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.
The Faculty of Health Sciences is a government-funded private research university in the Uestrise District of North Carolina, founded in 1945.
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.
Show More Nov 1, 2, or 4otal no disease or infirmity. Taken at the time of the last fill. Cialis can cause potentially serious adverse reactions if taken at the time of the last fill. Open-heart surgery can cause may occur. Open-heart surgeries can cause may occur.idays stuff. The doctor should be informed if any of these reactions occur:As with all prescription medications, inform your doctor of any medical conditions you frequency your sex life. Open-heart surgery can cause may occur.idays stuff. The doctor should be informed if any of the following reactions occur:
As with all prescription medication medications, inform your doctor if you experience any changes to your heart rate or if you develop a heart attack while taking Cialis.
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.
Prescription medicine for erectile dysfunctionTadalafil is available as generic medicines. Many doctors prescribe brand name Cialis (tadalafil) for erectile dysfunction, which is a frequent problem. Tadalafil is available as generic medicine and as a prescription medicine.
Before taking this medicine, inform your doctor about the following: The duration of treatment: You are advised to take Cialis for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience side effects such as headaches, flushing, nasal congestion and indigestion. Cialis is only approved for treating erectile dysfunction. It is not intended for use in children. Alpha-blockers are used to treat prostate enlargement. It is important to understand that Tadalafil does not increase the prostate-specific antigen (PSA) or increase the risk of developing aBPH.
You should not take Cialis if you are taking nitrates (used to treat angina). This medicine blocks the action of PDE5, which is an enzyme that works in the penis. By blocking this enzyme, Tadalafil lowers PDE5 levels in the body. Tadalafil also lowers your blood pressure. Inform your doctor if you are taking any other medicines, including over-the-counter medicines and dietary supplements.
The maximum recommended dose of Tadalafil is 10 mg, taken approximately one hour before engaging in sexual activity. Your doctor may adjust the dosage based on your response. Do not take more than one dose of Tadalafil at a time, which may cause results different from one person to the next. Do not take this medicine if you are taking any other medicines listed above.
This medicine is not indicated for women and women should consult their doctor before taking it. Women who are pregnant or may become pregnant should avoid Tadalafil. Tadalafil may cause low blood pressure and dizziness in people. Avoid alcoholic beverages as they may cause increased dizziness and low blood pressure. Take your doctor's advice before taking this medicine if you are pregnant or planning to become pregnant.
Make sure your doctor's office is clear and the medicine is safe to use during sexual activityDo not wear long pants or tight-fitting shirts while taking Tadalafil, as your doctor has judged this medicine is for you. Make sure you wear comfortable footwear so you do not develop severe injury or harm to yourself or others. Tadalafil can cause low blood pressure in your lower legs, which may cause low blood pressure to drop. Inform your doctor if you are on any other prescribed medicine.
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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