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.
This medicine should not be used in children.
See also:
INTRODUCT TO ERECTILE DYSFUNCTIONYing Xu, et. al. Erectile dysfunction (ED) is a common side effect of –
This medicine is classified as ‘Performance Anxiety’.
Performance anxiety involves a deep feelings of worry and difficulty getting or keeping an erection. It can make it difficult to get or keep an erection.
Some men with Erectile Dysfunction (ED) have an average age of onset for developing problems after sexual activity, often within a single week.
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:
If you are taking Cialis or related medications, it is important for your doctor to obtain a complete complete blood pressure (DBP) before starting treatment. This allows for proper diagnosis and management of this condition, allowing you to safer, more conveniently take your medication. Partial prescriptions are often provided to reduce cost. Extended prescriptions are often provided to help prevent dizziness or fainting, which may be symptoms of heart problems. While using Cialis, avoid taking alcohol with this treatment, as it may worsen side effects.
If Cialis is taken with nitrates (e.g., amyl nitrite, isosorbide dinitrate), this interaction may cause a dangerous drop in blood pressure. If Cialis is taken with other medications used for blood pressure and nitrates (e.g., nitroglycerin, isosorbide dinitrate), this interaction may increase the risk of side effects.
If you take tadalafil to treat a sexual problem, Cialis can interact with alkyllines (e.g.
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:
If you are taking Cialis or experiencing any serious side effects, including:
For those taking this medication long-term, a careful medical history is necessary. In some cases, pregnant women may be advised to limit alcohol consumption, while prescription-strength Cialis is available at a cheaper alternative.
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Lilly Pharmacy offers a wide range of prescription medications, including Cialis (Tadalafil), Levitra (Vardenafil), and Sildenafil (Viagra), to help you achieve a healthy sex life. With a network of 20,000 pharmacies and over 100,000+ customers, this pharmacy provides a wide range of medications, including erectile dysfunction medications, including Viagra, Cialis, and Levitra.
Cialis (Tadalafil) and Levitra (Vardenafil) offer similar high-quality medications. Cialis (Tadalafil) is a prescription medication for erectile dysfunction. It is often the first choice of treatment for erectile dysfunction. Levitra (Vardenafil) is a prescription medication used to treat erectile dysfunction. Levitra (Vardenafil) works by relaxing the blood vessels in the penis, allowing more blood to flow into the penis when sexually stimulated. Cialis (Tadalafil) and Levitra (Vardenafil) are both prescription medications for the treatment of erectile dysfunction. Both medications contain tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor. Tadalafil works by increasing blood flow to the penis and relaxing the blood vessels. The difference lies in their strengths, as well as how they work in different conditions. Levitra (Vardenafil) has a longer half-life than Cialis (Tadalafil) and it is available in a lower dosage. Levitra (Vardenafil) is available in a lower dosage than Cialis (Tadalafil) and it is available in a lower dosage. Levitra (Vardenafil) can also be used to treat pulmonary arterial hypertension (PAH).
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