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.
Cialis, version 2.
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What is Erectile Dysfunction?Erectile dysfunction is when a man is unable to get or maintain an erection enough for sexual intercourse. This is often caused by a narrowing of the blood vessels, which leads to irregular heartbeat and impotence. Erectile dysfunction can be classified into primary or secondary by the severity of symptoms such as trouble getting, maintaining an erection, and managing the flow of blood to the penis].
Primary erectile dysfunction is the only cause of primary impotence, and it typically does not require sexual activity for a man tofunctionantly masculinity or be diagnosed with ED. Secondary ED refers to greater issues with flow of blood to the lungs, which are also known as poor circulation. Medications such as Erectile Dysfunction medicines (sildenafil, tadalafil) have the potential to become part of the sexual health needs of a man and can be aneatured treatment,;.
While both varieties of Erectile Dysfunction medicines (sildenafil), and tadalafil, are effective in helping a man get and keep an erection, the severity of symptoms along with the difficulty of getting an erection can vary. The first symptom of primary ED is difficulty achieving an erection, and this is largely due to ED primarily being caused by incomplete blood flow.
The second symptom of secondary erectile dysfunction is the presence of anxiety, and this is often due to ED being caused by underlying depression or anxiety disorder.
Treatment for ED should also be based on making sure the area for sexual activity is healthy and empty. For example, Tadalafil is considered to be generally more effective when used at the therapeutic dose of 20 mg or more, and this may be taken on an as-needed basis.
What are the differences between generic and brand drugs?Both generic and brand Cialis have become widely available, and there is no better time to explore aCauses of generic and brand impotence than a quick and easy way to view possible causes of your erectile dysfunction.
For the majority of men, both Erectile Dysfunction medicines are part of the same drug class known as phosphodiesterase type 5 (PDE5) inhibitors. PDE5 inhibitors work by relaxing the blood vessels in the penis, and helps blood flow into the penis when a man is sexually stimulated, which allows for an erection.
With Erectile Dysfunction, the first symptom is difficulty achieving an erection, and the second symptom is ED due to underlying health conditions such as heart failure, liver cirrhosis, or kidney disease.
Brand impotence is caused by a lack of blood flow to the penis area, and both can indicate secondary erectile dysfunction. For the most accurate picture, both symptoms should also be taken into consideration before making a diagnosis, and a doctor should be consulted if advice is needed.
Both generic and brand Cialis are effective medications, and the severity of symptoms may vary, and the appropriate treatment plan is to try a different medication. A detailed discussion with a doctor should be complete before starting Cialis, and treatment should be symptomatic too,;
For the most accurate picture, both Erectile Dysfunction medicines (sildenafil) are considered to be more effective when used at the therapeutic dose of 20 mg or more, and this may be taken on an as-needed basis.
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:
Using Cialis with some drug-food interactions may increase the risk of dizziness or dizziness-related stomach upset. Contact your doctor or pharmacist with any questions or concerns.
Here are the key drug-food interactions:
Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
Read more about Cialis at eDrugstore.com.Learn more aboutCialis for Men’s Healthellows.Republic of China
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See more aboutRepublic of Benin
Benicar is a brand name for the medicine Cialis. The active ingredient in Benicar is Tadalafil.
Benicar works by relaxing blood vessels in the penis. This allows for increased blood flow and improved erectile function. It is used in the treatment of erectile dysfunction (ED).
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