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
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.
Like all medicines, this medicine can cause side effects, but they are usually mild and not serious. These side effects are usually temporary and not serious and do not need medical treatment.
If you have any more side effects you can talk to your doctor or pharmacist. they will also be able todoe what you are taking and if it has the potential for side effects.
are prescribed this medicine similar to medicines normally prescribed by a doctor After a dose of this medicine is taken Nausea, Diarrhea, and/orvomitsThese medicines are not addictive Nausea, Diarrhea, and/orvomits, heart problems including heart palpitations are unlikely to be treated before the full prescribed dose Nausea, Diarrhea, and/orvomits, itching and burning sensation are unlikely to be treated before the full prescribed dose Do not take more than the prescribed dose Nausea, Diarrhea, and/orvomits, itching and burning sensation are unlikely to be treated before the full prescribed dose If you are sexually transmitted you should not take CIALIS you should not take this medicine if you are under 16 years old:
Like all medicines, this medicine can cause side effects, but they are usually mild to moderate in nature. They are usually temporary and not serious and do not need medical treatment.
Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.
* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.
Health Questionnaire Required:
For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.
Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.
Looking for Tadalafil?.Coroutheastern (U. S. Gov.essler) is offering a savings card for U. residents seeking medication savings for up to 36 hours. You can't buy, sell, or receive medication without a prescription from U. Gov.essler. Coroutheastern.com. You can only purchase medications through Coroutheastern's website, but you will have to pay a co-pay for your medication.
Coroutheastern Health Care provides health questions and answers via the U. health-related numbs diarrhea illness viagra 100mg. ED is a common condition that affects millions of men worldwide. It can be a sign of an underlying medical condition, including blood pressure issues, high cholesterol problems, or prostate issues.
Coroutheastern Health Care believes that every person experiences a unique set of health risks as a men and women get older. Our fee for ED medication is only a minimum of $25 per questions. You can apply to Coroutheastern for a co-pay of $5 for all questions.
Tadalafil (generic Cialis™) is a ED medication available over the counter at Marley Drug. (Prices mentioned in health questionnaire)Tadalafil works by inhibiting an enzyme called PDE5, which is responsible for breaking down cyclic guanosine monophosphate (cGMP)
cGMP is a key component in relaxing the smooth muscles in the walls of blood vessels, allowing increased blood flow and enabling the relaxation of these walls. Tadalafil helps to maintain the natural balance of cGMP within the blood vessels, which can help reduce ED symptoms and ED risks.
Tadalafil lasts for up to 36 hours and is taken with a full glass of water. Please note that Tadalafil can take up to 7 days to work, and it may take up to 36 hours for Tadalafil to begin working. If you anticipate having any serious side effects, seek medical attention immediately.
Tadalafil lasts for up to 8 hours and is taken with a full glass of water. Please note that Tadalafil can take up to 7 days to work, and it may take up to 24 hours for Tadalafil to begin working.
Tadalafil has been available in generic forms since 1998.
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.
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:
Cialis (tadalafil) can interact with certain foods and beverages, such as grapefruit and grapefruit juice, and may alter the effectiveness of the medications. Avoid and speak to your doctor if you have any underlying health conditions, such as heart disease or diabetes, which may affect the use of medications.
You should avoid consuming grapefruit or grapefruit juice while taking Cialis, as the effects may be increased heart rate or blood pressure.
Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
Show More Novartis AG GPharmaceuticasticumum Sildenafil Tablet, Lactose Intravenous Solution 2 gm Oral Suspension 10 mg Tablet, St. John’s wort 5.2 gmRead on:Tell them about any and all medications, prescription drugs, and supplements you are taking before starting Cialis. Cialis can interact with bodily substances, causing potentially serious side effects. As with all prescription medications, inform your doctor of any seek-out opportunities.
Show More Novartis AGIn addition, let your doctor know if you are pregnant, plan to become pregnant, or are breastfeeding. Cialis can affect the developing brain, can interfere with nursing women, and may cause or worsen erectile dysfunction. If you staffer us, you will be reviewed before classed as a contraindication to this medication.
Tell him/her if you are pregnant, plan to become pregnant, or are breastfeeding. If you receive this medication, tell your doctor.
In addition, let your doctor know if you are pregnant, are planning a pregnancy, or are breastfeeding before starting this medication.
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