Cialis (Tadalafil)

(℞) Prescription Required

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    Cialis (Tadalafil) Overview

    Tadalafil, more commonly known and sold under the brand name, Cialis, was originally developed by biotechnology company, ICOS, and developed and marketed globally by Lilly ICOS, LLC, a joint collaboration of the ICOS Corporation and Eli Lilly and Company. You can save on brand name and generic Cialis by shopping online at a Canadian pharmacy.

    The drug is used primarily to treat male sexual function problems, specifically erectile dysfunction or impotence, by increasing blood flow to the penis. In combination with sexual stimulation, Cialis helps men to get, and maintain an erection.

    Cialis is also used to treat symptoms of benign prostatic hyperplasia- BPH (enlarged prostate) such as difficulty in the flow of urine, weak stream and the need to urinate frequently or urgently. The drug accomplishes this by relaxing the smooth muscles found in both the prostate and bladder. Cialis is also sold under the moniker, Adcirca, for treatment of pulmonary arterial hypertension (high blood pressure), and in India under the name Tadacip.

    Cialis is a phosphodiesterase type 5 inhibitor (PDE5) used in its ED focus to block the degradation of a specific enzyme, cGMP, on the muscle cells of the corpus cavernosum of the penis. The main difference between Cialis (or generic Cialis) and its main competitors, Viagra, and Levitra, is a distinctly longer half-life of an approximate 17.5 hours, compared to 4-5 hours. This perceived advantage has given Cialis the affectionate nickname as the “Weekend Pill.” PDE5 is also found in the arterial wall of the lungs, hence its use in pulmonary hypertension as well.

     

    Frequently Asked Questions about Cialis & Generic Cialis

    What is Cialis used for?
    • Cialis is used by men to treat erectile dysfunction (ED). ED is when a man cannot get, or keep a hard, erection suitable for sexual activity. Cialis can also help treat the symptoms of benign prostatic hyperplasia (BPH). These symptoms include the need to urinate frequently and feeling like your bladder is always full.
    How does Cialis work?
    • After sexual stimulation, Cialis works by allowing the blood vessels in your penis to relax which increase the blood flow into your penis. This increased blood flow improves erectile function. It is important to note that Cialis only works with sexual stimulation, it does not increase sexual desire alone. Cialis also relaxes muscles of the prostate and bladder, which can help manage BPH.
    Who should not take Cialis?
    • If you are taking any medicine that contains nitrates then you should not take Cialis. Nitrates are often found in prescription medication used in treating chest pain secondary to heart disease. Nitrates combined with Cialis can cause your blood pressure to suddenly fall to a
      life-threatening level. Do not take Cialis if you have had a previous episode of an eye problem called NAION or if you taking Adempas medication.
    What are the dosages for Cialis?
    • Cialis is available in the following strengths: 2.5mg, 5mg, 10mg, and 20mg tablet.  The tablets which are yellow color are in the shape of almonds have the following markings: "C2½, "C5", "C10", or "C20" marked on one side. The active ingredient in each tablet is tadalafil.
    What is the max dosage for Cialis?
    • When taking Cialis for ED it typically is taken as on-demand dosing. You should not take more than the prescribed dose of one Cialis 10mg or 20mg tablet per day.
    What are the common side effects for Cialis?
    • The most common side effects of Cialis include a headache, indigestion, back pain, nasal congestion, muscle aches, facial flushing, and dizziness. If you have an erection which lasts continuously for more than 4 hours, you should contact a doctor immediately. If you experience vision changes, stop taking Cialis and contact your doctor immediately.
    How long does it take for Cialis to work?
    • Cialis can start working within 30 minutes of taking a tablet.
    How long do the effects of Cialis last?
    • You can engage in sexual activity up to 36 hours after taking a tablet. Important to note that the amount of time for Cialis to work varies from person to person.
    Can you take Cialis with food?
    • Cialis can be taken with or without food.
    Can you take Cialis with alcohol?
    • Drinking alcohol may reduce the ability to achieve an erection and could possibly decrease blood pressure.
    Do you need a prescription to buy Cialis?
    • A valid prescription from your doctor is required to buy Cialis.
    Is it safe to order Cialis from a Canadian Pharmacy?
    • When looking to order Cialis from a Canadian Pharmacy you want to assure you are ordering from a safe reputable pharmacy like PricePro Pharmacy.  Be sure the pharmacy requires a prescription and vetted by organizations such as PharmacyChecker for verification purposes. Also, watch for trust signals to make the shopping experience safe such Norton Shopping  Guarantee and SSL secure transactions.
    Are Cialis coupons available?
    • We offer our patients on their first-order a Cialis coupon. You can find Rx coupons at https://www.pricepropharmacy.com/canadian-pharmacy-online-coupons/. Take advantage of this great offer for more savings on your prescription medications.
    Is generic Cialis available?
    • There is a generic Cialis available to order. It is known as Tadalafil and can be ordered here at our Canadian Pharmacy PricePro.
    Are Cialis and Tadalafil the same medication?
    • Correct. Both Cialis and Tadalafil contain the same active ingredient. Cialis is the Brand option and Tadalafil is the generic option.
    Why is there a big price difference between Cialis and Tadalafil?
    • Cialis is more expensive than Tadalafil as the Brand company has done the research and development for the medication and to balance those costs the company sets pricing based on their business model for further R&D for more medications to come through the pipeline. Once the patent expires other manufacturers can make the generic of the brand medication and provide more competitive pricing which in the end give you more options and more savings.
    Is Cialis better than Viagra or Levitra?
    • Cialis, Levitra, and Viagra all belong to a group of medications called PDE-5 inhibitors. They all work by the same mechanism to to treat erectile dysfunction (ED).  Cialis is effective for up 36 hours while Viagra and Levitra are  both effective up to 4 hours. ED treatment effectiveness can vary for men, at times your doctor may switch medications if the desired effects are not found.
    Can you take Cialis once daily?
    • Low-dose Cialis 2.5mg or 5mg are typically taken at the same time every day. While Cialis 10mg or 20mg Cialis are used for on-demand dosing  for treatment of erectile dysfunction.
    How does low-dose Cialis help BPH?
    • Cialis works to relieve symptoms of such as the sensation of not fully emptying the bladder or the frequent need to urinate. These BPH symptoms are treated by Cialis relaxing the muscles in the prostate and bladder. Cialis can be used to treat males who suffer from BPH and erectile dysfunction.

    Cialis Dosage

    This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them, even if their symptoms are the same as yours.

    Usual dose:

    How to Take CIALIS:

    Always take CIALIS exactly as your doctor has instructed you. You should check with your doctor or pharmacist if you are unsure. Do not take a higher dose than the one which your doctor prescribed for you.

    CIALIS tablets are for oral use. Swallow the tablet whole, with some water.

    You may take CIALIS with or without food.

    Alcohol consumption may decrease the ability to attain an erection and may also temporarily decrease blood pressure.

    There are two different ways of taking CIALIS tablets to treat ED: a 20 mg On-Demand dose taken as needed, or a lower 5 mg daily dose. It may take up to up 5 days for CIALIS Once-a-Day to reach steady blood levels.

    For patients with ED:

    • Try sex at different times to find out what works best for you and your partner.

    • CIALIS works only if you are sexually stimulated.

    • If you don't get the results you expect—talk to your doctor or pharmacist.

    CIALIS for “On-Demand” Dosing:

    The recommended dose is one tablet (20 mg) before sexual activity, as needed. You should NOT take more than the prescribed dose of one CIALIS 10 mg or 20 mg tablet per day. The 10 mg and 20 mg doses are not recommended for continuous daily use.

    You can engage in sexual activity within 30 minutes of taking the tablet and up to 36 hours later. The amount of time CIALIS takes to work varies from person to person.

    CIALIS for Once-a-Day Use:

    Treatment of ED: Your doctor may recommend that you take one tablet of CIALIS (5 mg or 2.5 mg) Once-a-Day every day, at approximately the same time each day, regardless of when you are planning to have sex.

    Treatment of BPH and ED/BPH: Your doctor may recommend that you take one tablet of CIALIS 5 mg Once-a-Day every day, at approximately the same time each day.

    Overdose:

    If you have taken more CIALIS than you should, contact your doctor or a Poison Control Centre immediately.

    Cialis Side Effects

     

    If you take Cialis and have chest pain during or after sexual activity, DO NOT use nitrates, and seek immediate medical assistance.

    Common side effects of Cialis may include:

    • Headache
    • Upset stomach
    • Back/muscle pain
    • Stuffy nose
    • Flushing
    • Dizziness/lightheadedness

    Rarely, Cialis can also suddenly decrease vision and even permanent blindness in users with heart disease, diabetes, high cholesterol, high blood pressure, and other eye issues. Cialis also rarely causes a sudden loss or decrease in hearing ability, as well as rashes/hives, itching and swelling, and trouble breathing.

    You should discuss taking Cialis with your doctor prior to use, especially if you happen to have any of the following medical histories:

    • Heart problems (irregular heartbeat, heart attack)
    • Chest pain/angina, and/or heart failure
    • Kidney disease
    • Liver disease
    • High or low blood pressure
    • Dehydration
    • Penis angulation or Peyronie’s disease
    • Conditions that may increase the risk of priapism
    • Bleeding disorders
    • Active stomach ulcers

    Warnings and Precautions

    Before taking CIALIS talk to your doctor if you:

    have or had any of the following conditions:

    • Heart disease or previously had a heart attack: Sexual activity carries a possible risk to patients with heart disease because it puts extra strain on your heart. Before you start any treatment for erectile dysfunction, ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you have chest pains, dizziness or nausea during sex, stop exerting yourself and tell your doctor you have had this problem.

    • Stroke.

    • Low blood pressure or uncontrolled high blood pressure.

    • Liver or kidney problem.

    • Sickle cell anemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), or leukemia (cancer of the blood cells).

    • Peptic ulcer or other bleeding disorders.

    • Deformation of the penis.

    • Ever had severe loss of vision, including a condition called Non-Arteritic Ischemic Optic Neuropathy (NAION). The specific type of vision decrease or loss known as NAION has been reported rarely after the intake of CIALIS or other PDE5 inhibitors. Vision decrease or loss may be partial or complete, in one or very occasionally in both eyes. While in some cases the condition may improve over time, it can also be irreversible. If you are taking CIALIS and experience temporary or permanent loss or change in vision, stop taking CIALIS and call your doctor.

    • Hearing problems: Sudden decrease or loss of hearing has been reported with the use of PDE5 inhibitors, including CIALIS, although it is not known if it is due to drug or other factors.

    • Lactose or milk sugar intolerance: CIALIS contains a small amount of lactose (about 250 mg).

    • CIALIS is not recommended to be used in combination with alpha-blockers if you have symptoms of BPH.

    • CIALIS does not protect against sexually transmitted diseases including HIV/AIDS.

    • Long-term studies have shown that CIALIS therapy may decrease sperm concentration in some men. The effect on fertility in men is unknown.

    • CIALIS is not intended for use by women or by children under 18 years of age.

    When CIALIS is used for the treatment of erectile dysfunction, diarrhea was reported more frequently in patients 65 years of age and older (2.5% of patients).

    Only your doctor can decide if CIALIS is right for you. If you have ED, you will need to have a physical examination to diagnose your erectile dysfunction and to find out if you can take CIALIS alone or with your other medicines. If you have urinary problems, you will need to have a physical examination to diagnose your BPH and not a more serious condition such as prostate cancer.

    Interactions with this medication

    Tell your doctor or pharmacist if you are taking or have recently taken any other medicine, including the medicine you can buy without prescription and natural health products.

    Drugs that may interact with CIALIS include:

    • nitrates (see previous section)

    • rifampin (an antibacterial product used against tuberculosis)

    • ketoconazole or itraconazole (used against fungal infections)

    • erythromycin (an antibacterial product)

    • protease inhibitors such as ritonavir and saquinavir (HIV treatments).

    You should not use CIALIS together with any other treatments for erectile dysfunction or PDE5 inhibitors for treatment of pulmonary arterial hypertension (PAH), such as ADCIRCA (tadalafil) or REVATIO (sildenafil).

    Tell your doctor if you are taking:

    • medicines to treat high blood pressure

    • alpha-blockers (such as doxazosin) for the treatment of prostate problems.

    The combination of these medicines with CIALIS may add to the blood-pressure-lowering effect of these drugs.

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    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.