Cialis
(Tadalafil)
Disclaimer: This is not medical advice. You and your physician will determine if (and potentially how) you should take Cialis.
THE BASICS
WHAT IS CIALIS?
Cialis is a drug used to treat erectile dysfunction and an enlarged prostate. It is part of the same “family” of drugs as Viagra and Levitra, but there are important differences. All three drugs are called PDE-5 inhibitors and you can read more about how they work here.
If appropriate, you can also get a prescription online and have Cialis shipped to your door through #’s online visit.
HOW IT WORKS?
Cialis is nicknamed “The Weekender Pill” because it lasts up to 36 hours. Some people prefer Cialis because it lasts longer than Viagra (Sildenafil) and Levitra (Vardenafil), which typically last up to 8 hours.
Here is a quick breakdown.
-
Cialis (Tadalafil)
- Works in as quickly as 30 Minutes
- Median time to take effect 2 hours
- Lasts up to 36 hours
-
Viagra (Sildenafil)
- Works in as quickly as 30 Minutes
- Median time to take effect 1 hour
- Lasts up to 8 hours
-
Levitra (Vardenafil)
- Works in as quickly as 30 Minutes
- Median time to take effect 1 hour
- Lasts up to 8 hours
SIDE EFFECTS
The most common side effects include: headache, dyspepsia (i.e., pain or an uncomfortable feeling in the upper middle part of your stomach), back pain, myalgia (i.e., muscle pain), nasal congestion, flushing, and pain in limb.
POPULAR QUESTIONS
Can I use Cialis with alcohol?
Physicians should inform patients that substantial consumption of alcohol (e.g., 5 units or greater) in combination with CIALIS can increase the potential for side effects.
Can I take Cialis more than once per day?
No. Do not exceed one dose in a 24 hour period
Is Cialis affected by food?
You can eat normally. Except, it is worth noting grapefruit juice can possibly affect the absorption of Cialis (Tadalafil).
Can I get a Cialis prescription online?
Yes, you can get a prescription through a 5-minute # online visit, if determined appropriate by a network of U.S. licensed physicians.
THE NITTY GRITTY
Note: These highlights do not include all the information needed to use CIALIS safely and effectively.
DOSAGE FORMS AND STRENGTHS:
Cialis is made in 2.5 mg, 5 mg, 10 mg, and 20 mg.
DOSES AND ADMINISTRATION:
When Taken As Needed:
The starting dose is usually 10 mg as needed prior to sexual activity but it depends on the individual. It has been shown to improve erectile function, compared to placebo, up to 36 hours post dose.
Based on effectiveness and tolerability, your physician may recommend an increase to 20 mg or a decrease to 5 mg.
Cialis should not to be taken more than once per day.
CONTRAINDICATIONS:
Use of cialis in any patient using any form of organic nitrate is contraindicated. Cialis was show to potentiate the hypotensive effect of nitrates. Simply put, both nitrates and Cialis can lower your blood pressure so the combination of the two can be extremely dangerous.
ADVERSE REACTIONS:
Most Common (≥2%):
Include: headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in limb
WARNINGS AND PRECAUTIONS
- Patients should not use Cialis if sex is inadvisable, especially due to cardiovascular status.
- Use of CIALIS with alpha blockers, antihypertensives or substantial amounts of alcohol (≥5 units) may lead to hypotension.
- CIALIS is not recommended in combination with alpha blockers for the treatment of BPH because efficacy of the combination has not been adequately studied and because of the risk of blood pressure lowering. Caution is advised when CIALIS is used as a treatment for ED in men taking alpha blockers.
- If taking potent inhibitors of CYP3A4, dose should be adjusted: CIALIS for use as needed: ≤10 mg every 72 hours. For once daily use: dose not to exceed 2.5 mg.
- Patients should seek emergency treatment if an erection lasts >4 hours.
- Use CIALIS with caution in patients predisposed to priapism.
- Patients should stop CIALIS and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of Non Arteritic Ischemic Optic Neuropathy (NAION). Physicians should discuss increased risk of NAION in patients with history of NAION.
- Patients should stop CIALIS and seek prompt medical attention in the event of sudden decrease or loss of hearing.
- Prior to initiating treatment with CIALIS for BPH, consideration should be given to other urological conditions that may cause similar symptoms.
Renal Impairment:
- Patients with creatinine clearance 30 to 50 mL/min: Dosage adjustment may be needed.
- Patients with creatinine clearance less than 30 mL/min or on hemodialysis: For use as needed: Dose should not exceed 5 mg every 72 hours. Once daily use is not recommended.
ADDITIONAL RESOURCES
We recommend reading the links below to understand all of the potential benefits and risks of the medications:
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