cialis 10mg / 20mg


Cialis or its generic name: Tadalafil  is a PDE5 inhibitor marketed in pill form for treating erectile dysfunction (ED). Another brand name it goes by is: Adcirca. As well as Tadacip by the Indian pharmaceutical company Cipla.

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Tadalafil : Generic for Cialis, Adcirca, Tadacip

Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice "safe sex" such as using latex condoms. Consult your doctor or pharmacist for more details.

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Tadalafil relaxes muscles of the blood vessels and increases blood flow to particular areas of the body.

Tadalafil under the name of Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.

IMPORTANT INFORMATION:
Source: https://www.drugs.com/tadalafil.html
Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Some medicines can cause unwanted or dangerous effects when used with tadalafil. Tell your doctor about all your current medicines, especially riociguat (Adempas).

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

Get medical help at once if you have nausea, chest pain, or dizziness during sex.

Stop using tadalafil and get emergency medical help if you have sudden vision loss.


BEFORE TAKING THIS MEDICATION:

You should not take tadalafil if you are allergic to it.

Taking tadalafil with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take this medicine if you also use:

  • riociguat (to treat pulmonary arterial hypertension); or

  • a nitrate drug (for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite "poppers".

  • Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take (longer if you have liver or kidney disease). Avoid nitrate use during this time.

    To make sure this medicine is safe for you, tell your doctor if you have ever had:

  • heart disease or heart rhythm problems;

  • a heart attack or stroke;

  • angina (chest pain), high or low blood pressure;

  • pulmonary hypertension (unless you are taking tadalafil for this);

  • a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart);

  • liver or kidney disease (or if you are on dialysis);

  • vision loss, or retinitis pigmentosa (an inherited condition of the eye);

  • a bleeding disorder;

  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

  • a physical deformity of the penis (such as Peyronie's disease), or an erection lasting longer than 4 hours;

  • a stomach ulcer; or

  • health problems that make sexual activity unsafe.

  • Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or risk factors for blood vessel disorders (heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether the medicine was the actual cause of vision loss.

    Tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

    It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.

    Tadalafil is not approved for use by anyone younger than 18 years old.


    HOW TO USE CIALIS
    Source: https://www.webmd.com/drugs/2/drug-77875/tadalafil-oral/details
    Read the Patient Information Leaflet provided by your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

    Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily.

    The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

    To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should continue taking this medication.

    To treat erectile dysfunction-ED, there are 2 ways that tadalafil may be prescribed. Your doctor will determine which is the best way for you to take tadalafil. Follow your doctor's directions exactly since your dosage depends on how you are taking it. The first way is to take it as needed, usually at least 30 minutes before sexual activity. Tadalafil's effect on sexual ability may last up to 36 hours.

    The second way to treat ED is to take tadalafil regularly, once a day every day. If you take it this way, you may attempt sexual activity at any time between your doses.

    If you are taking tadalafil to treat both ED and BPH, take it as directed by your doctor, usually once a day. You may attempt sexual activity at any time between your doses.

    If you are taking tadalafil once daily for BPH, or for ED, or for both, take it regularly to get the most benefit from it. To help you remember, take it at the same time each day.

    Tell your doctor if your condition does not improve or if it worsens.



    SIDE EFFECTS

    Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

    To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

    Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

    Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: severe dizziness, fainting, chest/jaw/left arm pain, nausea.

    Rarely, sudden decreased vision, including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking tadalafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke.

    Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking tadalafil and get medical help right away if these effects occur.

    In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

    A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

    This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

    Usual Adult Dose for:
    Source: https://www.drugs.com/dosage/tadalafil.html

    Applies to the following strengths: 5 mg; 10 mg; 20 mg; 2.5 mg

    Use as needed for ED:
    -Initial dose: 10 mg orally once a day, as needed, prior to sexual activity
    -Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability

    Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.

    Once a day use for ED:
    -Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
    -Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability.

    Once daily use for ED and Benign Prostatic Hyperplasia (BPH):
    -5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

    Use: Treatment of erectile dysfunction (ED)

    Adcirca (R):
    -40 mg orally once a day

    Comment: Dividing the 40 mg dose over the course of the day is not recommended.

    Once daily use for BPH:
    -5 mg orally once a day at approximately the same time

    Concomitant administration with finasteride:
    -5 mg orally once a day at approximately the same time, for up to 26 weeks

    Comments: The incremental benefit of this drug decreases from 4 weeks until 26 weeks. The incremental benefit of this drug beyond 26 weeks is unknown.

    Once daily use for ED and BPH:
    -5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

    Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)

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