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What is Cialis?

Cialis is a muscle relaxer that is also available with the brand name Tadalafil. It relaxes muscles of the blood vessels and increases blood flow to some specific areas of the body, treating symptoms of benign prostatic hypertrophy (enlarged prostate) and erectile dysfunction (impotence).

In combination with sexual stimulation, Cialis works by increasing blood flow to the penis, helping men to get and keep the erection. Cialis helps relieve BPH (benign prostatic hyperplasia) symptoms such as weak stream, beginning the flow of urine, and the need to urinate frequently, including in the middle of the night.

Doctors believe that Cialis works by relaxing the smooth muscle in the bladder and prostate. Keep in mind that Cialis does not protect against sexually transmitted diseases such as hepatitis B, HIV, syphilis, gonorrhea.

Important Information

Cialis may make you dizzy. Alcohol or cannabis can add more to your drowsiness caused by Cialis. Do not use heavy machinery, drive any vehicle, or do anything that requires alertness until you know the effect of this medicine on you.

If you are going to have any surgery, tell your doctor, dentist, or surgeon about all the products you take, including herbs, prescription, and non-prescription drugs.

What to know before taking Cialis?

Before taking Cialis, tell your medical healthcare professional if you are allergic to it or have other allergies. It may contain inactive ingredients causing allergic reactions or other problems.

Before taking this drug, tell your medical healthcare provider about your medical history, especially of:

  • Heart problems such as chest pain or angina, heart attack, heart failure, or irregular life-threatening heartbeat in the past six months;
  • Kidney disease;
  • Liver disease;
  • Any stroke in the past six months;
  • High or low blood pressure;
  • Dehydration (severe loss of body water);
  • Penis conditions such as fibrosis or scarring, angulation, Peyronie’s disease;
  • History of painful or prolonged erection also known as priapism;
  • Conditions that may increase priapism risk including leukemia, sickle cell anemia, multiple myeloma;
  • Eye problems such as sudden decreased vision, retinitis pigmentosa, NAION;
  • Active stomach ulcers; or
  • Bleeding disorders

How to take Cialis?

Read the available Patient Information Leaflet before you start taking Cialis, and each time you get a refill. If you have any queries, consult any of your medical healthcare providers.

Take this medication orally with or without food, as per your doctor’s prescription. Do not take Cialis more often than one time a day.

To treat BPH symptoms, take this medication per your doctor’s recommendation, usually one time a day. If you are also taking a drug, namely finasteride with this medicine to treat BPH symptoms, ask your doctor how long you should continue this medication.

To treat erectile dysfunction, two ways are available to use Cialis. Your doctor will determine the best way for you to take Cialis. Follow the directions of your medical healthcare provider precisely since your dosage depends on how you take it. The first way is to take it on a needed basis, usually at least half an hour before sexual activity. The effect of Cialis on sexual ability may last up to 36 hours.

The second way to treat erectile dysfunction is to take Cialis regularly, one time a day daily. But there is a risk in taking Cialis this way; you may attempt sexual activity during any time of the day between your doses.

If you are taking Cialis to treat erectile dysfunction and benign prostatic hyperplasia, take it per your doctor’s directions, usually one time a day. You are eligible to attempt sexual activity any time between your doses.

Tell your medical healthcare provider if there is no improvement in your condition or if it gets worse.

Cialis dosage

Your Cialis dosage will depend upon your age, your initial response to the treatment with Cialis, other medical conditions you have, and other medications you take.

For erectile dysfunction (as needed):

  • Initial dose- 10 mg before anticipated sexual activity
  • Your doctor may increase the amount to 20 mg or decrease it to 5 mg based on individual tolerability and efficacy.
  • Maximum dose frequency is one time a day in most patients.

For erectile dysfunction (daily use):

  • Initial dose- 2.5 mg once daily at the exact time every day approximately, without regard to sexual activity timing.
  • Your doctor may increase the amount of your daily dose to 5 mg based on individual tolerability and efficacy.

For benign prostatic hyperplasia (daily use):

  • Initial dose- 5 mg once daily at the exact time every day approximately
  • During therapy, the recommended dose is 5 mg once daily at the precise time every day, approximately for up to 26 weeks.

Overdose

In case of an overdose of Cialis, take medical help instantly or call the Poison helpline at 1-800-222-1222. Severe overdose symptoms may include passing out or trouble breathing.

What to avoid while using Cialis?

Avoid alcohol consumption with this drug because it can cause side effects.

Interaction of grapefruit and grapefruit juices with Tadalafil may lead to unwanted side effects. Therefore, avoid taking grapefruit products during treatment with this drug.

Cialis side effects

Cialis can cause headache, back pain, muscle pain, stomach upset, flushing, stuffy nose, or dizziness. If any of these effects remain the same or worsen, consult your medical healthcare professional immediately.

Sexual activity may put an undesirable strain on your heart, especially if you have heart problems. Stop having sex and take medical help immediately if you experience any of the following issues while having sex: fainting, severe dizziness, nausea, jaw or chest or left arm pain.

A severe allergic reaction to Cialis is rare. However, take urgent medical help if you have symptoms of an allergic reaction to Cialis, including trouble breathing, rash or hives, swelling of your face, throat, lips, or tongue.

Severe side effects of Cialis that may need urgent medical attention include the following:

  • Lightheadedness;
  • Sudden hearing loss or ringing in your ears;
  • Vision changes or loss (sudden);
  • A painful erection or an erection that lasts longer than four hours (prolonged erection can cause penis damage); or
  • heart attack symptoms including pressure or pain in the chest, sweating, nausea, pain spreading to your jaw or shoulder.

What drugs can interact with Cialis?

Tell your healthcare provider about the drugs you are taking currently and any medicine you are planning to start or stop using, including prescription and over-the-counter (OTC) medicines, herbal products, and vitamins, especially:

  • Seizure medicines;
  • An antifungal or antibiotic medication;
  • Antiviral drug to treat HIV/AIDS or hepatitis C;
  • Medications to treat pulmonary arterial hypertension or erectile dysfunction (impotence); or
  • Medicines to treat a prostate disorder or high blood pressure.