood supply.
Cialis Dosages
Cialis - manufactured by Lilly, is available as a low-dose tablet for daily use or as a single dose the patient uses on an as-needed basis no more frequently than once daily. The daily use dosage is a 2.5 or 5 milligram tablet taken every day at the same time regardless of when sexual activity will occur. Standard dosage for use as needed is a 10mg tablet, which should be taken approximately 30 minutes prior to sexual activity, but the tablets are also available in 5mg and 20mg strengths. The doctor may prescribe different dosages and issue different instructions for timing doses. Patients should follow their doctors' instructions and should not change the amount or timing of the medication without obtaining their doctors' approval to do so.
How Long Does Cialis Last?
Results vary somewhat by patient, but when taken on an as-needed basis, Cialis has been shown to remain active for as long as 36 hours, enabling men to complete one attempt at intercourse successfully during that time. The daily use tablets may take as long as four or five days to work initially. Cialis for daily use has not been studied to determine whether multiple attempts at intercourse are successful during a single 24-hour period. Regardless of dosage, the drug typically remains in the body for 48 hours or more, so patients should bear this in mind if they need to take another medication that might interact with Cialis.
Cialis Side Effects
Side effects may range from mildly uncomfortable to life threatening. Patients should consult with their doctor immediately should they experience chest pain, a heaviness or tightness in the chest or an irregular or racing heartbeat. Pain in the arm, jaw or back, blurred or double vision, severe headaches or vomiting are symptoms that should be promptly reported to the doctor. Fainting, confusion, dizziness, hearing problems and breathing difficulties need to be reported. Patients should seek medical attention if an erection is painful or lasts longer than four hours. The doctor needs to be notified if the patient develops a rash, hives or other symptoms of an allergic reaction. Seek medical attention if the patient cannot speak or has difficulties with his speech.
Other side effects may occur that are less severe. Some of the more common side effects include indigestion, acid stomach, heartburn, belching and general stomach upset or discomfort. If these are severe or if the patient finds them worrisome, consult a doctor. Patients taking Cialis have also reported dry mouth, itching or burning eyes, aching muscles, flushing of the face, diarrhea, sleep problems and watery eyes.
Who Should Not Take Cialis?
Patients who have heart problems should not take Cialis unless the doctor is fully informed of the condition and judges it safe for the patient. Those taking nitrate medicines such as nitroglycerin, which is commonly used by patients with angina, should avoid tadalafil. Certain illegal drugs, commonly called "poppers," contain nitrates, and anyone using these drugs should not take Cialis. Excessive consumption of alcohol, defined as five or more mixed drinks or glasses of wine, is contraindicated. Patients with kidney or liver problems should inform their doctors of their conditions to determine whether Cialis is safe for them. Cialis is not recommended for patients who have suffered a recent stroke, have low or high blood pressure, suffer from a deformation of the penis or have vision problems such as retinitis pigmentosa. Diseases that affect the blood cells, such as leukemia or sickle cell anemia, may exclude patients from using Cialis.
What Other Medications Will Affect Cialis?
Cialis can interact with a variety of other medications to produce side effects that can be serious. Patients taking nitrates, whether they are prescribed or illegally obtained, should not take Cialis. Some doctors may prescribe an alpha-blocker for patients with prostate problems, and these drugs should not be taken with Cialis. Patients taking medications for blood pressure should discuss these medications with their doctors to determine whether tadalafil is safe for them to take. Cialis should not be taken with other drugs for erectile dysfunction, nor should it be taken by anyone who is taking Adcirca as this is another name for tadalafil. Patients taking antibiotics, especially erythromycin and clarithromycin, those taking anti-fungal drugs orally and those receiving medications for HIV should not take Cialis unless his doctor is aware of the medications and determines Cialis is safe for the patient.
