Cialis Daily

Cialis Daily is a drug prescribed for erectile dysfunction treatment on a daily basis. This option contains the same dosage of tadalafil. Its content is 5 mg.

Mode of application

For patients with frequent sexual activity (more than 2 times a week): the recommended frequency of administration is daily. The recommended daily dose is 5 mg at the same time, regardless of food intake. The daily dose can be reduced to 2.5 mg, depending on individual sensitivity.

Contraindications and interactions

  • Hypersensitivity to tadalafil or to any substance in the preparation;
  • Taking preparations containing any organic nitrates;
  • Use in persons under 18 years of age;
  • Cardiovascular diseases: myocardial infarction during the last 90 days, unstable angina or the onset of angina during intercourse, chronic heart failure class II or higher according to the NYHA classification during the last 6 months, uncontrollable arrhythmias, arterial hypotension, arterial hypotension.
  • Uncontrolled arterial hypertension, ischemic stroke during the last 6 months;
  • Sight loss due to non-arterial anterior ischemic optical neuropathy (irrespective of the connection with the previous intake of FDE-5 inhibitors);
  • Concomitant use with doxazosin, with other FDE-5 inhibitors, with other options of erectile dysfunction therapy;
  • Use in patients with chronic renal failure (creatinine clearance less than 30 ml/min);
  • Lactase deficiency, lactose intolerance, glucose-galactose malabsorption.

Take the drug with caution in the following cases:

  • patients taking alpha adrenoblockers as simultaneous administration of these drugs can lead to symptomatic arterial hypotension. In two clinical pharmacology studies, 18 healthy volunteers taking tadalafil did not experience symptomatic arterial hypotension when administered tamsulosin, a selective alpha-adrenoblocker at the same time.
  • Cialis should be used with caution in patients with a predisposition to priapism (sickle cell anemia, multiple myeloma or leukemia) or in patients with anatomical penile deformation (angular curvature, cavernous fibrosis or Peyronie’s disease).
  • CYP3A4 isoenzyme inhibitors (ritonavir, saquinavir, ketoconazole, itraconazole, clarithromycin, erythromycin, grapefruit juice), hypotensive agents, 5-alpha-reductase inhibitors should be taken with caution in combination with Cialis.

Side effects

  • Immune system: infrequently – hypersensitivity reactions; rarely – angioedema.
  • Nervous system: often – headache; infrequently – dizziness; seldom – a stroke (including hemorrhagic type), fainting, transient ischemic attacks, migraine, epileptic seizure, transient amnesia.
  • Organs of vision: infrequently – blurred visual perception, pain in the eyeball; rarely – swelling of the eyelids, non-arterial anterior ischemic optic neuropathy, retinal vascular occlusion.
  • Hearing disorders and labyrinth disorders: infrequently – ringing in the ears; rarely – sudden hearing loss.
  • Cardiovascular system: often: face flushes; infrequently – palpitations, tachycardia, decreased blood pressure (in patients who have already taken antihypertensive drugs), increased blood pressure; rarely – myocardial infarction, ventricular arrhythmias, unstable angina pectoris.
  • Respiratory system: often – nasal congestion; infrequently – shortness of breath, nosebleeds.
  • Gastrointestinal tract: often – dyspepsia; infrequently – abdominal pain, gastroesophageal reflux, diarrhea in patients over 65 years old, vomiting, nausea.
  • Skin and subcutaneous tissues: infrequently – rash; rarely – hyperhidrosis (excessive sweating), urticaria, Stevens-Johnson syndrome, exfoliative dermatitis.
  • Musculoskeletal and connective tissue: often – back pain, myalgia, pain in the limbs.
  • Genitals and mammary gland: infrequently – prolonged erection; rarely – priapism, hematospermia, bleeding from the penis.
  • General disorders: infrequently – chest pain; rarely – facial swelling, sudden cardiac death.