Among drugs for the treatment of erectile dysfunction, Cialis has proven itself to be the best. Doctors often prescribe it because they are confident in its effectiveness, and men take it as a one-time remedy to improve potency.
The medicine can be used without prior consultation with a urologist. But this only applies to cases of one-time use to improve potency. In some situations, a course of treatment is indicated, which is prescribed by a doctor and the dosage is selected individually, taking into account the patient’s health characteristics.
The tableted drug has its own contraindications and adverse reactions, so before taking it, it is advisable to read the instructions in advance. It would also be a good idea to read reviews from patients who have previously used this drug. If for some reason Cialis is not suitable, you can use its analogues and substitutes with another active ingredient.
What dosage to take Cialis: 20 or 5 mg, instructions for use
When treating erectile dysfunction, doctors most often prescribe dosages of 5 or 20 mg. In what cases are they used?
The time an erection occurs and how stable it will be depends on the dosage of the drug. The higher the dose of tadalafil in the tablet, the shorter the time interval between taking the medicine and the opportunity to have sexual intercourse, and the stronger the erection.
This is interesting
When choosing a dosage of Cialis 5 or 20 mg, you should understand that these drugs act differently. Therefore, depending on what kind of effect of the drug the patient needs, the doctor prescribes a dose of tadanafil.
How to use Cialis 20 mg?
Cialis 20 mg, according to the instructions for use and the recommendations of doctors, is taken for a single symptomatic effect on the male genital organ. Since the time range for the effect of the drug is 36 hours, this dosage is not recommended for daily use. In fact, re-taking the drug is possible only every other day.
Thus, Cialis 20 mg according to the instructions is used for occasional use, and not for a course. For men who are sexually active no more than 2 times a week, this is the best choice.
The medicine in this dosage can be taken in the morning, afternoon or evening before the intended sexual intercourse. The long range of action of the drug allows you to calmly plan intimacy, since the pill can be taken in advance.
Cialis 5 mg: instructions for use
Cialis 5 mg in the instructions for use is recommended for a course of treatment of ED. After just five days of daily use, the concentration of the active substance in the body becomes constant and a man can have sex at any time, regardless of taking the medication.
Thus, Cialis 5 mg is ideal for men with an active sex life. Daily use of the drug treats varying degrees of erectile dysfunction and has a positive effect on the psycho-emotional side of the patient, which is important for recovery.
The drug for daily use is an innovative method of treating erectile dysfunction. Unlike a one-time stimulating effect, it allows a man to always maintain sexual relations and not be constrained by time frames. Now Russian doctors, following specialists from the USA, Spain, and France, can help patients live a full life without ED.
How to use Cialis 5 mg?
The tablet is used as a standard, but the time of administration, unlike occasional use, should be constant.
A man chooses for himself at what time it is better for him to take a pill: in the morning, afternoon or evening and then takes the medicine at the same time. According to the recommendation of urologists and instructions, Cialis 5 mg can be used by persons with prostate disease and urinary disorders. In this case, a course of taking the drug not only normalizes a man’s sexual function, but also alleviates the symptoms of these diseases.
Tadalafil overdose
If you violate the instructions and doctor's recommendations, or when taking tablets with tadalafil in high doses, phenomena may occur that affect the patient's health. Higher doses may increase side effects and provoke unpredictable reactions in the body.
It has been experimentally proven that healthy individuals who took tadalafil in general dosages not exceeding 500 mg once, and 100 mg per day multiple times, suffered from the same side effects as patients taking tablets in standard dosages.
When you have exceeded the permissible dose of Cialis or its generic, you should consult a doctor. Next, standard symptomatic treatment should be carried out.
Cialis: frequency and consequences of use, dosage and overdose
Frequency of taking Cialis. The medicine is taken no more than once a day. The maximum dose of Cialis is 20 mg.
The frequency of administration depends on various factors:
- planning sexual intercourse (occasional use);
- course treatment (daily intake);
- accompanying illnesses;
- taking other medications.
Consequences of taking Cialis. Taking the medicine does not pose any threat to the body if you follow the instructions for use. If you have diseases or are taking medications, you should definitely consult with a specialist to exclude negative consequences from Cialis.
- Positive. With the help of the active substance tadalafil, a man suffering from ED is capable of full sexual intercourse. The drug generally has a positive effect on the male sexual organ and treats erectile dysfunction. When taking Cialis for a course, patients regain their morning erection, their psychological state improves, and the man feels healthy.
- Negative. Psychological dependence on the drug may occur. After taking it, a number of patients experience side effects of varying severity. When taken simultaneously with nitrates, PDE-5 inhibitors can significantly lower blood pressure, even to the point of death.
How to take Cialis: dosage. The recommended dose for a single dose is 20 mg. This dosage does not change for patients of different ages and can be used both at 18 years of age and after 65. Depending on the severity of erectile dysfunction, concomitant diseases and tolerability of the drug, the dose can be reduced to 10, 5 or 2.5 mg .
- For men with mild to moderate liver dysfunction, the maximum dose of Cialis should not exceed 10 mg.
- The dosage recommended for patients with renal impairment is 5 mg or 10 mg once, but not more than 1 time every 2 days. On the recommendation of a doctor, for these diseases, the dose of tadanafil can be reduced to 2.5 mg.
- If the patient is being treated with strong cytochrome P 3A4 inhibitors, such as ketoconazole, erythromycin, itraconazole, ritonavir and others, the maximum dosage of tadalafil is 10 mg once every 3 days.
Cialis, duration of action of the medicine. Tadalafil in Cialis has a long range of action. From the moment of taking the medicine, a man with ED is able to have sexual intercourse within 36 hours.
This unique feature of tadalafil allowed Cialis to be considered the best potency regulator among its analogues. For comparison: Viagra lasts up to 6 hours, Levitra - up to 10 hours.
The time after taking Cialis until an erection occurs is 20-30 minutes.
Overdose. In case of overdose, Cialis affects healthy and sick people differently. As a result of testing the drug on healthy men at a dose of the active substance of 500 mg, it turned out that the side effects manifest themselves in the same way as with the recommended dose. In people with functional disorders of the body prescribed in the instructions, side effects may increase. In case of Cialis overdose, standard maintenance therapy is carried out.
Drug interactions and special instructions
Cialis is prescribed with extreme caution to men with severe forms of renal and liver failure. The same applies to patients with hematopoietic pathologies. For men with anatomical curvature of the male organ, the drug is prescribed with caution.
If, after taking the drug, an erection continues for four hours, then you should inform your doctor about this. When therapy for this disease is not started on time, the tissues of the penis are damaged, which in the future leads to a long-term loss of potency.
Drug interactions:
- When used simultaneously with Ritonavir, the concentration of the active ingredient in the blood increases, so this combination of drugs is abandoned.
- Other protease inhibitors, such as the medications ketoconazole, erythromycin, and itraconazole, have similar effects. When taking them, the concentration of tadalafil in the body increases significantly.
- The active substance of Cialis enhances the hypotensive effect of drugs to lower blood pressure. If hypertension is poorly controlled and a man takes several medications, then when used simultaneously with tadalafil, the hypotensive effect is many times stronger.
- Concomitant use with alpha-blockers does not cause a significant decrease in blood pressure.
- If the patient takes histamine receptor blockers to reduce the acidity of gastric juice, then the simultaneous use of Cialis is acceptable, because the absorption and rate of absorption of the active ingredient do not change.
- The main substance of Cialis does not increase the duration of bleeding when used together with aspirin.
We will separately consider compatibility with alcohol. Both components do not have a mutual effect and do not increase the concentration of other substances in the blood. No harm to the male body was observed when consuming the drug with alcohol in significant doses.
Drug interactions:
The incidence of dizziness and its intensity are no higher than after drinking only one alcoholic drink.
Cialis: active substance and composition of auxiliary components, release form and manufacturer
Cialis: composition of the drug. The active ingredient in Cialis is tadalafil.
The following substances are used as auxiliary components:
- lactolose monohydrate;
- hyprolose;
- sodium lauryl sulfate;
- microcrystalline cellulose;
- croscarmellose sodium;
- magnesium stearate.
Shell composition: opdry yellow (Y-30-12863-A).
Cialis: release form of the drug. Cialis is produced in the form of almond-shaped, yellow, film-coated tablets. The dosage of the drug with tadalafil is 2.5, 5, 20 mg.
Each tablet has numbers engraved on one side indicating the dose of the active substance. The tablets are packaged in blister packs or blisters, in a cardboard pack:
- 20 mg 1, 2, 4 tablets;
- 2.5 and 5 mg, 14 and 28 tablets.
Cialis: drug manufacturer - pharmaceutical company Eli Lilly, USA.
Dosage
5 mg
For patients who are sexually active (having sex more than twice a week), it is recommended to take 5 mg every day (once a day) at approximately the same time interval. There is no dependence on the time of food intake, so you can take Cialis at any convenient time.
Cialis 5 mg
20 mg
The 20 mg dose is best taken before sex. The drug can be taken at any time, but the most effective effect of this medication can be achieved approximately 15-16 minutes before sexual activity. It is recommended to take the drug only once a day.
Cialis: contraindications and side effects
All PDE5 inhibitors have approximately similar contraindications and side effects. Unlike its analogues, Cialis side effects are less pronounced in terms of a rush of blood to the head and changes in color perception, but are more pronounced in the gastrointestinal tract in the form of dyspepsia.
Contraindications to taking Cialis:
- hypersensitivity to the active substance;
- together with the intake of organic nitrates;
- when treated with alpha-blockers;
- severe liver and kidney failure;
- diseases of the cardiovascular system;
- degenerative diseases of the retina;
- anatomical curvature of the penis;
- tendency to priapism;
- persons under 18 years of age.
About the drug Cialis
Side effects Reviews about the drug Cost
Cialis: side effects of the drug. Despite the fact that tadalafil has a wide range of side effects, Cialis is generally well tolerated. With regular use of the medicine, the ailments decrease and after a while completely disappear.
Among them are the following:
- nausea, diarrhea, bloating;
- pain in the back, less often in the chest muscles and limbs;
- headache and dizziness;
- nasal congestion;
- redness of the conjunctiva and pain in the eyes;
- rush of blood to the head, blood from the nose;
- sudden spontaneous erection;
- dry mucous membranes;
- itching and rashes on the skin;
- heartbeat;
- decrease or increase in blood pressure.
If adverse effects occur, the dosage of Cialis should be reduced.
Reviews of Cialis
The network contains numerous reviews from men about using Cialis for potency. But the opinion of doctors can be considered more competent. They recommend taking the medication to those men who have not received the expected effect when taking other medications to increase potency. Thanks to the high concentration of the active substance and long-lasting effects, tadalafil eliminates even serious erection problems.
Patient review
Men consider the main disadvantage of the described product to be its high cost. However, some doctors often prescribe cheaper generic Cialis to their patients. An inexpensive analogue copes with the functions assigned to it no worse than the original. Long-term use of Cialis does not cause addiction.
Many men who have taken the medicine claim that it is 100 percent effective. Another advantage is its long-lasting effect, which lasts for 1.5 days. Among the disadvantages, they name the occurrence of undesirable reactions, which manifest themselves in the form of severe headaches and digestive disorders. Moreover, many patients noticed that the headache did not go away for a long time.
Reviews from representatives of the stronger sex about the low effectiveness of the drug or the complete lack of impact were most likely left by those men who purchased not the original, but a fake.
Many counterfeit versions of a well-known medicine are sold in the pharmacy chain and on the Internet, so when purchasing, you need to inquire about the availability of a license.
Cialis gel, Cialis soft, Cialis forte: instructions for use of unusual generics
The popularity of Cialis contributed to the release of a variety of generics with tadalafil.
Generics are produced mainly in India. Some of them are unusual in the form and effect of the drug.
- Cialis forte, with the same duration of effect, unlike Cialis, acts faster and provides a more stable erection.
- Cialis Soft is also fast-acting, since the tablet is placed under the tongue, which allows the active substance to easily enter the bloodstream.
- Cialis gel has a pleasant fruity taste and dissolves easily in the mouth.
- In the drug Cialis Capsules, the concentrated gel is placed in a quickly dissolving shell.
Another interesting generic is female Cialis - Femail Cialis. It provides increased blood flow to the pelvic organs, which increases sensitivity during sexual stimulation.
Sealex forte and Cialis forte should not be confused. Their instructions for use are different and they are similar only in the consonance of the name.
Video on the topic
Instructions for use of Cialis tablets:
Cialis is indeed one of the drugs that can help in treatment. It is worth understanding that impotence is a disease that is associated with many different factors, so you should not self-medicate, otherwise the consequences may be unpredictable.
The effectiveness of this drug has been proven through various studies, so it is not surprising that Cialis is popular among a wide range of consumers.
Are Cialis and alcohol compatible?
Alcohol often becomes a companion to parties and feasts, so people are very interested in the question of whether it can be taken in parallel with treatment. This is acceptable for some medications, but not for others.
Many forum participants claim that Cialis and alcohol are compatible, considering this an indisputable advantage of the drug. This is true. Cialis is compatible with both food and any drinks. A small amount of alcohol for a romantic dinner won't hurt at all. But you shouldn’t abuse it either, as this can increase the side effects of the drug.
When treating erectile dysfunction and other male diseases, doctors strongly recommend that patients give up alcohol. This drink not only interferes with treatment, but can itself cause sexual impotence.
Early pre-existing medical conditions
Caution is necessary with some pre-existing medical conditions. Men with the following medical histories should not take Cialis without consulting a doctor who knows their history and can monitor their treatment: sickle cell anemia (an abnormality of red blood cells); multiple myeloma (bone marrow cancer); leukemia (blood cell cancer); any deformation of your penis; serious liver problem; serious kidney problem.
Heart attacks and strokes were very rare in people taking Cialis. Most of these people had known heart problems before taking this medicine.
Dizziness is more likely in people over 75 years of age, and diarrhea has been reported more in people over 65 years of age.
Alternative scheme
When a man has sex twice a week or more, an alternative dosage regimen is suitable for him. Here you need to reduce the dosage to 2.5-5 milligrams per day. This is a very small amount of the active substance, but it will constantly be in the blood and maintain a high level of potency.
This scheme is more convenient for men who have regular sex life. In this case, there will be no negative effects from the drug. After all, the dose is very small, and the cardiovascular system quickly gets used to it.
Pharmacokinetics
Suction
After oral administration, tadalafil is rapidly absorbed. Cmax is reached on average after 2 hours. The rate and degree of absorption do not depend on food intake. The timing of drug administration (morning or evening) does not have a clinically significant effect on the rate and extent of absorption.
The pharmacokinetics of tadalafil in healthy individuals is linear with respect to time and dose. In the dose range from 2.5 to 20 mg, AUC increases proportionally to the dose. Css in plasma are achieved within 5 days when taking the drug 1 time per day.
The pharmacokinetics of tadalafil in patients with erectile dysfunction are similar to the pharmacokinetics of the drug in individuals without erectile dysfunction.
Distribution
The average Vd is about 63 L, which indicates that tadalafil is distributed in the tissues of the body. At therapeutic concentrations, 94% of tadalafil is bound to plasma proteins. In healthy individuals, less than 0.0005% of the administered dose was found in semen.
Metabolism
Metabolized mainly with the participation of the CYP3A4 isoenzyme. The main circulating metabolite is methylcatechol glucuronide. It is 13,000 times less active against PDE5 than tadalafil. Therefore, this metabolite is unlikely to be clinically significant.
Removal
In healthy individuals, the average clearance of tadalafil when taken orally is 2.5 l/h, and the average T1/2 is 17.5 hours. Tadalafil is excreted primarily in the form of inactive metabolites, mainly in feces (about 61%) and to a lesser extent in urine (about 36 %).
Pharmacokinetics in special clinical situations
In healthy elderly people (65 years or more), lower clearance of tadalafil is determined, which is reflected in an increase in AUC by 25% compared to healthy individuals aged 19 to 45 years. This difference is not clinically significant and does not require dose adjustment.
In patients with renal failure, including patients on hemodialysis, AUC is greater than in healthy subjects. Protein binding is not affected by renal impairment.
The pharmacokinetics of tadalafil in patients with mild or moderate hepatic impairment are comparable to those in healthy individuals. No data are available for patients with severe hepatic impairment (Child-Pugh class C).
In patients with diabetes mellitus, while using tadalafil, the AUC was approximately 19% less than in healthy individuals. This difference does not require a dose change.
pharmachologic effect
A drug for the treatment of erectile dysfunction. It is a reversible selective inhibitor of specific phosphodiesterase type 5 (PDE5) cGMP. When sexual arousal causes local release of nitric oxide, inhibition of PDE5 by tadalafil results in increased cGMP levels in the corpus cavernosum of the penis. The consequence of this is relaxation of the smooth muscles of the arteries and blood flow to the tissues of the penis, which causes an erection. Tadalafil has no effect in the absence of sexual stimulation.
In vitro studies have shown that tadalafil is a selective PDE5 inhibitor. PDE5 is an enzyme found in the smooth muscles of the corpus cavernosum, in the smooth muscles of the vessels of internal organs, in skeletal muscles, platelets, kidneys, lungs, and cerebellum.
The effect of tadalafil on PDE5 is more active than on other phosphodiesterases. Tadalafil is 10,000 times more active against PDE5 than against PDE1, PDE2, PDE4, PDE7, which are localized in the heart, brain, blood vessels, liver, leukocytes, skeletal muscles and other organs. Tadalafil is 10,000 times more potent at blocking PDE5 than PDE3, an enzyme found in the heart and blood vessels. This selectivity for PDE5 over PDE3 is important because PDE3 is an enzyme involved in cardiac muscle contraction. In addition, tadalafil is approximately 700 times more active against PDE5 than against PDE6, which is found in the retina and is responsible for phototransmission.
Tadalafil is also 9000 times more potent against PDE5 than it is against PDE8, 9 and 10 times more potent against PDE5 than it is against PDE11. The tissue distribution and physiological effects of PDE8-PDE11 inhibition have not yet been elucidated.
Tadalafil improves erection and the ability to have successful sexual intercourse.
The drug is effective for 36 hours. The effect appears within 16 minutes after taking the drug in the presence of sexual arousal.
Tadalafil in healthy individuals does not cause significant changes in systolic and diastolic blood pressure, compared with placebo, in the supine position (the average maximum decrease in blood pressure is 1.6/0.8 mm Hg, respectively) and standing (the average maximum decrease in blood pressure is 0.2/4.6 mm Hg .st. respectively). Tadalafil does not cause a significant change in heart rate.
Tadalafil does not cause changes in color recognition (blue/green), which is explained by its low affinity for PDE6. In addition, there was no effect of tadalafil on visual acuity, electroretinogram, intraocular pressure and pupil size.
Several studies have been conducted to evaluate the effect of daily tadalfil on spermatogenesis. No adverse effects on sperm morphology or motility were observed in any of the studies. One study found a decrease in mean sperm concentration compared to placebo. Decreased sperm concentration was associated with higher ejaculation frequency. In addition, tadalafil did not cause undesirable changes in plasma testosterone, LH and FSH compared to placebo.
Are there any contraindications?
Despite the safe components, Cialis has some restrictions for use; below is a detailed list of them:
- Hypersensitivity to tadalafil or other components of the tablets, which can result in serious allergic reactions.
- The patient is under 18 years of age (tadalafil can have an adverse effect on the immature sexual and reproductive system of a young man, which is why doctors prescribe Cialis only to adult patients).
- Severe heart diseases (heart attack and stroke, arrhythmia, unstable blood pressure that is difficult to control with medications, cardiac decompensation, congenital defects, and so on). If there are pathologies of this organ, a preliminary consultation with a cardiologist is required.
- Diseases of the liver and kidneys at the final stage.
- The presence of malignant neoplasms and other oncological diseases.
Special categories of population
It is important to consider that this substance cannot be used by everyone. There are certain categories of patients who should remember extreme caution and consult their doctor in detail.
These include:
- Elderly patients. In healthy people over 65 years of age, lower absorption of tadalafil is observed when used internally. This manifests itself as a 25% increase in the area under the concentration-time curve when compared with healthy people 19-45 years of age. However, this difference cannot be considered significant from a clinical point of view, and therefore individual dosage selection in this situation is not necessary.
- People with kidney disease. If a person has a mild or moderate degree of this disorder, there is no need to adjust the dosage of the drug. With the development of a severe form of the disease, the exposure of the active component increases, and therefore taking the drug is prohibited.
- People with liver problems. In individuals with a mild or moderate degree of illness, the pharmacokinetics of the drug can be compared with the same indicator in healthy people. As for patients with complex pathologies, there is no information, which is why doctors do not approve the use of the drug. In any case, it is recommended to first assess the degree of risk and benefit of this product.
- People with diabetes. In such people, the absorption of the drug is impaired when compared with healthy people. However, this difference does not require individual dosage selection.
Features of the drug use
The drug "Cialis" and its analogues should not be used for the treatment of ED in patients suffering from cardiovascular diseases, since sexual activity is not recommended for such patients. Men diagnosed with BPH should be examined before starting treatment to rule out prostate cancer.
In addition to the above, patients should be aware that the occurrence of an erection lasting more than 4 hours is grounds for seeking emergency help from a doctor, since priapism without proper and timely treatment will lead to damage to the tissues of the penis and the possible onset of irreversible impotence.
With regard to driving vehicles and performing work that requires high psychomotor skills, patients should be careful, since, although not often, there is a possibility of adverse reactions in the form of dizziness, headaches and fainting.
Reviews from patients and healthcare workers
Patient reviews of the drug Cialis are mostly positive. A large group of patients say that they have never seen anything better than Cialis, because the duration of action of the medication is very long (if you take a pill, you don’t have to worry about your male viability for at least a day, or even a day and a half), and taking food and alcohol will not affect effectiveness. After all, a romantic date is rarely complete without at least a glass of champagne (and sometimes more).
Although there is, of course, a fly in the ointment. Sometimes you hear about headaches, back pain and limb pain. Some patients report indigestion. You can often hear about pain in the heart area, less often about impaired visual perception. All that can be done in this case is to contact a doctor who will take into account all the characteristics of the body, the state of health and select the most effective drug (Viagra, Levitra or Cialis), with which the patient will feel real, healthy and a wealthy man.
Interaction with other medications
Before you buy Cialis, carefully study drug interactions, especially if you take any medications on a regular basis. If difficulties arise, it is recommended to consult a specialist who will determine the advisability of the drug combination.
Tadalafil should not be taken together with other drugs for the treatment of erectile dysfunction, as this may lead to a serious overdose. In addition, the drug is not recommended to be used together with antiviral and psychotropic drugs, together with some medications against cardiovascular diseases.
What is Cialis original
The effectiveness of Cialis has been confirmed by thousands of positive reviews
Cialis original is an effective remedy for restoring erectile function and increasing libido. The drug was created as an alternative to the famous Viagra - the first drug to maintain men's health.
The powerful formula of Cialis, the speed and duration of its work, as well as its more effective action have made it a popular means of increasing libido among patients of the middle and older generations.
Today the product is one of the most popular for men: its effectiveness has been proven in clinical trials and confirmed by thousands of positive reviews. Cialis original is created on the basis of a potent selective substance, thanks to which it works after the first use.
The medicine Cialis original fights :
| 1. | with the first symptoms of impotence |
| 2. | strengthens erection |
| 3. | restores hormonal levels |
| 4. | enhances orgasm |
Under the influence of Cialis original, the average duration of intimate intimacy increases three times.
Can Cialis be combined with ethanol-based drinks?
The manufacturer categorically does not recommend combining this stimulant with alcohol, since the latter slows down the penetration of the active substance into the circulatory system, which means the degree of effectiveness of the drug also decreases.
In addition, the interaction of ethanol and tadalafil can lead to disruption of cardiovascular activity, especially in men suffering from angina and other cardiac pathologies.
That is why, as a last resort, it is permissible to drink a small amount of alcohol (for example, two glasses of wine) some time before or after using a stimulant. In this case, there will be no pronounced decrease in efficiency.
Is addiction possible?
Men often use Cialis, even if they have no real problems with potency. The desire to show maximum strength in bed, to present yourself to the girl in a favorable light, plays a role here. This includes making a good first impression. If you follow the instructions for use of the medicine, nothing bad will happen. Especially when the intake occurs once, and then the man forgets about medical stimulants.
Another thing is that after trying it once, you will want to feel the maximum level of potency again and again. Here psychological dependence on the drug Cialis and its analogues may develop. Think about whether you need these problems if everything is actually fine with potency. After all, the drug is not so cheap, plus it has side effects of use.
Duration of action and other features
Cialis has the longest possible effect, because the effect of the active substance will last for 36 hours. The exact number of hours depends on the consumption of food, alcoholic beverages, the presence of chronic pathologies and other characteristics of the male body. A man will notice the first results approximately 40 minutes after taking the capsules.
A large amount of fatty and difficult-to-digest foods can slightly reduce the effect of the medicine, which means that for a romantic evening it is better to limit yourself to light snacks that will not reduce the absorption activity of the main component.
Combination with other drugs
Since Cialis tablets selectively affect phosphodiesterase 5, they must be combined with other medications with caution. Some products can enhance the effect of active ingredients, while others can suppress it. For example:
- Erythromycin, Ketoconazole, Itraconazole, Ritonovir enhance the effect of taking generic Cialis. If you regularly take such medications, it is better to reduce the dosage of the drug for the treatment of sexual disorders;
- drugs that increase stomach acidity (antacids) slow down the absorption of the substance, but do not affect its effectiveness. This means that a man will be able to have sexual contact, but not 15 minutes after taking the pill, but an hour later;
- Doxazosin combined with generic Cialis may cause dizziness and subsequent fainting;
- Patients who wish to combine the use of medication with alcohol should be especially careful. Ethanol works as a nerve impulse blocker. It slows down the effect of Cialis. Therefore, if you have abused alcoholic beverages, be prepared that the expected result will come only after sobering up. Most likely - the morning after the party.
Drinking alcohol is not prohibited. A glass of wine or a glass of vodka won't do any harm, but you shouldn't overindulge.
Recommended for:
Erectile dysfunction is a phenomenon in which the strength and stability of an erection is not enough for full sexual intercourse. Doctors make this diagnosis if misfires occur regularly. A single case cannot be a reason to believe that you need medication support.
The pills will help overcome insecurity. Sometimes one quality sex is enough to believe in your strength.
69% of men over 50 years of age experience potency disorders. The reasons are different - poor environment, bad habits, chronic diseases of the genitourinary system, high cholesterol, irregular sex life. The drug will help cope with the problem, and it does not matter what the cause is - physiological or mental.
Doctors recommend Cialis to groups of patients with the following sexual disorders:
- short or insufficiently stable erection;
- decreased desire before or during sexual intercourse;
- inability to complete sexual intercourse;
- low friction speed;
- lack of orgasm;
- impotence.
