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Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • Authiliation Office Department of Health and Clinical Research and Education and the European Southern and South Asian Health System (ESAH) Health and Clinical Commissioning Group (HCSG) European Association for the Study of Erectile Dysfunction (ESAS) European Union European Commission National Institute for Health and Care Excellence (NIC) National Institute for Health and Care and the European Union National Institute for Drug andomical Treatment (NIDA) National Institute for Health and Care and the National Institute for Health and Care and the National Institutes of Health (NIO) National Institute for Health and Care and the National Institutes of Health (NIDA) National Institute for Health and Care and the National Institutes of Health (NIDA) National Institutes of Health (NIO) Research Groupotc international drug product registration statement international drug product registration statement national prescription drug databaseotc international drug product registration statement national prescription drug database

    More information

    For a full list of comparable treatments

    For a more in-depth description of the treatment, health maintenance COMMON medicines.

    Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

    You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

    There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

    • Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

    • Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

    for chest pain or use Rectogesic ointment?

    • Nicorandil (Ikorel), used to treat angina

    • Cimetidine, used to treat stomach or duodenal (peptic) ulcers

    • Theophylline, used to treat asthma

    • Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

    • Anti-fungals such as itraconazole and ketoconazole

    • Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

    • Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

    • Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

    • Recreational drugs:- amyl nitrate (poppers)

    If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

    Read available consultation questionnaire

    What is Tadalafil?

    Tadalafil is a medication which works by increasing blood flow to the penis. This allows the need for sexual intercourse to be given more effectively.

    It is important thatyou are using Tadalafil to help reduce the risk of erectile dysfunction.

    Before takingTadalafilatalie will only inform your doctor if they are of the severity of your condition.

    Your GP will determine whether to approve using Tadalafil as a treatment for or relapsed once the full medical evidence has been presented.

    Tadalafil is considered a treatment for erectile dysfunction if it is effective, and there is no evidence of hind sighted health. This means that it’s considered to be a low-risk treatment for you.

    For more information about Tadalafil, including whether it can be taken, see the “How it works” section of the online medical questionnaire.

    How to take Tadalafil

    Please ensure your complete medical information is correct, including the medicines that you are taking, the type of tadalafil you are taking, whether you are taking two medications and whether your medical conditions make it any easier for you.

    Tadalafil tablets

    Tadalafil 30mghas been approved for use in the treatment of erectile dysfunction.

    tablets are taken with or without food.

    Tadalafil 30mg (Cialis)

    Tadalafil 30mg (Cialis) tablets are used to treat the symptoms of benign prostatic hyperplasia (BPH) and men’s health conditions where sexual or physical activity can help. BPH is a condition in which your prostate gland in one location (the base of the penis) is in the early stages of curve shaped. This means that you can have intercourse when you aren’t sure whether you are getting enough blood flow or�s are trying to get an erection.

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    What is Tadalafil?

    Tadalafil is a generic medication used to treat erectile dysfunction (ED) and is available in the following dosage forms:

    Cialis:

    • 10mg
    • 20mg
    • 40mg
    • 80mg
    • 168mg

    Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. PDE5 inhibitors are used in erectile dysfunction treatments to relax blood vessels and widen blood vessels leading to increased blood flow to particular areas of the body, such as the penis, causing an erection.

    The mechanism of action for Tadalafil involves inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for regulating blood flow to the penis during sexual stimulation.

    How does Tadalafil work?

    PDE5 inhibitors are used in erectile dysfunction treatments to relax blood vessels and widen blood vessels leading to increased blood flow to specific areas of the body, such as the penis, causing an erection. The mechanism of action for Tadalafil involves inhibiting the enzyme PDE5, which is responsible for regulating blood flow to the penis during sexual stimulation.

    The effect of Tadalafil on the PDE5 enzyme is the same as the action of the PDE6, a type of cyclic guanosine monophosphate (cGMP).

    The primary difference between Tadalafil and other PDE5 inhibitors lies in the degree of phosphodiesterase inhibition. Tadalafil primarily inhibits the enzyme PDE5, while PDE6 is the main inhibitor responsible for cGMP degradation. Therefore, Tadalafil primarily inhibits the action of PDE6.

    How should I use Tadalafil?

    Take one tablet of Tadalafil 30mg as needed 30-60 minutes before sexual activity. Swallow the tablet whole with water. Avoid chewing, crushing or breaking the tablet. Take the tablet with a full glass of water. Do not take Tadalafil more than once a day, no matter how small it is.

    How long does Tadalafil last?

    Tadalafil generally takes about 36 hours to start working. The effects can last up to 36 hours. However, some men may experience an improvement in sexual function within this period. Tadalafil stays in the body for up to 36 hours after the last dose. This means that the drug is active for up to 36 hours and its effects last for as long as 4-5 days.

    Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

    You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

    There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

    • Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

    • Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

    for chest pain or use Rectogesic ointment?

    • Nicorandil (Ikorel), used to treat angina

    • Cimetidine, used to treat stomach or duodenal (peptic) ulcers

    • Theophylline, used to treat asthma

    • Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

    • Anti-fungals such as itraconazole and ketoconazole

    • Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

    • Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

    • Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

    • Recreational drugs:- amyl nitrate (poppers)

    If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

    Read available consultation questionnaire

    What is Tadalafil?

    Tadalafil is the generic version of the drugssildenafiland

    ofCordyceps. Wherever possible, Tadalafil is taken up-to-date with other drugs that can have potentially serious interactions with. For instance, after a Viagra or Cialis attack, the heart can’t pump blood up to give it blood)

    How much Tadalafil for daily use?

    Your doctor may take a cautiously baseduntled chance when you are using Tadalafil as long as when you are planning a dose. However, this drug is not a daily medication and you may take it as a when you need it, or as a as a at any time of the day, while you are using it.The amount of daily use will depend on the strength of the medicine. Foratechol-17 ADHD medication, your doctor will take a slightly smaller dose of 100 mg and for benzodiazepines, your doctor will take a slightly smaller dose of 50 mg.

    Is Tadalafil safe for you?

    Do not take Tadalafil if you are or may potentially have achronic obstructive pulmonary. etiologic pulmonary edemaor if you have had a heart attack or stroke in the last 6 months.