Cialis reviews

2Sex is a vital part of my life, it brings me delight and I feel self-confident when I can have normal sexual activity.

Today with Cialis having sex is not a problem for me.

But some time ago, I used to lose erections or sometimes I was not able to get an erection. The shock – this is the word which can describe my state.

I was really crushed with erectile malfunction. Everything improved when I consumed Cialis 10 mg for the first time. I felt as if I was young again and nothing spoiled it.

With Cialis I have strong erections and it works during 35-36 hours in me. This is a great medicine, worth trying, especially when you buy this medicine online in a generic form. Joshua, 47 years old

Cialis 10 mg is my story of success in dealing with impotence. Viagra was also helpful, but it causes headaches for me and I had to switch to Cialis.

Erections are solid, sustainable for longer sex. 3Cialis is a great choice for me because its effect lasts for about 36 hours and I can have several erections during two days and nights. Anthony, 52 years of age

I am a 63 year old man without any serious health problems.

I have been using Cialis 20 mg for 6 months now. I use it before having sex, it is powerful and I am very contented with the treatment.

Sometimes Cialis makes me dizzy, but this is the only unpleasant thing about it. So I’m going to continue using it.

My dose is 20 mg. It gives me strong erections for about 2 days. I feel happy when I know that I will use this medicine. Luis, 63

4I take Cialis 10 mg and have strongest erections.

I am able to last longer and can keep my erection easily.

The medicine does not cause any side effects for me.

I usually take my pill 25 min before sex and with little stimulation get firm erection.

Our sex life has become juicier and my wife is enthusiastic for sex more than ever! Gabriel, 49 y.a

Cialis gives superb erections and works for around 2 days after taking a 10mg pill.

I have premature ejaculations and use Dapoxetine for it. So I was concerned about using Cialis, but my doc ensured me that these medicines could be taken together.

I use Cialis 10 mg and Dapoxetine 60 mg and have long sex. I notice no side effects or any health consequences. Thanks, for this wonderful medicine. Chris, 45 years of age

Cialis valuable information

§ Cialis indications

cialisCialis is indicated for the treatment of the following conditions:
Erectile Dysfunction

Benign Prostatic Hyperplasia

Erectile Dysfunction and Benign Prostatic Hyperplasia

§ Limitation of Cialis use

Cialis can have certain limitations of its application in some groups of patients or under some circumstances.

The use of this medicine is not recommended if:
• A patient experiences any serious side effect;
• There is a higher risk for health side effect than potential benefit;
• A patient uses other medicines interacting with Cialis;
• A patient has other unrelated health disorders which can influence the way Cialis works in the body.

Cialis can be prescribed together with finasteride for the treatment of BPH. In this case the treatment with Cialis should not exceed the period of 26 weeks.

Patients with allergic reactions to Tadalafil should not use Cialis for any medical

§ Cialis contraindications

Tadalafil must not be mixed with nitroglycerin (Nitro Dur, Nitrolingual, Nitrostat, Transderm Nitro), isosorbide dinitrate (Dilatrate, Isordil, Isochron), isosorbide mononitrate (Imdur, ISMO, Monoket), or other medicines containing nitrates and used for heart disease management.

Tadalafil is contraindicated for patients who have previously experienced serious or life-threatening side effects caused by this medicine.

Cialis is not used in patients who can be more sensitive to its effects and in patients who are at higher risk for priapism, vision loss or hearing loss and other serious side effects associated with Cialis use.

§ Cialis use with food

As different tests prove Cialis is not influenced by food intake.

A man can use this medicine with or without meals.

What refers to alcohol intake, Cialis is not recommended to be taken with large amounts of any alcohol. Side effects of this mix may occur.

§ Cialis use in some categories of men

Men who have some conditions should be more careful when using Cialis. It concerns men with kidney or liver problem, heart conditions, men older than 60-65 years of age.

Men who use alpha-blockers and CYP3A4 inhibitors should not start the treatment with Cialis until they complete the cause of these medicines.

Generics for ED treatment

Unfortunately ED is becoming a part of the ageing process in many men nowadays. This sex health condition brings inability to have erections and normal sexual intimacy. generic

Men who experience ED have a variety of treatment choices. One of the best and simplest ways is to apply oral meds called PDE-5 inhibitors. These meds correct the improper blood flow to the penile region and thus improve ED.

generics1The best known anti-ED medicines are Cialis, Viagra and Levitra. However, their generic versions get a great popularity among men. For most males the treatment with brands is very expensive.

Generics offer a reliable and affordable treatment for impotence.
Such medicines as Tadacip, Tadalis, Forzest and generic Cialis contain the same element Tadalafil which is found in the brand Cialis. These meds differ in their color, shape, doses, but the principle of their action remains the same – to improve blood flow to the penis.

The inhibition of the enzyme PDE type 5 is the basic principle of Tadalafil work. When a man uses Tadalafil and gets stimulation to his male organ, the medicine begins its work. It increases the flow of the blood to the penis by stimulating the increase of the nitric oxide and inducing the process of relaxation of the blood vessels which surround the penis.generic cialis

The whole working mechanism of Tadalafil involves several complex processes. The medicine is smart to trigger the erectile process naturally and freely.

Generic medications offer the same effects of Tadalafil as the brand medicine Cialis. They are created to help men and foster them to have a simple and safe treatment.

Men rely on these generic copies of Cialis as they are produced by giants in pharmaceutical industry. All manufacturers of generics have license to produce the medical product and approval form from the authorities.

The one big difference between generic medicines and brands is, of course, the price. A man can buy supreme quality medicine at a reasonable price and buy it regularly for the treatment of impotence.

Generics really revolutionized the market of medicines and make it possible for every man to receive an adequate and high quality treatment.

What is the working mechanism of Cialis?

In men who experience erectile dysfunction, the blood flow to the penis is not adequate. They need a special treatment which will provide normal blood stream and filling of the penile organ. Tadalafil, in the composition of Cialis, is designed to stimulate the blood flow to the penis and thus provide an erection.
Tadalafil is an oral PDE-5 inhibitor. It means that this medicine stops or prevents the actions of PDE in the penis. PDE-5 is and enzyme which normally controls and regulates the presence of the other chemical known as cGMP. This chemical helps to relax the muscles and make the blood vessels to open and allow more blood flowing through them. Sometimes, PDE-5 amount gets greater than needed in the penile region and it starts to reduce the amount of cGMP. Tadalafil helps in such situation. Upon sexual stimulation, which is required for normal process of erection, Tadalafil helps to diminish the PDE-5 action and increase the amount of cGMP.

When it happens, more blood starts to flow through the blood vessels to the penis. The blood gets trapped within the penis to create an erection. Once a man reaches an orgasm, the extra blood leaves the penis and an erection goes away.
Besides the treatment for erectile dysfunction, Tadalafil is approved to relieve the symptoms of benign prostatic hyperplasia. The medicine is used to inhibit the PDE-5 which is also found in the prostate tissue. Still the precise mechanism of action of Tadalafil for this purpose is not known.
It was clinically proven, that Tadalafil works mostly for the PDE type 5. Still in higher doses than recommended, this medicine may also affect other PDE enzymes.

Cialis will help you in overcoming ED

The various reasons can lead to ED problem in a man. These reasons can be physiologic, psychological issues, drug or alcohol abuse and others. Doctors also consider the process of getting older one of the reasons behind erectile dysfunction as a man gets older, he experiences certain changes in his body. To cope with ED doctors recommend start with a health program aimed at general improvement of a health condition – lowering blood pressure, adopting a health diet and regular physical activity, reducing fat and sugar in meals consumed, quitting smoking and others things. cialis
All these things will naturally help a person to move on the way to better health, but they cannot be enough for ED treatment. Doctors regard oral ED medicines as the first-line therapies to cope with a problem. These medicines are assigned to treat poor erections and inability to have erections which men often experience with ED problem.
One of the most powerful oral ED problems is certainly Cialis (Tadalafil). This medicine was introduced to the market soon after Viagra and Levitra and started to compete for the first place concerning popularity and safety concept.
Cialis ads are very convincing, they say that this medicine is very effective and can work for more than 35 hours. The medicine is really very effective – according to the trials of the medicine, Cialis works for most men, producing significant improvements in erectile dysfunction in comparison with placebo and other oral ED drugs.
Cialis offers a lot of advantages to men: the longest period of action – up to 36 hours, quick onset of action – within 30 minutes post oral use, limited side effects, handy way of use –by mouth, possibility to use the medicine daily and as needed, option to use the medicine by men who have ED and benign prostatic hyperplasia (BPH).
Choosing Cialis for the treatment of ED men get the best medicine which complies with high standards of quality and safety. Several clinical studies have confirmed that Cialis in therapeutic doses does not cause any serious side effects and can be safely used by most men.
The pharmaceutical market is flooded with different oral ED drugs, brands and generics, but men prefer reliable and sure Cialis. This medicine can be obtained from many online stores and in regular chemist’s shops. Both brand and generic versions of the medicine are worth buying- they contain the same substance Tadalafil. Still generics are more attractive for men who cannot afford to pay for expensive brand. Generic medicine gives the same treatment opportunity at much lower price. Before a man intends to order Cialis, he should discuss with his doctor the way of use of the medicine, the dose, and the possible side effects.

What should you know about Cialis dosage

The manufacturer of Cialis pills makes the dosage variety very convenient for the patients concerned.
As the dose of Cialis is different for different patients, each man should consult a doctor before using this medicine. Still it is more common to use Cialis 10 mg as needed for most men.cialis
The use on the daily basis is suitable for almost all men. The doses of 10 mg and 20 mg (more powerful) are available for the use as needed. You just take a pill 30 minutes before sexual activity.
Some patients are advised to use smaller doses of this medicine. This may be due to other health reasons, age, and increased sensitivity to the action of Cialis. However, such patients will have the same strong effect of Cialis use as they usually take the pills every day but in smaller doses. The dose of Cialis for the daily use is from 2.5 to 5 mg. This method of use allows a man to be sexually ready any time a day and night. Besides the smaller doses practically eliminate the risks of side effects of Cialis which are more common with higher doses of the medicine.
If your doctor prescribes you the other way of Cialis usage, follow his advice and recommendations.
Cialis is also used for the treatment of BPH (benign prostatic hyperplasia), a disease of frequent occurrence among older men.
For treatment of benign prostatic hyperplasia Cialis is used daily in the doses of 5 mg providing men with benefits in the treatment of two conditions (which commonly occur contemporaneously.
If you need more information about Cialis dosage or still have questions on how to apply this medicine, be sure to make an appointment at your doctor.

Recommendation of men

6I appraise this drug with 9 of 10 possible points only because of its high price. Even the insurance cannot cover much of it. I have experimented with dose 20mg, 10mg and multiple doses of the 5mg.

I have never had side effects worth to speak about but lots of fun. Don’t worry about you won’t be able to perform. The only thing failed with me – I didn’t have the desire to “hold hands” like the ads promises :) Beside of it everything was top-notch!

I have tried Cialis and it works great for me. Previously I have used Viagra for some time, but after taking Viagra 50 mg I had to rush to engage into sex because it works only during 4 hours after taking as the manufacturer said.8

Besides, I noticed that Viagra became ineffective just within 2 hours after I took it. With Cialis I can perform as long as I wish and I can plan the romantic dinner with my wife and have some foreplay. I have several erections within 2 days with Cialis 10 mg and they are as hard as rock. I recommend this product because I have tried different and this is the best from all. Luke, 47 years of age.

I use Cialis 10 mg and my wife says that she is absolutely satisfied with me. I can get hard-on after 25 minutes after I take a pill of Cialis. I can eat and drink when I take a pill. Cialis stays in me for about 30 hours and it is long enough for having sex several times. Jordan, 52 years.

9Cialis works every time I consume it. No lost erections, no failures, no delays. I just use one pill and wait for about half an hour, then have little sexual stimulation and get an erection. I can have better love and last longer. No other drug was able to give me such results. Alan, 58 years of age.

I’m 46. I start to see that my erections are not good and sometimes are insufficient for having penetration and having sex. My wife has complained that she cannot reach orgasm because of my imperfection.

I have known that it is erectile dysfunction and decided to use Cialis for the symptoms to improve. Cialis acts very good in me, I can get strong erections and they remain strong during sex.
I feel no more fear or frustration about impotence problem. I’m quite sure in my erections because I use Cialis. My dose is 10 mg of this medicine. Rick, 46

No erection was frustrating for me and I could not even sleep at night. I went to my physician and he suggested using Cialis 20 mg.7

First time I use it, Cialis worked perfectly. Stiff erection and continuous sex were granted to me by Cialis. I had round 2 and then 3 and then morning sex with my wife.

I think that this drug turns a man in a sex machine being able to make love all days long. Thanks for this medicine, I really enjoy my life now! Steven, 51 years of age

ED Factors

2Conditions that cause erectile dysfunction usually are:

  • overweight
  • smoking
  • high blood pressure
  • high cholesterol level of blood
  • sedentary life style and lack of sports
  • diabetes
  • metabolic syndrome

The usual reasons of ED

ED can appear due to different conditions. The conditions may be as emotional or physical stress as well.

Physical reasons mean squeezing of blood veins of the penis because of the high cholesterol level in blood, high blood pressure,or diabetes problems. Penis surgery or traumatic cases as well any hormonal diseases may result in ED.

10The emotional stress for example depression, high anxiety or even problems between the partners also cause the appearance of ED.

Types of impotence

Impotence or Erectile Dysfunction shortly called ED is described by health experts as a sexual disorder of men that makes them unable to fulfill sexual act due to inappropriate erections. Lots of men in the world encounter this problem and have to find the treatment, which will suit them best of all.

The inadequate blood supply to the penis leads to shorter penile erection or flabby erection which cannot last as long as sexual intercourse.

The problem of erectile dysfunction becomes younger meaning that it strikes more and more young men. Normally the treatment is everlasting, except the cases when impotence is related to stress or other emotional disturbance or discomfort resulting in temporary problem.11

Still, men should be in the know that this problem is well treatable and there are sure methods of coping with bad erections.

Physicians and other health experts divide impotence in several different types with respect to the underlying cause of this condition. It is vital to understand the reason behind the impotence problem to get the proper treatment and have the positive results.

Erectile dysfunction caused by vein leakage is the type of impotence often found in older males. The veins get completely blocked and prevent normal erectile function. This type of impotence is characterized by erection which do not last long and fade soon after a man gets the erection.

12Erectile dysfunction, caused by blocked or narrowed arteries supplying the penis with blood, is found in men with diabetes, heart disease, atherosclerosis and other diseases which restrict or somehow limit the flow of blood to the penis.

Impotence produced by nerve damage is called neurogenic ED. This type of condition is hard to treat because of the injured nerves coming from the penis to the brain. It may happen when a man has a trauma to the penis, has undergone the prostate surgery or has a brain injury.

One of the most common types of impotence in men is so-called diabetic impotence which occurs in men who are diabetic. The uncontrolled sugar levels in such men can increase the risk of improper sexual functioning.

Emotional type of impotence is found in men of different ages and is caused by different psychological conditions such as depression, stresses, anxiety and others. This type of impotence is usually most easily treated.13

Without regard to the type of impotence there are effective treatments available today on the market. Cialis is one of such medicines which can be applied mostly in all cases of impotence.

Its use should be regulated by a physician who cares about your health or urologist. Sometimes the consultations of other doctors are needed to put the right diagnosis and adjust the correct dose of this medicine.

Cialis proper use

Before using Cialis visit your doctor to determine the right dose of this medicine. For different conditions there are different doses of this medicine prescribed. Cialis is used to treat ED and BPH. The dose depends also on the way of using this medicine. There are two possible ways: on demand or daily.
Use the dose prescribed by your doctor or the lowest effective one if you order Cialis online without prescription.proper use
Use only one dose in 24 hours. You can use this medicine once in two days due to its long-lasting action up to 36 hours.
Cialis pill can be taken with or without food.
Do not use Cialis with other methods of treatment for ED. Do not combine Cialis with drugs affecting Tadalafil or interacting with it.
Be sexually stimulated when you use Cialis. Keep in mind that this medicine works only when you are sexually excited. Otherwise you will not be able to get an erection.
Stop using this medicine if any serious side effect occurs.
Store the medicine out of reach of others.

Where can I buy Cialis?

Though this medicine is available only with a doctor’s prescription it can be bought without any. A variety of trustworthy web sources provide the full information about the drug, its use, dosage, side effects, administration and interactions and sell the product without prescription.generic cialis
A prescription of your doctor is needed if you buy brand medication in your local pharmacy. Brands are sold with prescription and cost higher price than their generic analogues.
When you buy generic Cialis online without prescription you do not have to visit your doctor. Still it never hurts to consult a medical professional, especially if you have other health problems or if you use other medications.
Before making an order online, be sure that the site from which you want to buy is licensed and trusted by other customers. More information about the source will help you to make the right choice and not regret about it.

I recommend Cialis!

iCAB4G2CWHere I want to tell all patients who want to try Cialis, how I took this drug. I recommend to you before taking it visit a doctor and ask him about side effects and tell him about your condition of health.

When I bought it, I read all information and followed the directions on medicine’s prescription label and recommendation of my urologist.

I always use it with water and I never split or break pill.

I take it only once per day and recommend you doing this.
I say thanks for this drug!

5I’m a man of mature age and want to share my experience with Cialis treatment. It is impossible for me to perform badly in bed. So when I first saw that my erections was terrible, I decided to take preventative measures and cope with the situation right away.

I went to my physician and told him about my flabby erections. He examined me and adjusted some lab test. I also was directed to the urologist. When they put the final diagnosis, I was prescribed Cialis 10 mg initially. I took this medicine and it functioned great in me from the first time. Now I use the medicine as needed and do not think I should increase the dose.

Cialis 10 mg is making its job perfectly. I take it before having sex, usually 25 minutes is enough for me to see the results. I stimulate myself, sometimes my wife helps me.8

Just within 25 minutes I obtain the hard erection and can engage in lovemaking. We have love as long as we want. It depends on our mood and situation. All the time we have sex, my erection is sustainable and rigid as if I’m 18 years young.

After climaxing, my erection slowly gets down. What I like most of all, is that Cialis works predictably sure. I am absolutely confident in the results, in my erection. Cialis works for long time, so we can plan a romantic dinner or have some foreplay.

I never hasten to start sex. I can plan or be spontaneous. I see the right moment and it is excellent with Cialis. Actually the medicine stays in my body for about 2 days. I can have several erections and we make love two or three times during Cialis working hours.

7With Cialis I have recalled what morning sex is and can have morning erection without any stimulation.

My doctor suggested using Cialis 10 mg once a week and I decided to do it on Friday before weekend. This is the most anticipated time for me and my wife because we are having delight, we enjoy being together and experience great pleasure emotionally and physically.

I certainly continue using this splendid medicine. I think that men who have similar problems should try it. I recommend it as I have excellent personal experience with Cialis 10 mg. Men, who will use it, should of course follow doctor’s advice.

Buy Cialis Online

iCA73EC08Today there are many patients all over the world who have impotence. This problem affects their sexual ability.

If man notices that he starts to have impotence, he must call his Dr.. A doctor can recommend  a treatment with Cialis.

Many men buy this medicine online.  This way is clear when you compare Cialis price to the price of a special surgery.

Our online pharmacy can guarantee the quality of  Cialis.  At the same time, any patient who buys Cialis 20 mg from pharmacy online, pays less than he would have to pay for the same quantity of Cialis 10 mg at your local pharmacy. We offer bonuses to our customers and  have regular Cialis sales.

10According to statistics about half of men buy the prescription medicines for erectile dysfunction treatment online. And with all respect to the people who gather statistical data on this problem, they are most probably mistaken with the exact number of men shopping for the medicines online.

The reasons to shop online often have to do with comfort of buying from home. There is no need to visit a doctor and wait for prescription being filled, there is no need to go to the local pharmacy and suffer from the fear to be seen or recognized by acquaintances.

And with most of the oral medicines prescribed for ED treatment, including Cialis, a man needs a prescription of a doctor to buy it from the local pharmacy. Online shops do not require the prescription.

As there is no need for all these things and shopping from home can keep their problem secret and private, more and more men prefer buying medicines like Cialis online.11

The numerous online resources offer prescription medications at lower prices. Choosing the trustworthy resource selling high-quality drugs a man gets the opportunity to receive the prescription medicine at a reasonable (often lower) price.

The privacy of the personal information is greatly respected in online pharmacies. No one will be in the know about your personal problem. Men feel more confident buying from online pharmacies as they avoid unpleasant meeting with a doctor or pharmacist or other people watching what he is buying in the local pharmacy.

13Besides, online shops are working long hours, sometimes providing their help 24/7. Usually the services offered are very friendly and one can have online consultation as well as getting all the needed information.

In some of the countries the availability of Cialis is strictly regulated by the law and some men cannot buy it in local pharmacies. For them the great option is to order this medicine online and have it delivered just to the doors.

Online shopping allows comparing prices on different online pharmacies. The pricing tools available on some resources provide quick and accurate information about the prices for Cialis in various online stores. You simply learn the prices and buy the medicine at the best price.

Consumers have a great desire to learn more about the drugs they are using. If you want to know more about Cialis, online stores offer the most precise information about it. Sometimes it is easier to get this information from online resource than asking your doctor.

12Online consultations are created to answer the client’s questions and give advice for those men who do not want to visit their doctors. Trusted online pharmacies offer professional medical consultation of licensed doctors and pharmacists.

It is more convenient and less stressful to ask questions online and get the opinion of online doctor than going to the doctor’s office. Of course, men who need lab tests or other procedures requiring body examination and other things, should visit a doctor and talk to him in person.

Online pharmacies send the medicines like Cialis to different parts of the world. Millions of men order this medicine online. They can be sure in the quality of the medicine, privacy of their personal data and security of online shopping.

Cialis indications

A vasodilating agent Tadalafil as a main component in Cialis belongs to a drug class of selective phosphodiesterase (PDE) type 5 inhibitors. PDE type 5 inhibitors are effectively used in the treatment of erectile dysfunction in men.

Cialis prevents an enzyme PDE -5 from working in the penis. The medication improves the blood flow in the penis with sexual stimulation which is necessary for the erection can occur.

The other approved use of Cialis is to relieve the signs and symptoms of benign prostatic hyperplasia (BPH). This condition is characterized by the enlargement of the prostate gland. The common symptoms of BPH are urinating problem, a decreased flow of urination, a sudden urge to urinate. Cialis improves the condition and helps to avoid prostate surgery.

If a man suffers from both conditions (erectile dysfunction and BPH) which is common in men of mature age, Cialis is the best method of treatment.

Cialis makes your sexual life wonderful

Cialis is one of the most trusted erectile pills in the globe. Everyday millions of men order or buy Cialis for their erectile needs. All the burden of your sexual failures will be thrown away if you try this powerful medication.cialis

Every man, who ever had problems with erections knows this distressing feeling of his own inability to perform in bed. It often causes great worries and fears about erections and failures to satisfy a partner.

Men with this problem often feel confusion about the situation itself, the discussion of the problem with a doctor and the treatment. Still, there is a solution – Erectile Dysfunction is well treated by oral medications from the drug class of PDE type 5 inhibitors. Cialis is one of such medications, the impotence agent number one for men who want to make their sexual life filled and satisfied.

Cialis contains the active ingredient Tadalafil to stop the action of the enzyme PDE5 that affects erectile function. Cialis activates within 15-30 minutes after use and relaxes muscles of the penis. An increased flow of blood comes into the penile tissues and a man experiences an erection. Cialis works even in severe cases of erectile dysfunction, when a person cannot get at all an erection. The medication is produced in different doses and dose forms. Before using it, any man should consult a doctor to be sure that this impotence agent is safe for him.

Cialis works for the longest period of time if compared with other oral ED medications. Its action lasts for more than 36 hours! So, a man can take only one pill in two days for having wonderful love-making time.

If you have never tried Cialis for your erectile problem, do not waste your time. Cialis will surely help you and your partner to feel marvelous sexual life.

Important information

Do not take this drug:

-if  you are allergic to components of Cialis, or

-if you are taking a nitrate medicine for chest pain or heart problemssuch as Nitrolingual,Nitro Dur,Transderm Nitro,Nitrostat (nitroglycerin),Dilatrate,  Isochron, Isordil (isosorbide dinitrate), ISMO,Imdur(isosorbide mononitrate ), or recreational medicines such as nitrite (“poppers”) or amyl nitrate.

Cialis contraindications

The first the most important contraindication related to Cialis application is the prohibition of Cialis use with nitrates. If Cialis is co-administered with Cialis in any dose, the interaction of dangerous character may happen.6

The risk is very high and of great potential to result in side effects such as severe dizziness, fainting, very low blood pressure level, heart conditions and others. As both medications possess high hypotensive effect, the concomitant use of these medicines is not possible and very dangerous for health of an individual.

Clinical studies have proven the assumption of interaction of Cialis and a nitrate medicine. The expected risk is so high, that doctors and other health experts as well as the manufacturers of oral PDE-5 inhibitors say about strong prohibition of concomitant usage of these medicines.

Individual hypersensitivity reactions

7Among the contraindications of Cialis there is the use of this medicine in individuals with a known or suspected hypersensitivity to the main component Tadalafil.

Serious reactions to the use of Tadalafil were observed in some men. Such events as Stevens-Johnson syndrome, dermatitis, allergies of different kinds, and anaphylactic shock are possible in a few of individuals.

The men, with increased body answer to the therapy with Tadalafil, should discontinue using Cialis medicine and try other options.

Other warnings and precautions related to Cialis use

Before application of Cialis in the available dosages, there is a strong necessity for thorough evaluation of general health of a patient. It is done to find out any potential risks of the treatment, the reasons of ED or enlarged prostate, possibility of Cialis use and the dosage suitable for each patient.8

Special attention should be paid for the cardiovascular status of a patient. Severe or chronic heart disorders of certain types can be the reasons for rejecting the treatment with oral PDE-5 inhibitors including Cialis.

Other serious health conditions of the body organs and systems should be taken into consideration before the treatment with Tadalafil.

The dosage is chosen with respect to the ED cause, ED severity, general health state of a patient and should not be larger than 20 mg of Tadalafil per 24 hours.

If a patient has certain concerns about his health, he should ask a doctor about perspective of Cialis treatment, especially the safety matter.

Cialis with other drugs

Ask your doctor: “Can you take Cialis or no?”, if you take the next medicine:

• rifabutin (Mycobutin),

•rifampin (Rifater,Rimactane, Rifamate,Rifadin), or

•rifapentine (Priftin);

• an antibiotic such as telithromycin (Ketek); clarithromycin (Biaxin),or erythromycin ( EryPed,E.E.S.,Erythrocin, Pediazole, Ery-Tab ),

• antifungal medication such as miconazole (Oravig), ketoconazole (Nizoral), or voriconazole (Vfend), itraconazole (Sporanox);

• an antidepressant such as nefazodone;

• a barbiturate such as phenobarbital (Solfoton);

• AIDS or HIV drugs such as ritonavir (Kaletra,Norvir),  efavirenz (Sustiva), etravirine (Intelence), indinavir (Crixivan), nevirapine (Viramune), fosamprenavir (Lexiva),darunavir (Prezista), and others; or

• medicine to treat a prostate disorder or high blood pressure , such as  prazosin (Minipress),  doxazosin (Cardura),terazosin (Hytrin), tamsulosin (Flomax),alfuzosin (Uroxatral),

•  blood pressure or heart drugs such as diltiazem  nicardipine (Cardene), (Tiazac, Dilacor, Cardizem),verapamil (Covera,Calan, Verelan, Isoptin, );quinidine (Quin-G), or

• seizure drugs such as phenytoin (Dilantin),carbamazepine (Equetro,Carbatrol,  Tegretol),  and others.


Uncommon but serious side effects of Cialis

In rare instances, patients who take Cialis reported a sudden loss of hearing or vision and decreased vision and hearing (sometimes with dizziness or ringing in the ears).

Call your doctor if you want to determine if these events are related directly to other factors or to the ED tablets.

Stop taking Cialis, if you have a sudden loss of hearing or vision decrease. Call your doctor right away, if you continue having any problems.

Priapism or prolonged erection

Priapism or prolonged and painful erection is a rare case of side effect associated with Cialis use. Such prolonged erections happen in men who have blood cell disorders like sickle anemia, multiple myeloma (hematological malignant neoplasm of the bone marrow), different anatomical abnormalities of the penis, Peyronie’s disease and other disorders.9

Though priapism is a very rare condition, it is extremely serious and can result in very dangerous health state, complete erectile dysfunction and even necrosis of the penile tissues.

Being dangerous condition priapism demands ambulance assistance. Prolonged erections greater than 6 hours are accompanied with severe pain and eventually complete failure to have erections.

Commonly doctors ask their patients about the previous cases of priapism or having risk factors for this condition. For the patients who have previously had priapism, the use of Cialis is contraindicated.

Cialis vision side effects

The reports of men who have vision side effects related to Cialis treatment are few and not proved to be directly associated with the use of Tadalafil.

eye examDoctors still advise their patients about the possibility of Cialis vision side effects including vision change, sudden decrease of vision, blurred vision or even sudden impermanent loss of vision in both eyes.

The loss of vision and other vision side effects may be linked to the ability of PDE-5 inhibitors to affect the sensitive retina of some patients. So, the patients who have eye problems, eye conditions may be more prone or sensitive to Cialis effects including its ability to influence the retina and underlying tissues in the eye.

Health experts consider Cialis to be safe for patients who are generally healthy. Patients with serious eye conditions may need special consultation of their ophthalmologist before using Cialis or other oral ED drugs.

Cialis hearing side effects

Manufacturer of Cialis and health experts advise individuals to stop taking Cialis and get immediate medical help in cases of decrease of hearing or sudden hearing loss.hearing loss

Such cases should not be neglected by the patients even if they disappear within several hours after taking a pill. The hearing side effects associated with Cialis treatment are very rare and happen in men who are sensitive to the therapy with Tadalafil. It is not possible to determine that Cialis is 100% is responsible for this side effect in a patient.

Doctors suggest that patients, who have experienced sudden decrease of hearing or vision related to Cialis use, should discontinue the treatment with this medicine and have a thorough medical examination.

Other cases of Cialis side effects may include the dermatitis (skin reaction), allergic reactions. The medicine is usually well tolerated, so the severe side effects are extremely rare in the majority of men.

Possible Side Effects

3The next list of side effects of Cialis contains the most common: muscle aches, headache, back pain, indigestion, flushing and runny or stuffy nose. These side effects usually go away after a few hours.

Men who get muscle aches or back pain usually get it twelve to twenty four hours after taking this drug. It is necessary to know that these problems go away within two days.

Cialis treatment for ED

Erectile dysfunction symptoms can be minor to severe developed and faced by individuals in a different form. Sometimes simply a very stressful situation may discompose a man so he becomes upset and agitated, this can result in failure to get an erection. If this happens rarely, it is not a symptom of erectile dysfunction. But if this lasts or persists, a man needs a physician’s consultation to identify the problem.2

The drugs used for the treatment of ED symptoms and their doses are adjusted by a medical professional who can evaluate a man’s health and weight all the risks and benefits of the treatment.

The dose chosen for the therapy of each individual depends on the hardness of impotence and general health state of a person.

Cialis medicine in form of tablets treats ED very efficiently. The main component Tadalafil produces the positive effect within 25-30 minutes after taking a pill and can last in the body of a person for 36 hours.

4The doses are taken as prescribed by the physician who evaluates the state of impotence and other conditions a person may have.

Those, who face problem of taking hard tablets, can benefit from using other forms of Cialis such as gels or jellies or soft pills. These are generic forms of this medicine and all of them contain Tadalafil. The medicines in the form of the jelly dissolve faster in blood and begin their work even faster as compared to hard pills.

Possible side effects of Cialis

As any other medicine Cialis can produce the negative effects along with the positive ones. Fortunately the negative or side effects of this medicine happen not so often and can be avoided by dose correction.
Among the most common side effects reported by men who use Cialis there are:
• Pain in the muscles;
• Pain in the back;
• Headache;
• Digestive problem;
• Nausea;
• Dizziness.

Some men also report skin reactions, flushing or redness of the face, neck or chest, coughing, nasal congestion and some other common cold symptoms.

How to avoid side effects of Cialis?

The side effects of Cialis can be escaped from if a person strictly follows the prescription plan or recommendations of a doctor. 5The proper use of Cialis guarantees the safe treatment. Unsafe taking means that a person takes larger doses, takes the doses too frequently or takes Cialis even if he is recommended to avoid using it.

In some men (very little percent) Cialis may cause serious side effects due to the underlying diseases of the eyes, the penis and some others. In some men the hypersensitive reactions to Cialis treatment may be too intense and dangerous for health. Of course, such men should not use this medicine and ask their doctor about other possible treatments.

Before Taking CIALIS

This medicine is not right for everyone. Because if you want to start take Cialis call you health care provider and consult with him. The very important tell your doctor if you have problems with your heart . Don’t star to take  this drug if your doctor has told you not to have sexual activity because of your problems. Also ask your doctor: ” Can you to take Cialis or no?”, if you have the next problems:

•have high blood pressure that is not controlled or low or high  blood pressure or

•heart problems such as heart failure, chest pain (angina), have had a heart attack,irregular heartbeats, or


•liver problems

•retinitis pigmentosa,

•require dialysis,kidney problems or

•severe vision loss

•a deformed penis shape

•Peyronie’s disease

•a bleeding problem•stomach ulcers

•blood cell problems

•an erection that lasted more than 4 hours