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Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • takes this medicineQaida this is not a trip through the of the medicine. It can take longer to lead a normal, active daily life than other medicines do. It can cause loss of water, salt and alcohol in the body. This is more common if you combine it with nitrates. This is not expected and CIALIS is unlikely to affect your normal heart function.

    If you have any further side effects, which are currently mild to moderate in origin, do not take this medicine and contact your doctor immediately. Other medications may be needed.

    Status of the operation
  • What to do if this is all you take
  • Avoid taking CIALIS with high-fat meals, as some cases will cause a serious side effect.
  • Before taking CIALIS, let your doctor know if you have any of the following:
    • You should not operate a machine for longer than 3 hours a day
    • If you have a heart problem
    • Do not use a machine for more than 3 hours a day, but let your doctor know if you have a heart problem.

    As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours.

    Most common Tadalafil side effects

    • Headache
    • Indigestion
    • Back pain
    • Muscle pain
    • Flushing
    • Stuffy nose

    Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:

    • An erection will not go away (priapism). If you have an erection that lasts longer than 4 hours, get medical help right away. If not treated right away, priapism can permanently damage the penis.
    • Sudden vision loss in one or both eyes. Sudden vision loss can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropath (NAION).
    • Sudden hearing decrease or hearing loss. Some may also have ringing in the eyes (tinnitus) or dizziness.

    For a complete list of possible side effects,.

    Possible drug interactions

    Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

    On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.

    For a complete list of possible drug interactions,.

    Other important safety information

    Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

    After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.

    Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or health care provider.

    Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

    • Erectile dysfunction
    • Loss of libido
    • Irregular heart beat
    • Eye problems
    • Heart attack
    • Pruritus

    While extremely rare, erectile dysfunction can be a sign of a serious eye problem called “non-arteritic anterior ischemic optic neuropath” (NAION). Stop taking Tadalafil and get medical help right away if you have any of the following vision changes:

    • Ringing in the eye(s)
    • Difficulty in paying or movement
    • Difficulty with speech
    • Changes to taste

    For a complete list of possible NAION,.

    Drug Interactions

    Patients taking:

    • Other medications (e.g.

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    Remember to consult your doctor or pharmacist to determine the appropriate dosage for your specific condition.

    Understanding Cialis: What it Is and How It Works

    Cialis, or tadalafil, is a medication primarily used for the treatment of erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Its primary function is to increase blood flow to the penis, facilitating an erection when sexually stimulated.

    How Cialis Works

    Cialis works by inhibiting an enzyme called PDE5, which allows for increased levels of cGMP in the corpus cavernosum. This increase in cGMP results in increased levels of nitric oxide, an messenger in the smooth muscle cells of the penis, which relaxes the smooth muscle tissue in the penis. This relaxation helps to enhance blood flow and increase an erection.

    Additionally, Cialis enhances blood flow to the penis during sexual stimulation by increasing nitric oxide levels in the corpus cavernosum.

    Cialis is most effective when taken as directed, typically with a daily dosage of 20mg. However, it’s important to note that Cialis may not be suitable for everyone, and your doctor may need to adjust your dosage based on your specific needs. It’s essential to consult a healthcare professional to determine the appropriate dosage and safety profile.

    Understanding Cialis Dosages

    Cialis (tadalafil) is available in various strengths, including:

    Each dose of Cialis contains 20mg of tadalafil. It’s essential to take this dose at least 30 minutes before sexual activity. This allows for spontaneity in your sexual activity, allowing for a fuller and more fulfilling experience.

    Cialis should only be taken once per day, and do not exceed one dose daily. It’s not recommended to exceed three or more daily doses. If you have any concerns about the dosage of Cialis, consult your doctor or pharmacist.

    Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

    You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

    There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

    • Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

    • Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

    for chest pain or use Rectogesic ointment?

    • Nicorandil (Ikorel), used to treat angina

    • Cimetidine, used to treat stomach or duodenal (peptic) ulcers

    • Theophylline, used to treat asthma

    • Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

    • Anti-fungals such as itraconazole and ketoconazole

    • Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

    • Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

    • Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

    • Recreational drugs:- amyl nitrate (poppers)

    If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

    Read available consultation questionnaire information

    What is Tadalafil?

    Tadalafil is the generic version of the drug name – Cialis. This Tadalafil is used to help men with mild to moderate erectile dysfunction.

    Tadalafil is taken orally in certain types of dosages, as well as in lower doses to treat malaria.

    Originally published as: 13 October 2023 on “Pharmaceuticals”otechnologyis the patent term for some medicines.

    There are many generic versions of Tadalafil, including Cialis. There are several types of Tadalafil and it is a four-pack, 30mg – four-tablet oral tablet.

    There is a distinct advantage to taking Tadalafil in type 2 diabetes. type 2 is when your blood is too small to be diabetes and type 1 is when your blood is too large to be diabetes.

    Tadalafil is also used to treat high blood pressure.

    There are several forms of Tadalafil and it is a type 2 drug which includes several other forms including tablets, oral jelly and injection drug.

    There may be additional benefit to taking Tadalafil in type 2 diabetes if you have high blood pressure, as it is used to help people with this condition.

    There may be additional treatment for erectile dysfunction when men already have low blood pressure.

    There may be other benefits and risks to taking Tadalafil at higher dosages and Tadalafil may be more likely to come with the same erectile dysfunction medication as other erectile dysfunction medications.

    How to take Tadalafil?

    Take Tadalafil as and when recommended by your GP. Do not take more than a single dose of Tadalafil if you are taking or have recently taken Tadalafil.

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