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.
Most cases have been seen in urologic men. Most have had no serious adverse reactions.
Most were mild to moderate in origin.
Most were dose related, but some may have been due to other health problems or were outside the body the medicine was intended to affect.
Most were not drug related, but common side effects such as dizziness, headache, activity disagrees, nausea, increased heart rate, and × (frequency rare) and fainting. Some participants had a more serious effect of taking CIALIS than of the drug's side effects. Some participants taking CIALIS also reported a higher risk of developing serious drug interactions.
Most had moderate to severe medical risk factors.
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What is Tadalafil (Tadalafil)Tadalafil is a prescription medication used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). It works by increasing blood flow to the penis.
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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.
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:
Taking antibiotics, such as erythromycin, sometimes along with Cialis can result in dangerous drops in blood pressure. The safety and effectiveness of Cialis contraindications have not been established and should be discussed with your doctorimmediately. Your doctor will assess your risk and may provide a prescription.
D. Drug InteractionsDr. John D. is an experienced urologist who works closely with patients who are experiencing erectile dysfunction. interaction teststhat measure nitrates and alpha-blockers can help determine which medication may be of interest.
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Erectile dysfunction (ED) affects between 40% and 70% of men worldwide.1 It’s not just men who suffer from ED. Men with ED may also have a heightened sensitivity to certain medications used to treat or prevent erectile dysfunction.
Many of these medications are prescription medications. They may include, but are not limited to:
This article is more than seven years old and should not be. We encourage you to use the services of our online pharmacy to purchase ED medications. We provide only the lowest price and are only able to offer discounts. We do not offer coupons, rebates or other discounts. If you have any questions or concerns, please call our customer service.
Erectile dysfunction is a common condition that affects millions of men worldwide. It is often referred to as sexual impotence or ED. In fact, it is the inability to achieve or maintain an erection sufficient for sexual activity.
Although some men may experience ED, this condition affects a substantial number of men. It can affect many men’s lives, including those at the age of 50 or older.
ED is defined as the inability to achieve or maintain an erection sufficient for sexual activity. It can range from mild to severe and can affect sexual function. It can occur at any age and can affect sexual functioning. It can also be associated with an increased risk of heart disease, stroke, and cancer. Some men may be at an increased risk of developing this condition.
Erectile dysfunction is a condition that can cause a man to lose sexual ability, ejaculation, or desire.