Buy Cialis Online
Cialis Black is the generic version of the drug for impotence Cialis , which is marketed by the Lilly laboratory.
Tadalafil dilates some blood vessels and promotes erection.
Doctors prescribe it for sexual dysfunction (erectile dysfunction), pulmonary arterial hypertension and an enlarged prostate.
Tadalafil has been on the international market since 2002. It is available by prescription in tablets under the brand names Cialis and Adcirca.
Cialis is used for erection problems and an enlarged prostate, Adcirca is only used for pulmonary arterial hypertension (PAH).
Check the pharmacy label for the correct dosage.
When?
- Erectile dysfunction: You can take the tablet half an hour before sexual activity. You can also take it earlier, because the effect of 1 tablet can last for 36 hours. If you expect to have sex twice a week, it is also possible to take tadalafil every day at a fixed time. Never use 1 dose twice a day. If you suffer from nausea or stomach upset, you can take the tablet with some food.
- Pulmonary arterial hypertension (PAH) and prostate enlargement: You may take the drug at any time of the day. It is best to choose a fixed time, for example in the morning, then you are less likely to forget a dose. If you suffer from nausea or stomach upset, you can take the tablet with some food.
How long?
- Erectile dysfunction and prostate enlargement : If tadalafil works well for you, you can take it for as long as you need it.
- Pulmonary arterial hypertension (PAH) : You can usually take this medication for several months or years. Over time, tadalafil may no longer be sufficiently effective, as the PAH disease may worsen over time. Consult your doctor if your symptoms return.
In addition to the desired effect, this can cause drug side effects.
With pulmonary arterial hypertension (PAH), side effects are more common than with use as an erection aid or with prostate enlargement, because the dosage is higher with PAH.
The main side effects are the following.
Sometimes with PAH , rarely with other applications
- Nausea, abdominal pain , heartburn, vomiting. You can prevent nausea and stomach complaints by taking the tablet with some food. Consult your doctor if you continue to suffer.
- Headache, hot flashes, flushing. Occasional migraine. This is because the blood vessels in the head also dilate slightly. Do you use this medicine every day? These side effects pass once you get used to the medicine.
- Back pain, muscle pain , pain in arms and legs.
- Cold , sore throat, nasal congestion , very rarely, nosebleed.
Rare in PAH , very rare in other applications
- Dizziness, fainting . Especially people older than 75 years can get dizzy. This is due to lower blood pressure. This will pass once your body gets used to it.
- In women: longer bleeding during menstruation.
Very rarely
- Eye complaints , such as blurred vision, a blue-green blur in front of the eyes, double vision, swollen eyelids, painful red eyes, sensitivity to light, loss of visual field. Most eye complaints go away on their own. However, the visual field loss may be permanent. Notify your doctor if your eyesight suddenly decreases. Do you have a hereditary disease of the retina of your eyes? Please consult your doctor before use.
- Excessive sweating .
- Ringing in the ears , suddenly hearing less well. Consult your doctor if you notice this.
- Prolonged and sometimes painful erection , penile bleeding, or blood in urine or semen. Notify your doctor if the erection lasts longer than 4 hours or if you notice blood in your urine or semen. There is a small risk of damage to the erectile tissue in the penis.
- Heart cramps, palpitations, myocardial infarction and stroke. This has occasionally occurred when used as an erection aid by men over the age of 60 with cardiovascular disease, diabetes or high blood pressure. Before use, discuss with your doctor whether your body can withstand the strain of sexual activity. If you experience chest pain during sexual activity: see a doctor immediately. In this case , do not take a remedy for heart cramps, such as a puff from a spray can or a tablet for under the tongue. This can actually have the opposite effect. If you have had a heart attack or stroke in the last six months, you should not use this medicine.
- Attack with muscle jerks and muscle spasms ( convulsions ). Then contact a doctor immediately.
- A sickle cell crisis in people with sickle cell disease . Sickle cell disease is a congenital abnormality of the red blood cells. In a sickle cell crisis, the disease suddenly worsens. You will notice this by severe pain and swelling around bones and joints, abdominal pain, chest pain and shortness of breath. If you notice this, contact your doctor immediately.
- Hypersensitivity to tadalafil. You will notice this by skin rashes, hives and itching. Then consult your doctor. Occasionally you may experience swelling of the lips, tongue, throat or face. You can then become short of breath. There is also a serious skin condition with blisters on the skin. In both cases, immediately go to a doctor or to the emergency department. If you are hypersensitive to tadalafil, you should not use this drug in the future. Please pass this on to the pharmacist. The pharmacy team can then ensure that you do not receive this medicine again.
Consult your doctor if any of the above side effects are too much for you or if you experience any other side effects that worry you.
Explain frequencies
Regular : affects more than 30 out of 100 people
Uncommon : affects 10 to 30 out of 100 people
Rare : affects 1 to 10 out of 100 people
Very rare : affects less than 1 out of 100 people
This drug has interactions with other medications. The text below only lists the active substances of these medicines, not the brand names. You can check whether your medicine contains one of these active substances in your package leaflet under the heading 'composition'.
The drugs with which the main interactions occur are as follows.
- Nitrate vasodilators , such as nitroglycerin, isosorbide mononitrate, isosorbide dinitrate, and nicorandil. If you take these medicines at the same time as tadafil you may get sudden and long-lasting low blood pressure. Note: so-called 'poppers', sometimes used during sexual activity, also contain nitrates. If you have chest pain, talk to your doctor. If you are taking tadalafil for erectile dysfunction:
- Have you taken any of these medications and now want to take tadalafil? Wait at least 24 hours before taking avanafil.
- Have you used tadalafil and now want to take one of these drugs? Wait at least 48 hours before using this. Are you taking tadalafil for pulmonary hypertension (increased blood pressure in the lungs) or an enlarged prostate? Consult with your doctor. He may prescribe a different medication.
- Other medicines for enlarged prostate alfuzosin, doxazosin and terazosin. The combination may temporarily lower your blood pressure. You notice this by dizziness. This will pass by itself. Do not stand up suddenly if you feel dizzy .
- The antibiotics clarithromycin and erythromycin, the antifungals itraconazole and voriconazole, and the drug for Cushing's disease ketoconazole. The amount of tadalafil in the blood may increase due to these medicines. This makes the side effects stronger. Consult your doctor if you have been prescribed this combination.
- Some medicines for HIV and Hepatitis C . Ask your pharmacist which medicines this concerns.
Not sure if any of the trade-offs above are of interest to you? Please contact your pharmacist or doctor.
driving?
This medication may cause dizziness and blurred vision. Do not participate in traffic as long as you are affected.
drinking alcohol?
Alcohol dilates the blood vessels, as does this drug. You may experience more dizziness as a result. Try drinking alcohol in moderation first. You can then assess for yourself whether this will bother you a lot. Usually a glass of wine a few times a week is no problem.
Drinking a lot of alcohol also reduces the ability to get an erection. Do you use this drug as an erection aid? Do not use too much alcohol in combination with this medicine.
eat everything?
There are no restrictions for this drug.
Pregnancy
Talk to your doctor. Not enough is known about the use of this drug during pregnancy. Together with your doctor, weigh the seriousness of your illness against the possible disadvantages for the child.
Breast-feeding
If you want to breast-feed, talk to your doctor. It is not known if this drug passes into breast milk and if it could harm the baby.
Pulmonary arterial hypertension and prostate enlargement :
You use this medication 1 time per day :
Have you forgotten a dose and are you less than 8 hours late? Then take this dose. Are you more than 8 hours late? Skip the dose you missed. Do not take a double dose.
If you occasionally use this drug for erectile dysfunction, you can stop taking it without further ado.
If you are taking this medication every day, talk to your doctor. In that case it is usually better to reduce the dose gradually. Then you have less chance that the original complaints will come back too intense all at once.
Last modified 2mo ago