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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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    like CIALIS (generic tadalafil) ( 10 mg, 20 mg, 40 mg, 80 mg, 100 mg, 100 mg, 120 mg, 140 mg, 200 mg, 300 mg, 400 mg, 500 mg, 800 mg, 1mg, 10mg, 20 mg, 10mg, 5 mg, 15 mg, 30 mg, 50 mg, 60 mg, 80 mg, 100 mg, 150 mg, 200 mg, 300 mg, 400 mg, and 500 mg have also been used before during treatment with CIALIS (generic tadalafil).

    Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

    Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

    Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

    If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

    For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

    • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
    • Your doctor may recommend taking generic Cialis regularly, once a day.

    Follow your doctors instructions carefully based on your specific needs and condition.

    If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

    Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

    irlwinds do not take Tadalafil citrate once a day as directed by your doctorirlwinds do not take tadalafil citrate for more than a year If you have had side effects from taking tadalafil citrate medication for treatment of erectile dysfunction (ED), tadalafil may only be effective for temporaryALE Erectile Dysfunction: Tadalafil generic Cialis for the treatment of male erectile dysfunction (ED).nellocalIESan erectile dysfunction treatment generic

    What is Tadalafil generic?

    Tadalafil is a prescription medication that belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. This class of drugs is primarily used to treat erectile dysfunction (ED) and is commonly prescribed as an adjunct to sexual stimulation or stimulation by men who experience difficulty in achieving and maintaining an erection. Tadalafil belongs to a class of drugs called PDE5 inhibitors and works by blocking the enzyme that breaks down cGMP in the smooth muscle of penis.

    How does Tadalafil generic work?

    This medication belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. A medicine used to treat erectile dysfunction (ED) or benign prostatic hyperplasia (BPH), for the treatment of both ED and BPH, is tadalafil. Manufactured and approved by the FDA in India, Tadalafil is marketed by Aurobindo Pharma Limited and AuroIngredients.

    Uses of Tadalafil generic

    Tadalafil is used to treat the symptoms of ED (e.g., chest pain, nausea, vomiting, and diarrhea) and to treat BPH (e.g., enlargement of the penis that is not due to an injury). It may also be used for ED in men who have BPH or benign prostatic hyperplasia (BPH) to improve urinary flow and relaxing effects.

    How effective is Tadalafil generic?

    The ability of Tadalafil generic Cialis for the treatment of male erectile dysfunction (ED) or benign prostatic hyperplasia (BPH) has been studied. A pilot study was carried out to see if Tadalafil could be an effective drug for treating ED and BPH symptoms using adult men who were taking generic Cialis for the treatment of ED and BPH symptoms.

    Who can use Tadalafil generic?

    Tadalafil generic Cialis is not suitable for everyone, and there may be certain individuals who take nitrates or alpha-blockers (e.g., doxazosin, tamsulosin) to treat angina or high blood pressure. Before taking tadalafil generic Cialis for ED treatment, check the packaging and look for disclaimers, manufacturer discounts, and exclusions carefully.

    1. Why am I using Cialis?

    Cialis is a popular medication used to treat erectile dysfunction (ED) in men. The active ingredient in Cialis is tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor. Cialis works by increasing blood flow to the penis, which helps men achieve and maintain an erection when sexually aroused. This increased blood flow helps men achieve and maintain an erection, making it easier to achieve and maintain an erection for sexual activity.

    2. What should I know before I use Cialis?

    Do not use Cialis if you have ever had an allergic reaction to tadalafil or any of its ingredients. This may be because of a medical condition, or due to a rare condition called priapism. If you are allergic to tadalafil or any of its ingredients, you should not take Cialis.

    If you are taking nitrates (e.g., nitroglycerin) or guanylate cyclase stimulator medications for pulmonary arterial hypertension, you should not take Cialis.

    If you have heart disease, low blood pressure, or a history of bleeding disorders, you should not take Cialis. You should not take Cialis if you are taking any of the following medications or any of the following conditions:

    • Alpha Blockers (e.g., doxazosin)
    • Aspirin
    • Bisphosphonates (e.g., rilpivirine)
    • CYP3A4 inhibitors (e.g., diuretics, thiazides, cyclophosphamide)
    • CYP3A4 inhibitors (e.g., ritonavir, saquinavir)
    • CYP3A4 inhibitors (e.g., coadministration with blood thinners, warfarin)
    • Ritonavir
    • Sertraline
    • Tadalafil
    • Vardenafil
    • Norvasc
    • Cialis
    • Siloxifen (e.g., dapoxetine)
    • Apo-cad
    • Tamsulosin
    • Fosamax
    • Flonase
    • Fluticasone (e.g., hydroxypropylmethyl cellulose)
    • Ipratropium
    • Dexamethasone (e.g., dexamethasone)
    • Erythromycin
    • Orap
    • Doxazosin
    • Atazanavir
    • CYP3A4 inhibitors (e.g., diuretics, thiazides, cyclosporine)
    • CYP3A4 inhibitors (e.g., efavirenz, ketoconazole)
    • Diltiazem
    • Cytovenous or IV infusion (e.g., nevirapine, ritonavir)
    • Levonorgestrel
    • Trastuzumab
    • Raloxifene (rifampin)
    • VivART (ARTvin
    • Ciprofloxacin (e.g., dutasteride, vinorellexa)

    If you are taking any of the following medications, you should not use Cialis. If you are not sure, ask your doctor or pharmacist.

    • Antacids
    • Alcohol
    • Calcium
    • Iron
    • Microcrystalline cellulose
    • Polyethylene glycol
    • Titanium dioxide
    • Tylenol
    • Thioglycol
    • Stearate
    • Talc
    • Trileptal (Titel)
    • Vitamin B12

    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.
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    FAQs

    Are Cialis and tadalafil safe for use with other medications?Cialis and tadalafil are generally safe and effective when used with medications that are U.