Cialis has a high efficiency, which not only improves the erection but also helps the patient to restore the naturalness of sexual relations. Cialis is reliable, effective, convenient to use and safe, it restores a normal sexual life for patients suffering from erectile dysfunction, relieving them from constant thoughts about treatment.

 

Is it a sexual stimulant?

No, Cialis is not a stimulant. For a successful result, sexual arousal is a must-have. Everything happens naturally. Cialis acts exactly when it is necessary, and not when it is just taken with a glass of water. Cialis positively influences the following manifestations and consequences of erectile dysfunction:

  • Erection as a whole
  • Possibility to achieve an erection sufficient for sexual intercourse Possibility to maintain an erection during sexual intercourse
  • Receive satisfaction from sexual intercourse
  • Positive emotions
  • Satisfaction from good erection
  • Confidence in the ability to achieve and maintain a superfine sexual intercourse
  • Partner’s satisfaction from the sexual intercourse

What is the mechanism of Cialis action?

Cialis (Tadalafil) is an effective, reversible inhibitor selectively acting on phosphodiesterase 5 (PDE5). The central role in erection is the relaxation of smooth muscle cells of the cavernous bodies of the penis, which is locally initiated by acetylcholine and nitric oxide, as well as other physiological agents. Acetylcholine is produced by neurons of the parasympathetic nervous system, and nitrogen oxide is released by non-adrenergic non-cholinergic neurons and endothelial cells. The net effect is the suppression of the state of the sympathetic nervous system or alpha stimulation, which causes the contraction of the smooth muscle cells. Guanosine monophosphate (cGMP) and PDE5 play an important role for normal erection. cGMP causes an expansion of the arteries, causing the flow of blood into the cavernous bodies. Blood vessels in the cavernous bodies are filled with blood, which causes a decrease in the outflow of blood from the penis and the creation of a gradient of blood pressure – there is an erection. The enzyme PDE5 causes a decrease in the level of cGMP and stops the erection. Cialis inhibits the action of PDE5, thus delaying the drop in cGMP level. As a result, the level of cGMP in the cavernous bodies allows a man with erectile dysfunction to have a normal erection.
How effective is Claims?

Cialis, which is taken as needed, up to once a day, improves erectile function in most men with erectile problems of any degree

Does it work for severe erectile dysfunction?

Yes. In clinical trials, 81% of patients taking Cialis in tablets of 20 mg had an improvement in potency. The study included patients with varying degrees of erectile dysfunction, from mild to severe.

How quickly does it start and how long does Cialis work?

In some men, Cialis begins to act just in 16 minutes. For most patients this time is 30 minutes. But remember, the effect does not come without sexual arousal. The action of Cialis lasts approximately 36 hours after an intake. We’ve heard that Cialis badly affects the heart. Sexual activity represents a certain risk in the presence of heart disease, so it is strongly recommended to consult a doctor before using the drug.

How often can I take Cialis?

The recommended dose of the drug is 20 mg. The maximum recommended frequency of an intake is one time a day.

What are the contraindications for taking it?

The main contraindications:

  1. Simultaneous intake of nitrates in case of angina pectoris;
  2. Hypersensitivity to any component of the drug.

What kind of doctor can prescribe Cialis?

A doctor of any specialty, but primarily an urologist, sex therapist, andrologist, endocrinologist and cardiologist.

If this pill is safe and effective, why is not it sold without a prescription?

Yes, clinical trials have proven the safety of Cialis. However, some drug interaction is known, especially with nitrates used in the treatment of heart disease. Therefore it is very important to know that Cialis has been prescribed by a doctor who is thoroughly familiar with the patient’s medical history.
How does it interact with other drugs?

In clinical trials, little or no interaction with other medications was found. However, the exception to this rule are nitrates, which are mainly used in the treatment of heart disease. Therefore, Cialis is contraindicated in patients receiving nitrate treatment. Danger represents a possible significant drop in blood pressure – hypotension. Once again, we draw attention not to the fact that patients taking any form of nitrate should not take Cialis. If a patient takes Cialis while taking any nitrate-based drug or a recreational drug containing nitrates, blood pressure may drop to a dangerous level. Many medications prescribed for the treatment of chest pain caused by heart disease contain nitrates. These drugs include nitroglycerin (aerosols, ointments, patches or pastes and dissolving tablets under the tongue) or isosorbide mononitrate (isosorbide mononitrate) and dinitrate (dinitrate) (tablets that swallow, chew or hold under the tongue). Certain light drugs such as amyl nitrate (“poppers”) also contain nitrates. The list listed is far from complete, so it is important to ask the patient if he takes nitrates or preparations containing them.

What are the possible side effects of Cialis?

Possible side effects:

  • headache, dizziness;
  • tides;
  • indigestion;
  • nasal congestion;
  • transient changes in vision (rarely).

The most frequently reported adverse events are headache and dyspepsia (11% and 7% of cases, respectively).

Unwanted events associated with taking tadalafil, usually minor or medium in severity, are transient and decrease with continued use of the drug. Other common undesirable effects were back pain, myalgia, nasal congestion, and “tides” of blood to the face.

Rarely, edema of the eyelids, pain in the eyes, conemia hyperemia and dizziness. Cialis can not be accepted by everyone. Patients taking any form of organic nitrate should not take Cialis or any other PDE5 inhibitor. This combination can cause a dangerous drop in blood pressure. If a patient complains of chest pain or other symptoms related to cardiac activity during sex, he should immediately consult a healthcare provider. In clinical trials, the most common side effect was headache, dyspepsia, back pain, muscle and blood flush to the face. Usually, the side effects are mild or moderate, quickly pass and their frequency decreases with constant use of the drug. In clinical studies, most men did not experience serious side effects that would cause them to stop taking Cialis.

Does Cialis affect the ability to procreate?

Cialis itself does not affect the ability to procreate. However, in cases where erectile dysfunction prevents conception in couples of childbearing age, Cialis can be beneficial.

How effective is Cialis for women?

Ordinary Cialis is not intended to solve problems in the sexual sphere in women. But there is Female Cialis, its an Indian Brand.

Are there any age limits for taking it?

Cialis is not prescribed for male under 18 years of age.

Cialis is a natural or synthetic drug?

The active component of Cialis is tadalafil, a synthetic substance.

What are the available forms of the drug release?

Cialis is available in packs of 1 tablet of 20 mg and in packages of 4 tablets of 20 mg. Speaking about generics, there are Cialis Oral Jelly, Cialis Soft gelatin tabs, Cialis Chewable pills with menthol flavor, Cialis Professional capsules, Cialis Sublingual, Cialis Strips, Cialis combined with Priligy, an active ingredient of which is Dapoxetine ( named Cialis Super Force), Cialis Daily (2.5 or 5mg), Cialis Black (Black tablets with 80mg of tadalafil).

Can Cialis help patients with diabetes?

Yes. In clinical trials, 68% of men with diabetes who took Cialis in tablets of 20 mg observed an improvement of their erection.

If there are any restrictions on eating with it?

No. Cialis can be taken together or without food, so the patient and his couple should not change their habits.

Can I use Cialis daily for a long time?

Daily use of the drug is strongly discouraged. You should have pauses.

Will patients experience an erection if they do not want it?

No, for the effectiveness of Cialis requires sexual arousal.

Will the drug act if you take only half of the pill?

Cialis is designed for use in a dosage of 20 mg, you can not divide the pill into smaller doses.

Who produces Cialis and does it have analogues?

Cialis is developed and manufactured by the well-known pharmaceutical company Eli Lilly (USA). Currently, other pharmaceutical companies in the world have started producing cheaper and equally effective generic forms of Cialis. Generic forms of the remedy are absolutely identical to Cialis, they are produced under other trademarks or under the name of the active ingredient – tadalafil and are much cheaper, because the advertising costs in the share of the cost of generic forms of drugs, as a rule, are much lower.