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
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.
This medicine may cause side effects, including the following:
fades, weight gain, back pain, muscle aches, aching body, stomach upset, irregular heartbeat and dizziness. They are similar to effects seen on other medicines.
The most common side effects are at times mild to moderate in severity.
Enlarged and/or tenderness of the penis (frequency rare).Perials and reassure of the effects of CIALISThis medicine is not recommended for use in women.
Warnings and precautions for taking CIALISThis medicine is not recommended for use in men.
Lifestyle changesLike all medicines, CIALIS can cause side effects, including:
like fatigue, weight gain, heart upset, dizziness,it causes a low sex drive, it causes headaches and changes in theOTAL erection lasting more than 4 hours duration. Very common (1 or more times in every 100 patients)
Background:The use of Cialis for the treatment of erectile dysfunction (ED) in men has been limited by its long duration of action (typically up to 36 hours) and the potential for side effects. This study evaluated the efficacy and safety of Cialis for the treatment of ED in men who have undergone radical prostatectomy.
Methods:The study was conducted in the Department of Urology and Urology, University of Basel, Basel, Switzerland. Inclusion criteria were patients with a diagnosis of radical prostatectomy (UR) or previous radical urothelialysis in the last 6 months, who had a complete history of ED before surgery and had at least one patient history of ED before surgery, as well as who had a diagnosis of ED by at least 1 of the 5-point questionnaire CMA questionnaire, and who were at least 50 mg daily for men. Patients were also eligible if they had undergone a radical prostatectomy with a free radical flow of between 5 and 10 days in the preceding 6 months, and had at least one of the following: a total of six radical prostatectomies in the preceding six months; a free radical flow of between 10 and 18 days in the preceding six months, with an initial dose of between 50 and 100 mg; or a combination of both. Patients were excluded if they: were receiving the drug for treatment of ED or if they were undergoing radical prostatectomy with or without a free radical flow of between 10 and 18 days in the preceding 6 months; they were receiving any other medications or therapies that may interfere with the ability of Cialis to work; had a history of severe cardiovascular or cerebrovascular disease, including unstable angina or unstable angina, heart failure, severe heart failure, severe liver dysfunction or severe liver impairment; they were unable to take the drug; had any previous or current medical, renal, or life-threatening disease; had serious or life-threatening contraindications to Cialis; they had previously taken nitrates, had a history of hypotension, unstable angina, or heart failure; had recent, life-threatening, or life-threatening hepatic or renal disease; or were taking a non-steroidal anti-inflammatory drug, or had a history of severe liver disease. Patients were excluded if they were on dialysis or had had kidney transplants or any of the following: a history of blood transfusions, any drug-related haemolytic anaemia, acute renal failure with proteinuria, severe haematuria, acute renal failure with significant haematuria or proteinuria in the preceding 6 months, or a history of hereditary or acquired eye diseases (e.g. retinitis pigmentosa or retinitis nevus); or had an organic or psychomotor disease.
Patients' Data:All patients were evaluated for the presence or absence of contraindications to Cialis. Patients were also excluded if they had any history of ED prior to the use of Cialis, or if they had had a previous history of ED before surgery or had at least one patient history of ED before surgery.
Statistical Analysis:The primary analysis was performed using Chi-square tests and independent sample Wilcoxon signed-rank tests. A two-tailedt-test was used to compare patients who had a positive history of ED (with or without a positive history of ED before surgery), and those who had a negative history of ED. The Chi-square test was used to compare the prevalence of ED, and was performed to compare the prevalence of ED, and was used as a test of efficacy of the treatment.
Results:Of the 10 patients who were excluded from the study, 2 received a free radical flow of between 10 and 18 days in the preceding 6 months and the mean age was 45.6 ± 4.7 years. The prevalence of ED was significantly higher in patients who had a positive history of ED (27.5%) than those who had a negative history of ED (7.4%).
Conclusion:The treatment of ED with Cialis was associated with an increased prevalence of ED compared to that of the control group.
The most common adverse events in patients with prior radical prostatectomy were headache (3.8%), back pain (2.6%), visual disturbances (1.6%), back pain, nausea and vomiting (1.7%), tinnitus (1.1%), visual impairment (1.0%) and headache (1.0%). The most common adverse events in patients with previous radical prostatectomy were headache (5.1%) and visual disturbance (5.0%).As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours. Daily Tadalafil use is usually associated with lower incidents and severity of side effects compared to as-needed Tadalafil dosing.
Most common Tadalafil side effects
Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:
For a complete list of possible side effects,.
Possible drug interactions
Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.
On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.
For a complete list of possible drug interactions,.
Other important safety information
Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.
After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.
Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or healthcare provider.
Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf
4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs
suis6. Takeda Co., Private Ltd. Review and Warning System.https://www.nlt.gov.ind/Views/Pr34/Treatments/SARE/SARE-PRW.pdf
supplements Takeda Completes Documentele Conti CODISFhit NDCX Award 20037. The Medicines and Healthcare Regulatory Authority (MHRA).https://www. MHRA.gov.in
8. Oxford Online Pharmacy.OXPharmacy.com/product/556/the-medicines-and-health-aques-behav-36
vardenafil 20mg9. Cephalon Pharmaceuticals.Cephalon.com
tadalafil 30mg10. UCB Pharmacy.UCB.com/product/556/adalafil
cialis11. Cipla Ltd. Quality Assurance.QUALEX.com/product/556/adalafil
12. Cipla.Cipla.com/product/556/adalafil
13. Private Limited.
14. Teva Pharmaceutical Industries Ltd.https://teva.company.com/product/5562/adalafil
ciprofloxacin 30mg15. Cipro.
16.
17.
Stade de France Pharmacy