cialis™

what is it?

Cialis™ is used to treat men who have erectile dysfunction (also called sexual impotence). We also offer the generic alternative, Tadalafil, which has the same active ingredient as Cialis™. Cialis™ belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works.

Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body's normal response is to increase blood flow to his penis to produce an erection. By controlling the enzyme, Cialis™ helps to maintain an erection after the penis is stroked by increasing blood flow to the penis. Without physical action to the penis, such as that occurring during sexual intercourse, Cialis™ will not work to cause an erection.

what’s in it?

Each tablet contains 5 mg of Tadalafil (Cialis™) and the following inactive ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin

i placed an order, how does this work?

Since this treatment is a prescription medication, you will be prompted to complete a medical assessment and online visit with a doctor. The doctor will determine if a prescription for Cialis™ is appropriate. You can find more info about the independent doctors accessible through our platform and care delivery here.

what’s the recommended dosage?

Follow your doctor's orders or the directions on the label. If you have any questions about dosage or how to take Tadalafil, always consult with your doctor.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

how do i take it?

Use Cialis™ exactly as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. If too much is used, the chance of side effects or other problems is increased.

Special patient instructions come with Cialis™. Read the directions carefully before you start using Cialis™ and each time you get a refill of your medicine.

You may take this medicine with or without food.

Swallow the Cialis™ tablet whole. Do not split, break, or crush it.

Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.

how soon can i expect to see results?

Most ED drugs require you to take the medication when you feel like you may become sexually active. You may also need to plan your medication use around meals. This makes it hard to be spontaneous. While Cialis™ works in a similar way to other ED medications, it can be taken at a lower prescribed dose and is taken at the same time every day. The 5 mg daily dose works to increase your ability to achieve an erection anytime you are sexually aroused.

Daily Cialis™ is a lower-dose medication, so it doesn’t work like Sildenafil (generic for Viagra™), which works relatively quickly but over a period of several hours. When you take daily Cialis™, you reap the benefits of the medication for a long time, but you need to be patient at the beginning.

Taking Cialis™ 5 mg tablet once a day, you may be able to have successful intercourse in as early as 4 to 5 days.

important safety information:

Important considerations

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Grapefruit Juice

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Ethanol

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Abnormal penis, including curved penis and birth defects of the penis—Chance of problems occurring may be increased and this medicine should be used with caution in these patients.
  • Age greater than 50 years or
  • Coronary artery disease or
  • Diabetes or
  • Hyperlipidemia (high lipids or fats in the blood) or
  • Hypertension (high blood pressure) or
  • Low cup to disc ratio (eye condition also called "crowded disc") or
  • Smoking—May increase risk for a serious eye problem called NAION.
  • Angina (severe chest pain) or
  • Arrhythmia (irregular heartbeat), uncontrolled or
  • Heart attack (within the last 3 months) or
  • Heart failure (within the last 6 months) or
  • Hypertension (high blood pressure) or
  • Hypotension (low blood pressure), uncontrolled or
  • Retinal disorders (eye problem) or
  • Retinitis pigmentosa (an inherited eye disorder) or
  • Stroke, recent history of—Should not be used in patients with these conditions.
  • Bleeding disorders or
  • Stomach ulcers—Chance of problems occurring may be increased; it is not known if the medicine is safe for use in these patients.
  • Heart or blood vessel disease—Chance of low blood pressure occurring is greater; Tadalafil (Cialis™) should be used carefully in these patients.
  • Kidney disease or
  • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
  • Leukemia (blood related cancer) or
  • Multiple myeloma (blood related cancer) or
  • Sickle-cell anemia (blood disorder)—Tadalafil (Cialis™) should be used with caution in these patients as problems with prolonged erection of the penis may occur.
  • NAION (serious eye condition) in one or both eyes, history of—May increase your chance of getting NAION again.
  • Pulmonary veno-occlusive disease or PVOD (a type of lung disease)—Use with caution. May make this condition worse.

Precautions

It is important that you tell all of your doctors that you take Cialis™. If you need emergency medical care for a heart problem, it is important that your doctor knows when you last took Cialis™.

If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent serious and permanent damage to your penis.

This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). Use protective measures and ask your doctor if you have any questions about this.

It is important to tell your doctor about any heart problems you have now or may have had in the past. This medicine can cause serious side effects in patients with heart problems.

Do not use this medicine if you are also using riociguat or a nitrate medicine, often used to treat angina (chest pain). Nitrate medicines include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Some illegal ("street") drugs called "poppers" (such as amyl nitrate, butyl nitrate, or nitrite) also contain nitrates.

Do not drink excessive amounts of alcohol (eg, 5 glasses of wine or 5 shots of whiskey) when taking Cialis™. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increase your heart rate, or lower your blood pressure.

If you experience sudden loss of vision in one or both eyes, contact your doctor immediately.

Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears.

Do not eat grapefruit or drink grapefruit juice while you are using this medicine. Grapefruit and grapefruit juice may change the amount of this medicine that is absorbed in the body.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.



Cialis is a registered trademark of Eli Lilly and Company

Viagra is a registered trademark of Pfizer

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