Cialis (tadalafil): Is it doing any good & how long to take it?

It should not be taken more than once a day.

Pros and cons of Cialis (tadalafil)

PDE-5 is also found throughout the body within the smooth muscle cells of blood vessels and muscles. Cialis (tadalafil) belongs to the class of medicines known as PDE-5 inhibitors. 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 also used to treat the signs and symptoms of benign prostatic hyperplasia (BPH). The recommended starting dose for Cialis intended for once-daily use is 2.5mg, taken at the 2 5 mg cialis daily same time each day, without regard to the timing of sexual activity.

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This may be increased to 5mg/day based on need and tolerability. 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 to be reduced 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.

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Call your healthcare provider if you get any side effect that bothers you or one that does not go away. 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 a sudden decrease or loss of vision or 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.

Side effects and risks

protect a man or his partner from sexually transmitted diseases, including HIV serve as a male form of birth control CIALIS is not for women or children. CIALIS must be used only under a healthcare provider's care. For additional information, talk to your healthcare provider and see full Patient and Prescribing Information. Lilly, a leading innovation-driven corporation, is developing a growing portfolio of pharmaceutical products by applying the latest research from its own worldwide laboratories and from collaborations with eminent scientific organizations. Headquartered in Indianapolis, Ind., Lilly provides answers - through medicines and information - for some of the world's most urgent chep cialis medical needs. For men with CLCR of < 30 mL/min or on hemodialysis, the maximum dose is 5mg not more than once every 72 hours.

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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.

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You should 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, heart failure, irregular heartbeats, or have had a heart attack severe vision loss, including a condition called NAION retinitis pigmentosa, a rare genetic (runs in families) eye disease 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 Tell your healthcare provider about all the medicines you take especially if you take: medicines called "nitrates" which are often prescribed for chest pain alpha-blockers often prescribed for prostate problems medicines for HIV or some types of oral antifungal medications some types of antibiotics such as clarithromycin, 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 sildenafil citrate (Revatio®) with CIALIS. What Should I Avoid While Taking CIALIS? Do not use other ED medicines or ED treatments while taking CIALIS.

How can I refill my Cialis prescription?

Do not drink too much alcohol when taking CIALIS (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. Back pain and muscle aches usually go away within 2 days. 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.

More about Cialis (tadalafil)

Additional information about Lilly is available at Cialis® (tadalafil) is a registered trademark of Eli Lilly and Company. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7). Relationship between lower urinary tract symptoms and erectile dysfunction: results from the Boston Area community Health Survey. Critical analysis of the relationship between sexual dysfunctions and lower urinary tract symptoms due to benign prostatic hyperplasia.

Other uses

Cialis is a brand (trade) name for tadalafil which may be used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Cialis (tadalafil) works by blocking the action of an enzyme known as cGMP-specific phosphodiesterase type-5 (PDE-5). This enzyme breaks down cGMP, a substance that induces smooth muscles to relax. Blocking PDE-5 means increased levels of cGMP within the smooth muscles which promotes muscle relaxation and vasodilation (a widening of blood vessels). High levels of PDE-5 are found in the penis, lungs, and retina. 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.

How to get Daily Generic Cialis® (Tadalafil) online through Rex MD

Cialis is available as a lower-strength tablet that can be taken 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 before anticipated sexual activity. The dose may be increased to 20mg or decreased to 5mg. May interact with some medications including nitrates - the 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. Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Cialis is used to treat erectile dysfunction (ED) and to reduce symptoms of benign prostatic hyperplasia (BPH). One 'as needed' tablet lasts for 36 hours or Cialis is available as a lower dosage that can be taken daily, eliminating the need to 'plan for sex'.

5. Tips

?In clinical trials, Cialis for use as needed was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt. What Is The Most Important Information I Should Know About CIALIS? take medicines called "nitrates" which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure use recreational drugs called "poppers" like amyl nitrite and butyl nitrite are allergic to CIALIS or ADCIRCA®(tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience symptoms of an allergic reaction, such as rash or hives. After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days.

Pick up your Cialis prescription. We can send prescriptions to any local pharmacy.

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 your heart is already weak from a heart attack or heart disease. What Should I Tell My Healthcare Provider Before Taking CIALIS? 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. Once daily Cialis can be taken without regard to sexual activity but should be taken at the same time every day (for example, on awakening).

• Seek advice from healthcare professionals if unsure about use.
• Understand the differences between Cialis brands and generics.
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Cialis may be taken with or without food. Do not split Cialis tablets, swallow them whole. Drinking alcohol after taking Cialis may lower blood pressure and decrease sexual performance. Eating grapefruit or grapefruit products while taking Cialis is not recommended.