The benefits of prolonged Cialis use
Cialis is unique among other ED oral drugs as it has a long half life. Up to 36 hours after Cialis administration, a man will have about 15% of the medication he took circulating in his blood stream. It is very convenient for many men use Cialis and are ready for sexual activity even the next day. Beside this benefit of long term effect it turns out that the prolonged use of Cialis has other pros including:
1) Cialis increases blood flow and thus improves the health condition of a man.
2) The researchers found that Cialis reduces significantly C-Reactive Protein (CRP) and Vascular Cell Adhesion Molecule (VCAM) counts which are responsible for inflammation processes. This means that prolonged Cialis use may have a beneficial result for health of a patient.
3) The long term Cialis is proven to meaningfully enhance testosterone and estrogen ratio by an average of 24%.
4) Cialis demonstrated the potential to lower blood pressure if taken continuously.
5) One of the Cialis studies found that men who took Cialis and improved their sexual function had also improved relationships with a sexual partner.
Cialis authorized to treat prostate disorder
The ED oral medication Cialis was authorized by FDA to treat benign prostatic hyperplasia (BPH) in men. This condition is known as enlarged prostate and occurs in men of different ages, but mostly in older men. The symptoms of this health condition are problematic urination, unexpected desire to urinate especially at night.
Tadalafil was assessed in three trials in men with BPH symptoms. The dose adjusted was 5 mg of tadalafil, men who took the medication regularly reported meaningful reduction of BPH symptoms. The 3rd trial involved men with both condition ED and BPH.
Men having ED and BPH can now use one medication and receive benefit from the treatment for both conditions.
Cialis Dosing Information
Cialis is indicated to treat erectile dysfunction in men only, it should be taken only as your doctor prescribes you. Cialis may be taken in two main ways: on a daily basis and when necessary.
When necessary Cialis is taken usually in 10 mg dose before planned sexual activity. It is recommended to take the dose of the drug once in a 24 hour time period.
The medication may be taken in larger doses if your doctor allows you. If you have certain medical disorders the dose of the drug may be lowered to 5 or 2.5 mg.
For once daily use Cialis usual dose is 2.5 or 5 mg taken at the same time each day.
Cialis special warnings and precautions
A correct medical evaluation of erectile dysfunction problem is essential to detect underlying conditions and choose proper treatment.
Your doctor will take into consideration the following things before prescribing you Cialis:
• cardiovascular condition;
• heart failure;
• uncontrolled or poorly controlled blood pressure;
• stroke;
• angina;
• myocardial infarction;
• arrhythmias.
Sexual activity increases the risk of cardiac cases in patients with certain heart disorders, so doctors carefully evaluate the possible dangers of Cialis administration to males who have potential to experience serious cardiovascular side effects.
Your doctor will discuss with you the correct behavior in the case that you may experience anginal chest pain which demands nitroglycerin intake after Cialis administration. In case you have used Cialis and there is a necessarily for nitrate administration, at least 48 hours should pass after Cialis intake.
The following groups of patients can be sensitive to Cialis: men with left ventricular outflow obstruction- aortic stenosis and idiopathic hypertrophic subaortic stenosis. If Cialis is administered to such patients, they should be specially monitored.
ED physical afflictions
With age men get more physical disorders and have to take more drugs which can also lead to erectile problems. Common physical factors of erectile dysfunction in older men include:
• impairment of the blood vessels, a common part of ageing process;
• hypertension;
• diabetes;
• obesity, overweight;
• nerve damage;
• damage to the genital area;
• alcoholism;
• smoking;
• side-effects of certain drugs prescribed for other conditions (depression, hypertension);
• usage of illegal drugs.
Other physical causes of ED in men of different ages may include:
• diseases of the nervous system;
• injury to the spinal cord or brain;
• surgery in the abdomen;
• prostate surgery;
• hormone imbalance and hormone diseases.
To prevent the development of erectile condition a person can make simple improvements in life, and of course, the proper treatment of the underlying condition will also help to improve sexual life.
ED cases due to psychological issues
ED cases due to psychological issues are more common in young males. In the middle- aged men stress and depression are the most frequent factors affecting sexual ability.
Actually, erectile dysfunction tends to be psychological rather than physical if a person:
• has night and morning erections
• can get a good erection by self-stimulation (masturbation)
Psychological issues causing erection problems include:
• nervous feelings about performing well;
• guilt or fear of failure;
• relationship hardship;
• depressive disorders;
• exhaustion and fatigue.
Still most of ED cases are due to a complex of psychological and physical disorders.
The most important Cialis information
The most essential information a patient should know about Cialis containing Tadalafil represents the safety tips which everyone must follow to avoid serious life-threatening conditions. Doctors prescribing Cialis are obliged to give the full information about the drug and its contraindications. There are special warnings which every Cialis consumer should remember.
Warnings
Cialis (Tadalafil) is not administered to the patients who may potentially have allergic reactions to any ingredients of the drug.
Cialis (Tadalafil) is not allowed to be taken with a nitrate drug for chest pain or heart problems.
Cialis (Tadalafil) should be administered with great caution in patients with vision problems, hearing problems, in those patients who have ever experienced priapism, have had a stroke, heart attack.
Cialis (Tadalafil) is not administered to the patients younger than 18 years of old and to women.
Medications potentially affecting Cialis
Your doctor will ask you if you are taking other drugs before prescribing you Cialis. Tell your doctor about all the medicines you are being treated with, this may include prescription and non-prescription medications, vitamins and food supplements. If you are using any of the following medications, you may need special dose adjustment or tests evaluating how Cialis and any medication from this list interact:
• antidepressants;
• barbiturates;
• heart or blood pressure medications;
• rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, Rifater, Rifamate), rifapentine (Priftin);
• antibiotics – clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole);
• antifungal medications – itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), voriconazole (Vfend);
• antihypertensive drugs and drugs for prostate disorder – alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin), tamsulosin (Flomax);
• HIV or AIDS medications – darunavir (Prezista), efavirenz (Sustiva), etravirine (Intelence), nevirapine (Viramune), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir, Kaletra);
• seizure medications.
It is necessary to make sure that Cialis and medication you are taking do not have contraindications and can be safely taken together. If you need more information, ask your doctor.
Cialis contraindications
Cialis contradicts with medications which can lower blood pressure. Cialis should not be administered with nitrate-based organic medications for heart diseases either they are taken regularly or periodically. The clinical studies of coadministration of Cialis with nitrate containing drugs have demonstrated that Cialis can potentiate the hypotensive effect of nitrate medications. This effect is supposed to result from the combined effect of Cialis and nitrates on the nitric oxide and the production of cyclic GMP which follows a meaningful and dangerous drop in blood pressure.
Cialis is contraindicated in males with hypersensitivity to the main component of the medication Tadalafil. The hypersensitivity events have been reported during post marketing experience of Cialis and included exfoliative dermatitis and Stevens-Johnson syndrome. Though these events happen very rare, such patients are not recommended to use Cialis as a treatment for ED condition.
Uncommon adverse reactions of Tadalafil
Other not common adverse reactions reported during Tadalafil studies and post marketing experiences, occur usually in patients having medical conditions contributing to the development of these rare side effects.
Rare reports of prolonged and painful erections (priapism) were reported for this class of drugs. Priapism condition usually appeared in men with blood cell problems and physical deformity of the penis, so these patients should be carefully examined and in serious cases of other conditions not recommended to take Tadalafil.
Sudden hearing loss or decrease of hearing. This adverse event is not directly associated with Cialis use and may be provoked by other medical conditions.
Cialis like other PDE type 5 inhibitors may rarely affect vision and cause vision changes. Some patients (less than 0.1 %) taking Cialis may experience difficulty in color discrimination (usually blue and green colors).
FDA alerts doctors prescribing Cialis to warn their patients about such serious side effect as sudden vision loss. In case this adverse reaction occurs a patient should stop taking Tadalafil immediately and seek medical help. Several cases of permanent vision loss associated with Cialis use were reported postmarketing, still these events could be the signs of nor-arteritic anterior ischemic optic neuropathy (NAION). The patients who have risk of developing NAION and hereditary degenerative retinal disorders could be affected by vasolidators such as Tadalafil and thus are not recommended to use this medication.