All of Your Cialis Questions, Answered by Professionals

Cialis (tadalafil) is a phosphodiesterase-5 enzyme (PDE-5) inhibitor, meaning it blocks PDE-5. This relaxes certain muscles and

blood vessels, which increases blood flow to the penis to help with an erection. Cialis (tadalafil) also treats enlarged prostate

symptoms.

Cialis (tadalafil) used for Erectile dysfunction and an Enlarged prostate (BPH),

Cialis (tadalafil) will kick in about 30 minutes after taking it, though it may take longer for some people. On average, it can take up to 2 hours for full effect.

Lasts longer than Viagra (sildenafil). Can be taken either as needed, or on a regular basis for those who need it more regularly — this means you can be more spontaneous about the timing of sex.

A first-choice medication for treating erectile dysfunction. 

Cialis (tadalafil) can be dosed in two ways: (1) taken on a daily basis, or (2) only when you need it. If you’re taking Cialis (tadalafil) on a regular basis, take it at the same time every day.

If you get muscle or back pain with Cialis (tadalafil), it should get better in about 2 days. Talk to your doctor if your symptoms don’t improve.

If you have an erection for more than 4 hours, go to the emergency department (ED) or call your doctor immediately as this can lead to damage to the penis.

If Cialis (tadalafil) does not stop the spread of sexually transmitted diseases (STDs) like herpes or HIV. Be sure to practice safe sex.

the side effects of Cialis (tadalafil)?

With any medication, there are risks and benefits. Even if the medication is working, you may experience some unwanted side effects.

Warning SmallContact your doctor immediately if you experience any of the following:

  • Erection lasting for more than 4 hours
  • Vision loss
  • Hearing loss

Caution SmallThe following side effects may get better over time as your body gets used to the medication. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time.

Common side effects

  • Headache (11-15%)
  • Indigestion (4-10%)
  • Back pain (3-6%)

Other side effects

  • Muscle ache (1-3%)
  • Nasal congestion (2-3%)
  • Flushing (2-3%)
  • Pain in arms/legs (1-3%)

 

hat are the risks and warnings for Cialis (tadalafil)?

Cialis (tadalafil) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options

RISK OF HEART ATTACK OR STROKE

  • Risk factors: Existing heart condition | Recent heart attack or stroke in past 6 months | High or low blood pressure

It’s not recommended for men to take Cialis (tadalafil) if they’ve had a heart attack, stroke, or symptoms of heart failure in the past 6 months, abnormal blood pressure, or if they have chest pain. The safety of Cialis (tadalafil) has not been studied in these situations. Talk to your doctor if you have any of these health conditions.

LOW BLOOD PRESSURE

  • Risk factors: Taking alpha blockers | Taking medications for high blood pressure or chest pain (angina) | Drinking alcohol

If you’re taking alpha blockers or medications for high blood pressure with Cialis (tadalafil), your blood pressure may drop too low. Make sure to check your blood pressure regularly if you’re taking these other medications. Be very careful getting up from a sitting or lying down position since this can make you feel dizzy and more likely to fall. Drinking alcohol can also cause low blood pressure. Avoid or lower your alcohol consumption when taking Cialis (tadalafil). You should never take Cialis (tadalafil) when taking nitrate medication for chest pain (angina) because it can cause your blood pressure to suddenly drop to unsafe levels.

PROLONGED ERECTION

  • Risk factors: Peyronie’s disease | Cavernosal fibrosis | Sickle cell anemia

There have been reports of men having an erection lasting more than 4 hours while on Cialis (tadalafil). This is rare but if it’s not treated in time, it can cause permanent damage to your penis, including permanent impotence. Get medical help immediately if this happens.

VISION CHANGES

If you suddenly notice changes in your vision in one or both eyes, go to the emergency room or call your doctor immediately. Although this is rare, Cialis (tadalafil) can cause permanent eye damage.

HEARING LOSS

There have been reports of men having permanent hearing loss while taking Cialis (tadalafil). This may happen along with ringing in the ears (tinnitus) and dizziness. Go to the emergency room or call your doctor immediately if you notice changes in your hearing in one or both ears.

INCREASED SIDE EFFECTS WITH OTHER MEDICATIONS

  • Risk factors: Age 65 years or older | Liver disease | Kidney disease | Taking medications such as nitrates, anti-hypertensives, alpha blockers, ketoconazole, or ritonavir

You may experience more side effects while taking Cialis (tadalafil) if you are also taking medications called nitrates for chest pain, blood pressure medications, certain medications for HIV, are elderly, or have liver or kidney disease. Talk to your doctor before starting Cialis (tadalafil) if any of these apply to you.

 
 

Interactions between Cialis (tadalafil) and other medications

Cialis (tadalafil) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Cialis (tadalafil). Please note that only the generic name of each medication is listed below.