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.
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.
lose weight if you’re overweight
eat a healthy diet
try to reduce stress and anxiety
cycle for a while (if you cycle more than 3 hours a week)
drink more than 14 units of alcohol a week
CIALIS Daily is a popular treatment for impotence and erectile dysfunction as it is reliable, convenient and discreet. One A 10mg or 20mg tablet taken daily is all that is needed to help improve performance and confidence. Cialis when required medication ensures that you are always prepared when it matters most removing the worry and allowing you to have a healthy sexual relationship .
CIALIS is a commonly used treatment for adult men with erectile dysfunction or impotence. CIALIS has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.
CIALIS contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation CIALIS works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. CIALIS will not help you if you do not have erectile dysfunction.
It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay.
Take one CIALIS tablet at least 30 minutes before sexual activity and may still be effective up to 36 hours after taking the tablet.Do not take CIALIS more than once a day. CIALIS 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use.
Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking (blood alcohol level of 0.08 % or greater), since this may increase the risk of dizziness when standing up. Grapefruit juice may affect how well CIALIS will work and should be taken with caution. Talk to your doctor for further information.
cialis is also a more suitable impotence medication than Viagra for diabetics and those with high blood pressure. It can be used:
By men of all ages
No matter how severe erectile dysfunction may be
By men who have undergone a prostatectomy or have had partial removal of their prostate
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.
These are not all the side effects of Cialis. For a full list see the Patient information leaflet
Further information can be found on the manufacturers
Paitient Information Leaflet and printed if required.