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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.

  • takes 8 to 12 hours to work

    Cialis works by increasing blood flow to the penis, helping to achieve and maintain an erection. It is not a controlled substance I stopped using nitrates using the website before, on or after the first 7 days using the medicine.

    are faulted

    If you have any potential drug interactions talk to your doctor

    Please consult your doctor or pharmacist -

    • erectile dysfunction
    • impotence
    • vomiting
    • a high or low blood pressure medication (nitrates, alpha-blockers, antifungals, hormones).

    Contact your doctor or doctor’s nearest if you want to check if this medicine is right for you. Cialis may also help to prevent kidney problems

    For your medical needs to find the right dose and for potential side effects check currently available doses and how they affect men.

    Description

    Cialis 20mg Tablets In Pakistan

    Cialis 20mg is a popular medication used to treat erectile dysfunction (ED) in men. It contains the active ingredient tadalafil, which is a phosphodiesterase type 5 (PDE5) inhibitor. This medication functions by relaxing the blood vessels in the penis, allowing increased blood flow and facilitating an erection.

    Uses of Cialis 20mg Tablets

    Cialis 20mg is primarily used to treat erectile dysfunction (ED) in men. It may also be used to treat benign prostatic hyperplasia (BPH), a condition in which the prostate gland becomes enlarged, causing urinary problems. Cialis 20mg is also used to help manage an enlarged prostate, benign prostatic hyperplasia (BPH), and isosbite-related conditions.

    Benefits of Cialis 20mg Tablets

    Cialis 20mg offers several benefits that make it an attractive option for treating erectile dysfunction.

    How Cialis 20mg Works

    Cialis 20mg relaxes blood vessels, allowing increased blood flow and facilitating an erection. It is a PDE5 inhibitor, meaning it helps to increase the levels of cyclic guanosine monophosphate (cGMP), a molecule that relaxes smooth muscle cells and increases the blood flow to the penis, resulting in an erection. Cialis 20mg works by blocking PDE5, a type of enzyme, which regulates blood flow in the penis, helping to relax the muscles and improve blood flow.

    Benefits of Using Cialis 20mg Tablets

    Cialis 20mg tablets are highly effective in treating erectile dysfunction, offering a long-lasting effect. This medication works by enhancing blood flow to the penis, leading to a stronger and longer-lasting erection. It is important to note that Cialis 20mg tablets should only be taken under the supervision of a healthcare provider. They will assess your individual needs and medical history to determine if Cialis 20mg is right for you.

    Side Effects of Cialis 20mg Tablets

    Like any medication, Cialis 20mg tablets may cause side effects. Common side effects include:

    • Headache
    • Dizziness
    • Nasal congestion
    • Flushing
    • Stomach upset

    These side effects are usually mild and temporary. However, if you experience severe side effects or an allergic reaction, seek medical attention immediately.

    It’s important to consult a doctor immediately if you experience any severe side effects. They may recommend stopping the medication or adjusting the dosage.

    Important Precautions of Cialis 20mg Tablets

    Cialis 20mg Tablets are not intended for use by women and should not be used by men under the age of 18. Additionally, it is important to inform your doctor if you have any pre-existing medical conditions or are taking any medications.

    Where to Buy Cialis 20mg Tablets

    Cialis 20mg tablets are a trusted and trusted medication. We offer a wide range of affordable options, making them an attractive option for men seeking a reliable medication for ED. When you buy from us, you can save on any expenses related to your medication, including shipping costs, medical expenses, and all necessary prescriptions. To access our services, simply complete our online consultation and get our medications delivered to your doorstep.

    Order Cialis 20mg

    Get Cialis 20mg Online(1) - 2here. One of our doctors will review your symptoms and recommend a treatment plan for you.

    Prescription Cialis

    This is for men suffering from erectile dysfunction and to help improve sexual function. We recommend a low dose of 10mg for the first time. If it’s not effective, your doctor may adjust your dosage. You can also buy Cialis 20mg online through our website.

    How to use Cialis 20mg

    Take Cialis 20mg Tablets 30 minutes before sexual activity.

    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.
    Describing the orders
    interaction order
    Cialis (tadalafil)Increase blood pressure with tadalafil; should be avoided
    Reduce blood pressure with tadalafil; should be avoided
    Combination treatment with tadalafil and caffeine; should be avoided

    C.

    Tadalafil and other medications that affect blood flow to the penis may affect how well you tolerate their effects. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still be effective in sensitive individuals. If you take Cialis with medications like phosphodiesterase type 5 (PDE5) inhibitors, do not take this medication with it when using them.

    5.Nitrates (e.g.

    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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