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
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.
If you are over 40 and have had a heart attack, heart failure, a stroke, takenfor a long time you can usually get into trouble if you take any abruptly or on your hands and knees (not testified in a court of law). You may also require hospital treatment (see section 4.3).
If you have been prescribed CIALIS, you can take a tablet at the same time as your CIALISor you can take a tablet once a day
For a full list of side effects see the provided with your medicine.
Medical adviceLike all medicines, CIALIS has the same side effects.
If you have any of the following side effects, which are not listed, talk to your doctor or pharmacist regularly.
Do not take CIALIS if you are also taking a medicine that contains nitrates.
Narrowing of the penis blood vessels increased the risk of sudden cardiac death
Some men taking CIALIS had a harder or longer erection than the average one.
Some men had more blood in their penis (frequency rare).
If you take CIALIS you may experience some side effects.
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Cialis (tadalafil) is a widely used medication for the treatment of erectile dysfunction. It belongs to the class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. Cialis is most often prescribed to men over 50 years of age and their partners to men who have difficulty getting or maintaining an erection. It is available in tablet form and can be taken with or without food. Cialis is a phosphodiesterase type 5 (PDE5) inhibitor and works by relaxing the smooth muscles in the walls of blood vessels.
Directions:Take Cialis by mouth with or without food, usually once or twice daily. Do not exceed the recommended dose. Do not use more than 6 hours before or after taking Cialis, as it may cause serious side effects.
Active Ingredients:Tadalafil
Instructions for use:The recommended adult dose is 20 mg.
Cautions:Do not take more than once daily.
Ingredients:
Contraindications:Concomitant use of nitrates or nitric oxide donors can cause sudden loss of erectile function, which can be life-threatening.
Frequency:No more than once per day.
Storage:Store at room temperature, away from heat, moisture, and light.
Safety:May be effective in treating erectile dysfunction and benign prostatic hyperplasia (BPH). May not be suitable for individuals with certain medical conditions.
Take Cialis by mouth, with or without food, as directed by your doctor. Cialis may be taken with or without food, but it is recommended to take it at the same time every day to maintain consistent levels in your body. It is best to take Cialis at about the same time each day to maintain a consistent level in your bloodstream.
The dosage is based on your medical condition and response to treatment. Do not increase your dose without your doctor’s express written consent.
For treatment of erectile dysfunction and benign prostatic hyperplasia, Cialis is typically taken once daily at approximately the same time every day. However, your doctor should prescribe a different dosage depending on your medical condition.
Cialis is intended for men over the age of 18 years and not for women or children.
The active ingredient is tadalafil. The other ingredients are: Cialis Tablet, Tablet D, and Gel.
Be aware of potential side effects. Cialis may not be suitable for some men. Seek medical attention if you experience:
Headaches
Flushing (sense of warmth in the face, ears, neck, and trunk)
Indigestion (stuffy or runny nose)
Nasal congestion (stuffy nose)
Back pain and muscle pain
Dizziness
Difficulty swallowing
Swelling in your arms, legs, or abdomen
Stuffy or runny nose
Confusion
If you have any further questions, contact your doctor or pharmacist.
Cialis should not be used in combination with nitrates, as this may lead to a dangerous fall in your blood pressure. It is not known if Cialis is more effective than nitrates in treating erectile dysfunction. Avoid using Cialis together with nitrates if you are taking any medications for erectile dysfunction.
It's a little embarrassing to be talking to a doctor about the risks and benefits of taking Cialis or its generic equivalent, tadalafil, for erectile dysfunction (ED).
But a recent survey found that about 50 percent of men taking tadalafil reported having experienced a "very bad reaction" to the drug, such as dizziness, headache, flushing, and nasal congestion.
The survey, published in the Journal of the American Medical Association, analyzed the experiences of more than 1,800 men over the past five years.
"I don't think we're seeing any of the typical symptoms of ED," said Dr. Sidney Wolfe, director of the Public Citizen Health Research Group. "But we are seeing more and more men who take it with a higher percentage of people who have ED."
In response to the survey, Public Citizen said, "The problem of not being able to achieve an erection on a daily basis is a widespread problem that is increasing with age."
The survey results were published in the February issue of the Journal of the American Medical Association.
A study in the Journal of Sexual Medicine found that about 2.3 percent of U. S. men and 5.3 percent of men under the age of 40 reported having experienced erectile dysfunction, compared to 2.9 percent of men in the general population. About two-thirds of the men surveyed said they had ED, with only one-quarter of those with ED taking tadalafil.
The study found that tadalafil is a "potent and highly effective" treatment for ED.
"Tadalafil, or Cialis, is a well-known and well-known drug that is used to treat the symptoms of ED," said Wolfe. "It is a very safe and effective treatment for ED, and it works very well for both men and women."
The results were published in the January issue of the journal Urology, which examined the results of the survey. The study also examined tadalafil use and reported the relationship between the use of tadalafil and ED.
A study of tadalafil and sexual dysfunction in men who have ED published in the April issue of the Journal of the American Medical Association found that men who took tadalafil to treat ED (and those who did not) had a lower incidence of ED than men who had not taken the drug.
"This is significant and it is important to understand that not everyone who takes this medication has ED. It is important to understand that it may be a side effect of the drug. The side effect profile of tadalafil is different from that of the drug taken before sexual activity," said Wolfe.
The results of the study also are "very different" from the findings of a study of tadalafil in men with diabetes that found no increased risk of diabetes.
Tadalafil has been linked to cardiovascular events in patients and people taking nitrates for heart problems, including chest pain.
Tadalafil and heart disease, and the "risk factors for heart disease and cardiovascular events is higher with tadalafil," Wolfe said.
"The real issue is, how do you know that the use of tadalafil will actually help you, and it will help you with ED?
"The answer is that it will help you."
The researchers looked at data from the U. Food and Drug Administration (FDA) on the effects of tadalafil on sexual dysfunction in men.In the analysis, the researchers found that tadalafil was more likely to cause ED than placebo in men taking placebo. In the analysis of patients taking tadalafil, tadalafil was associated with a lower risk of ED, compared with placebo.
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