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.
have any kidney problems treat or risk yourself if you:
have a history of headaches, had a stroke, or drowsiness have lost any energy
have a heart problem.poison allergy due to a virus.poquo (a parasite) due to a virus (includingilot) or a blood pressure problem you’re taking CIALIS now and then. If you have such an reaction contact your doctor immediately You may experience sudden dizziness or fainting when you get up to make you more sedated
Possible side effect some have had with CIALIS
uses tadalafil more than others
broccoli (Cِي ufficient - use as not as you wish - otherwise it will come to Appearance).
Vardenafil tablets 20 mg price uk How do I take Vardenafil tablets? Vardenafil tablets are to be taken orally in the morning. Vardenafil tablets should be taken orally in the evening. Vardenafil tablets are usually taken once a day. Users should take these tablets on an empty stomach or on an hour apart following a meal.Vardenafil tablets can be taken with or without food. Users should not take CIALIS more than once a day.
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:
Nurano, Sanjay. "Tadalafil citrate is a promising drug for the treatment of men who have a history of erectile dysfunction (ED).
However, there are certain drugs that are not effective, or are too expensive.
We are not able to give you the full list of drugs that are not effective at treating ED.
You may also be interested in our article on the latest research on Viagra.
This article is available for free publication in the following countries:
1.Pellegrini, M., Rocha, S. (2023). "Pellegrini, M. A., et al.The efficacy and safety of sildenafil citrate in the treatment of erectile dysfunction in patients with primary dysmenorrhea (PD).Pharmacoepidemiol Drug Saf. vol. 4, pp. 15-23. (online).10th ed. Philadelphia, PA: Elsevier; 2011.
2.Gonorrino, F. (2011). "Drugs in the treatment of erectile dysfunction, including phosphodiesterase type-5 inhibitors, cyclosporine, and nitrates".J. Sex Med.6, pp. 1217-1231.Philadelphia, PA: Elsevier; 2010.
3.Kloner, A. S., Csou, A., Kukulou, S. G., et al. "Clinical pharmacology and toxicology of sildenafil citrate".Pharmacol. Ther.891-904.Philadelphia, PA: Elsevier; 2024.
4.Lakash, A., Maki, S., Kukulou, S., Saito, M., et al. "Pharmacokinetics and safety of sildenafil citrate in healthy volunteers".Drug Metab. Rev.25, pp. 1706-1722.Philadelphia, PA: Elsevier; 2023.
5.Cotter, S. D. S. "The safety of sildenafil citrate in patients with erectile dysfunction".891-900.
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The information on this page is for general educational purposes only and does not constitute medical advice. This information is not a substitute for medical treatment. You should consult a specialist who is familiar with your health.
Pellegrini, M.
Kukulou, S. "Clinical pharmacology and toxicology of sildenafil citrate in healthy volunteers".
Lakash, A. S., Maki, S., Kukulou, S.
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Cialis 2.5 is a popular medication used to treat male sexual function problems (impotence or erectile dysfunction-ED). It is a male sex hormone used to increase muscle mass, but it does not work if it is not properly taken. This medication works by blocking the enzyme responsible for making testosterone. This results in a temporary increase in blood pressure and increases the risk of heart disease and stroke. Cialis 2.5 is a close second to, like any other medication. It has been studied and proven effective for treating erectile dysfunction.
Cialis 2.5 is a very popular medication used to treat men with erectile dysfunction (ED). It has been used by millions of men around the world for the treatment of male sexual function problems (impotence or erectile dysfunction-ED). Cialis works by increasing blood flow to the penis, helping to achieve and maintain an erection. In addition to treating ED, Cialis also helps to manage symptoms of benign prostatic hyperplasia, an enlarged prostate gland. Cialis 2.5 has been shown to reduce the risk of urinary problems (such as cystitis) by more than 70%. It is important to note that Cialis 2.5 should only be taken if your doctor has advised you to do so correctly. It is also important to tell your doctor about any other medications you are taking, as they may interact with Cialis 2.5. If you are prescribed an alpha-blocker (such as doxazosin or tamsulosin), you should not take Cialis 2.5 as it can cause an allergic reaction. Also, Cialis 2.5 should not be used in men with a history of heart problems, high blood pressure, or those taking nitrates (such as nitroglycerin). A mast cell disease called mastocytosis can also cause an allergic reaction. This can be a symptom of an underlying thyroid problem or an infection with a bacteria that makes white blood cells (aluminum) leak into the artery walls. If you notice any of these symptoms, stop taking Cialis 2.5 and call your doctor right away. Tadalafil is also used to treat erectile dysfunction in men. It belongs to a class of drugs called PDE5 inhibitors. It works by relaxing blood vessels and increasing blood flow to the penis. Cialis 2.5 prevents your blood vessels from becoming firmer and longer-lasting, making it easier to achieve an erection. Cialis 2.5 also helps to relieve the symptoms of benign prostatic hyperplasia (enlarged prostate gland).
Read the Patient Information Leaflet if available from your hard drive or other source.
For each million daily users, Cialis 2.5 has been shown to be one of the most popular medications for erectile dysfunction. About 7 in 10 men have used 2.5 mg or more daily. About 2 in 10 men have used 5 mg. The effects of the medication on the penis and the quality of the blood that goes with it have also been reported. In addition, 5 in 10 men who take Cialis 2.5 should be aware of the possible side effects. The side effects of Cialis 2.5 include headache, indigestion, back pain, muscle aches, and flushing of the face. The side effects of Cialis 2.5 include muscle pain, flushing of the face, and blurred vision. In rare cases, Cialis 2.5 has been associated with an increased risk of developing breast cancer. A small number of men who take Cialis 2.5 may experience sudden vision loss or a loss of vision. Men who experience these side effects should stop taking Cialis 2.5 and call their doctor right away. This can lead to permanent erectile dysfunction in men.
Some of the most common side effects of Cialis 2.
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