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.
For health reasons, the manufacturer has purchased a prescription drug for the treatment of erectile dysfunction.
For medicines to treat premature ejaculation, the use of CIALIS (tadalafil) is recommended. In more severe cases, men can benefit from the use of certain drugs (such as adefenacine, beclomethasone multiple daily pill multiple dose and cimetidine).
Variant not available in the tens of thousands of unregulated sites
pa-drugshop.com includes:
In addition to medicines listed in the inhalation leaflet you can take:
for asthma: take 1 capsule with food.
for hypertension: take 1 capsule with food.
for diabetes: take 1 capsule with food.
for other conditions: take 1 capsule with diet.
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1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
Be aware that you are under funds to assist with paying medical expenses for services rendered. This may require a prior authorization from your healthcare provider to purchase or use the medication.
Here are the key drug-food interactions:
Bosentan, lorazepam (Bol)
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
Erectile dysfunction medications are used in the United States to treat men with erectile dysfunction, also known as impotence. There are many different medications available to treat impotence. They are all designed to treat male erectile dysfunction, and are used to treat impotence in men with an inability to achieve or maintain an erection that is firm enough for sex.
Erectile dysfunction medications are primarily prescribed to treat erectile dysfunction in men. It’s important to understand that they do not work the same way for everyone. The medication used to treat erectile dysfunction can cause side effects, and many men will experience them. However, some men are more likely to experience side effects from these medications than others. These side effects are often temporary and do not require medical attention. In some men, some of the medications they use to treat erectile dysfunction can cause the following side effects:
In general, medications like Viagra and Cialis are not recommended for men who have erectile dysfunction. In addition, they are not approved by the Food and Drug Administration (FDA) for use in men with erectile dysfunction, and they can have serious side effects if used improperly or in combination with other medications.
There are several things you should know about taking ED medications, including:
It is also important to be aware of the following risks:
If you have any of these risks, talk to your doctor or pharmacist. You are advised to consult your doctor before using ED medications, and to discuss any possible side effects.
Like all medications, there are potential side effects. These include:
These side effects are most often related to the medication you take. You should be aware of these potential side effects so you can adjust the dosage or stop taking these medications.
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