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.
Other medicines
Some medicines are prescribed for a different condition, e.g. nitrates.
For this reason, they cannot be used at the same time as the medicine. For this reason, they will not be used the same time as the medicine will be prescribed.
medicines to lower cholesterol –Cialis, which is also a medicine to lower high blood pressure, is regularly prescribed to men with erectile dysfunction as a way to get a better quality of life.
For this reason, it is important to take Cialis as directed by your doctor. For this reason, it is usually recommended to take Cialis at the same time as the medicine.
taking h2-adrenergic blockers –This medicine is generally used at the start of a h2-adrenergic blocker (e.g. sildenafil) or at the end of a h2-adrenergic blocker (e.g. -diphenhydramine) treatment.
For this reason, it is important to take h2-adrenergic blockers at the start of a h2-adrenergic blocker (e.g. sildenafil) treatment. For this reason, it is usually recommended to take h2-adrenergic blockers at the start of a h2-adrenergic blocker (e.g.
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:
CAD-12 Ant MVP (amikacne metabolite of cad-12): This nitratedrug-derived medication inhibits the enzyme guanylate cyclase, which may reduce power for the heart to thrive. It can cause a dangerous drop in blood pressure when used with CAD-12. The affected areas should be washed off with non-herbal choice as discussed in the 'CAD-12 prescription' section of 'CAD-12 PRECAUTIONS'
4.CAD-12 PDE5 Inhibitors (e.g., lansoprazole, ranitidine, vardenafil): These medications lower blood pressure when used concurrently with prescription CAD-12 inhibitors. Blood pressure reduction occurs through a combination of increased blood pressure and a decrease in blood flow to the penis.
5.
We are pleased to announce that we have received a valid Australian contract from Eli Lilly for the use of the Cialis Tadalafil Tablets (tadalafil) in the treatment of erectile dysfunction (ED) in males. We have had an opportunity to discuss the Cialis Tadalafil Tablets in our clinic with Lilly.
Cialis Tadalafil Tablets are used to treat erectile dysfunction and premature ejaculation in adult men. Cialis Tadalafil Tablets are sold under the brand name Cialis. Eli Lilly is the leading supplier and exporter of tadalafil tablets and Cialis tablets, which are used to treat erectile dysfunction (ED) in men. Tadalafil Tadalafil Tablets are manufactured by Cipla, and it is used to treat the signs and symptoms of benign prostatic hyperplasia (BPH). Cialis Tadalafil Tablets are supplied in a generic form. The generic is manufactured in India. Cialis Tadalafil Tablets are available in strengths of 25 mg, 50 mg and 100 mg.
In addition to its primary use, Cialis Tadalafil Tablets are also prescribed to treat the signs and symptoms of benign prostatic hyperplasia (BPH) and other conditions associated with enlarged prostate. This is a type of medication called an alpha-blocker. This medication works by relaxing the muscles of the prostate and bladder, which increases urine flow. As a result, the patient may be able to urinate easily and is able to get and keep an erection during sexual activity. The primary indication for taking this medication is for ED treatment in men. Cialis Tadalafil Tablets are taken orally and are indicated for a maximum of 12 hours after the meal. The dosage is based on the patient’s age and the severity of the condition being treated. Cialis Tadalafil Tablets are taken for up to 36 hours. The dosage is based on the patient’s response to the medication. It is important that the dosage is as low as possible for the lowest effective dose.
Cialis Tadalafil Tablets are available in the dosage strengths of 25 mg, 50 mg, and 100 mg. The patient should be sexually stimulated for the maximum of 4 hours after taking the medication. The recommended starting dose of Cialis Tadalafil Tablets is 25 mg.
We are pleased to announce that we have received the product license agreement (PLCA) from Eli Lilly for the use of the Cialis Tadalafil Tablets (tadalafil) in the treatment of erectile dysfunction (ED) in males. This authorization is for the use of the Tadalafil Tablets in the treatment of ED in men.
Cialis Tadalafil Tablets are used to treat the signs and symptoms of benign prostatic hyperplasia (BPH). Cialis Tadalafil Tablets are manufactured by Cipla and are available in a generic form. Cialis Tadalafil Tablets are available in strengths of 25 mg, 50 mg, and 100 mg.
In addition to its primary use, Cialis Tadalafil Tablets are also prescribed to treat the signs and symptoms of benign prostatic hyperplasia (BPH). The patient’s symptoms may include difficulty starting to urinate, a decrease in urine output, and an increase in the amount of urine produced.
The recommended starting dose for Cialis Tadalafil Tablets is 25 mg.
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Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that can treat premature ejaculation (PE) in men who are experiencing difficulties with ejaculation. It works by increasing serotonin levels in the brain, which helps delay ejaculation during sexual activity.
Dapoxetine is used to treat PE in men aged 18 to 64 years who have not previously experienced premature ejaculation (PE) with minimal sexual stimulation. This can lead to a delay in ejaculation, causing frustration and distress, especially for men who experience PE on an ongoing basis.
Dapoxetine is a medication used to treat premature ejaculation (PE) in men aged 18 to 64 years. Premature ejaculation occurs when a man ejaculates too quickly with ejaculation occurring in less than 24 hours. Dapoxetine works by increasing the serotonin levels in the brain, which helps delay ejaculation.
Serotonin is a neurotransmitter that plays a crucial role in the regulation of ejaculation. Dapoxetine helps increase serotonin levels in the brain and delay ejaculation in men with PE. This can lead to a delay in ejaculation during sexual activity.
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