Who can take tadalafil. Most men aged 18 and over can take tadalafil for erectile dysfunction.
Geriatric. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tadalafil in the elderly. However, elderly patients are more sensitive to the effects of this medicine than younger adults.
Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients.
Do not drink excessive amounts of alcohol (eg, 5 or more glasses of wine or 5 or more shots of whiskey) when taking tadalafil. When taken in excess, alcohol can increase your chances of getting a headache or dizziness, increase your heart rate, or lower your blood pressure.
PDE-5 inhibitors are the first-line treatment for erectile dysfunction, even for men in their 30s. These include drugs like sildenafil (generic Viagra, or Viagra), tadalafil (Cialis), and vardenafil (Levitra), for example.
For men in their 20s and 30s, common medical or physical causes include obesity, alcohol use, cigarette smoking, medication side effects, neurological disease, Peyronie's disease (abnormal curvature of the penis) and penile injury.
Viagra and Cialis May Cut Risk of Early Death From Heart Disease by 25 Percent. A large new study shows that men who take erectile dysfunction medication are less likely to experience heart failure, stroke, and heart attack.
Unlike Viagra, for instance, which can work for a few hours after the medication is taken, Tadalafil can be effective for up to 36 hours from just a single dose, according to the National Library of Medicine.
Patients treated daily with tadalafil had 4.1 mm less reduction in stretched penile length (SPL) at the end of 9 months, as compared with placebo-treated men. However, use of a higher dose of the drug on an as-needed basis did not improve penile length compared with placebo.
They found no serious adverse effects to long term use of tadalafil over the course of those two years. But most men will likely plan to take Cialis for more than two years — or at least hope to. And that's where things become ambiguous, because there aren't any long-term studies about adverse effects.
Younger people might do well treated with tadalafil, (Cialis) while older people with other health issues might be better off using sildenafil (Viagra) or vardenafil (Levitra) but more data are needed. The side effects of vardenafil (Levitra) are potentially less than sildenafil (Viagra), but more data are needed.
However, using expired medication is never recommended, and Cialis is no exception. The FDA recommends against using expired over-the-counter or prescription drugs for several reasons: They may be less effective. Over time, the chemicals in medication may break down and become less effective.
Tadalafil is also used in both men and women to treat the symptoms of pulmonary arterial hypertension to improve your ability to exercise. This is high blood pressure that occurs in the main artery that carries blood from the right side of the heart (the ventricle) to the lungs.
Who can take sildenafil. Most men aged 18 and over can take sildenafil for erectile dysfunction.
By controlling the enzyme, tadalafil helps to maintain an erection after the penis is stroked by increasing blood flow to the penis. Without physical action to the penis, such as that occurring during sexual intercourse, tadalafil will not work to cause an erection.
Conclusion: Tadalafil at doses of 5, 10, or 20mg taken as needed up to once daily for 18 to 24 months was safe and well tolerated. These findings support the long-term use of tadalafil in the clinical management of erectile dysfunction.
The reported effectiveness of both Cialis (tadalafil) and Viagra (sildenafil) is similar. Both drugs are equally powerful. Some people prefer Cialis vs. Viagra because of its longer effect (up to 36 hours).
Using them incorrectly — having the wrong dosage or not following instructions — can cause Cialis not to work. Cialis might also fail if your ED is related to psychological issues — performance anxiety, intimacy issues, low self-confidence and depression can all affect your erections.
Poor control of high blood pressure, high cholesterol, poor control of diabetes, and weight gain are some of the common causes of why tadalafil (Cialis) may stop working well. Addressing underlying problems is important not only for sexual health but also for heart health.
That doesn't mean you'll have an erection for more than a day straight. That would be a medical emergency. But you may be able to achieve an erection with the help of Cialis throughout the 36-hour time period. This is one of the reasons some men prefer Cialis: It allows for more spontaneous sexual activity.
The most common side effects with Cialis are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis.
You can have a drink or two when taking Cialis, as long as you drink in moderation. But, remember: While a drink or two won't likely have a negative impact on your health, alcohol can make it harder for you to get an erection.
Do not break or split a Cialis tablet. Swallow it whole. Take the medicine at the same time each day, with or without food.