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
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.
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:
More severe side effects include:
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 this page.Learn more about the reported side effectsnergy of Cialis and how to report adverse reactions.As with all prescription medications, inform your doctor of any and all medications, prescription drugs, and supplements you are taking.
In addition, we recommend that you speak to your doctor if you have ever had an allergic reaction to Cialis, other ED medications, or any other ED medication.
In addition, let your doctor know if you are planning a pregnancy or planning any changes to your menstrual cycle. Cialis can affect the cervical mucus, so inform your doctor if you are using an HPV vaccine or have ever had an adverse reaction to an HPV vaccine.
In addition, let your doctor know if you are taking prescription strength nitrates or pencicinals (e.g., lisinopril) for chest pain. Pencicinals may cause a sudden loss of vision in one of two eyes. If you have angina or chest pain, consult your doctor before taking Pencicinals.
In addition, let your doctor know if you are pregnant or plan to become pregnant. Cialis can cause hematemesis, vomiting, and fluid retention in the small intestines during oral intake. If you experience any changes to yourites lifestyle, including weight loss, sexual problems, emotional stress, or digestive problems, consult your doctor before taking Pencicinals.
Learn more about the reported side effects and how to handle them. carbs low carb low fat milkHigh fat milkHigh fiberHigh-sugarHigh-fat dairyHigh-fibless dairyHigh-sodium soy sauceHigh-sodium soybean flourHigh-sodium cornst waived.In addition, let your doctor know if you have ever had an allergic reaction to any other medication. Cialis can also cause a severe drop in blood pressure, leading to dizziness or fainting. Regular blood pressure readings are essential during Cialis treatment, as it may lead to a sudden drop in blood pressure that could lead to potentially dangerous dizziness or fainting.
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The United States Food and Drug Administration (USFDA) has been notified of the sale of prescription drugs from South Africa to the U. S. from Pfizer Inc. (NYSE: PSN). The USFDA said that the product is the first approved for the treatment of erectile dysfunction (ED) in the United States. The FDA said that the approval of a generic drug will likely result in a generic version of the drug being launched at a significantly lower price than the brand version. In the United States, the drug is available only with a prescription and is not available in South Africa. In other words, the FDA will have no way of determining if the generic version is appropriate for the treatment of ED in South Africa.
Viagra, also known as sildenafil, is a popular ED drug that is used to treat men who suffer from erectile dysfunction. It was approved for sale by the Food and Drug Administration (FDA) in the United States in late 1999. However, Pfizer's patent for Viagra expired in the United States in 2007, and the patent is no longer available for the generic version. Because it is a generic version of the drug, it is not available in South Africa. A generic version of Viagra is also available in some South African countries.
Viagra is the second-most-used ED drug by the FDA, and is the first for the treatment of male impotence in men. Viagra's popularity grew over the last five years, and its generic version has become the most-prescribed drug.
The FDA also notified Pfizer of its decision to market a generic version of the drug in South Africa. The drug is being marketed under the name Cialis. The generic version of Cialis is currently under patent, which is not currently available in South Africa.
The FDA has been advising users to avoid the drug because of a significant risk of side effects and increased costs. The company will continue to market the drug in South Africa and will continue to provide access to the drug through mail order services.
According to the FDA, there is a risk of serious side effects associated with the use of sildenafil, particularly erectile dysfunction and pulmonary hypertension. Viagra's ability to treat these effects may result in some men experiencing erectile dysfunction. It is not known whether Viagra is effective for pulmonary hypertension.
The company has also indicated that it is considering a generic version of Cialis.
Viagra, the generic version of the drug Cialis, is currently available in South Africa. The FDA has not disclosed the price or availability of Viagra in the United States.
Pfizer Inc. said in a statement, "The FDA has advised consumers to avoid the generic version of Cialis because of concerns regarding the safety and efficacy of the generic version of Viagra."
The company will continue to market the generic version of Viagra in South Africa. In addition, Pfizer has also indicated that it will be marketing the generic version in other countries.The FDA is the regulator of the pharmaceutical industry. It is the nation's third-largest pharmaceutical company by revenue, with annual sales of $2.4 billion in the U. and Canada. It is responsible for regulating the medical device industry, research and development, and the consumer health care industry. It has been in business since 1989. The company that brought about its name change announced a voluntary recall of several generic versions of the drug from July 2006.
In the U.
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.
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:
Cialis works by relaxing the blood vessels in the penis, leading to increased blood flow and headaches. Here are the key effects:
It is crucial toigelium to discuss the potential benefits and risks of combining Cialis with nitrates or "poppers" (amyl nitrites). This can increase blood pressure, kidney function, or warning signs of a heart attack or stroke.
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