Cialis

Indications:

CIALIS is approved to treat erectile dysfunction (ED 2.5 mg, 5 mg, 10mg, 20 mg), the signs and symptoms of benign prostatic hyperplasia (BPH 5 mg), and both ED and the signs and symptoms of BPH (5 mg). Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.

IMPORTANT SAFETY INFORMATION for CIALIS®

(tadalafil) tablets

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:

  • take medicines called “nitrates”

    such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” like amyl nitrite and butyl nitrite.
  • take medicines called guanylate cyclase stimulators such as riociguat (Adempas®)*, a medicine used to treat pulmonary hypertension as the combination may cause an unsafe drop in blood pressure.

  • are allergic to CIALIS or ADCIRCA® (tadalafil), or any of its ingredients.

    Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as

    rash,

    hives,

    swelling of the lips, tongue or throat, or difficulty breathing or swallowing.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days.

The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you.

Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had:

  • heart problems

    such as chest pain (angina), heart failure, irregular heartbeats, or heart attack

  • pulmonary hypertension

  • low blood pressure

    or high blood pressure that is not controlled

  • stroke

  • liver or kidney problems or require dialysis

  • retinitis pigmentosa,

    a rare genetic (runs in families) eye disease

  • severe vision loss, including a condition called NAION

  • stomach ulcers or a bleeding problem

  • a deformed penis shape

    or Peyronie’s disease

  • an erection that lasted more than 4 hours

  • blood cell problems

    such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take, especially:

  • medicines called "nitrates" which are often prescribed for chest pain
  • medicines called guanylate cyclase stimulators, such as riociguat (Adempas®), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension
  • alpha-blockers often prescribed for prostate problems
  • blood pressure medications
  • medicines for HIV or some types of oral antifungal medications
  • some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine)
  • other medicines or treatments for erectile dysfunction (ED)
  • CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio®)* with CIALIS.

How Should I Take CIALIS?

  • CIALIS should not be taken more than one time each day.

    If you miss a dose, you may take it when you remember but do not take more than one dose per day. Take CIALIS exactly as your healthcare provider prescribes it.

What Should I Avoid While Taking CIALIS?

  • Do not use other ED medicines or ED treatments.
  • Do not drink too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are:

headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:

  • An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.
  • In rare instances, men taking prescription ED tablets, including CIALIS, reported the following:

    • a sudden decrease or loss of vision. It is uncertain whether PDE5 inhibitors directly cause the vision loss.
    • a sudden decrease or loss of hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors.
  • If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov or call 1-800-FDA-1088.

CIALIS does not:

Cure ED, increase a man's sexual desire, protect a man or his partner from sexually transmitted diseases, including HIV or serve as a male form of birth control.

CIALIS is available by prescription only.

Anything to do with erectile dysfunction is considered a social myth which most people do not want to talk about. They would rather find a close confidant to disclose their status with hopes of finding instant solutions and keeping it a secret. What they fail to realize is ED has nothing to do with their personal decisions. In fact, this condition can interfere with your self-esteem if it is not properly addressed thus preventing you from exploring your sexual prowess. Fortunately, this situation can be reversed thanks to various scientific inventions including surgery or medications. Even though surgery is long-term remedy, most people would rather go for Cialis Oral Pills since they are equally effective and affordable.

What Is Cialis?

CIALIS is available as film-coated, almond-shaped tablets for oral administration. Each tablet contains 2.5, 5, 10, or 20 mg of tadalafil and the following inactive ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

Cialis oral pills was first launched in 2003 as one of the leading medications meant to treat erectile dysfunctions. Since then, it has yielded total revenue of around $1.1 billion annually making it to the 51st position in terms of sales and distribution towards the end of 2013.

Cialis is presented in forms of oral, almond-shaped film-coated tablets which come in doses of 5mg, 10mg and 20mg. To determine genuine tablets, look for ones presented in color yellow. Eli Lilly and ICOS Corporation is the main marketer and distributor for this drug.

Most users can attest to its effectiveness owing to the fact that it lasts up to 36 hours. This means that its effect can be felt as soon as it has ingested and last up to 3 times as other drugs such as Viagra, Levitra and many others. Also known as the ‘weekend pill’ it is the perfect remedy for people who are looking forward to having a time of their lives.

Ever since it was approved by Foods and Drug Administration in November 2003, it has become popular among male folks suffering from erectile dysfunction with Viagra and Levitra as its main competitors. In fact, users are advised to order from Canadian-based online pharmacies since most of them are legit. They should avoid buying from sites purporting to be from US since it considered illegal and punishable by law.

What does Cialis do?

Penile erection during sexual stimulation is caused by increased penile blood flow resulting from the relaxation of penile arteries and corpus cavernosal smooth muscle. This response is mediated by the release of nitric oxide (NO) from nerve terminals and endothelial cells, which stimulates the synthesis of cGMP in smooth muscle cells. Cyclic GMP causes smooth muscle relaxation and increased blood flow into the corpus cavernosum. The inhibition of phosphodiesterase type 5 (PDE5) enhances erectile function by increasing the amount of cGMP. Tadalafil inhibits PDE5. Because sexual stimulation is required to initiate the local release of nitric oxide, the inhibition of PDE5 by tadalafil has no effect in the absence of sexual stimulation.

If you are suffering from erectile dysfunction or inability to achieve and sustain an erection, Cialis is the most recommended drug for you. Unlike its competitors, Cialis pills can be taken in two major forms; either as-needed basis or in a lower dosage on a daily basis. If you are planning on taking it as-needed, you are advised to go for the 10mg tablet. If it does not prove effective, you can go for either 20m or 5mg doses. Of course, you can only adjust your requirement under a doctor’s supervision.

If you are planning on taking it on a daily basis, consider going with 2.5mg tablets. Most medical practitioners find it more effective in comparison to as-needed basis. Sometimes, your doctor may recommend a stronger (5mg) dose if the previous one does not seem effective. For best results, you must consider taking it at the same time on a daily basis.

People suffering from Benign Prostatic Hyperplasia can also benefit from Cialis. You are advised to take a daily dose of 5mg in strength on a daily basis. Ensure you take 5mg on a daily basis for 26 weeks in case you are on a therapy for BPH alongside Cialis and finasteride.

How long does Cialis work?

CIALIS is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men. ED is a condition where the penis does not fill with enough blood to harden and expand when a man is sexually excited, or when he cannot keep an erection. A man who has trouble getting or keeping an erection should see his healthcare provider for help if the condition bothers him. CIALIS helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis decreases, and his erection goes away.

Before taking the drug, ensure you have undergone all necessary medical tests to prevent cases of adverse side effects. Normally, a single dose of Cialis pill works within the first fifteen minutes. Thereafter, the effect can be felt for up to 36 hours. Therefore, it is considered one of the best drugs after Viagra and Levitra in treating ED and impotence.

Under normal circumstances, you will required to start on a lower dose to determine how you respond to it. If you find it less effective, you can ask your doctor to adjust the dose to a higher level. Alternatively, you may be required to take higher doses on as-needed dosage requirement. Your doctor can also give you an array of options to choose from. Chances are, you may respond quite well to substitute drugs such as Levitra and Viagra than Cialis. So, be ready to take your chances. After all, sex is basic need and you don’t want to miss out on such a great opportunity.

How does Cialis work?

Cialis is made up of an active ingredient known as Tadalafil. It is primarily used to treat male sexual conditions such as impotence and erectile dysfunction. Tadalafil acts by increasing amount of blood flowing to the penile region to attain an erection during sex.

Just like its competitors- Viagra and Levitra, it works by controlling a substance known as phosphodiesterase 5. The only difference lies where it is supposedly takes over 17 hours to be completely broken down inside the body. During sexual arousal, arteries on the penis after nitric oxide has been released from the endothelial cells and nerve endings. Thereafter, a substance known as cGMP is synthesized in smooth muscles causing it to relax and allow more blood to flow through it.

Using Cialis has an added advantage if you are suffering from heart related conditions. This is because it uses PDE-5 found in the smooth muscle to treat pulmonary hypertension. Hypothetically speaking, it is one of the safest yet powerful drug.

How to take Cialis?

In normal circumstances, Cialis is taken once a day. Always follow directions written on the prescription label. By all means, avoid overdosing or under dosing on the drug. It is safe for use before or after taking a meal. Avoid temptations of splitting the drug, instead swallow it as a whole.

Just like any other sex boosters, there are certain procedures that need to be followed before taking it. Before taking it;

  • Ensure that all the alcohol in your body has complete been flushed out of your system to prevent cases of adverse side effects including dizziness, drowsiness, irregular heart rhythms and intense headaches
  • Stay away from grapefruit juice since it increases the blood levels of the drug. While it sounds like a good thing, excessive blood flow can cause adverse side reactions.
  • Avoid using drugs meant to treat chest pain and heart conditions such as nitrates.
  • Inform your doctor if you have ever had history of cardiac arrest, chest pain, pulmonary hypertension and stroke.

Like any other medicine, it presents side effects including: Migraines, back pain, indigestion, facial flushing, joint aches and runny nose.

Most of these side effects are mild and can take a few hours. This is because the PDE-5 causes dilation of blood vessels. If they take more than 24 hours, consider seeking medical advice.

Is it safe to buy Cialis oral pills online?

Before buying any drug meant to treat ED, ensure you are dealing with a trustworthy source. Even though numerous sites offer a variety of ED medicines, you need to beware of fake/ counterfeit medicines. Besides the fact that they do not work, there is the risk of potential adverse side effects from taking counterfeit drugs.

A reliable site has a certified doctor who only provides medicines that have been approves by the FDA in conjunction with government’s Medicines and Healthcare Products Regulatory Agency (MHRA). This means they have gone through all standard procedures before being clinically approved for patients.

Generic versions are also available at affordable prices to suit users who want budget-friendly medications. Their cheaper pricing does not necessarily mean they are ineffective. In fact, they work pretty much the same as the original drugs; only that they are relatively cheaper. Again, you need to link up with approved sites before making your order, most of them have displayed legit seals to prove their authenticity.

The main advantage of buying your drugs online is the essence of confidentiality. No one has to know what you are suffering from unlike physical drugstores where you have to queue for hours to purchase your drug. You will also have a one-on-one personal interaction with an online doctor who will prescribe and have it delivered at your doorstep. Moreover, they will use discreet packaging to prevent prying eyes from verifying your current status. What more can anyone want?

Potential users can use this positive statements thanks to Cialis reviews to boost their sexual prowess anytime they are in need of the drug. For some reason, they need to consult their doctors before self-medicating or ordering any drug to prevent future predicaments from reoccurring.

Does Cialis work for everyone?

Different ED medications work differently on people but it is difficult to tell which one will suit you best until you have tried all of them. While a particular drug may not work for you the first time round, it is advisable to take it at least eight times before giving up or trying other alternatives. This is because it can take long to determine if the specific drug is suitable on you. Again, do so under a qualified doctor’s prescription.

Veteran Viagra users may have differed opinion with respect to new drugs such as Cialis. However, it has proven to be more effective and a perfect competitor for Viagra owing to the fact that it takes long to wear off completely. The only hack you can rely on, is to take a risk. Who knows? This might be something you have been searching for all your life. One more thing: it will only take effect after sexual stimulation.

Most men who have not found Cialis effective in treating their ED complications can try other substitute drugs. This is because individuals are different and their chances to encounter similar interactions with drugs is quite slim. It is not fair to take a drug just because you read about it or got a referral from a friend. Try and create a good relationship with your doctor to advise you on the best way to go about it rather than self-medicating. In so doing, you will be protecting your body against adverse side effects and finding a temporary solution to your problem.

There are two ways to take Cialis:
Cialis for use as needed:
Do not take Cialis more than one time each day. Take one Cialis tablet before you expect to have sexual activity. You may be able to have sexual activity at 30 minutes after taking Cialis and up to 36 hours after taking it. You and your healthcare provider should consider this in deciding when you should take Cialis before sexual activity. Some form of sexual stimulation is needed for an erection to happen with Cialis. Your healthcare provider may change your dose of Cialis depending on how you respond to the medicine, and on your health condition.
OR

Cialis for once daily use:
Do not take Cialis more than one time each day. Take one Cialis tablet every day at about the same time of day. You may attempt sexual activity at any time between doses. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Some form of sexual stimulation is needed for an erection to happen with Cialis. Your healthcare provider may change your dose of Cialis depending on how you respond to the medicine, and on your health condition.