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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 name International approved use inhouse pharmacy United Kingdom United States Canada Spain Australia and Saudi Arabia Vietnam South Africa Australia and Malaysia United Kingdom Thailand Vietnam South Africa Malaysia� India and United Kingdom South Korea Singapore and United Kingdom United Kingdom United Kingdom Vietnam United States Vanuptive medicine for heart failure. Not available without prescription generic equivalents to tadalafil generic tadalafil generic name vardenafil generic name

Note:

Tadalafil is available only with a doctor’s prescription.

itzerland and United Kingdom United States Spain Canada Germany Canada and United Kingdom and Canada and United States Canada and New Zealand Singapore New Zealand United Kingdom and United Kingdom United Kingdom

Please ensure that you are using good insurance coverage.

Dr Fox corrections updated Readings

See also:

Theoemcardom 20mg

Theoemcardom is a generic version of Cialis, available in 20mg and generic 20mg.

Lamisil 20mg Tablet

Lamisil is a prescription medication available to buy online in 28-day supplies.

Tadalafil 20mg Tablet

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. It is used to treat erectile dysfunction (impotence) and the following conditions:

Tadalafil 20mg Tablet is available to buy online in 28 days from a doctor’s prescription only

To order this product online you will need to be a little bitmoreurgent than in person.

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.

Ricanourced is used to manage fungal infection

Key take for Cialis (tadalafil) is ():- nitrates (e.g., nitroglycerin) may cause a dangerous drop in blood pressure with high-fat meal, leading to dizziness, fainting, or even orthostatic hypotension.

- alpha-blockers may cause increased blood pressure with elevated levels, potentially leading to dizziness or fainting.

- macrolide antibiotics (e.g., clarithromycin) may cause increased blood pressure with elevated blood pressure due to reduced blood supply.

- and “poppers” (e.g., amyl nitrite) may cause decreased blood flow to the penis with elevated blood pressure due to reduced blood flow.

- and “fungals” (e.g., itraconazole, ketoconazole) may cause dizziness or fainting in sensitive individuals.

Cialis 5mg 28 tablets: A Comprehensive Guide to Erectile Dysfunction Treatment

Erectile Dysfunction (ED) is a common condition that affects millions of men worldwide. It can result from physical, psychological, or lifestyle factors, including stress, performance anxiety, and other factors. In fact, approximately one-third of men over the age of 40 suffer from ED, and it is estimated that nearly 30 million men are affected by this condition.

Fortunately, there are a variety of options available for treatment. Here’s a comprehensive guide to get started.

What is Cialis?

Cialis (tadalafil) is a medication used to treat erectile dysfunction (ED), also known as impotence. It is available in different strengths, including 5mg and 14mg tablets. It works by increasing blood flow to the penis, helping to achieve and maintain an erection. It is available in generic versions as well as other prescription medications.

What is the best treatment for ED?

In some cases, the best treatment for ED is that for which the person’s condition is deemed “normal.” For this reason, a person must have erectile dysfunction for treatment to be effective.

What is Cialis 5mg 28 Tablets?

The 5mg medication is the generic version of Cialis, which is used to treat erectile dysfunction. The 28-tablet version of Cialis is also available as a generic drug and is available in various strengths. It comes in tablet form and is typically available in a tablet form of 5mg and 14mg tablets.

How Does Cialis Work?

The primary mechanism of Cialis is that it works by relaxing the blood vessels in the penis, allowing for increased blood flow when sexually aroused. This helps to achieve an erection when sexual stimulation occurs.

How to Take Cialis?

The recommended starting dose is one tablet, taken 30-60 minutes before sexual activity. Depending on the severity of your ED, the recommended dosage may be increased to a maximum of one tablet in a 24-hour period. It’s important to note that Cialis is only for adult men with ED.

How Long Does Cialis Last?

Cialis can last for up to 36 hours after taking it, and the effects can last for up to a month, depending on how well the medication works and any interactions with other medications.

How to Store Cialis?

You can store Cialis at room temperature, away from moisture, heat, and direct sunlight. The packaging and label instructions on the product guide also include instructions on how to store your Cialis and its active ingredient, tadalafil. Always store Cialis at room temperature and away from direct sunlight.

What Happens if I Overdose?

You can overdose on Cialis by taking more than the recommended dose. Symptoms of a drug overdose include severe chest pain, dizziness, and flushing. If you suspect you’ve taken too much Cialis, contact your doctor immediately.

Is Cialis Safe?

The FDA has approved Cialis for use in men with ED. It is not approved for use in women. However, men with certain medical conditions should avoid using this medication if they are at risk of experiencing side effects.

Precautions to Consider

Before starting any ED treatment, it’s important to consult with a healthcare professional to determine if Cialis is right for you. Here are some common precautions to consider:

1. Do not take Cialis if you are allergic to tadalafil or any other components in Cialis.
2. Do not take Cialis if you are already taking a nitrate medication such as nitroglycerin. This can cause dangerously low blood pressure to be increased.
3. If you’re taking any of the following medications:
4. Prescription drugs for ED, such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), or avanafil (Stendra), that cause dangerously low blood pressure:
5. Prescription drugs to treat benign prostatic hyperplasia (BPH), such as vardenafil (Levitra) or tadalafil (Cialis).

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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* 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,.

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