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Highlights

  • Scientists at the Cleveland Clinic have discovered that one of the main ingredients in Viagra (sildenafil citrate) is the enzyme Cilostazol. Taken just before sex, the drug is absorbed into the bloodstream.
  • By inhibiting the enzyme, the drug increases nitric oxide, a key player in the body’s erectile function.
  • Viagra inhibits cGMP in arteries, which means that blood flow to the penis, particularly to the penis-gyno, becomes less restricted.
  • The drug also increases nitric oxide by relaxing penile muscles.
  • The drug also increases blood flow to the penis when the body makes nitric oxide, a key ingredient in Cialis (tadalafil).
  • In clinical trials, using Viagra (sildenafil) to treat ED was found to be more effective than Cialis (tadalafil) alone for treating ED.

For those who have a history of heart disease, ED (erectile dysfunction) can be a common side effect of these drugs, which can be a concern for some patients. If you are concerned about side effects, there are some steps you can take to help minimize the risks.

Consider

There are several things you can do to help minimize the risk of side effects when taking Viagra (sildenafil).

Get in the mood

For some men, a light blue pill might be enough for them to be effective. So, how much can you give?

Viagra (sildenafil citrate) is a drug that belongs to a group of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. These drugs work by increasing blood flow to the penis, which helps improve erections for men who have ED.

If you are looking to use Viagra (sildenafil), you will need to use it for an extended period of time to maintain a healthy erection. It can take up to 4 hours to feel the full effect.

Get your hands on the bottle

The pills in Viagra (sildenafil) can be bought at a pharmacy, supermarket, or pharmacy. You will need to ask the pharmacist about the bottle and ask to speak to the pharmacist about the price.

Once you have the bottle and the bottle of Viagra (sildenafil), you can take it to the pharmacy or the pharmacy to purchase it. It’s best to be in the mood as soon as you start to take the drug.

What to do

Before you buy Viagra (sildenafil), discuss the cost with your doctor, as some medications can be expensive. Viagra (sildenafil) is a prescription medication and can only be purchased with a prescription from a licensed healthcare professional.

For some men, Viagra (sildenafil) may be an option for long-term use.

Can you take it to work?

It is important to note that Viagra (sildenafil) can work in your body to relax the muscles of the penis. This means that you will be able to have an erection when you want it to happen.

However, there are some things you can do to help keep you aroused and hard. One such thing is to use the drug only for an extended period of time to ensure that it stays in your body for the duration of sex. This will allow you to have longer-lasting sexual encounters.

The dosage

Viagra (sildenafil) comes in tablet form. Taking it with water is recommended. It is also recommended that the amount of Viagra you take before sexual intercourse should not be more than 25 milligrams (mg).

The dosage of Viagra (sildenafil) is based on your medical condition and response to treatment. It’s important to follow your doctor’s instructions and not exceed the recommended dose.

To make sure you can use Viagra (sildenafil) when you are ready for sex, you should take it at least 30 minutes before any sexual activity, and at least 4 hours after your last dose.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

Show More Deletion Electronic Information Request For Cialis

As with all prescription medications, inform your doctor of any medical conditions you manage, including those about them.

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Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

  • Ketoconazole, itraconazole (used to manage fungal infection)
  • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
  • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
  • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
  • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

  1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
  2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
  3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
  4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
All drugs for blood pressure and similar blood pressure drugsCialis is a prescription medication. Please ensure that you purchase Cialis online from us before ordering.
  • Cialis (Tadalafil): When taken as prescribed by a doctor, Cialis is beneficial in cases of blood pressure concerns, including high blood pressure.
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  • Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

    Common side effects reported from Cialis use include:

    • Headache
    • Indigestion
    • Heartburn
    • Upset stomach
    • Gas
    • Nausea
    • Flushing

    More severe side effects include:

    • Painful erections or erections that last longer than 4 hours
    • Sudden loss of vision
    • Sudden loss of hearing
    • Ringing in the ears
    • Chest pain
    • Shortness of breath
    • Painful urination
    • Increased urination frequency
    • Fainting
    • Dizziness
    • Skin rash
    • Hives
    • Facial swelling

    If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

    As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

    Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

    In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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    Get Personalised Your Treatment With In-Person Consultation

    In In-Person Consultation, you can schedule a telemedicine consultation with your doctor. They may offer personalized medical advice, such as if you have health conditions or are currently using any other medication. In return, you can schedule delivery via Royal Mail’s “standard of care”.

    First, find a standard delivery location and discreetly complete the in-person consultation. If you do not have a delivery address, you can simply walk into the delivery address. Then, answer a few questions about your health, including if Cialis is right for you. Common side effects include:

    • Stomach pain
    • Swelling in the arms, legs, or feet
    • Decreased or prolonged in the blood
    • Sore throat
    • Diarrhea
    • Vomiting

    If you experience any side effects, seek medical attention immediately.

    Cialis (tadalafil) is a medication used to treat erectile dysfunction (ED) in men. Cialis works by increasing blood flow to the penis, helping achieve and maintain an erection. Cialis is available in many different forms, including tablets, pills, and liquid suspensions. Cialis is approved by the FDA for the treatment of erectile dysfunction and is the first line medication for many men who are looking to improve their sexual performance. Cialis is also available as an oral medication, and can be purchased at most local pharmacies. Cialis is a long-lasting, convenient medication that can be used to treat ED. The active ingredient in Cialis is tadalafil, which helps relax the muscles in the blood vessels, allowing blood to flow more easily. It is important to note that while Cialis is a long-lasting medication, it is not suitable for everyone. Women, children, and individuals who have had a heart attack or stroke should not use Cialis. It is important to use Cialis with caution and under the guidance of a healthcare professional. It is also important to avoid taking Cialis if you are allergic to any of its ingredients. It is also important to inform your healthcare provider of any other medications you are currently taking before starting Cialis. It is important to note that Cialis should not be used for treating erectile dysfunction or any other condition. It is important to use Cialis responsibly and under the guidance of a healthcare professional. If you have any questions about Cialis, please don’t hesitate to reach out to us.