Cialis (Tadalafil)

How to take Cialis

Cialis can be taken on a 'when required' basis, or as a regular daily dose at a lower strength. On a 'when required' basis (10mg or 20mg tablets), you can take a Cialis tablet at least thirty to sixty minutes before you have sex. If you are taking it on a daily basis, so you can enjoy sex without planning ahead, use a lower dose (2.5mg or 5mg tablets) and allow five days for the Cialis to become fully effective. It may take a few tries before Cialis works, and it is important to remember you will still need sexual stimulation, even when Cialis is taken.

Dosage

When Cialis is taken on a 'when required' basis, the usual starting dose is 10mg, up to once in a 24 hour period. If this does not work for you after at least 4 attempts, and no side effects are experienced, the dosage can be increased to 20mg. When taken on a regular daily basis, 5mg should be taken daily at the same time each day. If this is effective, or if side effects are experienced, this can be reduced to a 2.5mg daily dose. No more than 20mg should be taken in a 24 hour period.

Effectiveness

Cialis, containing the active ingredient tadalafil, is an effective treatment for erectile dysfunction. Once taken, Cialis can work for up to 36 hours, meaning it can be taken in advance of it being required, returning some of the spontaneity to sex. Food does not affect the speed at which the drug works and it has been shown to be effective for men with severe erectile dysfunction.

Side Effects

As with all medicines, Cialis can cause side effects, but not everyone experiences them. If taken at the recommended dosage, the side effects of Cialis are usually mild and pass with time. The most common side effects are headaches and an upset stomach. Some men may experience flushing of the skin, dizziness, back ache, a stuffy nose or muscle pain. More severe side effects may include allergic reactions, chest pain or a sudden loss of vision. If you experience any of these, or a prolonged and painful erection, stop using the medicine and seek medical assistance immediately.

Nitrates and Alpha Blockers

You should not take Cialis with medicines known as nitrates, as both cause the muscles that control the size of blood vessels to relax. This can cause a drastic drop in blood pressure. Nitrates are found in medications used to treat chest pain and angina, and in the recreational drug ?poppers?. It is also not recommended to combine medicines called 'alpha blockers' with Cialis, although in some cases it is possible to take both. Always consult your doctor before combining medicines and make sure you tell our online doctors about any other medicines you take. Always read the leaflet carefully before taking Cialis or any other medicine.

How long does it take to work?

Cialis can be taken at least thirty minutes before required, however it can be taken several hours before it's needed as it stays in the body for up to 36 hours. Cialis may not work for everyone the first time it's taken; give yourself four to eight attempts with Cialis before trying a different medication.

How long does it last?

Once taken, Cialis stays in your system for up to 36 hours. Most of the other oral medicines for erectile dysfunction only last four to five hours, so the extended time of Cialis allows you to have more spontaneous sex, with less advance planning required.

How does it work?

An erection occurs when the penis fills with blood. The blood vessels that bring blood to the penis dilate, increasing the blood supply. Blood accumulates in the penis, causing an erection. Cialis increases the blood flow into the penis, enabling a man to achieve a harder, more sustainable erection. It does not increase sexual arousal, and the man must be sexually stimulated for the medication to work correctly. Cialis is classed as a "PDE5 inhibitor" as it inhibits an enzyme called PDE5 which is found in the cells of the blood vessels supplying the penis.

Who should take Cialis?

Cialis is a popular treatment for erectile dysfunction. If you have trouble getting or maintaining an erection, ask our online doctors about Cialis. Remember, Cialis can only be supplied with a prescription.

Who should not take Cialis?

Do not take Cialis if you have an allergy to tadalafil or any of the other listed ingredients. Cialis is not suitable for those with serious heart disease, those who have experienced a recent heart attack or stroke, or those with hypotension (low blood pressure). This is because Cialis or extra sexual activity could put an extra strain on your heart. You must make your doctor aware if you have had any past issues with your vision, or if you have or have ever had sickle cell anaemia, multiple myeloma, leukaemia, a penis deformity or liver or kidney problems. Cialis is not available for use by women, or those under 18 years of age.

How do I take Cialis?

Cialis is an easy to swallow tablet, which should be taken orally, with a glass of water. You can take the tablet with or without food. Alcohol may have a negative impact on the effect of the drug.

Can I take Cialis with other medication?

Patients taking any nitrate medication or Riociguat should not take Cialis. These medications could interact and cause unexpected side effects. You should let our doctor know if you are taking any other medicines, either prescribed or purchased, especially alpha blockers, any high blood pressure medication, 5-alpha reductase inhibitors, protease inhibitors, phenobarbital, phenytoin, carbamazepine, rifampicin, erythromycin, clarithromycin or itraconazole. It is also important to let us know if you use, or have used, other erectile dysfunction medications.

If Cialis does not work for you, there are alternative medications available. You could try Viagra (Sildenafil), Levitra (Vardenafil) or Spedra (Avanafil). Cialis is the only one that can be taken on a regular daily basis, whereas the other medicines are only available as ""when required"" dosages. Cialis works for up to 36 hours, compared to alternatives medicines which, while they work in the same way, are usually only effective for a period of 4-8 hours. Viagra is effective for most men with erection problems. Viagra comes in a blue pill in strengths of 25mg, 50mg and 100mg. Levitra comes in strengths of 5mg, 10mg and 20mg. It has been shown to be effective in a wide range of age groups and for men with conditions such as high blood pressure, diabetes, depression and high cholesterol. Spedra comes in strengths of 50mg, 100mg and 200mg, and has been shown to work well for men with erectile dysfunction caused by type 1 and type 2 diabetes. Spedra can work within 15-30 minutes of taking the dose - this is faster than Viagra, Levitra or Cialis.