Cialis Drug
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Cialis
Generic Name : Tadalafil
Brand Names : Cialis
What is Cialis or Tadalafil?
Cialis (Tadalafil) is prescribed to treat erectile dysfunction. Cialis (Tadalafil) is a phosphodiesterase inhibitor. It works by relaxing the muscles and increases blood flow into the penis during sexual stimulation. This helps to achieve and maintain an erection.
Indications
Cialis (Tadalafil) is indicated to treat erectile dysfunction.
Dosage
Cialis should be taken exactly as it was prescribed. The patient should not take it in larger doses or for longer than recommended by the doctor. Taking this medication in larger doses will not make it more effective, and could cause dangerous side effects. Cialis can be taken with or without food. This medication is usually taken only when needed, just before sexual activity. However, cialis may also be taken daily (at a lower dose), regardless of when sexual activity is planned. Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. The doctor's instructions should be followed. The patient should not take cialis more than once a day. 24 hours should be allowed to pass between doses. Consultation should be done with the doctor if the erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. This medication should be stored at room temperature away from moisture and heat.
Side Effects
Consultation should be done with the doctor if having any of these serious side effects:
- Sudden vision loss;
- Ringing in ears, or sudden hearing loss;
- Chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
- Irregular heartbeat;
- Swelling in hands, ankles, or feet;
- Shortness of breath;
- Vision changes;
- Seizure (convulsions);
- Feeling light-headed, fainting; or
- Penis erection that is painful or lasts 4 hours or longer.
» Less serious cialis side effects may include:
- Warmth or redness in face, neck, or chest;
- Stuffy nose, sore throat;
- Headache;
- Memory problems;
- Diarrhea, upset stomach; or
- Muscle pain, back pain.
The patient should not take cialis if using a nitrate drug for chest pain or heart problems, including nitroglycerin (nitrostat, nitrolingual, nitro-dur, nitro-bid, minitran, deponit, transderm-nitro), isosorbide dinitrate (dilatrate-sr, isordil, sorbitrate), and isosorbide mononitrate (imdur, ismo, monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").
Drug Interactions
Before taking cialis, consultation should be done with the doctor about all other medications the patient uses for erectile dysfunction, or if the patient is using any of the following medications:
- Conivaptan (vaprisol);
- Diclofenac (arthrotec, cataflam, voltaren, flector patch, solareze);
- Doxazosin (cardura), prazosin (minipress), terazosin (hytrin);
- Imatinib (gleevec);
- Isoniazid (for treating tuberculosis);
- Rifampin (rifadin, rimactane);
- An antibiotic such as clarithromycin (biaxin), clotrimazole (mycelex troche), dalfopristin/quinupristin (synercid), erythromycin (e.e.s., eryped, ery-tab, erythrocin), itraconazole (sporanox), ketoconazole (nizoral), telithromycin (ketek), or voriconazole (vfend);
- An antidepressant such as nefazodone;
- Heart or blood pressure medications;
- Hiv/aids medicine such as amprenavir (agenerase), atazanavir (reyataz), darunavir (prezista), delavirdine (rescriptor), fosamprenavir (lexiva), indinavir (crixivan), nelfinavir (viracept), saquinavir (invirase, fortovase), or ritonavir (norvir), and others; or
- Seizure medication such as carbamazepine (tegretol), phenobarbital (luminal), or phenytoin (dilantin).
Overdosage
Emergency medical attention should be taken in case of having too much of this medicine. Overdose symptoms may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
Contraindications
Before taking this medication, consultation should be done with the doctor if allergic to any drugs, or if suffering from:
- Heart disease or heart rhythm problems;
- A recent history a heart attack (within the past 90 days);
- A recent history of stroke or congestive heart failure (within the past 6 months);
- Angina (chest pain);
- High or low blood pressure;
- Liver disease;
- Kidney disease (or on dialysis);
- A blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
- A bleeding disorder such as hemophilia;
- A stomach ulcer;
- Retinitis pigmentosa (an inherited condition of the eye);
- A physical deformity of the penis (such as peyronie's disease); or
- If the patient have been told for having no sexual intercourse for health reasons.
Important
- The patient should not take cialis if using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (nitrostat, nitrolingual, nitro-dur, nitro-bid, and others), isosorbide dinitrate (dilatrate-sr, isordil, sorbitrate), and isosorbide mononitrate (imdur, ismo, monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking cialis with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. If the patient becomes dizzy or nauseated during sexual activity, or having pain, numbness, or tingling in chest, arms, neck, or jaw, consultation should be done with the doctor right away. The patient could be having a serious side effect of cialis.
- The patient should not take this medication more than once a day. 24 hours should be allowed to pass between doses. Consultation should be done with the doctor or seek emergency medical attention if the erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
- Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking cialis, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether this medication is the actual cause of vision loss.
- The patient should stop using cialis and should go for emergency medical help if suffering from sudden vision loss.
