Cialis is a medication also commonly known as Tadalafil and it is a selective phosphodiesterase type 5 (PDE5) inhibitor. It is primarily used to treat erectile dysfunction (ED). It is also used to treat signs and symptoms of benign prostatic hyperplasia (BPH). This medication has been approved by various medicine regulating bodies and therefore it is safe and effective. It works by causing smooth muscles to relax and increasing blood flow to the corpus cavernosum which in turn leads to penile erection. All the tablets of this medication are yellow in color and have almond coating. The packets of this medication have special imprints depending on the milligrams of the tablets.
For oral administration it is usually available in two point five milligrams, five milligrams, ten milligrams and twenty milligram tablets. The recommended dosage for erectile dysfunctional patients who are Cialis medication for the first time is ten milligrams which should be taken before anticipated sexual activity. This dosage might be increased to twenty milligrams or decreased to five milligrams depending on the efficiency or tolerability. The effectiveness of this Cialis lasts about thirty six hours and therefore patients are advised to use it just once daily. For patients of renal dysfunction patients the recommended starting dosage is five milligrams every day and a maximum of ten milligrams for every forty eight hours. The recommended dosage for hepatic dysfunction patients is ten milligrams per day. Patients with severe dysfunction are advised not to take this medication.
There are various warnings and precautions that come with Cialis so as to guide people how to use it safely. Amongst these precautions includes that patients who have angina should not use this medication since sexual activities may lead to angina being precipitated. People using Cialis should also not use alcohol because this may lead to orthostatic hypertension. This medication should also not be combined with any other PDE5 inhibitor. Patients with active peptic ulcers or bleeding disorders should only take this medication with careful monitoring from a qualified doctor. This means it should only be taken based on risk benefit assessment from the doctor.
Cialis has several side effects which are different in different patients. Amongst the common side effects include; headache, back pain, dyspepsia, myalgia, nasal congestion and nasal pharyngitis. There are also some serious side effects associated with this medication which include; change in color vision, hearing loss, priapsm, stroke, tachycardia, severe hypertension and myocardial infarction amongst others. This makes it paramount to consult a qualified physician prior to using this medication.
People who would like to use this medication can find it in conventional pharmaceutical stores or online. The only important thing that one should do prior to buying is to make sure the medication is not counterfeit. This is because a counterfeit medication can cause serious side effects. While buying from conventional sores one can physically check whether it is genuine. Since while buying online it is not possible to check physically, it is always advisable to buy from a seller who has a reputation of selling genuine drugs. One can read reviews and testimonials so as to know whether the other people who bought medications from that particular online store were satisfied. Therefore, Cialis is effective and safe provided one takes it in the right manner and buys from the right places.

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