Cialis itself does not encourage sexual arousal. Instead, it needs sexual stimulation to take its effect.

It is recommended by doctors and health experts to be taken with caution for ED and only under medical advice diagnosis.

Tadalafil drug was approved by the Food and Drug Administration or FDA in 2013 as a treatment for erectile dysfunction or ED. It is also a recognized cure for benign prostatic hyperplasia and pulmonary arterial hypertension.

Overview

Cialis, or the generic Tadalafil, is used for the treatment of impotence or the inability to achieve or maintain a penile erection. In combination with sexual stimulation, increases the blood flow to the penis to help a get and maintain an erection. 

It belongs to a class of drugs called phosphodiesterase-5 (PDE5) inhibitors that includes also Viagra and Levitra. 

It is also used for the treatment of the symptoms of benign prostatic hyperplasia. It helps in relieving the symptoms of BPH such as the difficulty to start the flow of urine, weak urine stream, or the need to urinate frequently or urgently, especially during the middle of the night. Cialis is believed to work by relaxing the smooth muscle in the prostate and bladder.

Cialis does not offer protection against sexually transmitted diseases such as HIV, gonorrhea, hepatitis B, or syphilis. Men must practice safe sex by using latex condoms.

How does an erection occur?

The man’s penis has to chambers inside – the corpora cavernosa. These chambers go from the penis head and deep into the pelvis. The interior of the chambers is spongy tissues that can gain in blood volume and grow in size.

When you are working, exercising, or running errands, the arteries supplying blood the penis are partially open, providing this flow needed to keep your tissue healthy.

Changes in the penis occur when you become aroused. In response to mental or physical stimulation, the brain will send signals that trigger a hormonal response to allow those arteries to completely open. 

Open arteries let more blood entering the corpora cavernosa. The liquid flows in faster than it can flow out through the veins. The veins then, as a result, become compressed, trapping it in the penis. The chain reaction lets you achieve and maintain an erection.

When your brain stops transmitting signals indicative of sexual arousal, it becomes the end of the hormonal response. Your arteries go back to the normal state and the penis returns to a flaccid state.

How erectile dysfunction occurs?

Erectile dysfunction means something is preventing your body’s natural process of getting and sustaining an erection. There are various causes of this but the following are the most common:

1.  Your brain does not send the correct signals to your penis – Neurological disorders such as Parkinson’s disease, multiple sclerosis, and Alzheimer’s disease can lead to erectile dysfunction by disrupting the brain’s ability to send sexual arousal signal to your reproductive system.

2.  Inadequate blood flow to your penis – High blood pressure, high cholesterol, heart disease, and diabetes can affect the flow to the penis, making erections quite difficult to achieve.

3.  Damage to the erectile tissues – This happens when a man received radiation treatment to cure his prostate or bladder cancer.

Understanding Impotence

Impotence occurs when you are unable to achieve an erection, maintain an erection, or ejaculate consistently. Impotence is interchangeably used with erectile dysfunction or ED. The following are the main factors that contribute to the condition, including emotional and physical disorders.

The risk of impotence increases with age. It is higher in men who have been diagnosed with one or more cardiovascular risk factors.

Impotence harms your sex life, causing depression, additional stress, and even low self-esteem. Understanding the most common potential causes will help you identify why you may be experiencing impotence.

1.  Cialis to help Endocrine diseases

The endocrine system of the body produces hormones that regulate metabolism, reproduction, sexual function, mood, and more.

Diabetes is an example of an endocrine disease that can cause you to experience impotence. Diabetes affects the ability of the body to produce or use the hormone insulin.

One of the complications associated with the disease is nerve damage, which also affects the penis sensations. Other complications of diabetes include impaired hormone levels and blood flow.

2.  Cialis to help Neurological and nerve disorders

Several neurological conditions may increase a person’s risk of erectile dysfunction. Nerve conditions affect the ability of the brain to communicate with the reproductive system, preventing the individual from achieving an erection.

Some of the neurological disorders include:

• Parkinson’s disease
• Alzheimer’s disease
• Brain or spinal tumors
• Stroke
• Multiple sclerosis
• Temporal lobe epilepsy

Undergoing prostate surgery may also cause nerve damage.

Bicycle riders on long-distance trips may experience temporary impotence. Prolonged pressure on the buttock and genitals may affect the nerve functions.

3. Cialis to help with Medications

The use of certain medications may affect the flow of blood, which can lead to a problem of erection. However, even if your medication is known to cause impotence, do not stop taking it without the permission of your doctor.

The following are some medications that may cause a problem:

• alpha-adrenergic blockers such Tamsulosin or Flomax
• beta-blockers such as carvedilol and metoprolol
• central nervous system depressants such as diazepam, alprazolam, and codeine
• cancer chemotherapy medications such as cimetidine
• CNS stimulants such as amphetamines and cocaine
• Diuretic such spironolactone and furosemide
• Synthetic hormones such as leuprolide
• Selective serotonin reuptake inhibitors such as paroxetine and fluoxetine

4.  Cialis to help Cardiac-related conditions

Conditions affecting the heart and its ability to pump blood well may cause erectile dysfunction. Without enough flow to the penis, you will not be able to achieve an erection.

Atherosclerosis, a condition causing the blood vessels to get clogged, may cause erectile dysfunction. High cholesterol and hypertension are also associated with a higher risk of erectile dysfunction.

5.  Cialis to help Lifestyle factors and emotional disorders

To achieve an erection, you have to go through the excitement phase or emotional response. If you have an emotional disorder, it will affect your ability to become sexually aroused or excited.

Depression and anxiety are risk factors to maintain an erection. Depression is a feeling of helplessness, sadness, or loss of hope. Fatigue-related to depression may also cause erectile dysfunction.

Performance anxiety may also cause erectile dysfunction. If you have not been able to achieve an erection in the past, there is always the fear that you will not be able to achieve an erection today and in the future.

It is also possible that you may not achieve an erection with a certain partner. If you have been diagnosed with erectile dysfunction related to performance anxiety, you may be able to have full erections when masturbating or when sleeping but unable to maintain an erection during intercourse.

Abuse of drugs such as amphetamines can also cause erectile dysfunction. Alcohol abuse and alcoholism may also affect your ability to achieve or maintain an erection. you need to see your doctor if you suspect that you may have a substance abuse problem.

PDE-5 inhibitors

Erectile dysfunction is a very common condition that is believed to affect half of all men between the ages of 40 and 70. In some cases, it is mild and occurs only infrequently. In other cases, it can be an indication of underlying health conditions such as diabetes, high blood pressure, or an overactive thyroid.

It becomes a serious problem for many men as they get older. Fortunately, there are medications known as PDE-5 inhibitors that can be prescribed. The tablets contain medicine that temporarily increases blood flow to the penis, allowing men to attain and maintain an erection that is sufficient for sex.

There are several PDE-5 inhibitors available but one of the most popular is Cialis, which is available in two varieties: prescribed for one-off use as needed and Cialis-Daily taken every day.

If you suffer from a problem of erection and considering treatment, you can simply choose between once per day and Cialis-Daily after reading our Cialis reviews.

Cialis Daily

Cialis Daily is available in tablet sizes of 2.5 mg and 5 mg. This medicine can cause vomiting, nausea, an allergic rash, diarrhea, facial flushing, back pain, and headache. These side effects are uncommon and usually will resolve in a matter of a few days. More known side effects are an erection and do not go away, which can damage the penis. Additionally, a sudden decrease in vision and hearing may occur although these side effects are very uncommon. Check the drug information leaflet for the complete list.

It enables an erection in men who suffer from erectile dysfunction. It is designed to allow men to have spontaneous sex. When you take the pill daily, you should be able to get erections and have sex whenever you want to.

It is suited to men who have sex three or more times a week. This drug can be particularly helpful for men in long-term relationships who would like to have spontaneous sex with their partner.

It must be taken once every 24 hours, with or without food. It is best to get into a routine when it comes to taking your medications. Take it daily at about the same time each day, as you should not take more than one tablet in  24 hours.

When taken correctly, as instructed by your doctor, it should begin to work within 3 to 5 days. After this point, you should be able to achieve erections whenever you want them. You should bear in mind that you get an erection only if there is sexual arousal. it is effective as long as you take it.

Cialis Daily comes in packs 0f 28. Per tablet is cheaper than Cialis but you may end up using more tablets.

Cialis

Cialis is available in tablet sizes 10 mg and 20 mg and is associated with the same side effects as Cialis Daily. However, because this type is prescribed in a higher dosage than Cialis Daily, they can be stronger.

It is suited to men who have sex on a less regular basis, or whose erection problem comes and goes.

It enables an erection in men but is designed for one-off use. To get an erection with regular Cialis you will have to take one tablet half an hour to one hour before you plan to have sex.

Cialis should be taken half an hour to one hour before you plan to have sex.

When taken the right way, Cialis should start working within 30 to 60 minutes. The effects of a Cialis tablet will last up to 36 hours. However, during this period, you will only achieve an erection if you become sexually aroused.

Cialis comes in packs of 4, 8, or 16. Per tablet, is more expensive than Cialis Daily, but you may end up using fewer tablets as you take this tablet only as needed.

Alternative Erectile Dysfunction Tablets and their side effects

If you feel that regular Cialis or Cialis Daily are right for you, there are other alternatives to consider. Note, however, that Cialis Daily is the only everyday option for men with problems of erection.

Viagra – It is the most famous tablet and works in the same way as Cialis. Viagra lasts 4 to 6 hours and should be taken 30 to 60 minutes before sex.

Sildenafil – It contains the same active ingredient as Viagra and works in the same way. Sildenafil is the most affordable tablet.

Spedra – It is the fastest-acting tablet. It has to be taken 15 to 30 minutes before sex.

Levitra – It is recommended for diabetics. It works in a very similar way to Viagra and Sildenafil. 

Side Effects

As with other medications, the use of the drug could result in some unwanted side effects. Your doctor prescribed this medication because he has determined that the benefits to you are greater than the risk of side effects. Many people who used Cialis did not experience any serious issues.

Immediately call emergency medical help if you have signs of an allergic reaction to Cialis, such as difficulty breathing, hives, swelling of the face, lips, tongue, or throat. 

Stop taking it and get medical help immediately if you have chest pain, nausea, or dizziness during sex.

Stop using it and call your doctor at once if you have:

• A light-headed feeling like you might pass out
• Vision changes or sudden vision loss
• An erection that is painful or that lasts longer than 4 hours. A prolonged erection can damage the penis.
• Ringing in your ears or sudden hearing loss
• Heart attack symptoms such as chain pressure or pain, nausea, sweating, pain that spreads to your jaw or shoulder.

The common side effects of Cialis may include:

• Flushing
• Headache
• Stuffy nose
• Nausea or upset stomach
• Muscle pain, back pain, pain in your arms or legs
• Flu-like symptoms
• Low blood pressure
• Abnormal ejaculation

Other side effects may occur when you take the medicine. Call your doctor if needed. Report to your doctor if you experience other ones that may be associated with your use of the drug.

Dosage and Administration

Cialis is used for the treatment of erectile dysfunction as well as the signs and symptoms of benign prostatic hyperplasia. 

If it is used together with finasteride for the treatment of BPH, such use is recommended for up to 26 weeks because the incremental benefit of it decreases from the fourth week until 26 weeks. The incremental benefit beyond 26 weeks is not yet known.

Cialis for use as needed

• The recommended starting dose when used as needed is 10 mg in most patients who were taken before the anticipated sexual activity.
• Based on individual tolerability and efficacy, the dose may be increased up to 20 mg or decreased up to 5 mg. The maximum dose of the drug should not exceed one tablet per day in most users.
• Cialis for use as needed shows an improvement in erectile function compared to placebo up to 36 hours following a dose. This should be taken into consideration when giving advice to patients on the optimal use.

Cialis for once daily use

• The recommended dose of Cialis when starting its once daily use is 2.5 mg, who ch should be taken at about the same time each day, regardless of the timing of the sexual activity.
• Based on individual tolerability and efficacy, the once daily use dose of Cialis can be increased to 5 mg.

Cialis for once daily use for benign prostatic hyperplasia

• The recommended dose of Cialis for once daily use is 5 mg taken at approximately the same time each day.
• When therapy for BPH is initiated with Cialis and finasteride, the recommended dose for once daily use is 5 mg taken at approximately the same time each day for up to 26 weeks.

Cialis for once daily use and benign prostatic hyperplasia

The recommended dose for once daily use is 5 mg taken at approximately the same time each day, without regard to the timing of the sexual activity.

Using Cialis with food

Cialis may be taken without regard to food intake.

Use of Cialis in Specific Populations

Renal Impairment:

Cialis for use as needed

• Creatinine clearance 30 to 50 mL/min – A starting dose of 5 mg not more than once per day is recommended. The maximum dose is 10 mg not more than once in every 48 hours.
• Patients with less than 30 mL/min creatinine clearance of those on hemodialysis – The maximum dose is 5 mg not more than once in every 72 hours.

For Once Daily Use

Erectile Dysfunction:

• Creatinine clearance of less than 30 mL/min or patients on hemodialysis – Cialis for once daily use is not recommended

Benign Prostatic Hyperplasia and Erectile Dysfunction/Benign Prostatic Hyperplasia:

• Creatinine clearance 30 to 50 mL/min – A starting dose of 2.5 mg is recommended. An increase to 5 mg may be considered based on individual response.
• Creatinine clearance less than 30 mL/min or on hemodialysis – use for once daily use is not recommended.

Hepatic Impairment:

Cialis for use as needed:

• Mild or moderate – The dose should not exceed 10 mg once per day. The use of Cialis once per day has not been extensively evaluated in patients with hepatic impairment and caution is recommended. 
• Severe – The use of Cialis is not recommended.

Cialis for once daily use

• Mild or moderate – Cialis for once daily use has not been extensively evaluated in patients with hepatic impairment. Caution is recommended for the use for once daily use when prescribed to these patients.
• Severe – The use of Cialis is not recommended.

Dosage Forms and Strengths

It is available in four strengths of almond-shaped tablets in different sizes and different shades of yellow:

• 2.5 mg tablets debossed with “C 2 1/2”
• 5 mg tablets debossed with “C 5”
• 10 mg tablets debossed with “C 10”
• 20 mg tablets debossed with “C 20”

Storage and Handling

It is supplied as follows:

Four strengths of almond-shaped tablets are available in different sizes and different shades of yellow, and supplied in the following package sizes:

• 2.5 mg tablets debossed with “C 2 ½”
• Blisters of 2 x 15 NDC 0002-4465-34
• 5 mg tablets debossed with “C 5”
• Bottles of 30 NDC 0002-4462-30
• Blisters of 2 x 15 NDC 0002-4462-34
• 10 mg tablets debossed with “C 10”
• Bottles of 30 NDC 0002-4463-30
• 20 mg tablets debossed with “C 20”
• Bottles of 30 NDC 0002-4464-30

Drug Interaction

Drug interaction may alter the way your medicine works or it may increase the risk of serious side effects. You should share with your doctor a list of all the medications that you are taking, including prescription medicines, nonprescription medicines, and herbal products. Your doctor will review those medicines to find out if any of them will interact with Cialis.

It can cause a serious drop in your blood pressure when you take it together with nitrates, which can lead to fainting or dizziness. In rare cases, the combination of the two drugs may lead to a stroke or heart attack. It should not be used with any of the following drugs for the treatment of chest pain or angina, recreational drugs called poppers which contain amyl or butyl nitrite.

Taking Cialis may also cause very low blood pressure that may lead to fainting or dizziness if you take it with an alpha-blocker medication such as Tamsulosin or doxazosin, which are used for the treatment of high blood pressure or an enlarged prostate. Your doctor should begin treatment using the lowest dose of Cialis or adjust your alpha blocker medication to minimize the risk of low blood pressure.

Certain medications may affect the manner Cialis is removed from the body, which may affect also how it works. These medications include azole antifungals such as ketoconazole or itraconazole, macrolide antibiotics such as erythromycin or clarithromycin, HIV protease inhibitors such as ritonavir or fosamprenavir, hepatitis C virus protease inhibitors such as telaprevir or boceprevir, rifampin, and others.

Cialis should not be taken with any product that has tadalafil or similar medications that are used for the treatment of erectile dysfunction or pulmonary hypertension.

Contact your doctor or seek emergency medical attention if you have a painful erection or if the erection lasts longer than 4 hours. Priapism or prolonged erection can damage the penis. 

Stop using Cialis and get emergency medical help if you have sudden vision loss.

Warning and Precautions

Before you start taking Cialis, inform your doctor if you are allergic to tadalafil, or if you have other forms of allergy. Cialis may contain some inactive ingredients that may trigger allergic reactions or other problems. Discuss with your doctor the possible side effects and problems when you start taking Cialis.

Share with your doctor your medical history before you start taking Cialis, especially of heart problems, kidney disease, stroke in the past 6 months, liver disease, dehydration, high or low blood pressure, penis conditions such as fibrosis or scarring, angulation, or Peyronie’s disease, history of priapism of painful and prolonged erection, conditions that may worsen painful or prolonged erection, eye problems, active stomach ulcers, and bleeding disorders.

Cialis may make you dizzy. The use of alcohol or marijuana may make your dizziness get worse. Do not drive, operate machinery, do perform any task that requires alertness and concentration until you are sure that you can do it safely. You should limit your consumption of alcohol. You must talk to your doctor about your use of marijuana.

Cialis Overdose and Contraindications

You should contact your doctor if you experience pain or numbness during sexual activity. 

Get emergency medical help if you experience sudden vision loss after taking Cialis because the drug can decrease the flow of blood to the optic nerve in the eye.

If someone has overdosed and manifests symptoms of trouble breathing or passing, immediately call emergency medical service. If the symptoms seem to be non-life threatening, call your doctor immediately or your local poison control center.

Cialis can be purchased by prescription only. You should not share this medication with others. 

If you are taking Cialis regularly and you miss a dose, take the missed dose the moment you remember. However, if you remember about missing a dose when it is near the time of the next dose, skip the missed dose and proceed with the next regular dose. Do not double the dose of Cialis as a way of making up for a missed dose.

Cialis should be stored at room temperature, away from moisture and light. Do not store Cialis in the bathroom. Make sure that all of your medications are beyond the reach of children and pets.

Unused medications should not be flushed down the toilet or into a drain unless your doctor instructs you to do so. Expired and unused medications should be discarded properly. Consult your doctor or your pharmacist on the proper disposal of expired and unused medications.

Clinical Pharmacology

Cialis or tadalafil is an oral treatment for erection problems. It is a selective inhibitor of cyclic guanosine monophosphate or cGMP-specific phosphodiesterase type 5 (PDE5). 

Cialis is available as almond-shaped, film-coated tablets for oral administration. Each Cialis tablet contains 5 mg, 10 mg, or 20 mg of tadalafil and some other inactive ingredients.

Mechanism of action of Cialis

Penile erection when sexually stimulated is caused by the increased flow of blood in the penis, which results from the relaxation of the penile arteries and corpus cavernosal smooth muscle. This response is caused by the release of nitric oxide from nerve terminals and endothelial cells, which in turn stimulates the synthesis of cGMP in smooth muscle cells. Cyclic GMP causes the smooth muscle to relax and increase the blood flow into the corpus cavernosum. 

The inhibition of phosphodiesterase type 5 enhances erectile function by increasing the amount of cGMP. Cialis inhibits PDE5. Sexual stimulation is required to initiate the local release of nitric oxide, the inhibition of PDE5 by Cialis has no effect in the absence of sexual stimulation.

Medication Guide

Cialis should be taken safely and effectively by doing the following:

1. Follow safe and recommended doses 

If you will be taking Cialis, you have two options. First, you can take one of the high-dose tablets on an as-needed basis, or two, you can a smaller-dose Cialis tablet every day.

The usual recommended dose for as-needed use of Cialis is a 10 mg tablet. However, some men find that a lower dose of Cialis, 5 mg, or a higher dose of Cialis, 20 mg, works better. 

For men who want to take Cialis daily, the usual dose is 2.5 mg. Cialis is a prescription-only medication. You need to see your doctor first before you can buy it so he will help you figure out the best dose to take.

2.  Making Cialis work faster

Usually, there is no way that you can make Cialis work faster or keep your erection longer. Whether you take Cialis with food or without food will not make any difference. 

3.  Watching out for interactions with other medications

Taking Cialis tadalafil together with certain medications such as fosphenytoin, phenytoin, and rifampin or supplements such as St. John’s Wort, may cause your body to eliminate the drug from your system faster. If you are taking the aforementioned medications, continue taking them as prescribed by your doctor, but you should take them separately from Cialis if you do not want to lose the effects of the drug faster.

4.  Knowing the potential side effects

Prolonged erection is a possible side effect that is considered a medical emergency. Also, men who are taking Cialis tadalafil may experience pharyngitis and other respiratory infections, diarrhea, cough, UTIs, abdominal pain, and acid reflux.

If you wonder how long you can safely use Cialis, there is no maximum period for the safe taking of the medication. However, as the years pass, you may start taking other drugs, such as antifungal medications or medications to treat high blood pressure. These drugs may be dangerous when combined with Cialis and similar drugs. Make sure always that your doctor knows that you are taking Cialis so he can safely adjust your other medications.

How should it be taken?

Cialis tadalafil is usually taken once daily. Follow all directions on the prescription label and the recommendations of your doctor. Do not take Cialis in larger or smaller amounts or for a longer period than recommended by your doctor.

Cialis may be taken with or without food. Food does not affect how Cialis works.

If you will be taking Cialis, take it before sexual activity but not more than one time each day.

Cialis does not cause an erection by itself. It can help achieve an erection when there is sexual stimulation. You will not achieve an erection simply by popping a pill. Follow all the instructions from your doctor. 

Do not take Cialis if you are taking the pulmonary arterial hypertension drug Adcirca.

How quickly does Cialis work?

Cialis works relatively quickly but not as fast as Viagra. It can take 1 to 2 hours for the power of Cialis to kick in. Viagra, on the other hand, takes only about an hour to fully work.

Is Cialis better than Viagra?

Cialis and Viagra are two brand name prescription drugs used for the treatment of erection. They are grouped into a class of medicines called phosphodiesterase-5 (PDE5) inhibitors. They work by increasing the flow of blood to the penis. These drugs help a man get and maintain an erection. other similar drugs are Levitra and Stendra.

Cialis is the brand name drug for tadalafil. It was originally approved by the FDA in 2003 to treat erectile dysfunction and benign prostatic hyperplasia or BPH. Cialis may be taken as needed before engaging in sexual activity or once a day, which is effective up to 36 hours. Cialis tadalafil reaches its full effect in the body between 30 minutes and 6 hours after taking the pill. It can be taken with food or an empty stomach.

Viagra, known by its generic name sildenafil, was approved by the FDA in 1998 for the treatment of erectile dysfunction. It is taken as needed before sexual activity with maximum levels of the drug reached within 30 minutes to 2 hours after taking the pill. Eating a high-fat meal with Viagra may reduce the absorption of the drug.

Cialis is primarily used to treat problems of erection. It is also approved for the treatment of the signs and symptoms of an enlarged prostate called benign prostatic hyperplasia. Tadalafil, the active ingredient in Cialis, is available as Adcirca, which is used for the treatment of pulmonary arterial hypertension. Cialis may also be used off-label for Reynaud’s phenomenon, a rare blood vessel disorder.

Viagra is approved by the FDA only for the treatment of erectile dysfunction. Sildenafil citrate, the active ingredient in Viagra, is also marketed as Revatio to treat pulmonary arterial hypertension. Viagra is also used sometimes off-label for the treatment of Raynaud’s phenomenon and female sexual arousal disorder.

Both Cialis and Viagra have been prescribed to treat the different problems surrounding maintaining erection. Viagra may also help men who experience early ejaculation by giving them better control. Cialis has been shown to help men experiencing other sexual issues involving ejaculatory and orgasmic functions.

Compared to placebo, both Cialis and Viagra are useful in the treatment of erectile dysfunction. The differences between the two drugs have to do with how long the drugs last, how it is taken, and the medical history of the person taking it.

Although they are both effective, Cialis may be preferred for its once-daily dosing and its use for treating BPH. Viagra may be preferred for its shorter half-life for those who only use it sparingly as needed.

Both drugs have similar side effects. However, men taking Cialis experience improved sexual confidence and prefer it over Viagra due to feeling less pressure about planning with its longer-acting effects.

A clinical trial showed that the active ingredients in Cialis and Viagra were comparable in their effectiveness. There were no significant differences between the two medications. Cialis, however, was suggested to offer more flexibility with its longer half-life.

If you have a problem to maintain an erection, it is important that you consult your doctor to determine the best treatment option for you. One medication may be more preferred or effective over the other depending on your situation.

Drugs such as Cialis and Viagra may cause heart complications including stroke, heart attack, and arrhythmias, especially in men with existing heart health conditions. Cialis and Viagra can also cause changes in blood pressure when used with other medications. 

Prolonged erections that last longer than 4 hours are possible with erectile dysfunction medications. Erections that are painful and last longer than 6 hours indicate the condition priapism. If you experience these adverse effects, seek emergency medical attention immediately.

Cialis and Viagra not approved by the FDA for women and children younger than 18 years old. Cialis and Viagra do not protect against sexually transmitted diseases. Consider using protective measures to prevent STDs.

How Long Does It Take for the 5 mg to Kick In?

Cialis is a widely-used medication in managing erectile dysfunction. It is a reliable treatment that you can take with ease following a medical advice diagnosis or treatment. The majority of cases produce effective results, however, it should be taken as prescribed to ensure that the desired effect is achieved and give you a potent erection.  

For those taking Cialis for the first time, this medication comes in an easy-to-swallow tablet. You have to take this orally with a glass of water. These medications can be taken with or without food, but some medications with PDE5 inhibitors are notably slower to respond when taken with a big meal. 

There are different doses of Cialis which can be taken depending on your medical advice diagnosis. Cialis in 10mg and 20mg are taken ‘on demand.’ while Cialis daily pills come in 2.5mg and 5mg and they can be taken every day. Your doctor will give you a prescription according to your needs and whether you have used it before. 

It can take about one to two hours to feel the of Cialis tadalafil power. However, excessive alcohol use may affect its functions. 

If you are using 10 or 20mg of Cialis tadalafil, you should take it at least half an hour before having sexual intercourse. This medication can last for 36 hours maximum after taking it. 

And while it’s not necessary to take this pill before sex, it should be taken at the same time every day if you are taking the daily pill. It will give you 24 hours potency for 24 hours. It is ideal for those who anticipate sexual activity two or more times a week.  

More so, Cialis should not be taken more than once a day as its effect can last for 36 hours. You may be advised to wait for the effects to wear off or at least 24 hours before taking your next dose. 

It is also important to note that while Cialis helps you manage erectile dysfunction, it does not provide any sexual stimulation. The medicine works to facilitate chemical mechanisms to allow blood flow to the penis to make a potential erection. Likewise, a person using this medication need to be sexually stimulated to produce an erection. Cialis in any way is not an aphrodisiac and it should not be taken by people who are not prescribed to use it. If you have any misgivings about taking tadalafil, it is best to seek medical advice soon.

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