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Cialis (tadalafil) is a prescription medicine that is used to treat erectile dysfunction (ED). ED is a condition where the penis does not fill with enough blood to harden and expand when you are sexually excited, or when you cannot keep an erection. When a man is sexually aroused, nitric oxide is released into his penis. This triggers a chemical reaction that relaxes the muscles in the penis and allows more blood to flow into it. The increased blood flow fills the corpora cavernosa, making the penis expand. Cialis works by maintaining the level of cGMP in the smooth muscle cells. If you are taking nitrate-containing medicine, do not take Cialis. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas) and nitrates. Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

How should I take Cialis?

Take Cialis exactly as your doctor prescribes. Do not take this medicine in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Cialis can be taken with or without food. Do not break or split a tablet. Swallow it whole. For erectile dysfunction, take Cialis just before sexual activity but not more than once per day. An erection will not occur just by taking a pill. Follow your doctor's instructions. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Cialis. Do not take Cialis more than once a day. Allow 24 hours to pass between doses. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking tadalafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether Cialis is the actual cause of vision loss. Stop taking Cialis and get emergency medical help if you have sudden vision loss. Before taking this medicine. You should not take Cialis if you are allergic to tadalafil. Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure. To make sure Cialis is safe for you, tell your doctor if you have ever had: heart disease or heart rhythm problems; a heart attack or stroke; angina (chest pain), high or low blood pressure; pulmonary hypertension (unless you are taking tadalafil for this); a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a bleeding disorder such as hemophilia; a stomach ulcer; retinitis pigmentosa (an inherited condition of the eye); a physical deformity of the penis (such as Peyronie's disease); or. if you have been told you should not have sexual intercourse for health reasons. Cialis is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

What happens if I miss a dose?

Since Cialis is used as needed, you are not likely to miss a dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of tadalafil can be fatal. Overdose symptoms may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking Cialis?

Avoid drinking alcohol. It can increase your risk of dizziness, headache, fast heartbeat, and low blood pressure. Drinking alcohol with this medicine can cause side effects. Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine. Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension. Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).

Where can I get more information?

Your doctor or pharmacist can provide more information about Cialis. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Cialis only for the indication prescribed.

Disclaimer

This blog post is for informational purposes only, and should not be taken as investment or financial advice. Please consult a financial advisor for specific investment and trading advice.

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