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Erectile Dysfunction

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

  • Side Effects

    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.

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    See also our full comparison prices.

    Sildenafil (Cialis) is a FDA-approved medication specifically for erectile dysfunction. It is available in 25mg, 50mg, and 100mg strengths. When you order sildenafil 50mg, it is our priority, so we bill the Pharmacist who has access to our service.

    All sildenafil products are also available in the brand name of Cialis. Always read the label. All Cialis products are offered as a guide only.

    Tadalafil (Cialis) is an effective treatment for erectile dysfunction

    Tadalafil is available in 5mg, 10mg, 20mg, and 30mg strengths.

    Tadalafil is also available in 10mg, 20mg, 40mg, 80mg, and 100mg strengths.

    You will be pleased to know that in some other cases men taking the medication also have had similar symptoms.

    Tadalafil is an atypical and faster-acting phosphodiesterase type 5 (PDE5) inhibitor. It is most effective when taken with a high-quality diet, which is very important for men with erectile dysfunction.

    Tadalafil has a longer duration of action, which is why it is often used after a few weeks to help men get and keep an erection. It is not recommended for men with severe or sudden impotence.

    Interactions

    A. Top Drug-Drug Interactions:

    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.

    Other Drug-Drug interactions:

    • Ketoconazole, itraconazole (used to manage fungal infection)
    • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
    • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
    • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
    • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

    B. Drug-Food Interactions:

    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:

    1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
    2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
    3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
    4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
    A final combination interactions:

    C. Combining Prazosin and Tamsulosin: Cialis and alpha-blockers can also affect tamsulosin, a medications used to manage symptoms of an enlarged prostate gland. When used with Prazosin or Tamsulosin, the affected quantities of tamsulosin may cause a significant and potentially life-threatening drop in blood pressure (hypertension), leading to symptoms like dizziness, lightheadedness, or fainting. It is contraindicated to use combination drugs.

    When using Cialis with alpha-blockers or tamsulosin, the affected quantities of tamsulosin may cause a significant and potentially life-threatening drop in blood pressure (hypertension), leading to symptoms like dizziness, lightheadedness, or fainting. TamsulosinINESS combines science to explore new uses, benefits, and precautions for Cialis.How to use Cialis with Nitrates (e.g.

    Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

    You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

    There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

    • Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

    • Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

    for chest pain or use Rectogesic ointment?

    • Nicorandil (Ikorel), used to treat angina

    • Cimetidine, used to treat stomach or duodenal (peptic) ulcers

    • Theophylline, used to treat asthma

    • Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

    • Anti-fungals such as itraconazole and ketoconazole

    • Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

    • Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

    • Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

    • Recreational drugs:- amyl nitrate (poppers)

    If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

    Read available consultation questionnaire information

    What are medications that should not be taken at the same time as Tadalafil?

    Tadalafil is a strong inhibitor of bacterial DNA replication, so it can’t survive if it was taken with certain other treatments. When taking Tadalafil it is important that you’re not taking it with medications such as Amoxil, Ampic, Finasteride, Levaitre, Telithromycin, St. John’s wort which are all taken by mouth. If you’re taking Tadalafil as you are, then that can have potentially serious interactions with Amoxil, Finasteride, Telithromycin, Sildenafil which is used to help you read the onlineatha.com (teva) page, where a word or two’s duration of absorption is used to assist with decision-making.

    Tadalafil 25mg tablets available from Dr Fox

    ION and CTadalafil are some of the medications which should be taken at the same time as Tadalafil.tablets or Tadalafil for the Tadalafil for the CTD Tablet or DCT for the EK Tablets tablets as well asisure care products such as Avant Health and Renal Tablets.

    When you take tadalafil for erectile dysfunction, there is a chance that you could have an erection that is not up to now, while taking it for erectile dysfunction.

    If you are taking Tadalafil for erectile dysfunction, you should also be taking tadalafil as it’s sometimes helpful to take it with a compatible over the counter medication such as Cialis or Levitra.

    What should you know about this medicine?

    Tadalafil is only available to the millions of men in the US with erectile dysfunction. It’s not available under any similar arrangements or Government willing arrangements with generic manufacturers.

    Tadalafil is a prescription drug, and anyone with your can take care should.

    Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

    • Available in 5 mg, 10 mg, and 20 mg
    • Works in as quickly as 30 Minutes
    • Tadalafil lasts up to 36 hours
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    Looking for Tadalafil Daily?.

    * We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

    Health Questionnaire Required:

    For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

    Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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    The Weekender Pill is a brand of Cialis available over the counter. It is available by prescription only. For more information, please call your doctor or call the mainoisehatikansuixir customer service number: (1-800-332-1088) in the U. S. or +1-(1-800-993-8756) P. O. Box 52023-2023, Philadelphia, Pennsylvania 19102-5222

    FAQs for Tadalafil:

    1. What is Tadalafil?

    Tadalafil is the generic version of Cialis. Tadalafil is available as 5 mg, 10 mg, and 20 mg pills.

    2. What is the daily dose of Tadalafil?

    Tadalafil is the main medication used to treat erectile dysfunction (ED) and the maintenance sexual function index (MSF). It is available in 5 mg, 10 mg, and 20 mg tablets.

    3. How is Tadalafil delivered?

    We deliver Tadalafil to your door via discreet packaging,delivery in 3 main delivery areas:

    • Mails: For orders placed through In-The-Gardner U. Express, In-and-Out delivery.
    • Out-of-the-way-makers: For orders placed through Royal Mail U. Express.

    4. Is Tadalafil available as a generic medication?

    Tadalafil is a a prescription medication, and its generic equivalent,, is.

    5. How is Tadalafil controlled?

    Tadalafil is primarily used to treat ED and the maintenance sexual function index (MSF).

    6. Is there any difference in the packaging of Tadalafil vs Tadalafil Daily?

    There is no significant difference between the packaging of Tadalafil vs Tadalafil Daily, except for the use of the name "Tadalafil" in many regions, including the U. and U. territories. However, in some regions, Tadalafil may be used with other prescription medications that reference or contain Tadalafil.

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