What is Cialis

Cialis is a brand name of a medication that contains Tadalafil Citrate as the active substance. Cialis was developed by the pharmaceutical company Elli Lilly, it manufactures and sells this medication.

Cialis became the third in the class of phosphodiesterase-5 (PDE-5) inhibitors. The first was Viagra, the second appeared Levitra. The main indication of Cialis is to treat erectile dysfunction in men.

Cialis helps to have a strong erection in the presence of a sexual stimulation. PDE-5 inhibitors alone don’t induce erection. They enhance circulation in the penis during a sexual stimulation and help to maintain erection during an intercourse.

In 2003 Cialis was approved by the FDA, US Food and Drug Administration. This confirms its effectiveness and safety.

Benign prostatic hyperplasia is another indication for Cialis. Tadalafil is contained in another drug Adcirca that is used to treat pulmonary hypertension.

Important information you should know before taking the drug

Erection is a multi-factored process involving not only the reproductive organs. It depends on the coordinated work of the brain, hormones, nervous cells, and vessels. Erectile dysfunction is a sign of a failure in the work of any of these organs and systems. For example, it may indicate diabetes or cardiovascular disorders. Erectile dysfunction may also develop as a consequence of stress, anxiety, depression etc. Certain medication may also cause erectile dysfunction. This condition is a symptom of nervous system diseases in the early stages, for example Parkinson’s disease and multiple sclerosis.

The first thing you should do when you suspect erectile dysfunction is to visit a doctor and find out the cause.

Interaction with other drugs. Contraindications

You want to consult your doctor before taking Cialis and notify him or her about diseases you have, conditions and drugs you are taking at the moment. Certain medications may cause negative consequences when you take them with Cialis.

Pay attention to the following conditions and symptoms.

  • Allergic reaction for food and medications especially, with the same mechanism of action. The symptoms of allergy: rash, skin and mucosal redness, flaky and itchy skin, shortness of breath, wheezing, coughing, swelling in the throat, swollen face, lips and tongue.
  • Irregular heart rhythm, cardiovascular diseases such as angina.
  • Kidney or liver disease.
  • Vision disorders especially, such genetic diseases as primary pigmentary degeneration of retina.
  • Heart attack in the past 90 days.
  • Stroke in the past 180 days.
  • Pain in the chest during sex or after it.
  • Your doctor recommendations to avoid sex for health reasons.

It is not recommended to take Cialis with nitroglycerin and other nitrates. A possible adverse event is a sudden drop in blood pressure. The same effect may occur when you take Cialis with “poppers”.

Do not take Cialis and medications with the similar action such as Viagra, Levitra, Stendra, and Adcirca.

You can take other drugs to treat erectile dysfunction only when your doctor approves it. You want to visit a doctor before taking medications.

Cialis and grapefruit or grapefruit juice may also develop undesirable side effects.

Men over 65 years old should take Cialis with caution and pay attention to possible side effects.

Side effects

Cialis side effects may be classified as follows.

  • Common: hot rush, stuffy and runny nose, headache, muscle pain, backache, pain in the extremities, indigestion.
  • Uncommon: low blood pressure, insomnia, conjunctivitis.
  • Rare: a sudden loss of vision caused by a decreased blood flow to the optical nerve. In the group of risk are people at 50 years old and over, diabetics, smokers, patients with cardiovascular disorders, visual disorders, and hypertension.
  • Rare: painful erection that lasts more than 4 hours.

Patients with liver, kidney or heart diseases are at a greater risk to develop these adverse events. The same is true about diabetic patients and those who take other medications incompatible with Cialis.

Cialis side effects when you should seek immediate medical attention

It is confirmed that Cialis is safe but due to individual tolerance, patients may develop serious side effects that require medical attention. These possible side effects include:

  • Allergic reaction with rash, redness, flaky skin, blisters, edema, and itchy skin.
  • Difficulty breathing and swallowing, mental confusion, difficulty in pronouncing certain words.
  • Swollen throat and face.
  • Loss of balance, lightheadedness, faintness.
  • Tightness and pain in the chest, irregular heart rhythm.
  • Upset stomach, vomiting.
  • Severe headache.
  • Vision distortion or loss.
  • Hearing distortion or loss, ringing in the ears.
  • Shortness of breath.
  • Fever.
  • Swollen extremities.
  • Hematomas and bleeding.

Dosage and use

When you take Cialis, do not ignore your doctor recommendations. Do not increase or decrease the dosage and do not take it for a longer period than it has been prescribed. Cialis should not be split or chewed – swallow whole pills.

A recommended dose of Cialis to take before an intercourse is 10 mg. If it will prove ineffective, your doctor may recommend to increase it to 20 mg (this is the maximum daily dose). In case with individual intolerance, the dose may be decreased to 5 mg.

For a regular drug use, the dose is 2.5-5 mg of Cialis but again it all depends on the condition of the patient and individual tolerance.

When Cialis is used to treat benign prostatic hyperplasia, the dose is 5 mg per day.

Take Cialis half an hour before an intercourse. The drug remains effective for 36 hours.

Do not take Cialis more than once a day. If you follow a continual treatment, it is recommended to take drugs approximately at the same time.

The effectiveness of Cialis does not depend on meals.

Patients with kidney or liver disease should take Cialis with caution and only under the care of your doctor. The dose is decreased for patients with mild to moderate disease. You want to avoid taking this drug every day if you have severe kidney disease. Do not take Cialis if you have severe liver disease.

Cialis induces erection only in the presence of a sexual stimulation. The drug itself does not help to reach erection.

What are generics. Cialis generics

Generics are medications that have the same active substance as the original drugs but they are manufactured by a different pharmaceutical company.

A new drug is mainly a new active substance, a chemical compound. When a company is developing it, it spends millions of dollars and requires a lot of men hours to conduct all the tests and studies. Fairly enough that when the company makes a successful drug, it receives an exclusive right to manufacture and sell it, the right is confirmed by the patent. While the patent is in force, no one is allowed to manufacture medications with the same active substance. It allows the drug-developer to cover its costs for the developing process.

When the patent expires, other pharmaceutical companies may start manufacturing their analogous medications. They become generics.

Cialis is manufactured by the company Elly Lilly. It has developed Tadalafil. The patent for Tadalafil expires in 2020. If the company will not extend the patent, other companies will be able to sell their generics of Cialis. They still must conduct tests and studies to get the right to sell their generics. In the USA, the FDA approves new remedies to be brought to the market. Legal generics also require large investments and not all pharmaceutical companies are in a position to develop generics.

On the markets in developing countries, especially in India, pharmaceutical industry is well-developed but the pharmaceutical legislation is not fully developed. Generics may appear as soon as the original was introduced to the market. These generics are not tested and they cost much cheaper. These medications are intended mainly for the local markets of developing countries. This is not only because of the price. People do not need any prescriptions to buy these generics and they can easily get them online.

The safety of these generics is not guaranteed and they may have more pronounced side effects.

Where can I buy Cialis? Can I buy Cialis without a prescription?

Original Cialis is a prescription medication. It means that you can buy it only with a prescription from your doctor. Even legal online pharmacies require a scanned copy of the prescription.

Illegal online pharmacies are unsupervised and sell generics without any documents. There are a lot of these sites, they are closed from time to time but soon appear again.

The fact that Cialis generics can be bought without a prescription is what makes them so popular. Buy a drug online, without visiting a doctor and without talking to a pharmacist is very convenient for men who are too shy to talk about their sexual weakness.

Men who have no issues with the erection also buy Cialis generics because they want to impress their partner.

Conclusion

Cialis is one of the most popular medications to treat erectile dysfunction in men. It is second only to Viagra. Cialis remains effective for 36 hours. Its effectiveness and minimum side effects make it so appealing for millions of men. It helps easily and naturally regain self-confidence and have a normal life.

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