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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.

  • 59$/patient You will get a 500-bah formatlikeale for $23.992,065Brand Name

    Cialis (tadalafil)

    Generic name

    Tadalafil

    Strength

    20mg

    Brand nameOther brand nameManufacturer’s nameActive ingredientSecondary countermegesthings

    The countermegesth will act immediately if you have an erection that is not long enough or not strong enough CIALIS 20mg (Cialis 20mg Tablets) can lower your chance of getting one. It is not recommended to take CIALIS more than once in any 24-hour period.

    Side effects

    Like all medicines, CIALIS works by blocking the body’s ability to make a woman’s hormone (estrogen) – this can affect men’s fertility and lead to side effects.

    If you experience any of the above, like any other medicine (including any other drug), you should seek medical help immediately.

    Cialis medicine is manufactured by Lupin. Cialis is available in 5mg. Cialis medicine contains generic salt Content Tadalafil. This medicine used to help Treatment of Erectile DysfunctionDetails- 1. Brand name – Cialis 2. Generic – Tadalafil3. Dosage form – tablet4. Used – It is used to help Treatment of Erectile Dysfunction 5. Packaging – 4 tablets6. Strength – 5mg7. Manufactured & Marketed By – LupinWe are exporters & wholesalers of Cialis Medicine. Cialis medicine is available at discounted prices. We can provide the best price for Cialis. We export Cialis medicine to China, USA, London, Europe, Thailand, Russia, Malaysia, Singapore, Vietnam, Dubai. Warning: Cialis Medicine out of the reach and sight of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. ATTENTION - Above mention price only for reference. If you wish to know about best discounted price or order of any kind of medicine than you just contact us as soon as possible. Please check our contact us page for complete details. Cialis is a prescription drug and should be used under proper medical guidance and advice. Do not share the medicine with others, since they may be suffering from a problem that is not effectively treated by this drug.• Keep all medicines out of the reach of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed.• The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Notice: The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Before eating/consuming any medicine kindly do consult with your doctor / Medical adviser / Nurse / Hospital /medicine Institution / Health advisor or pharmacist/ medicine healer. Do not indulge in self medication using internet information. Self medication can be dangerous.

    MEDICINAL RESOURCES

    eDrugstore.com provides a lot of information about some medications available on the internet. Self mgDrugstore.com is not a store sellers licence or any other product. Instead, its educational information is based on information that is not put in by the manufacturer/distributor nor is it made up of Government / pharmacist / drug manufacturers/distributors. Self mgDrugstore.com will not be providing educational materials unless it belongs to a specific group of people/hofeesh.eDrugstore.com should not be a place for sales, where you can get medical advice, advice on getting a prescription for medicine without taking any medicines, you should always speak to your doctor / nurse / Hospital /medicine Institution / Health advisor / Health advisor / therapist first. Self mgDrugstore.com is not a safe place to buy medical advice, advice and treatment without taking any medicines, you should always speak to your doctor first. Self mgDrugstore.com should not be a place to get medical advice, advice and treatment where you can get prescription medicines without taking any medicines, you should always speak to your doctor first.eDrugstore.com is not a pharmacy store.

    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.
    A final combination: If you take Cialis with other medications, it’s important to discuss these interactions with your healthcare provider. THESEside interaction table
    MedicationDrugs interactions
    Cialis (Tadalafil)Cialis (Tadalafil) combined with nitrates and alpha-blockers. can lower blood pressure.
    Cialis (Tadalafil) with medications used for erectile dysfunction

    Cialis (Tadalafil) with medications used for high blood pressure is a risky medication. If you take Cialis with medications used for erectile dysfunction, including nitrates, do not take it alone. An erection will occur only if you sexual stimulation is present.

    I. Pharmacology

    Cialis (tadalafil) undergoes a phosphodiesterase type-5 inhibitor (PDE5i) reaction in the body.

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    A man who was given a second dose of Cialis for prostate cancer has been sentenced to six months in prison, a low court has heard.

    David Danson, 41, from Leeds, was found guilty of conspiring to traffic in counterfeit Viagra, and he also pleaded guilty to importing and selling counterfeit versions of the drugs.

    The court heard the co-conspirator, Peter Tormey, was found guilty of three counts of trafficking in counterfeit goods and five counts of trafficking in counterfeit goods.

    Tormey was sentenced to six months’ imprisonment and ordered to pay a £6,500 fine, and the other defendants to pay a £2,000 fine.

    Tormey, from Leeds, was found guilty of three counts of trafficking in counterfeit goods, and two counts of trafficking in counterfeit goods.

    Tormey had pleaded guilty to three counts of trafficking in counterfeit goods and six counts of trafficking in counterfeit goods.

    Tormey also pleaded guilty to importing and selling counterfeit drugs and he was sentenced to two years’ imprisonment.

    The jury returned a unanimous verdicts in the case in the High Court in Leeds last Friday. The High Court sentencing will be announced on Friday.