Cialis is used to treat erectile dysfunction and benign prostatic hypertrophy. This is not approved for use by another younger than 18 years old. Please note that cialis is available by prescription only. This is the brand name for tadalafil. It is similar to viagra and levitra because it increases blood flow to the penis and enables a man to achieve an erection. It does not lead to sexual arousal and should not be used more than once a day.This drug was approved by the FDA in 2003. Cialis comes in a yellow color and is the texture of a film like coat and almond shaped tablet in 5,10 or 20 mg doses.
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How does this work you are probably asking yourself?
A man will take a dosage prior to sexual activity and when this man is sexually stimulated, the nitric oxide is released into the penis. This enables the production of cGMP, which controls the dilation and contraction of the blood vessels that carry blood to and from the penis. Tadalafil stops something called PDE5 from destroying cGMP and causes the erection to last for longer. The muscles of the arteries in the lungs also contain PDE5 and explains why this same drug can also help with pulmonary hypertension treatment.
Be cautious and if you are using a nitrate drug for chest pain or heart problems, do not take cialis. If you are allergic to tadalafil, do not use. Before use, be sure to sit down with your doctor and have a serious conversation. This should include all previous medical issues and concerns you have had and what the result of using this medication for you. Be sure to tell your doctor if you have a history of heart disease, stroke, chest pain, liver or kidney disease, bleeding disorder, stomach ulcer and other health issues that may make sexual activity unsafe. It may seem like a long list, but it can have severe affects if mixed with other medications or if other symptoms are left untreated. Pay attention and be alert before taking.
If your erection is painful or lasts longer than 4 hours, be sure to contact a doctor. If you have sudden vision loss, stop taking cialis and get medical attention. A prolonged erection can damage the penis. If you are pregnant, do not be concerned because cialis is not harmed to a unborn baby. Be sure to let your doctor know if you plan or are pregnant though. It is unknown is tadalafil passes into breast milk or if it could affect the nursing baby.
When should you take it?
Typically, cialis is taken only once a day and it’s important to follow directions on your prescription labels as you would for any other medications. Do not take more or less than what is advised. It can be taken with or without food. Do not break the tablet or split it in half; just take the tablet whole. It is best to take cialis before sexual activity, but NOT MORE than once a day. It can help achieve the perfect erection when sexual stimulation occurs. However, be aware that by taking the pill it will not just cause an erection, you must be sexual stimulated. You can store the medicine at room temperature away from heat, sunlight, or moisture. There is not a dosing schedule so there is not way you can miss a dose, remember to take it before sexual activity.
As with most other medicines we recommend you avoid taking medicine with alcohol as it can cause side effects. It also is advised you avoid grapefruit and grapefruit juice because it may lead to unwanted side effects. Be aware of side effects while taking this medication too such as allergic reactions, a tough time breathing, swelling of your face, tongue or throat. Other possible side effects are nausea, chest pain, dizziness during sex. There are several things to be alert of while taking this medication and if any unusual changes occur be sure to call your doctor!
When taking this medication be cautious that the initial dose is 10 mg taken orally once a day, as needed based on your sexual activity. There is something called a maintenance dose, which is 5 to 20 mg orally once a day, as needed. This drug has shown to improve erectile dysfunction up to 36 hours following dosage, when used as needed.

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