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Erectile Dysfunction

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.

Physical causes 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.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    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.

  • Auths (license)

    All prescription medicines are sold by paydirtideMedicine on a reputable medical questionnaire. Theothalam pharmaceuticals consortium includes paywall programmes, paychequiness programmes, paycheapest programmes and credit programmes.We will publish prices, product information, and side effects from paydirtideMedicine in the future.

    Don’t you love getting your medicines on time? Order your medicines online and get them delivered to your door in no time.

    Don’t you hate being able to pay for your medicines without a prescription?

    Careful evaluation and safe sex practices are key.

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    If it happens more often than other men, it’s caused by physical or emotional problems. Please consult a healthcare professional before use.

    Don’t cycle for a while (if you cycle more than 3 hours a week) if you are overweight stop smoking eat a healthy diet exercise daily and don’t smoke don’t smoke also smoke if you are dehydrated discuss with your doctor your overall health and diet with the doctor which includes adequate exercise and adequate alcohol intake with your doctor which includes at least moderate exercise and at least 8 hours of moderate moderate physical activity along side your daily recommended diet.

    Cialis 20 mgis a common drug for men who want to increase their sex life. Cialis contains the active ingredient tadalafil, which works by relaxing the blood vessels in the penis. This helps men to have harder and longer-lasting erection. Cialis is used to treat erectile dysfunction. This medication is known as Cialis because it works by helping men to get an erection.

    Buy Cialis 20 mg Onlinein the online market. Buy Cialis online from our website to buy cialis 20 mg online. Online cialis is a safe and effective way to have sexual health and improve a man's life. We guarantee that Cialis is the best medicine for you to have a fulfilling sexual relationship with your partner.

    What is Cialis 20 mg?

    Cialis is a drug used to treat erectile dysfunction. It is a medication that is primarily known for its ability to help men achieve an erection. The active ingredient in Cialis is tadalafil, which works by relaxing the blood vessels in the penis. This helps increase blood flow to the penis when a man is sexually aroused. Cialis can be used to treat erectile dysfunction by relaxing the blood vessels in the penis. It is also used in the treatment of benign prostatic hyperplasia. This condition can cause a man's erections to be temporarily weak, as well as a decrease in the frequency of his erections. Cialis can also be used to treat pulmonary arterial hypertension. When taken as a medicine, it may cause a man to experience the following side effects:

    • headache
    • indigestion
    • stuffy nose
    • feeling like you are going to pass out
    • blurred vision
    • sensation of pins and needles
    • heart palpitations
    • high blood pressure
    • nausea
    • vomiting
    • heart attack
    • heart failure

    How does Cialis 20 mg work?

    Cialis works by helping the body to relax the blood vessels in the penis. This increases blood flow into the penis and can help a man to have an erection. The active ingredient in Cialis is tadalafil, which helps to relax the blood vessels in the penis. The result of this is an erection when a man is sexually aroused.

    Cialis is commonly prescribed to treat erectile dysfunction. It works by relaxing the blood vessels in the penis. This increases blood flow into the penis when a man is sexually aroused.

    How do Cialis 20 mg work?

    Cialis 20 mg is a drug that belongs to a class of drugs known as PDE5 inhibitors. It works by inhibiting the enzyme PDE5, which is responsible for the relaxation of blood vessels in the penis. This relaxation is necessary to increase blood flow to the penis when a man is sexually stimulated. This helps a man achieve an erection when he is sexually stimulated.

    This medication helps to treat erectile dysfunction. Cialis 20 mg is a prescription medication that is available over the counter. When a man is sexually stimulated, the body releases a substance called nitric oxide. This substance relaxes the blood vessels in the penis and allows blood to flow into the penis when a man is sexually aroused. This medication is also used to treat pulmonary arterial hypertension (PAH).

    Cialis 20 mg is a type of medication called a phosphodiesterase type 5 (PDE5) inhibitor. It works by increasing the activity of PDE5, which is responsible for breaking down cyclic guanosine monophosphate (cGMP). cGMP is a chemical that helps smooth muscle relax and dilates blood vessels to help a man achieve and maintain an erection.

    Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

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    * We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

    Health Questionnaire Required:

    For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

    Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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    Please note that this is not support. Tadalafil is a prescription medication and should only be used under the guidance of a qualified healthcare provider. Please note that this is not a substitute for consultation with a healthcare professional. Always consult with your doctor or physician before taking any prescription medication.

    Please note that this is not a complete list of side effects. If you have a chance to be side effects of any prescription medication, please reach out to us via the.

    medical†

    † Before you start taking Tadalafil, talk to your doctor or pharmacist. They may recommend dosage, use of medicine, or route of administration.† Prescription medication requires specific permission from the (CA) Department of Health.

    Prices
    Dosage25 mg55 mg90 mg95 mg
    1203 tablets4 tablets
    526 tablets8 tablets

    † Side effects include headache, nasal congestion, dizziness, or upset stomach. Talk to your doctor if you have any side effects not listed. Erectile dysfunction is not included.Side effects not listed in the enclosed leaflet. Erectile dysfunction (impotence) is included only if the symptoms are also listed in the accompanying table.Contact us via the website to find out more information.

    *This is not an official support section. Any information shared is for informational purposes only and is not intended to be a substitute for professional medical advice. Always consult with your healthcare provider before starting, changing or stopping any prescription medication. Please consult with your physician before taking any prescription medication.

    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.
    Describing theocardial extenuation:

    I had trouble with swallowing it. It was easy to swallow. No issues with the feeling of my heart beating fast, like I was about to explode. The medicine worked just as I had hoped. It made a great meal or two.

    It was very, very difficult to get up from under. It was almost impossible to relax. My dizziness was so bad that I could hardly stand it. I had to stop taking the medicine and get help. I knew I had to stay on it. I still had to stand. My heart beat so fast that I couldn't move it. I couldn't relax. I was sick. I couldn't get up. I couldn't breathe. I couldn't walk. I couldn't talk. My ankles were too far apart. I couldn't stand. I couldn't stand to drink. It was so hard to stand. I couldn't stand to sit. My whole body was so weak. My ankles hurt so much that I couldn't get up. My whole body was so thirst.