Brand Cialis
Brand Cialis is one of the drugs produced to prevent sexual dysfunction and improve erection in men. The main active ingredient is tadalafil. The drug is available in the form of coated tablets intended for oral administration. One tablet contains 20 mg, which is the maximum daily recommended dosage.
Mode of application
One tablet of brand Cialis is recommended to be taken 15-20 min before sexual intercourse. It contributes to quite a strong effect. In this case, sexual intercourse can last on average from30 to 40 minutes. The effect of a single dose will last for 36 hours.
It is recommended to take Cialis daily at 5 mg to prevent erectile dysfunction and achieve a more lasting effect from taking the drug. This method of administration is suitable for men who often have sexual intercourse.
It is not recommended to take over 20 mg of the drug per day. Overdose can be indicated by pain in the pelvis and penis, redness of the face and neck, a state of general fatigue and drowsiness. In this condition, it is recommended to immediately seek medical help.
Operating principle
The effect of the drug is based on the relaxation of pelvic muscles. As a result, these blood vessels expand. Blood circulation increases. All this contributes to the long-term effect of improved erection in men and an increase in the duration of sexual intercourse.
Cialis does not affect either the quality or sperm amount during the drug application.
Contraindications
- Before taking Brand Cialis, you should make sure that you are not intolerant of tadalafil – the main active ingredient in Cialis.
- Also, it is not recommended to take the drug for men who have heart problems and cardiovascular diseases.
- Taking Cialis is contraindicated to men taking medications for angina pectoris because tadalafil is able to enhance their effect, which is highly undesirable.
- In general, patients most often complain of general fatigue, asthenia, facial swelling and pain of various localization.
Side effects
The cardiovascular system responds to Tadalafil with such complications as: palpitations, tachycardia, angina pectoris, chest pain.
Relatively frequent symptoms are swings in blood pressure (hypotension and hypertension). There is also a risk of myocardial infarction. The gastrointestinal system suffers also from the drug.
In patients taking this Brand Cialis, changes in liver tests, esophagitis, dysphagia, gastroesophageal reflux and an increase in gamma-glutamyl transpeptidase levels were recorded.
Among the main symptoms are diarrhea, abdominal pain, nausea, vomiting. The main symptoms of the musculoskeletal system were neck pain and arthralgia.
To a small extent, Cialis affects the functioning of the nervous system.
A small percentage of patients recorded the following side effects: insomnia, drowsiness, hypesthesia, and vertigo.
Adverse reactions of the respiratory system are as follows: pharyngitis, epistaxis, and dyspnea. Sometimes, due to taking Cialis tablets or its generics, external symptoms in the form of skin rash and sweating are observed. Some men complain of itching.
Symptoms of vision organs such as a change in color perception, pain in the eyeballs, swelling of the eyelids and excessive tearfulness can occur.
As for sexual functions, side effects can be too severe or spontaneous erections. These are just adverse reactions since in normal condition Cialis helps to overcome erectile dysfunction only in the presence of sexual attraction to a partner.
Overdose
In healthy volunteers, single doses of tadalafil up to 500 mg and daily doses of 100 mg of tadalafil in patients with erectile dysfunction led to adverse effects that are observed at therapeutic standard dosages. In case of overdose, use standard supportive treatment, if necessary. Hemodialysis in case of overdose is ineffective. Sich medical help.
Drug interactions
Cialis should not be used in patients taking medications containing medical nitrates (nitroglycerin, isosorbide mononitrate, sodium nitroprusside), which are prescribed for angina pectoris and heart pain.
Combinations of these drugs can cause a sudden drop in blood pressure. Patients with angina pectoris after taking Brand Cialis should consult a doctor immediately.
Riociguat, used in the treatment of chronic thromboembolic hypertension and pulmonary arterial hypertension, in combination with tadalafil leads to a sharp decrease in blood pressure. Concomitant use is contraindicated.
Using Cialis with alpha-blockers and other drugs to treat blood pressure can result in a decrease in blood pressure.
Use of Cialis with potent CYP3A inhibitors such as ritonavir and erythromycin should be avoided. Patients who require treatment with antifungal agents, such as itraconazole or ketoconazole, should reduce the dosage of tadalafil to 10 mg.
Do not take Cialis with potent CYP3A inducers, such as rifampicin, modafinil, and others because these substances can reduce the effectiveness of ED drugs. The safety and effectiveness of the combination of Cialis with other PDE5 inhibitors have not been studied. It is supposed that the combined use of these substances may increase the likelihood of undesirable effects.