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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.

  • [+dl-tadalafil]Note: This medicine is only for use in men.

    rimpideffects

    This medicine is not recommended for use in women. Men should not take CIALISichever is the smallestdose.The maximum dose is 20 mg, not to exceed 40 mg per day.

    Active ingredient:Tadalafil

    Side effects: headache, flushing, dizziness, back pain, nausea, fatigue, swelling of the ankles, tinnitus, heart palpitations, fast heart rate, high blood pressure, low blood pressure, and rash.

    dizziness, stomach ache, feeling sick (vomiting), reflux, a feeling of fullness that is similar to a meal is caused by a blood clot in the vagina. This could lead to pain, itching, swelling, or even vision loss. If these symptoms occur they usually last for many hours.

    It is not recommended for use in women. Men should take CIALISThe maximum dose is 20 mg, not to exceed 40 mg daily.

    Side effects: headache, flushing, dizziness, back pain, nausea, fatigue, swelling of the ankles, tinnitus, heart palpitations, fast heart rate, high blood pressure, and rash.

    Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

    Common side effects reported from Cialis use include:

    • Headache
    • Indigestion
    • Heartburn
    • Upset stomach
    • Gas
    • Nausea
    • Flushing

    More severe side effects include:

    • Painful erections or erections that last longer than 4 hours
    • Sudden loss of vision
    • Sudden loss of hearing
    • Ringing in the ears
    • Chest pain
    • Shortness of breath
    • Painful urination
    • Increased urination frequency
    • Fainting
    • Dizziness
    • Skin rash
    • Hives
    • Facial swelling

    If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

    As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

    Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

    In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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    In addition to the Tadalafil U12 product, in some cases, Cialis can also interact with other drugs and interactions can occur. For example, Cialis can interact with mycophenolate mofetil (NMT) or doxazosin (XR).

    Myasthenia Gravis

    In some cases, Cialis can also interact with other drugs and interactions can occur.

    MyastheniaringtonesSuddenly being able to fly

    Cialis can interact with other drugs and interactions can occur.

    Stomach painPain in the upper stomachBack painMuscle achesSevere skin reactions

    Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

    Common side effects reported from Cialis use include:

    • Headache
    • Indigestion
    • Heartburn
    • Upset stomach
    • Gas
    • Nausea
    • Flushing

    More severe side effects include:

    • Painful erections or erections that last longer than 4 hours
    • Sudden loss of vision
    • Sudden loss of hearing
    • Ringing in the ears
    • Chest pain
    • Shortness of breath
    • Painful urination
    • Increased urination frequency
    • Fainting
    • Dizziness
    • Skin rash
    • Hives
    • Facial swelling

    If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

    As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

    Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

    In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

    Read more about Cialis's effects and how it may affect you on the Nipissian Pills website.10-28-wise familial binge eating disorder

    Nipissian Pills provides only general information about Nipissian Pills. If you have any questions or concerns about Nipissian Pills, contact the manufacturer.

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    Interactions

    A. Top Drug-Drug Interactions:

    1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

    2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

    3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

    Other Drug-Drug interactions:

    • Ketoconazole, itraconazole (used to manage fungal infection)
    • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
    • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
    • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
    • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

    B. Drug-Food Interactions:

    Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

    1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
    2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
    3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
    4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
    A high-fat meal, especially one containing a high dosage of fat, might delay the onset of action of Cialis, which may include a meal that includes a high dosage of fat. If you have low blood pressure or take Cialis, seek medical advice before taking this medicine.Cialis is a prescription medication. It is a type of drug that contains a sublingual formulation. It is usually taken once a day. Cialis is a daily pill. It is used to increase blood pressure and lower the risk of cardiovascular events such as heart failure and stroke. Patients taking Cialis should take it approximately one hour before their anticipated annual medical check-up. However, its effects can last up to 36 hours, allowing for early intervention and monitoring.

    Does Cialis increase blood pressure occur?

    While taking Cialis, patients should avoid situations where they may feel dizzy or faint, experience penile tissue damage, or misspell your period. These effects can be dangerous. Check with your healthcare provider before using Cialis to ensure it is safe for you.

    How is the program going?

    The program is run byDr. Paul D. Stegeman. The patient information is made in English. The program is free and confidential. Stegeman is a board certified clinical endocrinologist. He has a passion for clinical and oncology. He is a member of theAmerican Board of Internal Medicineand has been practicing medicine for almost 20 years. He is the founder of theUniversity of Illinois at Urbana-Champaignand the chair of theAmerican Society of Clinical EndocrinologyAmerican College of Endocrinology and the Society of Medical Internal Medicine.

    What are the most important things we need to know?

    The most important thing we will need is the following:

    • the diagnosis ofPulmonary Arterial Hypertension,
    • the use oftadalafil
    • and().

    For the diagnosis of pulmonary arterial hypertension, the most important thing that we need to do is to see the physician. If we do not see the physician and the patient is not responding, we can still refer the patient to apharmacology specialist, but it is not possible to diagnose pulmonary arterial hypertension and that would be the only way to know that the patient is notpulmonary arterial hypertensionThephysicianis the primary clinician who is involved in the diagnosis of pulmonary arterial hypertension, and theis the clinician who is involved in the use of drugs for that purpose. This is not true for all medications.