Cialis 20 mg

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Cialis 20 Mg

Cialis is an oral medications used to treat benign prostatic hyperplasia (BPH). This mediation is belong to a class of medicines called phosphodiesterase 5 (PDE5) inhibitors, which also include vardenafil (Levitra, Staxyn ODT) and avanafil (Stendra).

The penile erection is caused by a blockage of the penis. Under normal circumstances, sexual stimulation causes the production and release of nitric oxide in the penis. Nitric oxide then activates guanylate cyclase, resulting in the production of cyclic guanosine monophosphate (cGMP). CGMP is primarily responsible for erection by influencing blood vessel delivery and the amount of blood expelled from the penis. Cialis inhibit an enzyme called phosphodiesterase 5 (PDE5) that destroys cGMP. Therefore, Cialis can prevent the destruction of cGMP and allow cGMP to accumulate and last longer. The longer the duration of cGMP, the longer the penis is blocked.

How to use

Cialis is available in yellow, film-coated and almond-shaped tablets in doses of 5 mg, 10 mg and 20 mg (mg). Patients with erectile dysfunction can take Cialis as needed, but the frequency should not be exceeded every 24 hours. For this medicine to work, it is necessary to sexually stimulate men. Without sexual stimulation, the drug does not get an erection.

At least 30 minutes before sexual activity, the first dose is 10 milligrams (mg). The dosage can then be adjusted according to the response of the individual. The maximum single dose is 20 mg. Patients should not take more than one dose in 24 hours, but it is not recommended to take 10 mg to 20 mg daily. This is because part of the drug is kept in the system for at least 24 hours. It is expected that patients who engage in sexual activity at least twice a week can take a daily dose of 5 mg, which can be reduced to 2.5 mg per day depending on their individual response.

Side effects

In addition to longer erections in emergencies, possible side effects of Cialis include hot flashes, headaches, nasal congestion, heartburn, back pain and muscle pain. In addition, patients taking Cialis daily may also develop pharyngitis and other respiratory infections, cough, diarrhea, urinary tract infections, acid reflux and abdominal pain.

There is currently no longest time to take it safely. However, over time you can take other medicines, e.g. Blood pressure or antifungals, which in combination with Cialis, Viagra and similar ED drugs can be dangerous. Always make sure the doctor you see knows you are taking Cialis so the medication can be adjusted safely.

Precautions

It is important to tell all doctors to take Cialis. If you need emergency medical care because of a heart attack, it is important that your doctor knows when you last took Cialis. If you are taking this medicine to treat pulmonary hypertension, it is very important for the doctor to check your condition regularly. This allows your doctor to determine if the medicine is working properly and to decide whether you want to continue taking it. Blood and urine tests may be needed to test for adverse effects.

If you are taking this mediation for pulmonary hypertension, do not take Cialis or other PDE5 inhibitors such as sildenafil (Revatio or Viagra) or vardenafil (Levitra). If you take too much Cialis or take it with these medications, the likelihood of side effects is higher.

If the erection time exceeds 4 hours or the erection pain exceeds 6 hours, please contact the doctor immediately. This condition may require timely medical attention to avoid serious and permanent damage to your penis.

Storage

  • Store the medicine in a closed container at room temperature, away from heat, moisture, direct light and avoid freezing.
  • Keep out of the reach of children.
  • Do not keep outdated or unneeded medicines.
  • Ask your doctor how to dispose of unused medication.

Drug Interactions

Erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir) may reduce the breakdown and elimination of tadalafil. Therefore, these drugs can increase tadalafil levels in the blood. If these medicines are used concomitantly with tadalafil, the dose of tadalafil should be reduced to 10 mg or 2.5 mg per day as needed every 72 hours to avoid the side effects of high tadalafil levels. Rifampin, carbamazepine (Tegretol XR, Equerto, and Carbatrol), phenytoin (Dilantin, Dilantin-125) and phenobarbital can decrease the blood concentration of Tadalafil and Tadalafil.

Tadalafil exaggerates heart rate increases caused by nitrates (such as nitroglycerin, isosorbide (Isordil), isosorbide nitrate (Imdur, Ismo, and Monoket), nitroglycerin (Nitro-Dur, Transderm-Nitro) and lowering blood pressure. It is used primarily to treat heart pain (angina patients taking nitrate to treat angina, tadalafil can exaggerate the increase in heart rate and blood pressure, causing heart pain and even heart attack, and tadalafil should not be used with nitrate.

Overdose

If you experience numbness or pain during sexual activity, please contact your doctor. If you suddenly lose your eyesight, seek emergency help as Cialis can reduce blood flow to the optic nerve of the eye.

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