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.
Use in summary
CIALIS is used with caution in the following cases: severe heart failure (NYHA type IV). Isadder obstruction (ISIB) (see section 4.4). Pregnancy
In women
In men
In the event of serious cardiovascular disease (e.g. heart failure, previous myocardial infarction, or if affected by hypotension), symptomatic treatment (nitrates) [see section 4.4.1]
In case of sudden decrease or loss of vision, usually just a visual, if any, there is a very serious risk of irreversible loss of vision you should seek immediate medical help.
Before taking this medicine consult your doctor or pharmacist - they are able to give you important instructions to take this medicine if you have any.
Do not use in cases in which the ahead of time is 14 days.
Keep using for the full duration of your medicine.
Tadalafil, the brand name for Cialis, has been a game-changer in the realm of men's health for many years now. It is an active ingredient that helps relax the muscles in the walls of blood vessels, allowing for increased blood flow to the penis during sexual stimulation. The effects are well-documented, with studies showing that it can increase blood flow and achieve an erection, allowing for a firmer and longer-lasting erection.
In addition to the use of Cialis, it's known for its ability to improve the penis's natural response to sexual stimulation. It is also widely used for other conditions as well.
One of the primary benefits of Cialis is its ability to enhance blood flow to the penis. This allows for increased sensitivity and blood flow to the penis, ultimately improving the ability to achieve and maintain an erection. While it has a positive effect on improving erectile function, the benefits are lessened with the addition of tadalafil.
However, there are some limitations that may need to be considered when choosing the right dosage. For instance, it's not yet known whether Cialis can be taken with or without food.
Cialis works by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which is responsible for regulating blood flow in the penis. This allows for increased blood flow to the penis, which can result in an erection when sexual stimulation occurs.
Inhibition of PDE5, which is responsible for breaking down cyclic guanosine monophosphate (cGMP), causes the smooth muscles in blood vessels to relax. cGMP causes cGMP levels to increase, increasing the amount of blood that flows into the penis.
This increase in blood flow can cause an erection when sexual stimulation occurs. This can be achieved by inhibiting PDE5, which is responsible for breaking down cGMP.
The mechanism behind Cialis's ability to increase blood flow to the penis is still being studied, but there are some reports that suggest it can enhance the effects of sexual stimulation on the penis.
However, there are some studies that support its effectiveness and suggest that it may not be as effective as expected. Some of these studies, however, do not support the idea that Cialis can enhance its effects in the bedroom.
Like any medication, Cialis may cause some side effects in some individuals. These may include the following:
Other less common side effects of Cialis may include:
Last updated 14 September 2023
On 14 March 2023, the UK Medicines regulator approved an application to reclassify the erectile dysfunction medication Cialis. When marketed asCialis Together(tadalafil 10mg), it will be a ‘P’ (pharmacy) medication, and so available ‘over the counter’ in pharmacies – see. This follows the 2018, ‘P’ classification of (sildenafil 50mg) which has been available OTC, without a prescription, since then.
This decision is good news for men’s health …. Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care
Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality and Access
Unfortunately, there is a strong black market in the UK for ED medicines, which are often unlicensed or counterfeit. UK Border Force and the MHRA seize millions of pounds of these fake products from criminals annually. This new classification of tadalafil 10mg will enable men who suffer from ED to obtain it safely from a local pharmacy.
Sanofi, the drug manufacturer, is expected to launch Cialis Together later in 2023. Cialis Together will be available to purchase in pharmacies without a prescription by men over 18 with erectile dysfunction. Cialis Together tablets will contain 10mg tadalafil and the maximum pack size will be 8 tablets. Other doses and pack sizes of Cialis and tadalafil will still be available on prescription through doctors and specially trained pharmacists. Before purchase in a pharmacy there must be an assessment with a pharmacist, who will check that Cialis Together is appropriate and safe, or whether consultation with a GP is necessary.
Men suffering with ED will have another treatment option with the convenience of purchasing it in their local pharmacy, including pharmacies found inside supermarkets (eg. Tesco, Asda, Sainsbury’s). The pharmacist will ask some health questions, may check blood pressure, and will advise on treatment with Cialis Together or Viagra Connect, or the need to consult a GP. Pharmacies usually have a private room for such discussions.
Cialis Together is a 10mg tadalafil product for use at least 30 minutes prior to anticipated sexual activity. Its effects can last. It is not recommended for daily use. The maximum recommended dose of Cialis Together will be one tablet in 24 hours. Prescription Cialis and tadalafil will still be available at different doses.
Dr Fox welcomes the wider access to ED medication for men that Cialis Together classified as a ‘P’ OTC medication will provide. We at Dr Fox are aware of the difficulties men have in discussing ED with their GPs and in accessing ED medication. We know that Cialis is effective and safe for most men and this change provides another option for obtaining ED treatment. Pharmacists are health professionals who are able to give ED advice but they will also know when to refer men who would benefit from a doctor’s assessment. ‘P’ medicines can also be supplied on prescription, and we will offer Cialis Together, when available, alongside our other competitively priced ED products.
Dr Claire Pugh, Dr Fox Medical Director
In the UK have 3 categories:
utahateremkgel® is a gel that is specially formulated to administer to rehydrate the patient's patient with over-the-counter access to over-the-counter access to,. It is the same active ingredient as in the brand-name Cialis, 10mg and iotal. It is the only available on the counter for use at store Protein.
Levitra medicine is manufactured by Buyer Pharma. Levitra is available in 10mg. Levitra medicine contains generic salt Content Vardenafil. This medicine used to help Treatment of Erectile DysfunctionDetails- 1. Brand name – Levitra 2. Generic – Vardenafil3. Dosage form – tablet4. Used – It is used to help Treatment of Erectile Dysfunction 5. Packaging – 4 tablets6. Strength – 10mg7. Manufactured & Marketed By – Buyer PharmaWe are exporters & wholesalers of Levitra Medicine. Levitra medicine is available at discounted prices. We can provide the best price for Levitra. We export Levitra medicine to China, USA, London, Europe, Thailand, Russia, Malaysia, Singapore, Vietnam, Dubai. Warning: Levitra Medicine out of the reach and sight of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. ATTENTION - Above mention price only for reference. If you wish to know about best discounted price or order of any kind of medicine than you just contact us as soon as possible. Please check our contact us page for complete details. Levitra is a prescription drug and should be used under proper medical guidance and advice. Do not share the medicine with others, since they may be suffering from a problem that is not effectively treated by this drug.• Keep all medicines out of the reach of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed.• The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Notice: The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Before eating/consuming any medicine kindly do consult with your doctor / Medical adviser / Nurse / Hospital /medicine Institution / Health advisor or pharmacist/ medicine healer. Do not indulge in self medication using internet information. Self medication can be dangerous.
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