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.
Men who have a history of blood clots, blood clots, prostate cancer, heart attack or stroke have been taking CIALIS. Always seek medical help immediately or consult your doctor for treatments other than medicines not covered by this program may be taking.
Stop taking CIALIS and ask your doctor if you can take some CIALIS medication for anxiety your general diet.
alcohol/food/sedationCIALIS is not available in all medicines. CIALIS may cause temporary light sensitivity, increased white blood cell (Tc-40)�-typeerythema, hearing loss and/or prolonged loss of vision. Regular monitoring is recommended in these circumstances.
Patients with diabetes who are taking other medicines with sildenafil (antihistamine) may also have a risk of a rare side effect of CIALIS of sudden dizziness, fainting and seizures. Common side effects
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For medical advice related to erectile dysfunction
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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 questionnaireTadalafil is the generic version of the popular drug brandCialis.
Its active ingredient is.
Cialis stops nerve signals in the body from being strong enough to send an erection.
Cialis does not interact with the following :-
• Any prescribed medication from your GP
•Any other medicine
• or foods
•Disease interactions
It’s important to use Tadalafil as prescribed.
is only suitable if you are sexually active after taking 50mg of Tadalafil.
The recommended dose is one tablet taken once a day and is recommended to be taken regularly to treat high blood pressure.
Cialis is prescribed as a 2mg/day tablet and as, a 3day tablet. The maximum daily dose is four tablets, and is usually increased to a total dose of six tablets.If you take more Tadalafil than you should, or if you take it more than 10 times a day, you should experience the effects of it.
Take Tadalafil as-needed (25mg) or on an empty stomach, at least one hour before a full meal that contains fat is touched.
The recommended maximum dose is six tablets.
If you have taken a dose of Tadalafil once a day then seek the next time you take Tadalafil at the same time as your other medications.
Do not take a double dose to make up for a forgotten dose.
If you have been prescribed Cialis and have been experiencing a physical reaction to the drug, it is important to be aware of the potential side effects. Some of the most common side effects may include:
1. Sexual dysfunction: Cialis can affect erectile dysfunction and painful sex. This can be especially troublesome if you are not using a pill or if you are taking other medications.
2. Pulmonary hypertension: Cialis can also affect your ability to urinate and increase your blood pressure, which may cause chest pain, dizziness, or other symptoms.
3. Headache: Cialis may cause headache, dizziness, and a racing heart, especially if you have diabetes.
4. Muscle aches: Cialis may increase the muscle pain that you feel in your back, neck, and shoulder. This can be especially troublesome if you are not taking anti-inflammatory medications.
5. Stomach ache: Cialis can make your stomach feel full and may cause a cramp in your stomach or heart beat.
6. Vision changes: Cialis can cause a sudden decrease or loss of vision in some individuals.
7. Nausea: This may be a sign of a more serious form of high blood pressure that requires urgent medical attention.
8. Headache: Cialis can cause headaches. This can be particularly troublesome if you are not using anti-inflammatory medications.
9. Dyspepsia: If you experience nausea, headaches, or other symptoms of an allergic reaction, it is important to seek medical help immediately.
10. Seizures: Cialis may cause seizures (fits) and may be dangerous to your health. Seizures are a potentially dangerous condition when used as directed. If you are taking medication for other conditions such as depression or anxiety, you should seek medical help immediately.
If you are using Cialis, it is important to tell the prescribing doctor about any pre-existing conditions you have, including medical history and the past medical history of other people. You may also need to see a doctor if you experience dizziness, lightheadedness, or fainting.
It is important to talk to a doctor if you are pregnant or breastfeeding. It is also important to check with your doctor about the risks of taking the drug during pregnancy. Cialis and other medicines may pass into breast milk and may harm your baby. However, this is a very small risk and does not constitute a medical or family emergency.
VIDEOCialis, 5 mg, 5.5 mg, 10 mg, and 20 mg:
Cialis (tadalafil) is used to treat erectile dysfunction and is available in the following strengths: 5mg, 10mg, and 20mg. It is not intended for daily use. It is important to read the medication label and follow the directions on the pack to find out the correct strength to use. Cialis should not be taken by women and is contraindicated in women who are pregnant or may become pregnant. Cialis may cause dizziness or fainting, especially if you are sitting or lying down. Cialis may cause vision changes such as decreased light sensitivity, blurred vision or sensitivity to bright light, which can be especially troublesome if you are not using other medications. If you experience any of these, stop taking Cialis and contact your doctor immediately.
Cialis, 10 mg, 20 mg:
Cialis is used to treat erectile dysfunction (impotence) in men. It works by relaxing the muscles in the blood vessels of the penis, allowing blood to flow into the penis when the person is sexually excited, and increasing the blood flow to the penis when the person is not. Cialis may cause side effects such as headaches, dizziness, nausea, stomach upset, or flushing.
Cialis is also used to treat benign prostatic hyperplasia (enlarged prostate). Cialis is not a cure for these conditions, but it can help with the symptoms. You should tell the prescribing doctor if you have any of these conditions before taking Cialis.
If you have any questions or concerns about Cialis, talk to your doctor or pharmacist. There are many other medications that may interact with Cialis. You should also tell the doctor about all the products you use including prescription drugs, over-the-counter medicines, vitamins, and herbal supplements.
Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
Applies to Cialis 5 mg oral tabletUS branded versionIf you are pregnant, may potentially get pregnant, or are breastfeeding, not use this drug. If you have any questions about this medication, consult your doctor.
Stade de France Pharmacy