Erectile Dysfunction (impotence) occurs when a man is unable to sustain a firm erection. This can be very stressful and can be caused by numerous physical and psychological issues. Cialis (tadalafil) relaxes muscles found in the walls of blood vessels, which increases blood flow to particular areas of the body, including the penis, which is how it treats erectile dysfunction.
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You should not take Cialis if you are using drugs for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs. This can cause side effects and numerous issues.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Cialis can be dangerous if you have conditions such as heart disease, heart rhythm problems, coronary artery disease, chest pain, high blood pressure, low blood pressure, liver disease, kidney disease, a blood cell disorder (such as sickle cell anemia, multiple myeloma, or leukemia), a bleeding disorder (such as hemophilia), a stomach ulcer, retinitis pigmentosa, an inherited condition of the eye, a physical deformity of the penis; if you recently had a heart attack, stroke, or congestive heart failure; or if you are on dialysis or have been told you should not have sexual intercourse for health reasons.
Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred with other drugs similar to tadalafil such as Viagra. This most often occurs when people using the drug had certain pre-existing eye problems or risk factors for blood vessel disorders (such as heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old).
Avoid using any other medicines to treat impotence, such as alprostadil, viagra, or yohimbine, without first talking to your doctor.
Cialis is usually taken only once per day. Do not take this drug more than or longer than recommended. Always swallow the tablet whole. For erectile dysfunction, take this medicine just before sexual activity but NOT more than once per day. Cialis can help achieve an erection when sexual stimulation occurs; an erection will not occur just by taking a pill.
During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away or go to the emergency room. You could be having a serious side effect of Cialis.
Grapefruit and grapefruit juice may interact with tadalafil and lead to very negative side effects. Try to avoid using grapefruit products while taking this medicine.
Cialis can be purchased, with a prescription from your doctor, at most local pharmacies. Cialis can also be purchased online, but beware. Make sure that if you purchase Cialis from an online pharmacy, you purchase it from a legitimate company. Do purchase medicine from a company that offers it without a prescription.
Remember: ALWAYS FOLLOW YOUR DOCTOR’S INSTRUCTIONS and FOLLOW ALL DIRECTIONS ON YOUR PRESCRIPTION LABEL.

I am self employed. General Practitioner in Melbourne, VIC. My special interest: male reproductive system.