Top 15 Questions From Customers About Cialis (Tadalafil Drug)


1. What is the active ingredient in Cialis?

Cialis’s active component is tadalafil which is very helpful in therapy of erectile dysfunction. This is an internationally accepted name of the substance the main feature of which is inhibition of the enzyme, phosphodiesterase type 5. It releases nitrogen oxide composition from peripheral nerve endings that are located in penile cavernous bodies or more exactly – in their endothelium. Due to the action of nitrogen oxide, synthesis of cyclic guanosine monophosphate in smooth muscle cells occurs. As a rule, cyclic guanosine monophosphate gets accumulated in muscular tissue causing its relaxation and enhanced rate of blood stream to cavernous bodies and increase of sexual arousal effect. Resulting from the afore-mentioned process (inhibition of phosphodiesterase type 5) there is an increase of cyclic guanosine monophosphate content accompanied by filling of cavernous bodies that promotes improvement of erectile function.

What is the active ingredient in Cialis

This chain of positive reaction of male organism occurs only in case of the presence of sexual stimulant. Tadalafil action on PDE5 is more active than on other types of phosphodiesterase. Tadalafil improves erection and possibility of a successful sexual intercourse.  The medicine’s action lasts within 36 hours. The effect occurs 16 minutes after the intake in case of sexual excitement. For healthy individuals, tadalafil doesn’t cause approved change of systolic and diastolic blood pressure in comparison with placebo in in prone position. Tadalafil doesn’t cause change of heart rate or changes in color perception. Besides, tadalafil doesn’t cause LH, FSH or testosterone level alterations. Clinical impacts on semen male characteristics were not revealed according to placebo-controlled research studies.

2. How long does it take for Cialis to work?

Medical experts recommend taking original Cialis pills or its generics around thirty minutes prior to sexual activity. It is not required to dissolve the tablet in the mouth; it is sufficient to drink Cialis with water. But in case of medicine’s combination with alcoholic beverages, it is recommended putting a pill under the tongue and dissolve. Avoid direct contact of Cialis with alcohol. According to men’s testimonials, Cialis administration causes fully-realized erection in 13 minutes after the intake. Maximal period of erection achievement takes one hour. Therefore, the absence of instant arousal should not cause any worries. It is also possible to complete a therapy course or increase the dose of medicine. In case of Cialis intake in the dose of 5mg, positive effect will last 13 hours. In case a man took 20mg of Cialis, the time of action prolongs up to 36 hours.

While stimulating of sexual excitement, a man achieves erection and is able to have natural flawless sexual intercourse. Medical experts state that observation of dosage and all recommendations will not build up tolerability of organism to tadalafil. Also, in case a patient follows all pieces of advice, he can avoid blood pressure drops, arrhythmia, and other adverse consequences. Cialis therapy curse may last 1-2 months. Noticeable beneficial result occurs in five days after Cialis pills administration.

3. Can I take Cialis every day?

Today Cialis is a sole medication for erectile dysfunction the smallest dose of which is suitable for daily application. The initial dose is 2,5mg; in case it doesn’t work, a patient may increase it to 5mg. Cialis for daily administration is to be taken once a day at approximately at one and the same time. If taken for treatment of erectile dysfunction, Cialis effect may occur within 4-5 days or earlier for fully-realized coitus. Sound man may experience the result during 15-30 minutes after the drug’s intake. All in all, Cialis for daily application for treatment of ED symptoms is usually used in two doses: 2,5mg and 5mg. For episodic administration, Cialis doses varying from 5 to 40mg are applied. In case a man doesn’t suffer from severe diseases (mentioned in Cialis instruction to use) and there are no special notes by a specialist, Cialis doses of 20-40mg may be used for sexual activity boost. These Cialis doses are estimated for 36 hours and are suitable for non-therapeutic applications of the drug. A physician should first prescribe one dosage of Cialis and then correct it in accordance of reaction of patient’s organism on the medicine. Both doses (2.5 and 5mg) were approved for men suffering from erectile dysfunction of mild, moderate and severe level. Recommended initial Cialis dose for daily use for ED therapy is 2,5mg.

4. What is Cialis 20mg used for?

According to instruction to use and doctors’ recommendations, Cialis 20mg is taken for one-time symptomatic action on male sexual organ. Since time span of the drug’s effect is 36 hours, this dosage is recommended for daily intake. The factual repetitive intake of Cialis is possible only in 24 hours. Thus, Cialis 20mg is applied for episodic administration, but not within a therapy course. For those men who have sex not oftener than twice a week, this dose is not the best choice. Cialis 20mg may be taken in the morning, afternoon or evening before planned coitus. The long-term range of the medicine’s operation allows a patient be comfortable with planning sexual intercourse, since he tablet may be taken beforehand. All in all, in accordance with manifold customers’ reviews and experts’ recommendations, Cialis 20mg is applied for one-time administration. Such dose allows successfully eliminating symptomatology of impotency, but not treating it. Due to high concentration of tadalafil, erection occurs in 10-15 minutes after its administration. Positive effect will preserve within 36 hours. Thus, 20mg of the medication is acceptable to be taken not oftener than once per 2-3 days.

5. What are the long-term effects of Cialis?

Cialis pills are a real bailout for those men who cannot find effective therapy of their sexual issues.

Cialis 20mg

The long-term effects of Cialis are the following:

  • Cialis takes its action within a short period of time; after administration of a pill a man will experience its action in 20 minutes;
  • The duration of action is about 36 hours which is equal with such famous analogue as Viagra;
  • Cialis has a large spectrum of action allowing a patient not only to get rid of erectile disorders, but make a sexual intercourse more qualitative and long-lasting;
  • The remedy is safe even for men suffering from severe diseases of liver and kidneys. In case of chronic impairments, it is not required to change the applied doses;
  • There are no limits in alcohol use that doesn’t interact with Cialis;
  • Cialis doesn’t build up tolerability even when taken frequently and doesn’t become less efficient.

If a man leads active sexual life, a recommended dosage for daily administration should not surpass 5mg of tadalafil. Moreover, h tablet is to be administered at one and the same time. If there are intense side-effects, the dose may be reduced to 2,5mg. In case a man is not sexually active, he can take one pill a day with the dose of 20mg. Cialis may be used within a long period of time, but daily intake is not advisory though. It is not worth experimenting and taking the drug in an improvised dose several times a day, for instance, dividing a pill of 20mg into several parts, since it may not be effective or exceed the maximal daily dose that is fraught with consequences.

6. What is Cialis 5mg used for?

Either original or generic Cialis are issued in the doses of 5 and 20mg. The dosage determines the time of erection occurrence and its duration. To start, doctors recommend 5mg of tadalafil. Minimal dose allows selecting safe dosage of a man. The instruction says that Cialis 5mg may be used for ED treatment within a therapy course. In 5 days of tablets usage there is a maximal concentration of tadalafil in organism. Thus, a man is able to have sex anytime. Such stimulation is suitable for those who are used to having active sexual life. Daily administration of Cialis 5mg eliminates mild symptomatology of erectile dysfunction and takes positive influence on psycho-emotional profile. Thus, minimal dose of the drug is allowed for a daily application.

More on how to use Cialis 5mg from our experts: mycanadianpharmacypro.com/cialis-5-mg-therapy-course.html

A man is not restricted by time limits and is able to have sexual activity when he wants. In case of daily intake of Cialis 5mg, it is important to follow one and the same time of administration. Thus, a medicine is prescribed for morning administration. Urologists recommend periodical application of Cialis 5mg therapeutic course in case a patient suffers from prostatitis, prostate carcinoma or for ED prophylaxis. In case of Cialis 5mg intake, positive effect lasts 13 hours. Medical experts confirm that observation of the dose and of all recommendations will not cause addiction of organism to tadalafil. Also, it is possible to avoid blood pressure drops, arrhythmia, and other adverse consequences by following the instruction.

7. What are the different strengths of Cialis?

There are various concentrations and presentation forms of Cialis: 2,5mg, 5mg, 10mg and 20mg. 10mg or 20mg of Cialis are to be taken not less than 30-60 minutes prior to planned sexual activity. The time required for obtaining maximal strength by the medication varies people-to-people. Some men experience Cialis action 16 minutes after the drug’s administration, but for the first time, the remedy is recommended to be taken an hour before coitus. Cialis is efficient within the period of thirty-six hours, which means that after its administration (along with sexual stimulation), it is possible to achieve erection anytime within 36 hours. For the time being, Cialis is the only medication for impotency the lowest dosage of which is suitable for daily application. Initial dose is 2.5 mg and in case it doesn’t work, daily dosage may be increased to 5mg. The decision of administration of the lower doses of Levitra or Viagra will be reckless, since there are no available scientific data of the efficiency of such intake.

8. Cialis for Erectile Dysfunction treatment

Recommended daily starting dosage for administration for the majority of patients makes 10mg taken before each sexual intercourse once a day. The dose may be increased to 20mg or decreased to 5mg based on individual efficiently and tolerability.

Cialis for daily administration for ED

Recommended starting dose for daily administration is 2.5mg taken at one and the same time every day regardless of sexual activity. Daily dose may be increased up to 5mg based on individual tolerability and efficiency.

Daily Cialis administration in case of benign prostatic hyperplasia

Recommended daily dose is 5mg of tadalafil taken every day at one and the same time.

Daily Cialis intake in case and ED and BPH

Recommended dose of Cialis pills for daily intake is 5mg taken every day at one and the same time regardless of expected sexual intercourse.

9. What are the side-effects of Cialis?

  1. Cialis may cause such adverse effect and complication as headache. In some cases, these pains do not cease until the medicine intake is terminated. Nevertheless, most cases are successfully solved by means of application of remedies for headache.
  2. Also, some patients noted that after Cialis prescription they appeared to have backache. But the cases are quite rare though.
  3. Some patients experienced pains in muscles, but the frequency rate of such effects were rare.
  4. Most men observed various gastric disorders after Cialis intake, such as stomachache, bloating, heaviness in the stomach, dyspepsia.
  5. Around 1% of patients suffered from eye edemas, pain in eyes, blurred vision or conjunctivitis.
  6. Some men noted various allergic reactions of transient and mild character. The problem was solved with application of antihistamine remedies or termination of Cialis intake.
  7. Also, some patients reported sweating.
  8. Patients who had cardio-vascular diseases in past medical history, experienced chest pain. Since the symptoms were very weak, it was unclear whether the pain was caused by Cialis or these disorders were caused by man’s sexual activity.
  9. The application of alcohol with Cialis didn’t cause any side-effects besides vertigo. Nevertheless, it is not recommended taking these substances together.

10. Can Cialis be taken with food?

Administration of Cialis dose doesn’t depend on food intake or the time of day. A pill is taken 15-20 minutes prior to sexual activity. In case a man uses 20mg of tadalafil, the tablet may be taken beforehand. In case a patient is prescribed to take 5mg of tadalafil on a daily basis, it is important to follow the one and the same time of administration (for example, each morning). Cialis is strong synthetic medication. Therefore, it is important to take into account its compatibility with other substances, agents and remedies that may be confirmed by a doctor only. If a man is prescribed a therapy course with Cialis, it may last 1-2 months.

Can Cialis be taken with food

Positive effect occurs after 5 days of pills administration. Moreover, it has transpired that Cialis and other PDE5 inhibitors cannot be combined with any kinds of citrus cultures. For instance, Cialis cannot be co-administered with grapefruit juice or any other beverages containing citruses. The point is that grapefruit juice considerably weakens tadalafil’s action. It was observed that a patient who took the most attested and qualitative remedy could not experience any noticeable improvements in the functioning of his organism. It goes without saying that at first there was no explanation of this occasion. Later, it was known that a man who didn’t experience any improvements in organism work simply drank juice of citrus cultures or ate them, since the latter block the action of potency stimulating pills.

11. What are the health benefits of Cialis?

Cialis is a remedy that is able to help even in severe cases of erection impairment. Clinical trials of its efficiency with participation of 400 men suffering from erectile dysfunction of various degrees and etiology have demonstrated considerable improvement of erection after administration of this drug (81%).

What health benefits does Cialis bring?

  • It is not only good for potency restoration, but also advantageous for getting sexual relations back on track.
  • Initial and further applications do not cause any discomfort for a patient; the long-term intake doesn’t build up tolerability or weakening of action.
  • The remedy takes its action very fast – in 20-25 minutes after the intake.
  • Cialis takes advantage over its other analogues (Levitra and Viagra) in regards to duration of action: a pill may work within the course of 36 hours.
  • It is not prohibited to take Cialis in combination with fatty food and alcohol.
  • The drug is considered to be safe for health: it can be taken by men suffering from diabetes. Besides, Cialis administration is allowed to men with hepatic or renal diseases; no dose correction is required.

Like other analogous medicines, Cialis takes its action only in case a man sees and feels sexual irritant, since sexual stimulation is an indispensable prerequisite for Cialis effect. While administering a tablet, a man needs to take into account that causes of penile blood supply cannot be eliminated by Cialis – its action is limited by definite amount of time.

12. Can you take Cialis with alcohol?

Patients should be warned that both alcohol and Cialis (PDE5 inhibitors) act as vasodilatory remedies of moderate strength. When vasodilatory remedies of moderate strength are taken in combination, hypotensive effects of each separate substance may enhance. Thus, medical experts must inform their patients of the fact that alcohol misuse (5 standard doses and more) in combination with Cialis may increase the chance of orthostatic symptoms and signs development, including rise in frequency of cardiac contraction, blood pressure drop in standing posture, vertigo and headache. All in all, research studies show that compatibility of alcohol with Cialis is possible, which is considered to be an advantage of the remedy. In case ethanol is taken in moderate amounts, it will not take adverse impacts on Cialis therapeutic effect. If a man is not accurate with alcohol use, he must forget about Cialis application. According to specialists, Cialis is one of the strongest medications for male sexual strength boost.  It is especially popular due to the possibility of its harmless combination with slight portions of alcoholic beverages. Most men who took Cialis along with ethanol consider it to work perfectly even in case of such combination.

13. Cialis and Energetic drinks

There are no experimentally approved data of dangerous interaction of Cialis with energetic drinks. However, it is important to consider the mechanism of action of energetic beverages. The point is that energetics take impact on central nervous system. Therefore, after their intake a man feels excitement and the feeling of euphoria achieved by caffeine contained in the product, and such substances as taurine, guarana and other elements falling into the group of alkaloids. Energetics act very fast: 10 minutes after the intake and a person starts experiencing quickening pulse and breath and heartbeats that shows the increase of arterial blood pressure. But the most dangerous thing is cardio-vascular system that suffers from the severest overload after energetics administration.

Cialis and Energetic drinks1

Although such cocktail braces, it just creates the illusion of energy. In fact, the energy after such beverage is fraudulent. In case a man in strong and healthy, he may not notice side-effects after the intake of such drinks. Anyway, energetic beverages have accumulative effect. The oftener a man uses such drinks, the stronger his cardio-vascular system gets overloaded. The latter is responsible for normal and stable erection. Thus, in case a man takes energetics regularly, his potency will crap out in due course.

14. Why Cialis stopped working?

Cialis is one of the strongest ED remedies. But noting is ideal in our life: around 20% of men do not get the result of Cialis they accounted for. The absence of efficiency of medicamentous therapy in this case is explained by individual particularities of a patient. Nevertheless, the causes may be different.

1. Drug resistance

Most medicines that are taken for a long time start taking their action not so efficiently as before. The same is about PDE5 inhibitors: for obtaining of previous pharmaceutical effect, patients with decreased susceptibility to tadalafil require the dose increasing that is fraught with side-effects development.

2. Venous insufficiency

Cialis may be powerless in those cases when ED is connected with venous insufficiency of penis. Such patients have enhanced deflux of venous blood from cavernous bodies of penis on the setting of fully-realized arterial blood afflux. In other words, blood flows from balanus so fast that the latter doesn’t have time to become firm.

3. Low level of nitrogen oxide

Nitrogen oxide occupies crucial place in erection achievement by vasodilating vessels and providing blood supply to penile balanus. Cialis and other similar remedies do not cause increase of the level of nitrogen oxide, but inhibit the enzyme responsible for destruction of this chemical composition produced by the cells of vascular endothelium. The men with endothelial dysfunction do not have “material” for proper functioning of biochemical mechanism of erection development. Therefore, even Cialis is not able to help in this situation. The decrease of nitrogen oxide intensity in blood affects all organs and systems, including urogenital tract. All Cialis attempts to solve the problem will fail.

4. Psychology

Some healthy men still have some erectile issues. The cause is psychology: fears, anxiety, etc. Psychogenic ED is a condition when Cialis and other PDE5 inhibitors are helpless, but more often they are ideally suitable for such therapeutic algorithm.

5. Other issues of medicinal character.

15. When should I take Cialis for best results?

The intake of any Cialis dosage does not depend on food intake or the time of day. A tablet is taken 15-20 minutes before planned coitus. In case 20mg is used, a pill may be administered beforehand. If Cialis 5mg is prescribed for daily application, it is important to follow and adhere strictly the schedule of Cialis administration (e.g. every afternoon). Urologists recommend taking therapeutic course of tablets (5mg) in case of prostate carcinoma, prostatitis or prophylaxis of erectile dysfunction. Initial dose of episodic intake is 10mg taken prior to expected sexual activity. The dose may be enhanced to 20mg or reduced to 5mg in accordance with individual reaction of patient’s organism. The application has demonstrated improvement of erectile functioning in comparison with placebo, up to 36 hours after the intake. These data is important while taking consultation by a specialist for optimal Cialis administration. For daily therapeutic course, starting dose for daily administration is 2,5mg taken approximately at one and the same time regardless of sexual activity. The dose for daily usage may be enhanced to 5mg based on individual effectiveness and tolerability rate.

16. Can Cialis cause low blood pressure?

What are the impacts of Cialis on blood pressure? Before usage of the remedy, a patient should know that it may cause blood pressure increase. Therefore, those who suffer from cardiac issues should use Cialis with caution. Among contraindications to Cialis use, there is an indication of those who suffer from repetitive blood pressure drops and its chronic forms. Cialis takes vasodilatory action on vascular walls of pelvic organs. There are suppositions about negative impacts of tadalafil on heart. Nevertheless, Cialis doesn’t boost blood pressure. It improves circulation of blood in vessels of organs located in pelvic organs. Besides, there is no any influence on cardio-vascular system. Blood starts circulating at a higher rate and the erection occurs. Men above 40 years of age are strictly recommended consulting a specialist before using Cialis, especially when it comes to people suffering from unstable blood pressure.

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