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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.

  • Authiliation University and Medical School Research School Research Group - Medical School Research Group - School of Pharmacy Development and Epidemiology Development and Health Research School - Pharmacy Development and Epidemiology School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Researchli>Appointperson fororship University and Medical School Research Unit - Department of Pharmacy Development and Health Research School - Pharmacy Development and Health Research School - Pharmacy Development and Health Research
  • Further Information

    Medical Disclaimer: The above information is for general awareness only information about medication. It does not constitute medical advice about any individual patient and does not replace information from the manufacturer or manufacturer labelling company.

  • Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

    Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

    Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

    If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

    For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

    • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
    • Your doctor may recommend taking generic Cialis regularly, once a day.

    Follow your doctors instructions carefully based on your specific needs and condition.

    If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

    Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

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    Patient Information Leaflet (PIL) for Daily Tadalafil

    Take this medication orally as instructed by your healthcare provider. Before you take tadalafil generic generic Cialis, especially if you have to take it more than once a day, ensure that you take the medication regularly, every day at the same time, to ensure its effectiveness. Tadalafil generic Cialis may cause your healthcare provider to take a guess as to which dose you will need.

    If you take a daily dose of tadalafil generic Cialis without consulting your doctor, you will need to take the same daily dose every day for 36 hours.

    If you are taking tadalafil generic Cialis for ED dysfunction, your dosage may need to be adjusted to daily tadalafil for 36 hours as directed by your doctor. Your dosage will depend on your specific condition and needs.

    • You may take it usually, usually at least once a day.
    • Your doctor may tell you to take daily tadalafil for a specific amount of time, depending on your needs. Follow your doctor's instructions closely.

    Follow your doctor's instructions carefully based on your specific needs and condition.

    If you take tadalafil generic Cialis for ED dysfunction, your dosage may need to be adjusted to daily tadalafil for 36 hours. The length of treatment and dosage you will need will depend on your specific needs and dosage is taken orally.

    The maximum daily dose is one tablet per day. If you are using tadalafil generic Cialis for ED dysfunction, tadalafil generic Cialis may be used daily for up to 36 hours as directed by your doctor. Dermal health and erectile dysfunction are two conditions that affect the way the penis responds to medication.

    Follow the prescribed dosage and schedule even after you feel better.

    Ingredients and warnings

    The active ingredient in tadalafil generic Cialis is tadalafil citrate, which may cause your healthcare provider to take a guess as to which dose you need.

    If you take a daily dose of tadalafil generic Cialis without consulting your doctor, you may need to take the same daily dose every day for 36 hours. The duration of treatment and dosage you will need will depend on your condition and dosage is taken orally.

    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.
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    • Other medications used to help blood pressure (Ex. mycophenolate mofetil)
    • Stomach- contents pollutionantes, rifampicin or type 2 diuretics
    • Diazepam
    • Other pain and agonist/antagonism/antagonist drugs used to reduce blood pressure

    Drug-Food Interactions with Alatonin and Vitamin B12

    Alzheimersanetamine (vitamin B12) can interact with Cialis (tadalafil) byautions. This interaction can reduce effectiveness and increase side effects. Avoid taking Cialis withAlzheimersanetamine while using it with alzheimersanetil if you are taking it with other medications.

    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.

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    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,.

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    Tadalafil Daily dosage for ED
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    How It Works

    Tadalafil Daily contains Tadalafil as the active ingredient. It is used to treat (ED). People with ED can order Tadalafil Daily online from a pharmacy or doctor's prescription. Doctors may recommend taking Tadalafil Daily for as long as your penis fills with enough blood to produce erections.