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About Cialis (Tadalafil)

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Also known as:  Tadalafil.

Uses of Cialis

Erectile dysfunction. Cialis is used for the treatment of impotence; where achieving and sustaining an erection is a problem while having sexual intercourse. However, it will work only if there is sexual stimulation.

Pulmonary arterial hypertension. Cialis is used to treat high blood pressure of arteries present in the lungs and right side of the heart. It also improves exercise capacity in such patients.

Benign prostatic hyperplasia. Cialis is used to treat the symptoms of age-related prostate gland enlargement which may include painful, difficult, and frequent urination.

Highlights

The effect of Cialis can be observed within 30-60 minutes of oral administration.

The effect of Cialis lasts for an average duration of 36-40 hours.

Use of alcohol should be avoided or kept to a minimal level while you are taking Cialis. Symptoms like dizziness, fainting, flushing, persistent headaches should be reported to the doctor.

No habit-forming tendencies were reported.

Cialis is not recommended for consumption by pregnant women unless needed. Consult a doctor and discuss the benefits and risks before taking this medicine.

Nursing mothers should avoid the use of Cialis. Consult your doctor so that suitable substitute may be advised.

General Instructions

Take Cialis as instructed by the doctor. Do not consume Cialis in larger or smaller quantities than recommended. Follow the dosage regimen if this medicine is taken for treating pulmonary hypertension. Take this medicine at least 30-60 minutes before sexual activity if taken for erection disorders.

Missing a dose

Cialis is used only when needed, therefore missed doses are not relevant. Do not exceed the doctor's recommended dose. Do not take a double dose.

Overdose

If an overdose occurs and you are feeling unwell, you should seek emergency medical attention or contact your healthcare provider immediately.

Other details

Can be taken with or without food, as advised by your doctor

To be taken as instructed by a doctor

Does not cause sleepiness

How it works

This medicine works by relaxing the smooth muscles present in the walls of blood vessels. This action is limited to particular areas of the body, and the flow of blood in these areas is increased.

Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) and away from excess moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Cialis are:

  • Headache (severe)
  • Heartburn
  • Nausea
  • Diarrhea (severe, rare)
  • Flushing
  • Persistent cough
  • Decrease/loss of vision (severe, rare)
  • Change in color vision (severe)
  • Decrease/loss of hearing (severe, rare)
  • Prolonged and painful erection (severe, rare)
  • Dizziness
  • Allergic skin reaction (rare)
  • Difficulty in breathing (severe)
  • Difficulty in swallowing
  • Swelling of face, lips, eyelids, tongue, hands and feet (severe, rare)
  • Peeling and blistering of skin (severe, rare)
  • Upper respiratory tract infection (severe)
  • Pain in the arms, legs and back
  • Uterine bleeding

Side effects occurrence does not only depend on the medication you are taking but also on your overall health and other factors.

When not to use?

Allergy. Cialis is not recommended for use if you have a history of allergy to Sildenafil or any other component of this medicine.

Organic nitrates. Cialis is not recommended for use if you are currently using any medicine that contains organic nitrates (e.g., Nitroglycerin, Isosorbide etc.).

Riociguat. Cialis is not recommended for use if you are consuming a medicine named Riociguat (Popular trade name is Adempas).

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with alcohol (moderate)

Use of alcohol while taking Cialis may increase the blood pressure lowering effect of this medicine. Caution is advised especially in patients who are chronic alcohol users. Consumption of alcohol should be avoided or kept to a minimal level while you are taking Cialis. Symptoms like dizziness, fainting, flushing, persistent headaches should be reported to the doctor.

Interaction with Medicine

Amlodipine (moderate)

Carbamazepine (moderate)

Ketoconazole (moderate)

Phenytoin (moderate)

Nitroglycerin (severe)

Cimetidine (moderate)

Disease interactions

Cardiovascular disease (severe)

  • Report the incidence of any disease of the heart and blood vessel to the doctor. Use of Cialis is not recommended in such patients especially the ones who are advised to refrain from any sexual activity due to the risk of adverse effects on the heart.

Kidney Disease (severe)

  • Report the incidence of any kidney disease to the doctor. Use of Cialis is not recommended in patients having severe kidney impairment. If the impairment is mild, then this medicine can be used with suitable dose adjustments.

Obstructive disease of the lungs (severe)

  • Report the incidence of any obstructive disease of the lungs (veno-occlusive disease, emphysema, bronchitis etc.). Use of Cialis is not recommended as the risk of adverse effects are significantly high.

Priapism (moderate)

  • Report the incidence of prolonged and painful erection to the doctor. This may be due to underlying conditions such as sickle cell anemia, leukemia or deformation of the penis. The risk of permanent tissue (penis) damage is high in such patients, and hence caution is advised while administering Cialis.

Disease of the retina (moderate)

  • Cialis should be used with caution in patients suffering from a disorder of the retina in which color discrimination is impaired. Use of this medicine should be avoided in this cases.
Warnings for special population

Pregnancy. Cialis is not recommended for consumption by pregnant women unless needed. Consult a doctor and discuss the benefits and risks before taking this medicine.

Breastfeeding. Nursing mothers should avoid the use of Cialis. Consult your doctor so that suitable substitute may be advised.

General warnings

Hypotension. Consumption of Cialis can cause a mild and short-lasting decrease in blood pressure. Caution should be exercised if you are taking any medication for lowering high blood pressure.

Other medicines. Cialis should be used with caution if you are taking medicines for hypertension, heart disease etc. Report the use of all medicines including herbs and supplements to the doctor.

Deformation of the penis. Cialis should be used with caution in patients having a physical deformity of the penis which may be due to angulation, cavernosal fibrosis or Peyronie's disease. The risk of permanent loss of sexual potency is high in such cases.

Prolonged and painful erection. Cialis should be used with caution if you have had a painful erection lasting for more than 4 hours. This may be due to an underlying condition like sickle cell anemia, multiple myeloma or leukemia.

Loss of hearing. Cialis may cause a sudden decrease in hearing capabilities along with clinging sound in the ears and dizziness. Contact your doctor immediately if such symptoms are observed.

Loss of vision. Cialis may cause a sudden loss of vision in one or both the eyes. It may also cause impairment in color differentiation capacity. It should be used with extreme caution in patients suffering from this rare genetic disorder of the retina called Retinitis Pigmentosa.

Heart disease. Cialis should be used with caution in you have a condition of the heart and blood vessels. Use of this medicine is not recommended if your doctor has asked to not indulge in any sexual activity due to a risk of adverse effect on the heart.

Risk of adverse effects. The risk of side effects is increasingly high in smokers, elderly and people suffering from conditions of the heart, diabetes, high blood pressure, high cholesterol levels etc. Caution should be exercised in such cases. Some side effects like dizziness, numbness, nausea and pain could occur while having intercourse after taking it. Report such instances to the doctor immediately.

Pediatric use. Cialis is not recommended for use in patients aged below 18 years.

Seizure disorder. Use of Cialis has been associated with increased frequency and severity of convulsion and hence should be used with caution in patients who have epilepsy or any other seizure disorder.

Alcohol. Use of alcohol may cause a fall in blood pressure and associated symptoms like fainting, dizziness, excessive sweating etc. It is recommended to limit or avoid the uptake of alcohol while using this medicine.

Liver/kidney disease. Cialis should be used with caution in patients having an impairment of normal liver/kidney function. Use of this medicine is not recommended if the impairment is severe. Appropriate dose adjustment and frequent clinical monitoring are advised in case of mild to moderate impairment.

Q: What is Cialis?

A: Cialis is a quick-acting medication relaxes the smooth muscles present in the wall of blood vessels and helps in increasing the flow of blood in some specific regions of the body. It is used for the treatment of erection disorders, prostate gland enlargement and pulmonary hypertension (high blood pressure of blood vessels connecting the lungs and the heart).

Q: What are the side effects of Cialis?

A: Cialis has such side effects as facial flushing, upset stomach, stuffy nose, muscle aches, priapism (an erection that won't go away), migraine, vision problems, runny nose, indigestion, back pain.

Q: Can I drink alcohol while taking Cialis?

A: Do not consume alcohol while using this medication, as it can lower your blood pressure, causing dizziness and rapid heart rate (tachycardia).

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Worldwide Shipping

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