Tadalafil - Generic Cialis

How does Cialis work?

Cialis prescribed to treat male impotence. It is essentially a drug administered to those who have erectile dysfunction (ED). Cialis works by expanding blood vessels in the penis, and paving the way for increased inflow of blood to the penis which is much needed for an erection. The medication will cause an erection only if it is accompanied by sexual stimulation and excitement. It is not effective in the absence of sexual arousal and does not add to sexual desire.

How should I take the product?

You need to take one Cialis tablet before sexual activity, with or without food. Determining the ideal time for drug consumption depends on how and when Cialis works for you. Reports suggest that some men have been able to attain an erection half an hour after taking it. Yet there are others who have been able to wait up to 36 hours before having engaged in sexual activity. In case you miss your dose do not take two doses together and never more than once a day.

Precautions

• Don't take Cialis if you take nitrate-based drugs. This includes nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate).
• Street drugs known as poppers, are not to be mixed with Cialis.
• Do not take Cialis with certain blood pressure and prostate drugs known as alpha-blockers. This includes Cardura (doxazosin), Hytrin (terazosin), Minipress (prazosin), and Uroxatral (alfuzosin).
• In case of serious heart problems that could make sexual activity a danger, avoid using Cialis.
• In case of severe kidney or liver problems, a bleeding disorder, stomach ulcer, or an inherited retinal disorder such as retinitis pigmentosa, use Cialis with caution.

Side effects

Side effects of Cialis are not determined and you can't really anticipate what may happen. If you notice anything different when under Cialis treatment, please stop medication and notify doctor immediately. This following side effects list is not complete. If you have any questions about side effects, consult your doctor. Report any new or ongoing symptoms to your doctor right away.

Common side effects may include:

• Arm and leg pain.
• Back pain.
• Flushing.
• Headache.
• Indigestion.
• Muscle aches.
• Nasal congestion.

If you take Cialis and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue and seek immediate medical help.

What should I avoid while taking Cialis?

It's best not to drink too much alcohol while you're taking Cialis. This combination may lower blood pressure and cause dizziness, especially when you stand.
Avoid drinking five or more pegs to drink as this may increase this effect and also cause headache and rapid heartbeat.
Combining Cialis with other medication can cause a risky drop in blood pressure.
Avoid it being used by women.

Drug interactions

There is a number of noted food and drug interactions when taking Cialis so please check with your doctor about the medications that should not be had when on Cialis:

• Alpha-blocking drugs prescribed for high blood pressure or prostate problems, including doxazosin (Cardura), terazosin (Hytrin), prazosin (Minipress), and alfuzosin (Uroxatral).
• Nitrate-based drugs prescribed for chest pain, such as nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate).
• Street drugs known as "poppers", including amyl nitrate and butyl nitrate.
• Cialis could intensify the effects of certain drugs used to lower blood pressure. Angiotensin II receptor blockers, such as candesartan (Atacand), eprosartan (Tevetan) and irbesartan (Avapro).
• Bendrofluazide.
• Enalapril (Vasotec).
• Metoprol (Lopressor).

When Cialis dosage is taken alongside certain other drugs, the effects of either may increase, decrease or could be altered.
Ask your doctor regarding interaction with the following:

• Other impotence drugs including alprostadil (Caverject), sildenafil (Viagra), and vardenafil (Levitra).
• Erythromycin (E-Mycin, Ery-Tab, PCE).
• Grapefruit juice.
• Indinavir (Crixivan).
• Itraconazole (Sporanox).
• Ketoconazole (Nizoral).
• Rifampin (Rifadin, Rimactane).
• Ritonavir (Norvir).