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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.

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  • rimp1
  • aspirin

    aspirin is an antibiotic medicine used to treat inflammation and pain in the eye and stomach. It is also used to treat asthma and other breathing problems

    Hospital and regional orders can supply local pharmacies with a medicine called “rimp1” as they are not regulated by the pharmacy administration regime.

    It is also used to treat asthma other breathing problems

    Hospital and regional orders can supply local pharmacies with a medicine called “aspirin” as they are not regulated by the pharmacy administration regime.

    Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

    Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

    Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

    If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

    For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

    • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
    • Your doctor may recommend taking generic Cialis regularly, once a day.

    Follow your doctors instructions carefully based on your specific needs and condition.

    If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

    Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

    How do you tell payment method for tadalafil citrate online paycheque session

    As with all medications, your healthcare provider may have●uctured drug treatment (PDT) form or an oral tablet form of tadalafil.

    For erectile dysfunction, tadalafil citrate may be prescribed in two ways:

    • You may take it usually after sexual activity or once a day. Your doctor may tell you to take it once a day, but always the exact first dose.
    • Your doctor may recommend taking tadalafil citrate medication regularly, once a day, once a day. It’s important to discuss this choice with your healthcare provider.

    Keep your healthcare practitioner informed if your medical condition does not improve or worsening or any other reasons. Keep your PTT at arm’s or edge of notice with your healthcare provider.

    If you take too much tadalafil citrate medication, notify your healthcare provider of your next steps based on your symptoms or interactions with other medicines. This way, they can assess your progress and ensure you do not forget.

    If you notice any new symptoms, notify your healthcare provider.

    Tadalafil generic online prescription discount card generic Cialis generic daily use use generic tadalafil 5mg

    Prior to taking tadalafil generic, tell your healthcare provider if you have ever had any heart problems, high or low blood pressure, diabetes, or if you have had an eye disease like retinitis pigmentosa.

    Tell your healthcare provider about any prescription medications you take or HIV protease inhibitors (Lipitor or Proteus) you take. Some medicines may also interact with tadalafil citrate 5mg. These include lopinavir and ritonavir, please check with your healthcare provider.

    Tadalafil generic may be used for other medical conditions too:

    • Biliary Urequist of theluent, which is found in the Namumba River.
    • Endometrial cancer.
    • Hearing loss.

    For the treatment of erectile dysfunction, tadalafil citrate may be used alongside bicalutamide as prescribed by your doctor.

    Possible side effects of tadalafil generic online prescription discount card Cialis generic at walmart tadalafil citrate medication side effects of tadalafil for pulmonary hypertension include headaches, flushing, dizziness, nasal congestion, and indigestion.

    Side effects of generic Cialis generic can vary from serious side effects to very rare side effects.

    Tadalafil is a popular medication used to treat erectile dysfunction (ED) in men. It is available as a generic drug called Cialis, which has been approved by the Food and Drug Administration (FDA) for the treatment of ED in the U. S. and in Europe since 1998.

    It is available in several strengths, including 2.5 milligrams (mg), 5mg, 10 mg, 20 mg, and 40 mg. It is usually taken three times a day for 3 to 4 hours, depending on individual health conditions. The dosage is based on the patient’s response to the medication, their age, and other medications. It is also available in a lower dose, 10 mg, 20 mg, and 40 mg tablets. The most common side effects of Cialis include headache, flushing, back pain, and muscle aches. These side effects tend to be more prevalent among men over the age of 40, but are usually mild and temporary.

    If you are taking tadalafil as a controlled medication, it is important to follow your doctor’s instructions and only use the medication when needed. This will help ensure that you get the best results from your treatment. If you take Cialis too often or more frequently, it can make the treatment less effective. You should also be aware of the potential side effects that may occur, such as:

    • Headaches
    • Back pain
    • Nausea
    • Indigestion
    • Muscle aches
    • Flushing

    These side effects are usually mild and temporary. However, if you experience any of these side effects or experience any unusual symptoms while taking tadalafil, it is important to contact your doctor immediately.

    In conclusion, tadalafil is a popular medication used to treat erectile dysfunction, including ED. It is available in multiple strengths, including 2.5 mg, 5 mg, 10 mg, 20 mg, and 40 mg. It is typically taken three times a day, with or without food, for 5 to 7 days. It is important to follow your doctor’s instructions and only use the medication when needed.

    Tadalafil and other ED medications

    Tadalafil is a prescription medication and should only be taken under the supervision of a healthcare professional. If you take tadalafil for any reason, it may not be suitable for you. It is important to discuss any health conditions, medications, or medications you are taking with your doctor before taking tadalafil. If you experience any adverse effects or have any questions about taking tadalafil, you should contact your doctor right away.

    Tadalafil is an FDA-approved medication for erectile dysfunction. It is available as a generic drug, and can be purchased as a 2.5 mg, 5 mg, 10 mg, and 20 mg tablet. It can be taken with or without food. The dosage is based on the individual’s response to the medication, their age, and other medications.

    It is important to note that tadalafil is not an aphrodisiac and does not increase the strength of the drug. It will not work for everyone. However, some people may experience side effects such as headache, flushing, back pain, muscle aches, stomach upset, and stuffy or runny nose.

    In addition, tadalafil may not be effective if you take it in the morning or have other medical conditions that may cause it to take longer to start working. In some cases, it may be necessary to adjust the dose as needed.

    If you experience side effects such as headaches, flushing, back pain, muscle aches, and stuffy or runny nose, you should seek medical attention right away. These are common side effects of tadalafil, but they are usually mild and temporary. If you experience any unusual symptoms while taking tadalafil, contact your doctor immediately.

    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.
    Added/GlossNotes

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    Here are the key drug-food interactions:

    1. : Though not a direct interaction, combining Cialis with Cialis might worsen side effects like headaches or increase side effects like dizziness in sensitive individuals.
    2. : While while easy to take, eating high-fat meals following a diet containing high-fat ingredients may worsen side effects like headaches or increase heart rate in sensitive individuals.
    3. : Though drug-globally accepted as having less than 100,000 calories, the plasma levels of Cialis might theoretically be higher than this. If you find these food interactions problematic, consider spacing the medications.
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