Cialis

Tadalafil (Cialis) is a pill used mainly for the ED therapy. It is also used for BPH therapy. This pill helps cure impotence in men by improving the blood circulation to the penile area and enabling a patient’s body to respond to sexual stimulus in a natural way, i.e. achieve an erection.

History

Cialis pill and logotype
Cialis Pill

This drug has been around since 1994. This drug’s amazing abilities were first discovered by a group of scientists that were conducting a research. A drug called Sildenafil Citrate was causing really strong erections in male test subjects. The drug, by the way, was intended for heart issues treatment.

Generic Cialis Online (Tadalafil) first became available on the market in November of 2003 after gaining the FDA’s approval. It was the third anti-ED solution on the market. After floundering for a bit in the beginning, this pill had quickly become the most popular option for men all over the globe. Unlike its main competition, this pill was deadly efficient and incredibly safe on top of that. Nowadays, it’s still a go-to medication for all the patients struggling with ED.

Precautions

There are many things to take into consideration before you start any kind of ED therapy. You must get in touch with your MD before you start this therapy. You must not use this pill in case you:

  • Are struggling with proper hydration.
  • Are under the age of 18 years.
  • Have a history of cardiovascular issues, including arrhythmia, angina and high-output heart failure.
  • Have active gastric ulcers.
  • Have bleeding disorders.
  • Have blood diseases, including sickle cell disease.
  • Have ever had issues with prolonged/painful erections.
  • Have hearing problems.
  • Have issues with your eyes.
  • Have issues with your penis, including Peyronie’s diseases, phimosis, and angulation.
  • Have previous/underlying issues with your kidneys and/or liver.
  • Suffer from hypertension or hypotension.

The best way to make sure that this treatment is right for you is to undergo a complete medical evaluation. You can’t be too careful when it comes to your well-being.

Dosage

There are two ways of treating impotence with Cialis. Your suggested dose depends on what kind of treatment you’re undergoing.

1. On-demand
On average, the beginner dosage is 10 milligrams. You must use this pill approximately 30 minutes prior to the scheduled sexual activity. Your MD may change the dose based on your body’s response to the therapy, it can either be upped to 20 milligrams or lowered to 5 milligrams.

2. Once a day
On average, the beginner dosage is 2.5 milligrams. You must consume this pill approximately at the same time every single day. There’s no need to plan for intimacy. Food timing is not important. Your MD may change the dose based on your body’s response to the therapy, it can be upped to 5 milligrams a day.

Since Cialis is also used for curing BPH, we are going to give you some information on that as well. Common dosage is 5 milligrams taken in the span of 24 hrs.

How to Take This Drug

As we mentioned before, there are two distinctly different ways of treating impotence with this treatment.

1. On-demand
The beginner dosage is 10 milligrams. You must consume this pill approximately 27 minutes prior to the scheduled intimacy. This pill can last up to 2160 minutes after taking it. The time this pill takes to work depends heavily on your age, overall well-being, arousal level and many other factors. The max. amount you can take per day is exactly one pill.

2. Once a day
The beginner dosage is 2.5 milligrams. You must try to take this pill at approximately the same time every day, it doesn’t matter if you plan on engaging in sexual activity later on.

There are many things that affect this drug’s effectiveness, duration of its effects and so on. Your MD will have to figure out which way of treating ED works best for you and which dosage works best for you. Never start/stop/alter the course of this therapy without consulting your MD beforehand.

Side-Effects

Despite this drug’s proven safeness, there are still unwanted secondary responses you might encounter while undergoing this kind of therapy. Here’s an incomplete list of all the secondary responses you might experience:

1. Common

  • Headache, nausea, dyspepsia, lower back pain, muscle pain, hyperaemia, nasopharyngitis and limb pain. These common adverse reactions are mostly dose-depended and rarely are severe.

2. Uncommon

  • Jaw pain;
  • Blurry vision;
  • Chest pain;
  • Troubled breathing;
  • Cold sweat;
  • Clouded consciousness;
  • Vertigo;
  • Fainting;
  • Fatigue;
  • Arrhythmia;
  • Hearing loss;
  • Restlessness;
  • Ringing in ears;
  • Hyperhidrosis;
  • Tiredness;
  • Vomiting.

One more uncommon side-effect worth talking about – prolonged/persistent erections. Many people tend to overlook it after thinking that’s how the drug is supposed to work.

3. Rare

  • Stomachache;
  • Sudden blindness;
  • Rash;
  • Coughing;
  • Diarrhea;
  • Troubled enunciation;
  • Pounding headache;
  • Increased/decreased heartbeat;
  • Minor paralysis;
  • Itching;
  • Lowered body temperature;
  • Loss of sensation or feeling in a part of the body;
  • Purple pigmentation of the skin;
  • Flushing;
  • Swollen limbs.

The above list is not 100% complete. You must get in touch with your healthcare specialist if you encounter any of the aforementioned symptoms or anything out of the ordinary.

Overdose

Even though there’s been a very insignificant number of recorded cases when it comes to Cialis overdose, you have to be careful with this pill. Its strong potency makes it dangerous. You must never take more than suggested by your MD. Some symptoms of an overdose include loss of consciousness, severe headache, vomiting, hyperhidrosis, blurry vision, and labored breathing. If you suspect there’s been an overdose, you must contact your nearest healthcare center right way. You can also call 911.

Interactions

There are pills may alter the intended effect of Cialis. They might lower its effeciency, boost the chances of encountering unwanted secondary responses. Here are some of the medication that can possibly interact with this one:

  1. ACE inhibitors, namely captopril, enalapril, lisinopril, ramipril, and trandolapril.
  2. Alkyl nitrites (“poppers”), i.e. drugs containing amyl, butyl or isobutyl nitrite.
  3. Alpha-adrenergic agonists, namely Methyl-Dopa, Methyldopa, Aldomet, Guanabenz, Wytensin.
  4. Alpha-blockers, namely prazosin, indoramin, doxazosin, terazosin, alfuzosin, tamsulosin.
  5. Angiotensin II receptor blockers, namely telmisartan, irbesartan, valsartan, candesartan, and losartan.
  6. Antibacterials, namely ketolide, azithromycin, erythromycin, clarithromycin, telithromycin, roxithromycin, and cethromycin.
  7. Antifungal agents, namely ketoconazole, voriconazole, itraconazole, telithromycin, clarithromycin, saquinavir, nefazodone, erythromycin, diltiazem, fluconazole, verapamil, cimetidine, ranitidine, roxithromycin, fluvoxamine, among many others.
  8. Beta blockers, namely propranolol, alprenolol, sotalol, atenolol, and metoprolol.
  9. Ca 2+ blockers, namely amlodipine, diltiazem, felodipine, isradipine, nicardipine, nifedipine, nisoldipine, and verapamil.
  10. Drugs that help to boost the efficiency of the Cytochrome P450 3A4 enzyme, namely Carbatrol, Epitol, Equetro, Tegretol, Tegretol XR.
  11. Hep C medications, namely ribavirin, and telaprevir.
  12. HIV/AIDS treatments, namely amprenavir, atazanavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir, efavirenz and nevirapine.
  13. Nitrates, i.e. drugs used for angina treatment, namely nitroglycerin, isosorbide dinitrate and isosorbide mononitrate.
  14. Other anti-ED medications.
  15. Rifampicin, also known as rifampin.
  16. Riociguat (trade name Adempas).

This list of interactions is not 100% exhaustive. You need to keep a list of all the pills that you’re currently using (mamely OTC meds, prescription meds, and herbals). You need to hand the said list to your MD.

Food Interactions

There are two types of foods that interact with Cialis. You are strongly suggested to steer clear of grapefruit and all grapefruit-based products. It can increase the amount of Tadalafil in your blood which can both disrupt the cycle and cause an overdose. Even if you manage to avoid such serious unwanted response, this drug’s impact may be hindered by grapefruit, which, in turn, leads to a disappointing outcome. The bottom line is, you should just swap grapefruit for a similar enough fruit. No other fruits cause this type of interaction.
The second type of food that you need to avoid while undergoing this therapy is fat-heavy foods. These types of foods can severely slow down the process, therefore disrupting your schedule and treatment cycle which increases your chances of an overdose/adverse reactions.

Alcohol Interactions

The short version: liquor interacts with this medication. It can hinder your ability to get/maintain an erection and it might also cause a serious BP drop, which can lead to you feeling dizzy and ultimately fainting. There is enough data to suggest that you can drink small quantities of liquor while taking this drug. Drinking in moderation is mostly okay, but you are strongly suggested to avoid liquor altogether. It can slow down the drug’s action. Best case scenario – you just don’t consume alcohol at all. Avoiding liquor is beneficial for your well-being in general.

How to Increase This Drug’s Effectiveness

Even though you can easily eradicate your ED with this medication alone, it would be extremely beneficial for you to make some lifestyle adjustments. There are many things that could possibly cause erectile dysfunction and most of them can be solved by improving your overall quality of life. Here are some of the things you can do in order to make this drug even more efficient:

  1. Quitting smoking;
  2. Losing weight;
  3. Maintaining a healthy diet;
  4. Finding a good exercise regimen;
  5. Overcoming a sedentary lifestyle;
  6. Curbing your liquor intake;
  7. Reducing your stress levels.

None of these steps are easy, but you need to understand that you need to change something about your life in order to eradicate ED completely. Even a few small steps towards the right direction will do wonders for your overall health. You will definitely see the results right away.

Guy userpic
Guy

I have not experienced any major side-effects from the 5mg dose. After three-four days on Cialis, I can honestly say that it has completely changed my life. My sex life, that is. I do not regret following my doctor’s exact orders and starting this treatment. My wife also loves it, she’s 72 and I’m 71 (yeah, I dig older babes!). Highly recommended for everyone who’s struggling with ED. It worked for me and it will work for you, hopefully. Gives this one a go, I’m not kidding. It’s pretty life-changing.

Willie userpic
Willie

I was not having any real issues with my sex life up until my 60s. Once I was, like, 62, I required a little more than just sexual stimulation, y’know? I asked for my doctor for something, he suggested Viagra at first. It wasn’t as great as I thought it would be – major side-effects, constant flushing, headaches and indigestion. After a while, he suggested I take Cialis. Whadda you know – this drug was PERFECT for me. Sorry for the details, but I was rock hard after taking the 40 mg. dose. It was crazy, and my sex life was changed since.

Ethan userpic
Ethan

There’s no doubt about it, Cialis is a great ED medication. I usually take it “as needed”. I’ve found that I need to consider side-effects when deciding how much to take and how often. In a perfect world, this wouldn’t have mattered, but it always does. You know what, I like to have a glass or two before I get intimate with my wife, so that is the reason why I oftentimes encounter unwanted responses. I wouldn’t have it any other way, though. I like my liquor, so that’s the price I have to pay.

John userpic
John

I’m 50. It’s not like I had issues with getting hard. I had issues with STAYING hard. The issues were deal-breaking, basically. My “erections” lasted up to 3-5 minutes. It was never enough for my wife. I visited my urologist, he gave me a free sample of Cialis. I took one pill while waiting in the lobby. Hahaha, good times! Not really sure how it happened, but I ended up having the steamiest experience of my life that very day. It was terrific! Three hours straight and another hour next morning.