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What is Cialis or generic Cialis?

Cialis (tadalafil) or generic Cialis is a prescription pill, similar to Viagra and Levitra, used to treat men with the condition of erectile dysfunction or impotence. Cialis is not a cure for erectile dysfunction but after experiencing the effects, you may want to take it when you have sex.

In the past few years, a new class of drugs has been developed to help men with erectile dysfunction called phosphodiesterase 5 inhibitors (PDE 5). Viagra was the first of the PDE 5 inhibitors to be released. Levitra was the second PDE 5 available in the US and Cialis the third.

The condition of erectile dysfunction was often blamed on psychological factors. However, with drugs like Cialis or generic Cialis, we now know that erectile dysfunction is largely a physical problem. Some diseases like diabetes, cardiovascular disease, high blood pressure and simply the process of aging can all cause difficulties in getting and maintaining an erection.

Before drugs like Cialis were available, erectile dysfunction was treated with injections directly into the penis or with penile implants. With drugs like Cialis or generic Cialis however, these unpleasant and invasive treatments are no longer necessary. Just by taking a simple pill, the vast majority of men experience significantly improved erections and have successful sexual intercourse.

Cialis or generic Cialis does not cure erectile dysfunction. Though a complicated chemical process, Cialis allows the muscles in the penis to relax, which allows blood to flow in, creating a firm erection. You should take Cialis about 1 hour before you intend to have sex and the effects can be felt for up to 36 hours after taking.

Cialis or generic Cialis is not an aphrodisiac. Taking Cialis will not make you desire sex or make you feel sexual, it will only help you to get an erection if you are sexually stimulated. It works on the body, not on the mind. Some people who take Cialis are surprised that they do not feel any effect of the medication until they are sexually stimulated and suddenly an erection occurs naturally.

When a new drug is released, it is assigned two names. Cialis is the brand name and tadalafil is the generic name.

Cialis or generic Cialis and How it Works?

Cialis and generic Cialis works in essentially the same way as Viagra or Levitra and all three are called phosphodiesterase 5 inhibitors (PDE 5). In smooth muscle cells, cyclic guanosine monophosphate (cGMP), mediates smooth muscle relaxation.

The more cGMP in your bloodstream, the more the muscles in the penis can relax, the more blood can flow and the better the erection. PDE 5 breaks down cGMP, so PDE 5 inhibitors like Cialis or generic Cialis keep this from happening, helping to maintain high levels of cGMP.

Cialis or generic Cialis is available in 5 mg, 10 mg and 20 mg pills. We advise cutting a 20 mg pill in half and trying 10 mg first, see how it works, then increase the dose by 10 mg if required. People over the age of 65 or people taking certain prescription medications might consider taking a lower dose.

Cialis or generic Cialis: How Much Should You Take?

Lower doses of Cialis or generic Cialis have fewer side effects and if a lower dose works for you, a higher dose will probably not make much difference. The most cost efficient way to buy Cialis is to purchase 20 mg pills and use a pill cutter to cut the pill into four pieces of 5 mg each.

The maximum dose for Cialis or generic Cialis is 20 mg and exceeding the recommended dosage of Cialis can increase the risks of possible side effects.

Cialis or generic Cialis: How Long the Effects Last?

The effects of Cialis or generic Cialis start working within 1 hour and lasts for up to 36 hours.

Cialis or generic Cialis: How Often You Can Take It ?

Cialis or generic Cialis should not be taken more that once per day and you should wait at least 24 hours before taking it again. Cialis should not be combined with any other erectile dysfunction drugs like Levitra or Viagra.

Cialis or generic Cialis: Can it be Taken With Food?

Yes. Cialis or generic Cialis works well even after eating a meal. A large meal high in fat will significantly slow down the absorption of Cialis and make it less effective.

Cialis or generic Cialis: Can it be Taken With Alcohol?

Yes. Cialis or generic Cialis works well even after drinking moderate amounts of alcohol. Heavy drinking is a proven cause of erectile dysfunction and greatly increases the risk of suffering side effects. Avoid heavy drinking if you are planning to take Cialis.

Cialis or generic Cialis and Common Side Effects

The most common side effects are headaches, flushing, stuffy or runny nose and upset stomach. These side effects should go away within a few hours. If you have any other serious side effects after taking Cialis or generic Cialis, you should contact your doctor or seek medical attention.

All symptoms, except for headaches, greatly decrease with a lower dosage. Try to take as little Cialis as you can and over several months of use, the frequency and intensity of any side effects may decrease as your body gets used to the drug.

Cialis or generic Cialis and Possible Side Effects

Serious side effects caused directly by Cialis or generic Cialis are rare and usually only occur if a preexisting medical condition is causing an adverse reaction. In such cases, contact your doctor or seek medical attention.

Serious side effects from Cialis could include sudden vision loss or change, ringing in the ears or sudden hearing loss, chest pain, pain spreading to the arm or shoulder, nausea, sweating, irregular heartbeat, swelling in the ankles or feet, shortness of breath, feeling light headed and fainting or a painful erection that lasts for more than five hours.

Cialis or generic Cialis and Lessening the Side Effects

The best way to lessen the side effects of Cialis or generic Cialis is to take a lower dose. The lower the dose, the less likely you are to experience any side effects. Keeping your body hydrated with plenty of water can help to avoid muscle cramps and headaches.

Side effects with Cialis or generic Cialis should be mild and should go away within a few hours. If side effects are more serious or last a longer time, you should contact a doctor immediately.

Cialis or generic Cialis Should Not to be Taken:

If you take any medicines called nitrates or medicines called alphablockers. Some recreational drugs also contain nitrates, such as amyl nitrate (poppers) and butyl nitrate.

If you take medicines that include nitroglycerin (Nitrostat, Nitrolingual, Nitro Dur, Nitro Bid, Minitran, Deponit, Transderm Nitro), isosorbide dinitrate (Dilatrate SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket, bosentan (Tracleer)

If you take blood thinning medication such as warfarin (Coumadin),cimetidine (Tagamet, Tagamet HB), an antibiotic such as erythromycin (E Mycin, Eryc, Ery Tab) or clarithromycin (Biaxin), doxazosin (Cardura), prazosin (Minipress), Terazosin (Hytrin).

If you take HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept).

If you take antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral), carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin) or rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).

If you have been told by your doctor not to have sexual activity because of health problems. Sexual activity can put extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

Cialis or generic Cailis and Your Medical Problems

Before trying to buy Cialis or buy generic Cialis, it is important that you consult your doctor first. It is particularly important if you have:

  • A heart problems such as angina, heart failure, irregular heartbeat or have had a heart attack. Ask your doctor if it is safe for you to have sexual activity.
  • Low blood pressure or have high blood pressure that is not controlled.
  • Had a stroke or any family members have a rare heart condition known as prolongation of the QT interval.
  • Liver problems or have kidney problems and require dialysis.
  • Retinitis pigmentosa (a rare genetic eye disease).
  • Stomach ulcers or have a bleeding problem.
  • A deformed penis or Peyronie's disease.
  • Had a painful erection that lasted more than 5 hours.
  • Blood cell problems such as sickle cell anemia, multiple myeloma or leukemia.

Can Other Medications Affect Cialis or generic Cialis?

Tell your doctor about all the medicines you take including prescription and nonprescription medicines, vitamins, and herbal supplements. Cialis or generic Cialis and other medicines may affect each other. Always check with your doctor before starting or stopping any new medications.

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