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Cialis is a drug used in the course of erectile dysfunction (ED) treatment. According to the results of medical studies, after Cialis treatment up to 78 percent of men have had successful intercourse. Usually, the effect of Cialis becomes visible within an hour. Among the side effects of the drug are headaches, indigestion and facial flushing.

What Is Cialis?

Cialis® (tadalafil) is a drug available by prescription and used to treat the erection problems including obtaining or maintaining erection.

Who Manufactures Cialis?

Cialis is produced by Eli Lilly and Company.

What are the Medical Conditions Treated With Cialis?

Cialis is a drug used in the treatment of erectile dysfunction (ED), which is a medical condition, also known as impotence, and is in fact either a complete inability or inconsistent ability to achieve erection, or an ability to produce only brief erections. Substantially, erectile dysfunction is a recurring inability to achieve or sustain an erection firm enough for sexual intercourse.

In What Way Does Cialis Work?

The effect of Cialis is based on its ability to stop the work of the chemical that allows blood to flow out of penis and thus reverses the erection. Thus the effect of the chemical is reduced, more blood rests in the penis which provides an improved erection.

What Effects Does Cialis Have?

The effects of Cialis intake are as follows:

  • Erection gets more stable and is achieved easier and maintained longer
  • Harder erection
  • The ability to experience greater frequency of orgasms
  • The feeling of increased satisfaction with the sexual activity.

According to the results of the clinical studies, 78 percent of men confirmed the positive effect of Cialis resulting in their having successful intercourse. The effect of Cialis has also proved to be the same by different men, independently of the medical conditions and problems with health they have.

When Does Cialis Begin to Work?

The period of time when Cialis starts working depends on the individual peculiarities of the patients. In the conditions of the clinical research the effect was visible already in 30 minutes, though in real conditions for most men the medication starts working within an hour. The effect of Cialis may last up to 36 hours after the dose intake.

How Do I Take Cialis?

General instructions on the intake schedule and dosage are listed below:

  • Cialis is manufactured in the form of pills, and is taken when the need arises, usually an hour before the sexual intercourse. It is not recommended to take the drug more than one dose a day.
  • The Cialis pill intake is not food-dependant, so it may be taken along with the meal or just with water.
  • You should swallow the whole pill, it is not recommended to crush, break or chew it.
  • To reach the desired effect, stick to the prescribed schedule and do not stop taking the medication.

Cialis Dosage

There are a certain number of factors which would influence the dose of Cialis recommended by your healthcare provider. They are the following:

  • Presence or absence of other medical conditions
  • Whether or not you take any other medications.

It is not recommended to adjust the dosage of Cialis on your own, unless you receive the instruction of your healthcare provider to do so.

Possible Side Effects of Therapy with Cialis

As any other medication, Cialis is not spared of possible side effects. Though, it is not always that side effects are faced by those taking the drug. Even on the contrary, most patients do not face them at all, and those who do, encounter only minor side effects, which do not require any special medical help and may be easily treated by the patient himself or his healthcare provider.

The list of possible common side effect contains but is not limited to:

  • Headache - experienced by up to 15 percent of men
  • Dyspepsia (indigestion) – up to 10 percent
  • Myalgia (muscle pain) – up to 4 percent
  • Back pain – up to 6 percent
  • Nasal congestion – up to 3 percent
  • Facial flushing – up to 3 percent
  • Pain in the arms or legs – up to 3 percent.

Those having any heart disorders like cardiovascular disease or being in the possible heart disease risk-group should be careful with taking Cialis as it might increase the chances of serious heart-, brain- or blood vessels- related problems, which in their turn might lead to dangerous side effects including stroke, heart attack or sudden death.

Among the people treated by Cialis there have also been noticed rare cases of non-arteritic anterior ischemic optic neuropathy (NAION),which is a medical condition which may lead to a sudden dysfunction of one or both eyes and consequently to the loss of vision. If you experience such medical condition during the course of Cialis treatment, you should immediately inform your healthcare provider.

Possible Drug Interactions with Cialis

Among the effects of possible interactions of Cialis® (tadalafil) with other medicines are changes in blood pressure and in the process of metabolizing other drugs. It is recommended for you to ask your healthcare provider about any possible drug interactions of Cialis that you can experience.

Below there is a list of drugs and substances Cialis might possibly interact with:

  • Alcohol
  • Alpha blockers for high blood pressure or benign prostatic hyperplasia (BPH), such as doxazosin(Cardura®), prazosin (Minipress®), terazosin (Hytrin®),tamsulosin (Flomax®), and alfuzosin (Uroxatral®)
  • High blood pressure medicines
  • Antifungals such as ketoconazole (Nizoral®), fluconazole (Diflucan®), or itraconazole (Sporanox®)
  • Erythromycin
  • Grapefruit juice
  • Nitrates (nitroglycerin is the most common type)
  • Ritonavir (Norvir®) or indinavir (Crixivan®)
  • Theophylline (Theo-24®, Uniphyll tablets®).

What Medical Conditions Can Serve as a Contra-Indication to Using Cialis?

You should inform your healthcare provider if you have any conditions of the following:

  • Heart disease (such as angina, congestive heart failure, or irregular heartbeats)
  • Liver disease or liver failure
  • A history of a heart attack, stroke, or life-threatening arrhythmia within the past six months
  • Retinitis pigmentosa, which is a rare eye problem
  • Low blood pressure (hypotension)
  • High blood pressure (hypertension)
  • A history of severe vision loss, including a condition called NAION
  • Stomach ulcers
  • Other bleeding problems
  • Sickle cell anemia
  • Multiple myeloma
  • Leukemia
  • A history of priapism, which is a painful erection lasting longer than six hours
  • Any condition that causes a penis deformation, such as angulation, Peyronie's disease, or cavernosal fibrosis
  • Any allergies.

Don't forget to tell your healthcare provider about other drugs you currently take either sold by prescription or free of it, including vitamins and herbal supplements.

What Should I Do in Case of Overdose with Cialis?

The cases of overdose with Cialis are rare, as effects there are the same as the effects of normal doses. If you do have an overdose, seek professional medical attention.

How Should I Store Cialis?

The storage rules of Cialis include storing it at room temperature and keeping it out of children's reach.

What Strengths of Cialis Are Available?

Cialis is produced in several strengths, including:

  • Cialis 5 mg
  • Cialis 10 mg
  • Cialis 20 mg.

Is Cialis Available in the Form of a Generic Medication?

Generic form of Cialis is not yet available.

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