What You Should Know About Cialis


Cialis is used for the treatment of erectile dysfunction (ED).

 It increases blood flow to the penis following sexual stimulation and allows men to keep an erection hard enough for sex.

Cialis is a brand name for tadalafil which may be used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH).

Cialis is available as a lower-strength tablet that can be taken on a daily basis, eliminating the need to 'plan' for sex.

Cialis is also available as an 'as needed' tablet. The effect of one tablet lasts for up to 36 hours.

The recommended 'as needed' dose for Cialis is 10mg, taken prior to anticipated sexual activity. The dose may be increased to 20mg or decreased to 5mg. It should not be taken more than once a day.

May be taken with or without food.

Cialis is available as a generic, under the name tadalafil.

If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include:

·         A headache, dyspepsia, back pain, nasal congestion, and flushing are the most commonly reported side effects.

·         Other side effects include a drop in blood pressure, muscle or limb pain, or conjunctivitis.

·         Rarely, may decrease blood flow to the optic nerve causing sudden vision loss. The risk is greater in people aged older than 50, with diabetes, heart disease, high blood pressure, high cholesterol, who smoke, or with certain pre-existing eye problems.

·         The dosage of Cialis may need reducing in men with kidney disease. For men with CLCR of 30 to 50 mL/min, a starting dose of 5mg not more than once per day is recommended. The maximum dose is 10mg not more than once every 48 hours.

·         For men with CLCR of < 30 mL/min or on hemodialysis, the maximum dose is 5mg not more than once every 72 hours. Once daily use may not be recommended in men with CLCR < 30 mL/min.

·         For men with mild-to-moderate liver disease (Child-Pugh Class A or B), the dose should not exceed 10mg once per day. Cialis is not recommended in severe liver disease (Child-Pugh Class C).

·         Rarely, may cause other side effects including hearing loss or lead to painful erections lasting longer than four to six hours. See your doctor immediately if this happens.

·         May not be suitable for some people including those with angina, chest pain, or other heart conditions, liver or kidney problems, blood or bleeding disorders, stomach ulcers, certain eye conditions, a physical deformity of the penis (such as Peyronie's disease), or serious prior hypersensitivity reactions to tadalafil.

·         May interact with some medications including nitrates - use of Cialis and nitrates is contraindicated because of the severe hypotension that can develop. May also interact with other medications including ketoconazole or ritonavir; dosage adjustment is recommended.

·         A lower dosage of Cialis is recommended in men with mild-to-moderate liver disease.Cialis should be avoided with severe liver disease.

·         Not for use in females.

·         Do not split Cialis tablets, swallow them whole.

·         Drinking alcohol after taking Cialis may lower blood pressure and decrease sexual performance.

·         ECall your doctor immediately if you experience dizziness or feel nauseous during sexual activity, angina pain, or develop pain, numbness, tingling in your chest, arms, neck, or jaw.

·         Eating grapefruit or grapefruit products while taking Cialis is not recommended.

·         Do not take Cialis if you are also taking a nitrate drug  for chest pain or heart problems.

·         Do not take Cialis with recreational drugs such as 'poppers'.

·          Taking these substances together can cause a sudden and dangerous drop in blood pressure.

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