Cialis (tadalafil citrate) Cialis (tadalafil citrate) is one of the three most commonly prescribed treatments for erectile dysfunction (male impotence) that provides for the longest period of efficiency. Cialis is produced by the global pharmaceutical company Eli Lilly and Company located in Indianapolis that conducts clinical research in over 50 countries and has manufacturing plants in 13 countries. Cialis offers every patient taking it the ability to get a firm and rigid erection from the moment he is aroused that will last for as long as needed to complete sexual intercourse. Just with any other erectile dysfunction treatment drugs Cialis is not going to cause an erection to occur by itself – certain sexual stimulation is required. However, due to the physical mechanism of action the man usually requires less stimulation than usual and can achieve a more powerful erection in just seconds. While other ED remedies, such as Viagra and Levitra, offer just up to 4-5 hours of efficiency, with Cialis you can count on up to 36 hours – which is impressive by any standards. With full FDA approval and over 10 years of presence in the market Cialis is getting more and more popular each day, having been dubbed a “weekender” and “weekend pill”. Having 36 hours ahead of you once you have taken the pill gives more room to spontaneity, so you do not run the risk of ruining the evening by trying to speed things up. In addition to that Cialis has been reported to act a lot quicker – for most people it’s 30 minutes while other treatments of the kind have you wait around for 40-60 minutes. But will you really have the possibility to get an erection any time within such a long period? Of course, there are always certain factors that may affect the length of this period, and these include taking certain drugs and having severe kidney disease. Drinking alcohol and taking Cialis, as well as eating a big meal that contains a lot of fat, as well as taking any over-the-counter medications without talking to your doctor first can all decrease the efficiency of Cialis. In order to fully benefit from Cialis there are a number of things one needs to know. Firstly, it’s the drugs that may not be taken simultaneously. The general recommendation is – if you are taking any other medicines when asking your health care provider for a prescription, you need to report any of them to your doctor, no matter if these are prescription or over-the-counter drugs prescribed by other doctors. Here are some of the medicines that you should exercise special care with when taking along with Cialis: antibiotics, isoniazid, antifungals, doxazosin, rifampin, imatinib, any antidepressants, HIV or AIDS medicines, seizure medications and drugs prescribed to treat high blood pressure.

Just like other PDE5 inhibitors Cialis must never be combined with drugs that contain nitrates and can come in a variety of forms, such as patches, ointments, pastes and tablets. Taking these two drugs simultaneously may cause a dangerous drop in blood pressure leading to fainting and in some cases even death. Another factor that should be considered by your doctor when prescribing Cialis is your current health condition. It’s important that you tell your doctor about any of the following health conditions you have ever been diagnosed with to make sure your treatment goes as planned and is not in any way affected by them: chest pain, kidney or liver disease, hypertension or hypotension, blood cell disorder, heart disease, a history of a stroke or a heart attack within the last half a year. Other conditions that may cause concern also include a stomach ulcer, physical deformity of the penis and any pre-existing eye problems, such as retinitis pigmentosa. Patients that were told to refrain from sexual activity for whatever reasons are not supposed to use Cialis and have sex to avoid dangerous health effects.

Cialis comes in tablets containing 2.5 mg, 5 mg, 10 mg and 20 mg of the active ingredient – tadalafil citrate. The usual practice is to prescribe the lowest dosage efficient for the patient, so your health care provider is likely to start you on 5 mg and then can adjust the dosage depending on the response of your body. Do not adjust the dose yourself even if you think it will be efficient – if you have any of the health conditions mentioned above, are taking any medicines from the long list that can be found at your local pharmacy, or if you are simply older than 50, additional tests may be required to establish the safety of a higher dose of Cialis for you. Sudden vision loss is a rarely reported serious side effect of Cialis caused by the decreased blood flow to the optic nerve. It has been established that some people are more likely to get this symptom because they may belong to the risk group. So, in case you are older than 50, smoke or have high blood pressure, diabetes, high cholesterol or heart disease you should be especially careful with taking this medicine. People with a history of eye problems are also more likely to suffer from this side effect.

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