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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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  • Possible Drug Interactions

    Cialis (tadalafil) is more likely to cause low blood pressure than other medicines, so it’s not recommended.

    That being said, some medicines can increase the risk of low blood pressure.

    If you are taking any of the following medicines, they can cause a dangerous drop in blood pressure.

    Do not take CIALIS (tadalafil)

    do not take other erectile dysfunction (ED) medicines

    apply the placebo (a new treatment for impotence)

    fromllum

  • 2mg

    Oral erectile dysfunction (ED)

    Do not take CIALIS (tadalafil) without telling the doctor if you have ever had an erection that lasted more than 4 hours. Tell the doctor if you or anyone in your family has had erectile dysfunction.

    Low blood pressure can cause a serious heart attack or stroke.

    Tadalafil is the brand name for the drug, Cialis, used to treat erectile dysfunction (ED) in men. ED affects up to 5% of men in the United States and about half of men over 50. It’s important to know how to take this medication properly to avoid side effects or overdose.

    Tadalafil may be taken as needed or as part of a bigger dose. Depending on your medical history, you may be advised to take your doses at least 2 hours apart.

    For most men with ED, tadalafil is the first line of defense. It works by relaxing the blood vessels, improving blood flow. It can also help to boost sexual function and confidence. Tadalafil is available in tablet form.

    If you’re worried about taking this medicine, talk to your doctor or pharmacist. They’ll be able to adjust the dosage or suggest a different medication for you.

    What is Cialis?

    Cialis is the brand name of the drug. This is a medication that is used to treat erectile dysfunction (ED) in men. ED affects up to 5% of the men of the United States and about half of men over 50.

    Cialis is available in two forms:

    • Tadalafil in tablet form
    • Tadalafil in liquid form

    Cialis comes in tablet and liquid form. This is why Cialis is often the first line of defense in ED treatments.

    How to take Cialis

    Take Cialis by mouth as directed by your doctor. This medication should be taken as needed, about 30 minutes before sexual activity. Swallow the tablet with a glass of water.

    Cialis comes in the following dosages:

    • 40 mg (5 mg) taken at least 30 minutes before sexual activity
    • 20 mg (10 mg) taken at least 30 minutes before sexual activity

    Do not take Cialis more than once a day. Cialis should be taken only as prescribed by your doctor. Cialis is only for use as needed. Don’t take it more often than once a day.

    Before Taking Cialis

    Before taking Cialis:

    • Tell your doctor if you have ever had an allergic reaction to Cialis or any other medicines.
    • Tell your doctor if you have any liver problems, heart problems, or kidney problems.
    • Your doctor will tell you how much Cialis to take and how often to take it.
    • This medicine is only good if you’re sexually aroused.
    • Sexual stimulation is required for Cialis to work.
    • This medication can make you dizzy or drowsy.

    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.
    All drugs have (or be taken in combination with another drug). It is important to consult with your doctor or pharmacist before taking Cialis or any other drug if you are taking (or have recently taken) any of the following medications:
  • Poppers
  • Salt Composition
  • Other anti-hypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril)
  • following antifungal or antinUTRPC-mediated drug reactions, since these medications can affect the way some bacteria metabolize these drugs. do not take do if you are taking any of the dofruption medications listed above.

    C.

    Both Cialis (tadalafil) andAlpha-blockers (cimigen) can interact with grapefruit and grapefruit juice, potentially increasing the risk of side effects.

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    Cialis Tadalafil (5mg) 28 Tablets

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    Healthylife provides named-INE products, which are taken as needed, with a minimum of one daily dose. These products are typically taken 30 minutes to 4 hours before anticipated sexual activity. Medications are taken in the dose and duration as needed, usually between 30 minutes to 4 hours before sexual activity.

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    Healthylife offers branded products, which are usually taken as needed, with a minimum of one daily dose.

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    In the second quarter of 2018, theUnited States’ (US) Consumer Health Care (UHC) has estimated that it will lose market share to the drug industry in the coming months due to the introduction of generic versions of the blockbuster drug Viagra (sildenafil citrate) in the US market.

    As of June 2023, the USConsumer Health Care (UHC) has estimated that it will lose market share to the drug industry in the coming months due to the introduction of generic versions of the blockbuster drug Viagra (sildenafil citrate) in the US market.

    With the launch of the drug, Viagra and Cialis (tadalafil) have been sold in the US since 2018. However, they have not been approved for the marketing of any generic version of these drugs.

    The

    As of June 2023, the

    In 2018, Viagra, which is the most popular erectile dysfunction drug, has seen sales of $3.1 billion worldwide. Since its launch in 1998, Viagra has been the most popular erectile dysfunction drug available in the US market.

    In total, the

    The US

    In 2018, the

    In 2019, the