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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.

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    Drug Interactions

    Cialis® (tadalafil) is associated with a number of drugs including riociguat, indigestion, nitrates, nitiredriamyl (imdurin), alpha-blockers ( metoprolol or vortioxetamol), diuretics (lopressor deep-sea medications), antifungals (ketoconazole, itraconazole), HIV drugs (erythromycin, itraconazole), antibiotics (tetracyclines), and antiretrovirals (insulinauseatingmidtil).

    adiq L. It’s important to note that while medicines taken with CIALIS are not risk-controlled, all interactions can be considered drug interactions and should be treated with medical advice. A medical professional should then decide if this medicine is the right choice for you.

    Interactions

    A. Top Drug-Drug Interactions:

    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.

    Other Drug-Drug interactions:

    • Ketoconazole, itraconazole (used to manage fungal infection)
    • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
    • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
    • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
    • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

    B. Drug-Food Interactions:

    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:

    1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
    2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
    3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
    4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
    EU Anticancer Publishedhesive Drug Information (AUD)30-23, 2024Cialis (tadalafil)

    Manufacturer:

    EU Pharmacopoeia

    Company:

    FDA:

    Country:

    Cialis (tadalafil), brand name Tadalafil, is a prescription medicine used to treat erectile dysfunction (impotence) in men. The FDA has approved Cialis as a medicine for sale. This medication is available only with a doctor's prescription. Tadalafil is an active ingredient that works by increasing blood flow to the penis, thereby helping men get and keep an erection during sexual activity.

    1. The brand of Cialis is Tadalafil.
    2. Doctors prescribe it for erectile dysfunction in men.
    3. It is available only with a doctor's prescription.

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    About Cialis Professional 5mg Tablet

    drug that treats erectile dysfunctionerectile dysfunction. It works byboosting blood flow to the penisIt is a safe and effectiveerectile dysfunction treatmentthat can help men havestronger, stronger, and more satisfying erections

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    A new study published in the Journal of Sexual Medicine suggests that Cialis may be a promising alternative to Viagra for men facing erectile dysfunction.

    The new study, reported at the American Journal of Medicine, was a follow-up to a study published earlier this year that looked at 36 participants in the United States who had been diagnosed with erectile dysfunction. Researchers found that Cialis significantly improved erectile function for men who were prescribed it.

    The new study involved 36 men who were taking Cialis, an erectile dysfunction medication that is available in the United States under the brand name Cialis.

    The men were randomly assigned to take a placebo or a higher dose of Cialis. The study was conducted in a randomized, double-blind, placebo-controlled, parallel-group design.

    Researchers said that while the study did not find significant improvements in erectile function, they found that Cialis may offer a treatment option for some men.

    The study was funded by Pfizer Inc., a San Diego-based pharmaceutical company that makes Viagra, Cialis and similar medications. The company is also working on a similar medication called tadalafil, which was approved by the U. S. Food and Drug Administration in March 2011.

    The study was published online in the Journal of Sexual Medicine.

    Cialis, the active ingredient in Cialis, works by increasing blood flow to the penis. (Photo credit:Getty ImagesCialis, the active ingredient in Viagra, works by increasing blood flow to the penis.

    The results were based on a group of 36 men who had been taking the medication for four months and were assigned to one of four treatment groups: placebo, Cialis (which the study researchers said was the least effective treatment for ED), Cialis (which the study researchers said was the least effective treatment for ED), and a placebo.

    Researchers found that while the men were still taking the medication at the end of the study, they had improved their erectile function by about 40 percent. They also found that men in the Cialis group were significantly less likely to report being dissatisfied with the treatment than the men who were taking the medication.

    Other research has shown that men taking the medication for erectile dysfunction can have a lower risk of developing prostate cancer.

    The study was presented at the annual meeting of the American Urological Association.

    Viagra, the brand name for sildenafil, is a medication that is used to treat erectile dysfunction in men.Viagra, the brand name for sildenafil, is a medication used to treat erectile dysfunction in men.

    Cialis, which the study authors said was the least effective treatment for ED, was more likely to cause low blood pressure.

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