Archive for May 2011
We try to make the information provided be accurate, up-to-date, and complete. Still you may have some special questions which can be answered only by professionals.
You can use different Internet resources designed especially for professionals in caring for their patients. Online resources offer drug information to assist licensed doctors and to serve consumers viewing these services as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of doctors.
We cannot cover all peculiarities of the drug here and if there is absence of some information for a given drug or drug combination you may consult your doctor for it. The information your doctor may provide is all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
Impotence evaluation demands including proper medical assessment to identify potential underlying conditions, as well as treatment possibilities.
The cardiovascular status of the patients should be considered since there is a cardiac risk associated with sexual activity. Patients who experience symptoms during sexual activity are advised to stop further sexual activity and seek immediate medical attention.
Patients with left ventricular outflow obstruction (aortic stenosis and idiopathic hypertrophic subaortic stenosis) can be vulnerable to the action of vasodilators, including PDE5 inhibitors.
Cialis is not recommended for the following groups of patients:
- myocardial infarction within the last 3 months;
- unstable angina or angina occurring during sexual intercourse;
- uncontrolled arrhythmias, hypotension (<90/50 mm Hg), or uncontrolled hypertension (>170/100 mm Hg);
- stroke within the last 6 months.
There have been rare reports of prolonged erections which are called priapism, lasting more than 4-6 hours. This condition if not treated promptly can result in damage to penis. Patients with a painful erection lasting longer than 4 hours, should seek emergency medical attention.
Cialis for Use as Needed:
The recommended starting dose of Cialis for use as needed is 10 mg for most men; the dose may be increased to 20 mg or decreased to 5 mg. It depends on individual response to the therapy and tolerability. The maximum recommended dosing frequency is once per day. Cialis for use as needed improves erectile function lasting up to 36 hours.
Cialis for Once Daily Use:
Cialis may be taken with or without food.
Cialis tablets are available in different sizes and different shades of yellow.
Cialis tablets are film-coated, almond-shaped, and available in the following doses:
2.5-mg tablets with “C 2 1/2”
5-mg tablets with “C 5”
10-mg tablets with “C 10”
20-mg tablets with “C 20”
- redness or warmth in your face, neck, or chest;
- cold symptoms such as stuffy nose, sneezing, or sore throat;
- memory problems;
- diarrhea, upset stomach;
- mild back or muscle pain.
These side effects are not serious, but if they are troublesome for you, consult your doctor.
Stop using this drug and seek medical attention at once in case you have any of these serious side effects:
- changes in vision or sudden vision loss;
- ringing in your ears, or sudden hearing loss;
- chest pain or heavy feeling, pain spreading to the arm or shoulder;
- nausea, sweating, general ill feeling;
- irregular heartbeat;
- shortness of breath;
- feeling light-headed, fainting;
- penis erection that is painful or lasts more than 4 hours;
- allergic reactions such as: rash, hives, itching, swelling of the mouth, face, lips, or tongue;
- memory loss or slurred speech;
- one-sided weakness.
If you have questions about side effects, ask your doctor for more information.
1) Try to avoid using alcohol or certain medicines when taking Cialis. The drug may cause dizziness, drowsiness, fainting, or blurred vision. Cialis should be used with caution when you drive or perform machinery.
2) Cialis may cause lightheadedness and fainting if taken with alcohol, these effects can be also provoked by hot weather, exercise, or fever. To avoid them, sit up or stand slowly. Sit or lie down at the first sign of any of these effects.
3) Do not take the drug in larger dose than directed by your doctor, if you want to change the dose consult your doctor.
4) Heart problems increase risk of heart-related side effects, including a heart attack or stroke. Symptoms of a heart attack include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke include confusion; vision or speech changes; one-sided weakness; or fainting. In these cases you should immediately call your doctor or seek medical attention.
5) Cialis may cause a prolonged or painful erection that lasts more than 4 hours. This may occur when you are not having sex. This condition can lead to permanent sexual problems such as impotence. Contact your doctor immediately.
6) Cialis does not stop sexually transmitted. The barrier methods of birth control should be used.
Your doctor will prescribe you an exact dose of this drug, use it as directed by your doctor. You can also get all the necessary information on the label of the drug where you can read about exact dosing instructions.
This drug has also an extra patient leaflet. Ask your doctor any questions you have about this drug.
Cialis is taken orally with or without food. It can be taken for use as needed or for daily use. When needed take Cialis 30 minutes before sexual activity, as directed by your doctor. Cialis may work for up to 36 hours after you take it. If you miss a dose of the drug and you still want to engage in sexual activity, take your dose as soon as you remember. Continue to take it as directed by your doctor. When used daily (regardless of when sexual activity is planned), the exact dose of Cialis is taken regularly at about the same time each day. If you miss a daily dose of Cialis, take it as soon as possible. If it is practically the time for your next dose, take your regular dose. Do not take 2 doses at once. It is important to allow 24 hours to pass between doses.
Do not be shy to ask your doctor any questions about how you should take Cialis.
When using this drug you should avoid eating grapefruit or drinking grapefruit juice; consult your doctor before you eat grapefruit or drink grapefruit juice.
This drug helps in achieving an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
You should not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.
Store Cialis at room temperature away from moisture and heat.
- Nitrates (isosorbide, nitroglycerin), or nitroprusside;
- Azole antifungals ( itraconazole, ketoconazole);
- HIV protease inhibitors (ritonavir);
- Macrolide antibiotics (erythromycin), or telithromycin because they may increase the risk of Cialis’s side effects;
- Barbiturates (phenobarbital), carbamazepine, phenytoin, or rifampin because they may lessen Cialis’s effectiveness.
Cialis can be dangerous if:
- you have severe kidney problems;
- you are allergic to any ingredient in Cialis;
- you have severe liver problems;
- you have hereditary degenerative eye problems (retinitis pigmentosa);
- you have certain heart problems ( unstable angina, angina during sexual intercourse, uncontrolled irregular heartbeat);
- you have low blood pressure, or uncontrolled high blood pressure;
- you have a history of heart attack or heart failure or a stroke;
- you are taking any nitrates;
- you take another PDE5 inhibitor (sildenafil, vardenafil) or another medicine that contains tadalafil or any other ED therapy.
If you follow all the directions of your doctor and take this medicine when it is prescribed you will avoid possible dangers for your health and have the necessary effect.