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Cialis (Tadalafil) is a phosphodiesterase inhibitor. This drug relaxes muscles and increases blood flow to particular areas of the body. In most cases this is a pill which treats erectile dysfunction. The drug is a tablet which has a yellow color, almond-shaped and film coated. Available doses include 5, 10 and 20 mg. The recommended starting dose of CIALIS for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity. The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.Cialis for use as needed was shown to improve erectile function compared to placebo up to 36 hours following dosing. Therefore, when advising patients on optimal use of CIALIS, this should be taken into consideration.
Physicians should be aware that CIALIS for once daily use provides continuous plasma tadalafil levels and should consider this when evaluating the potential for interactions with medications (e.g., nitrates, alpha-blockers, anti-hypertensives and potent inhibitors of CYP3A4) and with substantial consumption of alcohol. The safety and efficacy of combinations of Cialis and other treatments for erectile dysfunction have not been studied. Therefore, the use of such combinations is not recommended.
Physicians should have an open communication with their patients regarding the use of the drug. Patients should be educated that the drug is contraindicated with the use of organic nitrates. The simultaneous use of Cialis with nitrates could cause raoid hypotension which can cause vertigo, syncope, myocaridal infarction and /or stroke. The patients should be taught on how to alleviate som instances which they feel anginal chest pain, through the use of nitroglycerin.
Common side effects includes headache, asthenia, fatigue, neck pain and the likes.
Remember to always consult your doctor once you've felt any signs of discomfort.