Cialis

Cialis - Use | Dose | Side Effects

Cialis is a medicine that contains an active substance called tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 inhibitors. With sexual stimulation (which is necessary for Cialis to work), it leads to the release of nitric oxide, which dilates blood vessels and increases blood flow. In this way a men can achieve and maintain an erection, which is why it is used to treat erectile dysfunction or impotence.

Precautions

Cialis should be avoided in the following conditions:

  • In patients allergic to the active substance tadalafil or other similar medicines:
  • Patients with heart diseases.
  • In patients who have had heart attack or stroke.
  • Patients who have vision loss due to non-arteritic ischemic optic neuropathy (NAION). If you are experiencing a vision changes, discontinue use and call your doctor.
  • In patients with severe liver disorders.

If you are experiencing hearing loss, discontinue use and contact your doctor because this medicine can cause sudden hearing loss. This side effect occurs rarely.

If you are experiencing chest pain, especially if the pain spreads to the left shoulder and left arm, immediately contact your doctor because these symptoms may indicate a heart attack. Also, if you are experiencing a rapid heartbeat (tachycardia) or other changes in your heart rhythm, discontinue use and call your doctor.

This medicine should be avoided in combination with medicines used to treat heart diseases.

It should not be used in patients under the age of 18. Extra precautions is required in patients above the age of 75!

Women cannot use this medicine!

How to use

The usual dose is 10 mg of Cialis once a day, half an hour prior to sexual activity.

If this dose is too weak for you, the dose can be increased up to 20 mg once a day.

It should never be used more than once a day.

It can be taken regardless of food, because food has does not affect this medicine.

Swallow the tablet whole with a glass of water. Never crush or chew the tablet, as this may affect its efficacy.

There is no data on about concomitant use of this medicine with alcoholic beverages.

The application of doses higher than 20 mg, cannot increase the effect of this medicine on an erection, but it can increase the risk of side effects.

Use with other medicines (Interactions)

Cilais should be avoided in combination with the following medicines:

  • Nitrates, medicines used in the treatment of angina pectoris, such as:
    • nitroglycerin,
    • isosorbide dinitrate,
    • isosorbide mononitrate,
    • pentaerithrityl tetranitrate, and others. The concomitant use of these medicines with Cilais, increases the risk of side effects.
  • Alpha blockers, medicines used in the treatment of high blood pressure and benign prostate enlargement, such as:
    • prazosin,
    • terazosin,
    • doxazosin, and others.
  • Medicines used in the treatment of fungal infections, such as:
    • ketoconazole,
    • itraconazole,
    • fluconazole, and others.
  • Medicines used in the treatment of HIV infection (AIDS).

Tell your doctor about all medications and herbal products you are using.

Side effects

Cialis may cause the following side effects:

  1. headache,
  2. dizziness,
  3. muscle pain,
  4. back pain,
  5. heart attack,
  6. stroke,
  7. vision impairment,
  8. sudden hearing loss,
  9. rapid heartbeat (tachycardia),
  10. low blood pressure (hypotension),
  11. nasal congestion,
  12. flushing,
  13. nosebleeding,
  14. Steven-Johnson syndrome,
  15. allergy and others.

Tell your doctor if you are experiencing any side effects.

Information on this website are provided for educational purposes only and are not intended for medical advice, diagnosis or treatment.

If you have any concerns or questions about your health, you should always consult with a physician or other health-care professional.