Cialis is a drug used to treat male sexual problems such as impotence or erectile dysfunction. Its generic name is tadalafil. It works by increasing blood flow to the penis to help a man get or keep an erection. It also helps treating the symptoms of an enlarged prostate, otherwise known as benign prostatic hyperplasia-BPH. It relieves symptoms such as having issues starting to pee, weak urine stream, and needing to pee frequently. Drug experts think symptoms are quelled due to relaxing the smooth muscle in the prostate and bladder.
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Tadalafil does no protect against sexually transmitted diseases such as HIV, hepatitis, gonorrhea, and syphilis.
Possible side effects include headaches, upset stomach, back pain, muscle pain, stuffy nose, flushing, or dizziness. If these occur, you should contact a doctor or pharmacist immediately. The chance of dizziness or lightheadedness is reduced by rising from a sitting or lying position slowly rather than quickly.
There may be extra strain put on your heart from sexual activity, especially if you have underlying heart problems. If you do, and experience serious side effects such as severe dizziness, fainting, pain in your chest or jaw or left arm, or nausea, you should stop having sex and get professional assistance immediately.
When talking to your doctor or pharmacist about tadalafil, be sure to inform them about your allergies – tadalafil could have inactive ingredients that set off your allergies. Also be sure to tell them about medical history, especially pertaining to heart attacks, life-threatening irregular heartbeat in the past six months, chest pain or angina, heart failure, stroke in the past six months, kidney disease, liver disease, issues with blood pressure, severe dehydration, penis angulation, fibrosis or scarring in the penis, Peyronie’s disease, a history of painful erection, a history of prolonged erection, sickle cell anemia, leukemia, multiple myeloma, conditions that could increase the chance of priapism, eye issues, bleeding disorders, and active stomach ulcers. These symptoms could impact whether it’s a good idea to have tadalafil prescribed to you.
Tadalafil could make you dizzy, so don’t drive, use machinery, or any activity that has alertness as a necessity. If you’re about to have surgery, it’s important to let your doctor know that you’ve taken this drug. It’s not usually used among women, but if you’re pregnant, it should only be taken if clearly necessary.
This drug can drop your blood pressure when used with nitrates, which can lead to dizziness, fainting, heart attacks, or strokes. You should also refrain from using tadalafil with drugs that treat chest pain, and things containing amyl or butyl nitrite. Tadalafil may interact with riociguat. If you’re taking alpha blockers to treat prostate or blood pressure issues, your blood pressure may drop too far and create symptoms of dizziness. Antifungals, antibiotics, HIV protease inhibitors, hepatitis C virus protease inhibitors, rifampin, and some other drugs can affect the removal of tadalafil from your body. It is also a poor decision to take this drug with drugs that treat erectile dysfunction or pulmonary hypertension.
If you miss a scheduled dose, take it as soon as you remember. Never double up the dose to catch up on your schedule.

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