| Active Ingredient (Generic Name): | Tadalafil |
|---|---|
| Indication: | Erectile Dysfunction |
| Manufacturer: | Eli Lilly and Co. |
| Packaging: | 10 Tablets in a strip |
| Strength | 2.5mg, 5mg, 10mg, 20mg, 40mg, 60mg, 80mg |
The Cialis brand of tadalafil is used in men to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).
Cialis is a popular and effective erectile dysfunction (ED) medicine that was first approved by the U.S. Food and Drug Administration in 2003. Since that time, Cialis has grown in popularity, coming to rival the best-known ED tablet on the market, Viagra.
What is Cialis (Tadalafil )?
Cialis is a drug that is taken before sexual activity and allows men with erectile dysfunction (ED) to achieve and maintain an erection. Cialis is also used to treat harmless prostatic hyperplasia (a developed prostate organ). ED or impotence is a condition wherein a man can’t achieve or maintain an erection long enough for sex. This can be a result of ailments, for example, hypertension, diabetes, prostate issues, or heart disease, or a result of the drugs frequently taken for these conditions. Individual way of life factors like stress, alcohol, or potentially tobacco use can also play a role. During medical procedure or radiation to the pelvic region (including prostate, bladder, and rectal procedures), damage can happen to the nerves that supply the penis. This can lead to either temporary or permanent impotence. A few specialists perform “nerve-saving” surgeries trying to protect erectile capability. Indeed, even in these cases, the nerves will experience some injury, and it can take 18-24 months or longer for erectile capability to return. These men ought to be dealt with forcefully with oral or injectable meds for ED to speed the recovery of the nerves and prevent muscle wasting in the penis.
How to Take Cialis
Dosage:
- Cialis from india is available in different dosages (2.5 mg, 5 mg, 10 mg, and 20 mg). The recommended starting dose for most men is 10 mg, taken before anticipated sexual activity.
- The healthcare provider may adjust the dosage based on your response to the medication.
Timing:
- Take Cialis about 30 minutes before sexual activity.
- It can be taken with or without food. However, high-fat meals may delay its effectiveness.
Consistency:
- Take Cialis at the same time each day if you are using it to treat both ED and BPH.
Avoid Alcohol and Grapefruit Juice:
- Limit or avoid alcohol consumption, as it can increase the likelihood of side effects.
- Grapefruit juice may also interact with Cialis, so it’s advisable to avoid it.
Sexual Stimulation:
- Cialis works in response to sexual stimulation. It does not cause an automatic erection but helps achieve and maintain one when sexually aroused.
Do Not Exceed the Prescribed Dose:
- Do not take more Cialis than prescribed by your healthcare provider.
- If you suspect an overdose or experience severe side effects, seek medical attention immediately.
Emergency:
- In case of a prolonged and painful erection (priapism), seek emergency medical attention.
Dosing Guidelines
Typical Cialis dosages will differ depending on the conditions it’s prescribed to treat as well as other factors. Be sure to follow your Doctor instructions.
| Indications of Tadalafil: | ED: | BPH: | PAH: |
| Brand names: | • Cialis | • Cialis | • Adcirca, Alyq, and Tadliq |
| Form and strengths: | • Oral tablet: 2.5 mg, 5 mg, 10 mg, or 20 mg | • Oral tablet: 2.5 mg, 5 mg, 10 mg, or 20mg | • Oral tablet: 20 mg, 40 mg • Oral suspension: 20 mg per 5 mL |
| Typical dosage: | • As needed dosing: 5–20 mg prior to sexual activity • Daily: 2.5–5 mg | • 5 mg once daily | • 40 mg once daily |
| Maximum dosage: | • Max dose if taken as needed: 20 mg • Max dose if taken daily: 5 mg | • Max dose: 5 mg daily | • Max dose: 40 mg daily |
Storage and Discarding
Cialis tablets should be stored in a dry place at room temperature (68-77 F).
If you want to discard the medication, take Cialis to a drug store that discards undesirable meds or check with your neighborhood local area rules for medicine disposal.
Side Effects and Safety
Tadalafil may cause mild side effects. The side effects may differ depending on your dosage and medical conditions.
Common side effects of Cialis:
- Headache: Some people may experience headaches after taking Cialis.
- Indigestion or upset stomach: Gastrointestinal discomfort, including indigestion and stomach upset, is a possible side effect.
- Back pain and muscle aches: These side effects are more common at higher doses.
- Flushing (warmth or redness in the face, neck, or chest): This can be a transient side effect.
- Stuffy or runny nose: Some people may experience nasal congestion.
- Vision changes: Cialis may cause changes in color vision, blurred vision, or difficulty distinguishing between blue and green colors. These effects are rare.
- Dizziness: Some individuals may feel lightheaded or dizzy.
- Sudden vision loss or changes in vision: This could be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION).
- Sudden hearing loss or changes in hearing: While rare, sudden hearing loss has been reported with the use of PDE5 inhibitors, including Cialis.
- Chest pain or a heavy feeling in the chest: If you experience chest pain or discomfort during sexual activity, seek medical attention.
- Priapism: A prolonged erection lasting more than four hours requires immediate medical attention to avoid potential long-term damage.
- Allergic reactions: If you have an allergic reaction to Cialis, such as hives, swelling, or difficulty breathing, seek emergency medical help.
When to Avoid Cialis
Tadalafil may not be safe for everyone.
People with the following conditions or factors may have a higher risk of side effects with this drug:
- Allergies or Sensitivity: If you are allergic to tadalafil, the active ingredient in Cialis, or if you have experienced a severe reaction to it in the past, you should avoid using the medication.
- Nitrates: Cialis can interact with nitrates, which are often prescribed for chest pain (angina) or heart-related conditions. The combination of Cialis and nitrates can lead to a dangerous drop in blood pressure. It’s essential to inform your healthcare provider about all medications you are taking, including nitrates.
- Heart Problems: If you have a history of heart problems, including recent heart attack, heart failure, or unstable angina, you should consult with your healthcare provider before using Cialis. The medication can exert an effect on the cardiovascular system, and caution is required.
- Recent Stroke: If you have had a recent stroke (within the last 6 months), it is generally advisable to avoid Cialis due to potential cardiovascular risks.
- Severe Liver or Kidney Disease: Individuals with severe liver or kidney disease may need dosage adjustments or should avoid Cialis altogether. It’s crucial to discuss your medical history with your healthcare provider.
- Certain Eye Conditions: Cialis has been associated with rare cases of vision problems, including non-arteritic anterior ischemic optic neuropathy (NAION). If you have a history of vision problems or certain eye conditions, discuss the risks and benefits with your healthcare provider.
- Pulmonary Hypertension and Riociguat: If you are taking riociguat or other medications for pulmonary hypertension, combining them with Cialis can lead to a significant drop in blood pressure.
- Deformation of the Penis: If you have a physical deformity of the penis (such as Peyronie’s disease), Cialis may not be suitable, and you should consult with your Doctor.
Potential for Interaction
Some medications or other substances known to interact with tadalafil include:
- Nitrates: The combination of Cialis with nitrates, such as nitroglycerin, is contraindicated. Both Cialis and nitrates can cause a significant drop in blood pressure, leading to serious complications.
- Alpha-Blockers: If you are taking alpha-blockers for the treatment of high blood pressure or prostate enlargement, combining them with Cialis can also lead to a drop in blood pressure. Your healthcare provider may need to adjust the dosages to minimize the risk of hypotension.
- Antihypertensive Medications: Cialis can enhance the hypotensive effects of antihypertensive medications. Caution is advised, and adjustments in medication doses may be necessary.
- Other PDE5 Inhibitors: Concurrent use of multiple PDE5 inhibitors, such as sildenafil (Viagra) or vardenafil (Levitra), should be avoided as it may increase the risk of side effects.
- Grapefruit Juice: Grapefruit juice can increase the blood levels of tadalafil, potentially leading to an increased risk of side effects. It’s advisable to avoid grapefruit juice while taking Cialis.
- HIV Protease Inhibitors: The use of HIV protease inhibitors with Cialis can increase tadalafil levels in the blood, potentially leading to an increased risk of side effects.
- Certain Antibiotics and Antifungals: Some antibiotics and antifungal medications may interact with Cialis. It’s essential to inform your healthcare provider about all the medications you are taking.
- Other Medications: Inform your healthcare provider about all prescription and over-the-counter medications, herbal supplements, and vitamins you are taking. Some drugs may interact with Cialis, affecting its effectiveness or increasing the risk of side effects.
- Existing Health Conditions: Individuals with certain medical conditions, such as cardiovascular diseases, liver or kidney problems, should exercise caution and inform their healthcare provider before using Cialis.
Alternative Treatment Options: ED
Erectile dysfunction (ED) can have various causes, and treatment options may vary depending on the underlying factors.
Some alternative treatment options for ED:
- Lifestyle Changes:
- Healthy Diet: A balanced and heart-healthy diet can contribute to overall vascular health, which is crucial for erectile function.
- Regular Exercise: Physical activity improves blood flow and cardiovascular health, which can have a positive impact on ED.
- Psychotherapy:
- Counseling or Sex Therapy: Psychological factors, such as stress, anxiety, or relationship issues, can contribute to ED. Therapy can help address these concerns.
- Vacuum Erection Devices (VEDs):
- These devices create a vacuum around the penis, drawing blood into the organ to produce an erection. A constriction ring is then placed at the base to maintain the erection.
- Penile Injections:
- Medications like alprostadil can be injected into the base or side of the penis to stimulate an erection. This is often done under the guidance of a healthcare professional.
- Intraurethral Suppositories:
- Alprostadil can also be administered through a suppository inserted into the urethra. Like injections, this method helps relax the smooth muscle tissue in the penis.
- Hormone Replacement Therapy (HRT):
- In cases where low testosterone levels contribute to ED, hormone replacement therapy may be considered under the supervision of a healthcare professional.
- Herbal Supplements:
- Some herbal supplements, such as ginseng, L-arginine, and yohimbe, have been studied for their potential benefits in treating ED. However, their effectiveness and safety can vary, and it’s important to consult with a healthcare provider before using them.
- Acupuncture:
- Some men with ED have reported improvement in their symptoms with acupuncture. While more research is needed to establish its efficacy, some individuals find it beneficial.
- Shockwave Therapy:
- Low-intensity shockwave therapy is a non-invasive option that has been explored for treating ED. It involves delivering acoustic waves to the penis to stimulate blood vessel growth and enhance blood flow.
- Pumps (Vacuum Erectile Devices):
- These devices involve placing a tube over the penis and creating a vacuum to draw blood into the organ. A constriction ring is then applied to maintain the erection.
FREQUENTLY ASKED QUESTIONS
- What is Cialis?
- Cialis is a prescription medication used to treat erectile dysfunction (ED) and symptoms of benign prostatic hyperplasia (BPH). It belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors.
- How does Cialis work?
- Cialis works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for the breakdown of cyclic guanosine monophosphate (cGMP). By inhibiting PDE5, Cialis helps increase the levels of cGMP, promoting relaxation of smooth muscles in the blood vessels of the penis and improving blood flow, leading to an erection.
- How long does Cialis last?
- The effects of Cialis can last up to 36 hours, earning it the nickname “the weekend pill.” However, the duration of action can vary among individuals.
- How should I take Cialis?
- Cialis is usually taken orally, with or without food. It should be taken at least 30 minutes before anticipated sexual activity. The recommended starting dose is 10 mg, but your healthcare provider may adjust the dose based on your response.
- Can I take Cialis daily?
- Yes, a lower dose of Cialis (2.5 to 5 mg) can be taken once daily for the treatment of both ED and BPH. This is a convenient option for men who anticipate regular sexual activity.
- Can Cialis be taken with food?
- Yes, Cialis can be taken with or without food. However, consuming a high-fat meal may delay the onset of action.
- What are the potential side effects of Cialis?
- Common side effects include headache, indigestion, back pain, muscle aches, flushing, and nasal congestion. Serious side effects are rare but may include vision changes, sudden hearing loss, and priapism (a prolonged and painful erection).
- Who should not take Cialis?
- Cialis is not suitable for everyone. It should be avoided in individuals taking nitrates, those with severe liver or kidney disease, certain heart conditions, and a history of certain eye conditions. It’s important to inform your healthcare provider about your medical history and all medications you are taking.
- Can I drink alcohol while taking Cialis?
- While moderate alcohol consumption is generally considered safe with Cialis, excessive alcohol intake can increase the risk of side effects, such as dizziness or a drop in blood pressure.
- Can Cialis interact with other medications?
- Yes, Cialis can interact with certain medications, including nitrates, alpha-blockers, antihypertensive drugs, and some antibiotics. Inform your healthcare provider about all the medications you are taking to ensure safety.
- Is Cialis available as a generic?
- Yes, generic versions of tadalafil, the active ingredient in Cialis, are available. These generics are typically more affordable than the brand-name version.