Cialis (tadalafil) relaxes muscles of the blood vessels and increases blood flow to particular areas of the body.

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. Do not take Cialis while also taking Adcirca, unless your doctor tells you to.

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Tadalafil is one of the more popular erectile dysfunction (ED) medications on the market and is most commonly associated with the brand name Cialis. Released by GlaxoSmithKline in 2003 and now owned by Eli Lilly, Cialis is very similar to the popular ED medication Viagra with the biggest difference being the drug’s active life. Cialis will produce erections for 36-48 hours from one single dose where Viagra is limited to 4-6 hours from one single dose. Cialis is also prescribed for the treatment of BPH (Benign Prostatic Hyperplasia), which refers to an enlarged prostate that results in difficulty or frequent urination.

Cialis Functions and Traits

Tadalafil belongs to the class of drugs known as phosphodiesterase type 5 inhibitors (PED5 Inhibitor). The treatment of ED is the drug’s primary purpose with the treatment of BPH being a secondary benefit discovered years after the drug was released. Cialis (name brand) as well as any generic brand of Tadalafil carries an active half-life of approximately 18 hours. Due to the long half-life and even longer active life, Cialis is commonly referred to as “The Weekend Pill”. The PED5 does not produce erections on its own, sexual stimulation must still exist, but it will ensure an erection can be maintained if blood flow issues were preventing it before.

Cialis, as with other common PED5 inhibitors functions by increasing the blood flow to the penis. The penile arteries are relaxed and nitric oxide is released via the nerves to the endothelial cells into the penis. This action promotes the synthesis of cGMP thereby resulting in a fuller, stronger and longer lasting erection. Those who suffer from ED may do so in a way that prevents them from obtaining an erection or they may be able to obtain one but unable to maintain it due to poor penile blood flow. Cialis will remedy such blood flow issues.

Cialis (tadalafil) benefit & effect

The effects of Cialis (positive effects) are very straightforward and primarily surround ED treatment. ED can be caused by the lack of blood flow into the penis, which Cialis can remedy. However, ED can also be caused by a low libido, which is more commonly due to improper hormone levels in the body, most commonly low testosterone. If a hormone problem exists yet blood flow is fine, Cialis will not remedy the ED issue nor will any PED5 medication. However, while it will remedy a blood flow issue, there are many men who need both issues addressed, blood flow and hormone.

The effects of Cialis have also been used to treat high blood pressure in some cases as the medication will lower blood pressure; in fact, in 2009 Cialis was approved for the treatment of pulmonary arterial hypertension. In 2011 it was then approved for the treatment of BPH as it was shown to reduce pressure around the prostate and urinary tract.

TrCialis (tadalafil) side-effects

There are side effects of Cialis, possible side effects, but they are not guaranteed and normally dependent on genetics and dosing if too much is taken. Like all PED5 inhibitors vision impairment is the most worrisome possible side effect of Cialis; however, Tadalafil has the lowest rate of incident amo ng PED5’s. Other possible yet infrequent side effects of Cialis may include:

  • Nausea
  • Vomiting
  • Headache
  • Flushness
  • Sore Muscles
  • Lower Back Pain

The above side effects of Cialis should last no more than a few hours if they occur and are due to the drugs ability to widen blood vessels. If such effects occur most men will find a lower dose fixes the problem. However, in some cases they may need to seek out alternate PED5’s for their ED or BPH needs.

Important Note: Cialis should not be taken with nitrates due to its ability to lower blood pressure. Nitrates should not be taken for at least 48 hours before Cialis use with most nitrate users needing to avoid this and all PED5’s.

Cialis Administration

Cialis is available in numerous dosing strengths but in all strengths is a pill taken orally. It is a mustard colored pill with a large ‘C’ and the milligram strength imprinted on one side of the pill. Original Cialis is found in 5mg, 10mg and 20mg strengths. Daily Cialis is found in 2.5 and 5mg strengths.

If taking Daily Cialis (2.5-5mg) it should be taken once per day. This is sufficient to treat many cases of BPH and more often than not ED. However, the lower dose despite daily use may not be enough for some ED conditions. If standard Cialis is taken it can be taken at any time of the day. The medication will begin to work in as little as 30 minutes for some but take a little longer for others.

Important Note: When prescribed for arterial hypertension 2.5mg per day is the normal dose, but it is often sold under the brand name Adcirca for this purpose although the brand name Cialis will accomplish the same.

Availability of Cialis

Cialis is available at most major pharmacies around the world both retail and online. It is also available through numerous compounding pharmacies in generic form. Generic Tadalafil, while the same medication may carry varying dosing strengths compared to name brand Cialis.

Daily Cialis will normally cost $3-5 per 5mg pill with 10mg Cialis running approximately $15-20 per pill. However, if purchased from a large chain U.S. pharmacy you may find the cost is around $30 per pill or more.

How To Use TheCialis (tadalafil)?

Cialis is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Cialis can be taken with or without food.

Do not break or split a tablet. Swallow it whole.

For erectile dysfunction, take Cialis just before sexual activity but not more than once per day.

Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.

Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.

Warnings

Do not take Cialis 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 Cialis. 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 Cialis and get emergency medical help if you have sudden vision loss.

Before taking this medicine

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

Taking Cialis 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 Cialis 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.

Storage Of The Cialis (tadalafil)

Store at room temperature away from moisture and heat.

The Cialis (tadalafil) Mixed reviews Summary

Because of its long active life Cialis is perhaps the top PED5 medication on the market. One dose can keep a man ready for at least two days with some reports of men being able to produce strong erections for up to nearly four days from a single dose. This makes the ED drug far more appealing than its primary competition Viagra and Levitra; however, because we are all different some men will have a better response with Viagra or Levitra. If you have ED and need a PED5 the only way to know which one works best for you is to try all three at different times. You do not and should never take more than one at once and should not take a PED5 with any other type of ED medication as this can lead to serious health concerns.

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