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.
Tadalafil is a generic version of the common medicine Cialis (tadalafil) which is approved by the UK's National Health Service (NHS), including, the General Pharmaceutical Council (GPhC), and the Pharmaceutical and Medical Devices Board (PMB).
Cialis is available in 2 doses:
10mg and 20mg.
The 20mg dose is not recommended for those with severe 20mg-30% of tadalafil requirements. The Doc an approved
for daily Cialis treatment of adult men with ED. The 20mg dose is not currently recommended for daily use in patients with severe ED.
Licensed personal effects (walkers, kayakers)Medication for erectile dysfunction (ED)Like all medicines, Cialis (tadalafil) is available in the Doc an approved indications.
Cialis (tadalafil) is also available in 25mg and 50mg strengths.
The 25mg and 50mg strengths are also currently only available as branded tadalafil.
For further information, see 's.
PregnancyCialis (tadalafil) works by increasing blood flow to the penis, helping to achieve and maintain an erection.
The Food and Drug Administration on Wednesday approved the first generic version of the little blue pill to be sold in the United States. The agency said the drug is the first drug to be approved for marketing, which means it has already been approved by the FDA. The drug also is approved for marketing for a second time by the Food and Drug Administration, which approved the drug in May last year. The generic version is a generic version of Viagra, which has been marketed since 1998 and is the first drug to be approved for marketing to the United States.
The FDA approved the first generic version of Cialis, which is sold under the brand name Cialis.
The company has a history of marketing drugs that are used to treat a variety of diseases and conditions, including erectile dysfunction. In the past, Cialis was approved for marketing in the United States to treat pulmonary hypertension and benign prostatic hypertrophy, or high blood pressure in the lungs, and it was approved for marketing in the United States to treat pulmonary arterial hypertension. In 2003, it was approved for marketing in the United States to treat pulmonary arterial hypertension, or high blood pressure in the arteries that supply the lungs.
In April 2003, the FDA approved the drug Viagra, a brand-name drug that was sold by Pfizer. Viagra is a brand-name drug that Pfizer bought to treat erectile dysfunction. Viagra is manufactured by Eli Lilly and is marketed for the treatment of erectile dysfunction.
The FDA has approved the new generic version of Cialis, which is available in the United States. Cialis is approved for marketing in the United States to treat erectile dysfunction, but the drug is approved for marketing to the United States to treat pulmonary arterial hypertension, or high blood pressure in the arteries that supply the lungs. Cialis was approved to treat pulmonary arterial hypertension in June 2007, and the drug was approved to treat erectile dysfunction in October 2009. Cialis is currently available in the United States as the generic version of Cialis. The drug was first approved to treat pulmonary hypertension in 1999, and it was approved for marketing to the United States for the treatment of erectile dysfunction in May 2012.
A separate letter to the FDA said the drug has been approved for marketing in the United States to treat pulmonary arterial hypertension, or high blood pressure in the arteries that supply the lungs. The drug has been approved to treat pulmonary arterial hypertension in May 2012, and the drug was approved for marketing in the United States to treat erectile dysfunction in June 2012. The drug was first approved to treat pulmonary arterial hypertension in June 2007, and it was approved for marketing in the United States to treat pulmonary arterial hypertension in October 2009. The drug was approved to treat erectile dysfunction in April 2007, and the drug was approved for marketing in the United States to treat erectile dysfunction in May 2011.
The Food and Drug Administration is advising consumers to be cautious when buying or using any drugs. Consumers should be aware of the possible interactions between certain drugs and certain medications, and should exercise caution when purchasing or using any medication. The products and/or medications listed in this guide are for research and information only. They are not a substitute for consultation with your healthcare provider. You should not take any prescribed medication or supplement if you have any of the conditions listed here. Limit your time and space to the pharmacy or healthcare provider.
This is not a complete and comprehensive guide.
Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.
Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.
reamultum arteriovenulo leukemiaAvoid alcohol as it might cause increased dizziness. Tadalafil should be used with caution if you have nausea, vomiting, or dizziness during or within two or more hours after taking Tadalafil.
idespreaduggishuggishuggishguardianmanolynpillsTadalafil should be used with caution if you have nausea, vomiting, or dizziness during or after taking Cialis for BPH. Cialis is not intended for use in women. Avoid drinking alcohol as it might cause increased dizziness. Tadalafil should be used with caution if you have nausea, vomiting, dizziness or dizziness together with symptoms of urinary retention. Avoid driving with Cialis. Do not take more than once a day.
Cialis may be taken with or without food. Take Cialis at least 20 minutes before or up to 1 hour before sexual activity. Tell your doctor if you have taken Cialis or any other PDE 5 inhibitor you have had experience with. Cialis should be used with the following caution: Men with any personal or family history of personal or family history of breast cancer should use Cialis with caution: Warfarin or other blood thinners may also impact sexual health. Cialis may increase blood pressure which could result in dizziness or fainting. Cialis may cause sudden dizziness or fainting. Use with caution during or after eating a high-fat mealCNN Medical uses: pulmonary hypertension
Tadalafil may cause headache, dizziness, blurred vision and muscle pain. This side effect may be more likely to occur to those who take it regularly or when you get your first headache. If you experience this side effect, stop taking Tadalafil and see a doctor.
Tell your doctor if you are using any other medical or dental treatment. Tadalafil can affect your ability to drive or use machines.
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:
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