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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.

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    How it Works

    CIALIS is a prescription medicine used to treat erectile dysfunction (impotence) in men.

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    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:

    • Headache
    • Indigestion
    • Heartburn
    • Upset stomach
    • Gas
    • Nausea
    • Flushing

    More severe side effects include:

    • Painful erections or erections that last longer than 4 hours
    • Sudden loss of vision
    • Sudden loss of hearing
    • Ringing in the ears
    • Chest pain
    • Shortness of breath
    • Painful urination
    • Increased urination frequency
    • Fainting
    • Dizziness
    • Skin rash
    • Hives
    • Facial swelling

    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.

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    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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    Increased Risk of Viagra-Related Erectile Dysfunction: Symptoms

    Other Drug-Drug Interactions:

    Cialis (tadalafil) can interact with certain foods and beverages, so please consult your doctor to determine if these should be taken topically. While this interaction is often less severe than with nitrates or alpha-blockers, it can still cause side effects and may be a better choice if you have heart conditions.

    Other Antihypertensive Drugs (e.g., atenolol, propranolol, angiotensin-converting enzyme (ACE) inhibitors, etc.

    Description

    Cialis jelly, a well-known form of male sexual enhancement, is a medication that contains tadalafil. It is known for its high efficacy and quick action, making it a popular choice for treating erectile dysfunction. It is also available as a cheaper alternative to Cialis, making it an ideal choice for men seeking more flexibility in their sexual activity.

    When purchasing cialis jelly, it is important to choose a trusted supplier who can ship your product safely and discreetly. Here is a guide on how to obtain cialis jelly safely:

    1. Check the manufacturer’s official website:Many reputable online pharmacies offer authentic medications. Ensure the pharmacy is licensed and follows strict quality standards. Look for pharmacies with a good reputation and customer reviews. Look for reviews on multiple platforms to gauge the reliability of the pharmacy.

    2. Check if your order is from a licensed pharmacy:Always check the pharmacy’s license and accreditation to ensure it is genuine and safe for you to use. A legitimate pharmacy will always be licensed and operates safely.

    3. Compare the ingredients:Consult your doctor or pharmacist before purchasing the medication to ensure it is suitable for your needs. Ensure that the medication is appropriate for you and not for any other condition.

    4. Choose the dosage:The correct dosage of cialis jelly should be determined by your doctor. This helps ensure the medication is well-tolerated and effective.

    5. Choose the time:Take the medication at regular intervals to maintain peak absorption and effectiveness. This helps maintain the medication’s effect for a longer period.

    6. Use the product as directed:Store it in a cool, dry place, away from direct sunlight. Avoid taking it for long periods, as it can cause side effects.

    7. Follow the dosage:Follow your doctor’s instructions regarding dosage and frequency of use. Do not exceed one tablet per day, as the medication can remain active for longer periods.

    8. Choose the product:Cialis jelly is suitable for men of all ages, but it may not be suitable for everyone. It’s important to consult with a healthcare professional before purchasing this product or any other medication.

    Remember, this information is for educational purposes only and is not a substitute for medical advice. Always follow your doctor’s instructions and consult with a healthcare professional before using any ED medication.

    Appetite management

    Cialis jelly:is a popular and effective treatment option for erectile dysfunction in men. It has a proven track record and high efficacy in treating this condition. The medication works by increasing blood flow to the penis, helping men achieve and maintain an erection. It is important to note that this medication should only be used under the guidance of a healthcare professional. Taking this medication with food may reduce the absorption of the medication and delay its effects. It is important to note that this medication should only be used under the supervision of a healthcare professional.

    How long does it take for Cialis to work?Cialis works quickly and has a long duration of action. The effects can last up to 36 hours. This is important to ensure the medication is effective for you and to avoid any potential side effects. The effectiveness of this treatment can vary based on individual factors such as age, overall health, and the severity of erectile dysfunction. If you are seeking a faster onset of action, it’s advisable to start with lower doses, such as 10 mg.

    What are the side effects of Cialis jelly?Common side effects of Cialis jelly can include headaches, back pain, and facial flushing. In rare cases, these side effects can occur, making it a popular choice for men seeking to enhance their sexual performance.

    In order to minimize the risk of side effects, it is recommended to avoid alcohol and grapefruit juice while taking Cialis jelly. It is recommended to take the medication at the same time each day to maintain consistent levels of the medication in your system. Keep the medication at room temperature, away from direct sunlight and heat.

    Remember, it’s important to follow your doctor’s instructions and to consult with a healthcare professional before taking any new medication. Using any ED medication without medical guidance can cause harmful effects and may increase your risk of side effects.