Cialis is an erectile dysfunction drug. This should be used when men cannot get or maintain an erection. Cialis works by relaxing the blood vessels in the penis and allows blood flow through the penis. Cialis works best when taken 20 minutes to 30 minutes prior to sexual activity. The erection caused as a result of Cialis may last up to 36 hours. It is important to note that Cialis will not cure erectile dysfunction or increase a man’s sexual desires and requires sexual stimulation to work. Also, the erectile dysfunction medicine does not protect individuals from sexually transmitted diseases. Cialis should not be take more than once in 24 hours or in conjunction with other erectile dysfunction medicines and may be taken daily at a low dose. On occasion, Cialis may cause painful, extended erections that do not go away on their own. If a particular painful erection lasts for more than 4 hours, a visit to the emergency department should be made as this may be dangerous.
Cialis should not be taken if on nitrates or amyl nitrite to treat Angina or other heart conditions. Cialis may increase the effects of these medications. Cialis should not be taken if individuals have heart of blood vessel problems, arrhythmias, suffered a heart attack within the last three months, suffered from a stroke within the last 6 months, have unusually high blood pressure, vision loss due to arteritic anterior ischemic optic neuropathy, or use guanylate cyclase stimulators such as riociguat. Also, do not take Cialis if you are allergic to any of the ingredients that it contains.
It is important to make aware to the doctors if individuals have liver or kidney problems, heart problems, blood vessel problems, sick cell anemia, multiple myeloma, leukemia, any deformation of the penis, or loss of vision in one or both eyes. Cialis should be taken under the guidance of a physician as he/she suggests.
Common side effects of taking Cialis are headache, indigestion, back pain, muscle aches, flushed skin, and a stuffy/runny nose. Some side effects are serious and require immediate medical attention, while others are not. None the less, if you notice any of the previously listed symptoms, nausea, fatigue, stomach pain, diarrhea, allergic reactions, sweating, dizziness, fainting, infections, sore throat, red eyes, changes in color, decrease in vision, blurred vision, bleeding nose or prolonged erection a physician should be notified as they may be life threatening.
When taking Cialis, be sure to keep the pills in the original packaging. Keep the pills in a cool and dry place. The average temperature must remain around 25 degrees Celsius. Also, Cialis must not be kept near bathrooms, sinks, windows, or cars as humidity may destroy some of the pills.
Cialis may be bought online and without a prescription. However, it is not guaranteed that these medications are real or counterfeit. As such, it is important to buy Cialis from a reputable online or store-based family and under the guidance of a physician.

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