Cialis

Cialis

Cialis is an oral medication for the treatment of ED (erectile dysfunction). It contains the active ingredient tadalafil and is the brand name of tadalafil. Erectile dysfunction is when a man cannot get or keep an erection for the purpose of sexual activity. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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Cialis 10 mg 2 tabl. + Consult + Service fee

Cialis 10 mg 4 tabl. + Consult + Service fee

Cialis 10 mg 8 tabl. + Consult + Service fee

Cialis 10 mg 12 tabl. + Consult + Service fee

Cialis 10 mg 16 tabl. + Consult + Service fee

Cialis 10 mg 20 tabl. + Consult + Service fee

Cialis 10 mg 24 tabl. + Consult + Service fee

Cialis 10 mg 28 tabl. + Consult + Service fee

Cialis 10 mg 32 tabl. + Consult + Service fee

Cialis 10 mg 64 tabl. + Consult + Service fee

Cialis 20 mg 4 tabl. + Consult + Service fee

Cialis 20 mg 8 tabl. + Consult + Service fee

Cialis 20 mg 12 tabl. + Consult + Service fee

Cialis 20 mg 16 tabl. + Consult + Service fee

Cialis 20 mg 20 tabl. + Consult + Service fee

Cialis 20 mg 24 tabl. + Consult + Service fee

Cialis 20 mg 28 tabl. + Consult + Service fee

Cialis 20 mg 32 tabl. + Consult + Service fee

Cialis 20 mg 64 tabl. + Consult + Service fee

Cialis (Tadalafil)

Cialis is an oral medication for the treatment of ED (erectile dysfunction). It contains the active ingredient tadalafil and is the brand name of tadalafil.

Erectile dysfunction is when a man cannot get or keep an erection for the purpose of sexual activity. It is sometimes also referred to as impotence.

Erectile dysfunction is a common problem, particularly in men over 50. There are many causes and most are not serious so men should not be embarrassed about this. It’s important to talk to your partner and your doctor if you have problems maintaining an erection as treatment is available.

What is Cialis?

Cialis is also known as tadalafil and is a medication that expands the walls of the arterial vessels and enhances the blood flow to specific areas of the body. It is used to treat erectile dysfunction.

This medication is also used to treat benign prostatic hypertrophy or enlargement of the prostate gland in men.

Erectile dysfunction is when a man is unable to get and maintain an erection that is firm enough to have sexual intercourse. This is a common problem for men over 50 (sometimes younger) and occasional erectile dysfunction is not a cause for concern. It happens when there is low blood flow to the penis and the penis cannot get or remain engorged.

There are many different reasons for erectile dysfunction. Stress, anxiety, depression, tiredness, drinking too much alcohol and being overweight can all cause this condition. In addition, high blood pressure, a high cholesterol level, hormone problems (low testosterone), taking certain medications and chronic illness can all contribute.
This can be worrying for both a man and his partner and it can affect daily life, relationships and self-esteem. However, it’s important to remember that erectile dysfunction can be treated.

A consultation with a doctor can identify why the problem is occurring and the treatment.
Sometimes there can be deeper emotional or physical reasons why erectile dysfunction occurs, which is why it is important to consult a doctor. You should not feel embarrassed as a doctor will be used to dealing with this kind of problem.

The symptoms of erectile dysfunction are:

  • problems getting an erectio
  • problems keeping an erection

You may be able to commence sexual activity but not be able to complete it due to your loss of erection. This can be frustrating but is not something to be embarrassed about. It happens to many men at some point in their lifetime. The important thing is to talk to your partner and your doctor if this happens regularly.

Cialis does not make the penis bigger; this is a myth. Neither does it cause spontaneous erections. It works alongside normal sexual stimulation to help a man maintain an erection for a longer period of time. This time will depend on the dose you take, which your doctor will recommend.

Cialis works by stimulating the arterial vessels in the penis to expand them and allow more blood to flow to them, which causes an erection. Usually, the blood vessel stimulants the body produces are broken down. Cialis stops this happening so a more durable erection occurs for a longer time.

During sexual stimulation nitric oxide is released into a man´s penis. This produces cGMP (cyclic guanosine monophosphate) which controls the dilation and contraction of the blood vessels that transmit blood to the penis.

Cialis is also referred to as a PDE5 (phosphodiesterase type 5) inhibitor. PDE5 is an enzyme that destroys cGMP and Cialis stops this happening and therefore an erection can be maintained.

Cialis will only work for up to 36 hours after taking one tablet and is a temporary solution to erection problems.

When is Cialis used?

Cialis is used to treat erection problems (impotence). It increases blood flow to the penis so a man can get and maintain an erection. It causes an erection in conjunction with sexual stimulation. When taking Cialis sexual foreplay is necessary to prompt the erection.
Cialis is also used to treat men for benign prostatic hypertrophy, which is an enlarged prostate gland. This treatment can help bring relief to the symptoms of this condition, such as the need to urinate frequently or suddenly (such as in the middle of the night), difficulty in urinating and a weak urine stream. It works by relaxing the prostate and bladder muscle.
It can also be used to treat benign prostatic hypertrophy, which is when a man can have problems with urination due to an enlarged prostate gland.

Cialis should only be used by adults and as directed by a doctor.

Note that Cialis does not protect you against sexually transmitted diseases (STDs).

How do you use Cialis?

If you are using Cialis for erectile dysfunction you should take one tablet about half an hour before sexual activity commences. The effects of this medication can last up to 36 hours, depending on the dost your doctor has prescribed.

The usual dose is one 10mg tablet half an hour before sexual activity. In some cases 10mg may not be sufficient so your doctor may increase the dose to 20mg. You should not take more than one tablet a day and not more than three a week to reduce the risk of serious side effects.

There is also a 5mg version for men who have sex more than twice a week.
Cialis works in combination with sexual stimulation, it will not produce an erection on its own.

If you are taking Cialis for benign prostatic hypertrophy symptoms you should take it as prescribed by your doctor. This is usually once a day.

Swallow the tablet whole with a glass of water, do not chew it or split it. You can take Cialis with or without food.

We advise you to reduce your alcohol intake or not to drink alcohol at all when you are taking Cialis as it can affect the ability to get an erection.

If you feel dizzy, nauseous or feel a tingling sensation in your arms, chest or neck after taking Cialis you should consult a doctor immediately.
What dosages are there?

The usual dosage of Cialis is one 10mg tablet 30 minutes before sexual activity. However, in some cases, 20mg is more suitable and your doctor will recommend the best dose for your particular circumstances. The effects of the 10mg and 20mg tablets can last up to 36 hours.

There is also a weaker 5mg version of Cialis, which you can take if you have sexual intercourse more than twice a week.

You should not take Cialis more than once in 24 hours. Neither is it advisable to take a daily dose of Cialis as it stays in your system for a period of time.

What are the side effects of Cialis?

The possible side effects of Cialis are:

  • difficulty in breathing
  •  convulsions
  • swelling of the tongue, lips, throat or face
  • flushing of the face (reddening)
  • headache
  • stomach ache
  • muscular pain
  • hives
  • feeling sick
  • dizziness
  • flu-like symptoms
  • back pain
  • diarrhoea

A small number of people have experienced blurred or a sudden loss of vision after taking Cialis. If this happens to you consult a doctor immediately and do not take any more Cialis. If this occurs it is his usually in people who already have a history of eye problems or blood vessel disorder risks such as high cholesterol, diabetes, or coronary heart disease or they are a smoker. In this situation, Cialis may only be a contributory factor to the vision problems, rather than the actual cause.

Does Cialis Interact with other medication?

It is very important to inform your doctor of any medications you are taking if you are prescribed Cialis. You should inform your doctor if you are taking any antifungal or antibiotic medication, antiviral treatment for HIV/AIDS or hepatitis C, seizure medication, drugs to treat prostate problems, medication for high blood pressure or any other prescription medication.

It is also essential you tell the doctor if you are taking any herbal products or vitamin supplements as these can cause problems when taken in conjunction with Cialis too.

When shouldn´t you Use Cialis?

You must not take Cialis if you are taking any nitrate-based medication for the treatment of chest pain, angina or heart problems. This includes drugs such as isosorbide mononitrate, nitroglycerin, isosorbide dinitrate, isosorbide mononitrate and nitroglycerin. This is because Cialis exaggerates the increase in heart rate and lowering in blood pressure that nitrates cause which could result in heart pain or a heart attack.

Several recreational drugs, including those known as ‘poppers’ are also included in the above category.

Taking Cialis and drinking alcohol can lower your blood pressure which may cause dizziness, headaches and an increased heart rate. It is better to limit alcohol or complete avoid it when taking this medication.

Cialis is not approved for women as it is used for the treatment of erectile dysfunction in men.

As Cialis can make you dizzy it is advisable not to drive after taking it.

Mixing Cialis with alcohol can also make you dizzy as both cause vasodilation, which is the widening of the blood vessels. Therefore it is advisable not to drink alcohol when you are taking Cialis, or to only drink a small amount.

Where can you buy Cialis?

You need a prescription from a doctor before you can buy Cialis. You can also order it online but you should be very careful where you order from and ensure you are not obtaining fake (counterfeit) medication.

We advise you to ensure you are purchasing from a reliable source if you decide to obtain Cialis online. There are some companies selling counterfeit Cialis on the internet – if you sense anything is not right do not order. You cannot take risks – you and your health are too important.

If ordering Cialis online we advise you:

  • not to buy from websites that offer Cialis without a prescription – they are selling fake medication as Cialis must be prescribed by a doctor
  • to only buy from recognised European companies who operate in your own language
  • to try and find out the legality of where you are ordering from – fake medication can be extremely dangerous
  • not to buy Cialis if offered it by email
  • to check if the company you are ordering from has an accessible customer service department – this means it is operated by real people

You may feel more comfortable purchasing Cialis this way instead of talking to your usual doctor about your erection problems. Your consultation with a Dokteronline.com doctor is online and you will complete a medical questionnaire for the doctor to assess. Your consultation will be in total confidence.

Can I get Cialis without a prescription?

No, you cannot get Cialis without a prescription.

 

SOURCES
Erectile dysfunction (impotence) (n.d.). Retrieved November 27, 2018 from https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/

Tadalafil, Oral Tablet (n.d.). Retrieved November 27, 2018 from https://www.healthline.com/health/tadalafil-oral-tablet

Cialis (n.d.). Retrieved November 27, 2018, from https://www.webmd.com/drugs/2/drug-77881/cialis-oral/details

Tadalafil (n.d.). Retrieved November 27, 2018, from https://www.medicinenet.com/tadalafil/article.htm#what_is_tadalafil,_and_how_does_it_work_(mechanism_of_action)?

Cialis: What is it and who can use it? (2017, August 2). Retrieved November 27, 2018 from https://www.medicalnewstoday.com/articles/232993.php