Cialis is a drug mainly prescribed by doctors to treat erectile problems in men The active compound in Cialis is tadalafil. Tadalafil is a part of a class called PDE5 (phosphodiesterase type 5) inhibitors of which Viagra (Sildenafil) and Levitra (Vardenafil) are also members.
Cialis was also approved for use in the treatment of the symptoms of benign prostatic hyperplasia (BPH) or enlarged prostate gland. Such symptoms include frequent urges to urinate, frequently getting up at night to go to the toilet and urinary incontinence. It is quite common for men to be prescribed Cialis to treat both erectile dysfunction and BPH. Cialis when taken for erectile dysfunction problems cause an increased blood flow to the penis. It increases levels of a substance called cGMP(cyclic guanosine monophosphate) which helps the arteries in the penis to fill with blood. In most cases of erectile dysfunction the main problem is that the levels of cGMP cannot be maintained at a sufficient level for a full erection. Cialis makes sure these levels of cGMP are adequate enough. Athough Cialis can be seen to produce an erection for men suffering from erectile problems it is not a drug for sexual arousal. In order for CGMP to start production signals have to be sent from the brain to the penis, which can only be triggered by sexual arousal and not Cialis. The drug in Perth is available in dose sizes of 2.5, 5, 10 and 20 mg. For erectile problems the recommended dose is 10mg taken as needed daily.
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The dose may be increased to 20 or decreased to 5 mg depending on how effective is and the side effects experienced. Cialis can also be taken daily in doses of 2.5 mg or 5 mg. For BPH the recommended dose is 5 mg daily. When the drug is used to treat both erectile problems and BPH the recommended dose is also 5 mg daily. Cialis can be taken with meals and works within one hour of ingestion. It is effective for up to 36 hours.
Side effects
Side effects of the drug include headaches, indigestion, back pain, hot flushes and a stuffy nose. Back pain typically appears 12-24 hours after taking the drug but usually dissipates after 48 hours. Other uncommon side effects include impaired or loss of vision or hearing. Cialis should not be taken in conjunction with some medication such as nitrate medication such as isosorbide dinitrate or isosorbide mononitrate. Nitrate medication is often prescribed for chest pain/ angina and taken recreationally in the form of poppers. Other medication that should not be taken with Cialis are those that treat heart problems, high and low blood pressure and epilepsy.
I have been working in General Practice since 2006.
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