LEADING POINTS:
- 99% effective [1]
- One tablet a day
- For those who want a more spontaneous sex life.
LOW DOSE CIALIS VS REGULAR DOSE
Low dose Cialis is taken once every day for spontaneity in sex life.
You will normally start on 5mg once a day and depending on the response the dose may be adjusted to 2.5mg to minimise risk of side-effects.
HOW LONG DOES CIALIS TAKE TO WORK?
- Usually within 30-60 minutes of taking.
- It will not work without sexual stimulation.
HOW LONG DOES CIALIS LAST FOR?
- It can last for up to 36 hours.
- You should not take any more than one tablet per day.
WHO IS CIALIS SUITABLE FOR?
Do NOT take Cialis if:
- Under 18
- Female
- Had a recent heart attack or stroke (especially in the past 3 months)
- Seriously low blood pressure (systolic <90)
- History of a serious eye condition known as Non-Arteritic Anterior Ischaemic Optic Neuropathy (NAAION) – damage to the optic nerve causing loss of blood flow to the eyes – can result in blindness.
- Heart failure
- Unstable angina
- High blood pressure that is not well controlled
- Irregular heartbeat (known as arrhythmia) not well controlled.
- If there is great risk from sex or widening of blood vessels
- If taking nitrate medications (usually for angina)
- If taking riociguat
CAUTION – speak to a doctor or pharmacist before taking if:
- Liver impairment – AVOID REGULAR ONCE-DAILY DOSING IN SEVERE IMPAIRMENT
- Kidney impairment – AVOID REGULAR ONCE A DAY USE. MAXIMUM 10mg INTERMITTENT IN SEVERE IMPAIRMENT
- Deformed penis
- Heart disease
- History of priapism (prolonged painful erection) or proneness (sickle-cell disease, myeloma, leukaemia)
- Left ventricular outflow obstruction
TADALAFIL WITH OTHER MEDICATIONS
Do not take Tadalafil if taking:
- Nitrate medications eg: Glyceryl Trinitrate Pump for Angina, Isosorbide (Mono/Di)Nitrate for Angina.
Speak to your doctor or pharmacist if taking:
- Blood pressure medications
- Medications for prostate enlargement
- Antiviral medications
- Antifungal medications
- Epilepsy medications
- Antibiotics
- Other erectile dysfunction treatments
OTHER WARNINGS AND PRECAUTIONS:
- Limit or avoid grapefruit juice
- Limit alcohol consumption strictly – better to avoid completely as alcohol can increase risk of erectile dysfunction and dizziness especially upon standing up.
- Contains lactose – take care if diabetic or lactose intolerant.
SIDE EFFECTS
Most common:
- Headaches
- Muscle aches and pains
- Indigestion
Uncommon:
- Irregular heartbeat (arrhythmia)
- Dizziness
- Chest pain
- Increase or decrease in blood pressure
- Vision disorders
- Vomiting
- Internal bleeding
Rare but potentially serious – seek immediate medical attention:
- Fluid retention
- Loss of blood flow to the heart – this can lead to heart attack
- Memory loss
- Blood in ejaculate
- Eye bleeding
- Prolonged painful erection – known as a priapism
- Seizure
- Severe skin reaction known as Stevens-Johnson Syndrome
- Fainting
- Sudden cardiac death (sudden stopping of the heart)
- Sudden hearing loss
TADALAFIL ALTERNATIVES
- Once-a-day Tadalafil 2.5mg or 5mg for spontaneity
- Tadalafil 20mg – increased dose if 10mg dose is ineffective.
- Sildenafil – same drug group
- Vardenafil
- Avanafil
- Alprostadil cream/gel – for those who have difficulty swallowing or prefer other methods
LIFESTYLE CHANGES THAT CAN HELP ERECTILE DYSFUNCTION:
- Smoking – quit smoking
- Alcohol – moderate alcohol consumption
- healthy weight
- Avoid party drugs (such as acid/LSD, MDMA etc)
- Stress management – performance anxiety – psychological interventions
- Exercise/diet
CIALIS INGREDIENTS (CIALIS TOGETHER 10mg)
Tablet core:
lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate.
Film-coat:
lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.
SOURCES:
[1] https://pubmed.ncbi.nlm.nih.gov/16766116/
[2] https://www.medicines.org.uk/emc/rmm/2732/Document
[3] https://bnf.nice.org.uk/drugs/tadalafil
[4] https://www.medicines.org.uk/emc/product/13431/pil
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