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Why Cialis?

How do they work? - Cialis makes your muscles relaxed and increases blood flow to particular areas of your body.
Use Cialis to treat treat erectile dysfunction (i.e. impotence).
You can also use Cialis for purposes other than those listed in the medication guide.

Read the most important information about Cialis.

Do not take Cialis if you have chest pain or heart problems and are using a nitrate drugs as a treatment, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, etc), isosorbide
dinitrate (Dilatrate-SR, Isordil, Sorbitrate), isosorbide mononitrate (Imdur, ISMO, Monoket).
Remember that nitrates are also found in some recreational drugs for example in amyl nitrate or nitrite (”poppers”). A serious decrease in blood pressure, leading to fainting, stroke, or heart attack can be caused by taking Cialis with a nitrate medicine.
Dizziness, sickness or pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity are signs to stop and call your doctor immediately. Cialis could cause a serious side effect. Take Cialis not more than once a day. 24 hours should pass between doses.
If your erection is painful or lasts longer than 4 hours, visit your doctor or seek emergency medical attention. The penis can be damaged by prolonged erection (priapism).Few patients have had a sudden loss of eyesight after taking Cialis. Decreased blood flow to the optic nerve of the eye causes this type of vision loss. It is still unclear whether Cialis is the cause of such vision loss. It’s observed that sudden vision loss with Cialis use has occurred most often in people with health problems (heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems), in those who smoke or are over 50 years old. If you have sudden vision loss, stop using Cialis and get emergency medical help.

Before taking Cialis consult your healthcare provider.

Tell your doctor if you have:
    * heart rhythm problems or heart disease;
    * a recent heart attack (within 90 days);
    * a recent stroke or congestive heart failure (within 6 months);
    * angina (chest pain);
    * low or high blood pressure;
    * liver disease;
    * kidney disease (or if you are on dialysis);
    * a blood cell disorder such as sickle cell anemia, multiple myeloma, leukemia;
    * a bleeding disorder such as hemophilia;
    * a stomach ulcer;
    * retinitis pigmentosa (an inherited condition of the eye);
    * a physical deformity of the penis (such as Peyronie’s disease); or
    * if you have been told you should not have sexual intercourse for health reasons.

You may not be able to use Cialis or you may need a dosage adjustment or special tests during treatment, if you have any of these conditions.
FDA pregnancy category B: though Cialis is not for use in women, it is not expected to be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant or plan to become pregnant during treatment or breast-feeding a baby. Though Cialis is not for use in women, it is not known if Cialis passes into breast milk or if it could harm a nursing baby. Note, that you may need a lower dose of this medication if you are older than 65. Always follow your doctor’s instructions.

I miss a dose of Cialis. Consequences?

- If you use Cialis as needed, you are not likely to be on a dosing schedule.

I overdose with Cialis. What should I do?

-Seek emergency medical attention right away, if you suppose that you have used too much of the medicine.Cialis overdose’s symptoms may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

Should I avoid anything while taking Cialis?

Do not drink alcohol, which can increase some of the side effects of Cialis. Note that grapefruit and grapefruit juice may interact with Cialis.Consult the use of grapefruit products with your doctor. Before increase or decrease the amount of grapefruit products in your diet, talk to your doctor. Unless your doctor tells you to, do not use other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others),

What other drugs can affect Cialis?

Tell your doctor if you are using any of the following medications before taking Cialis:
•    cimetidine (Tagamet, Tagamet HB);
•    erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
•    doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);
•    HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
•    itraconazole (Sporanox) or ketoconazole (Nizoral);
•    carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
•    rifampin (Rifadin, Rimactane).

You may not be able to take Cialis, or you may need dosage adjustments or special tests during treatment, if you are using any of the above mentioned drugs. Other drugs not listed  here that can affect Cialis too. It’s important to tell your doctor about all the prescription and over-the-counter medications that you use (including vitamins, minerals, herbal products, and drugs prescribed by other doctors). Before using a new medication consult your doctor.

Where can I learn more about Cialis?

•    Ask your pharmacist for additional information about Cialis written for health professionals that you may read.