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What Is Cialis?

Cialis? (tadalafil) is a prescription medication used for treating problems with obtaining or maintaining an erection.

Who Makes It?

Cialis is manufactured by Eli Lilly and Company.

What Is Cialis Used For?

Cialis has been licensed to treat erectile dysfunction. Erectile dysfunction (ED), also known as impotence, can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Essentially, erectile dysfunction is the repeated inability to get or keep an erection firm enough for sexual intercourse.

How Does It Work?

Cialis works by blocking a chemical that reverses an erection by allowing blood to flow out of the penis. More blood in the penis means an improved erection.

(Click How Does Cialis Work? for more information.)

Effects of Cialis

The effects of the drug can include:

Achieving and maintaining an erection during sexual activity

Having a harder erection during sexual activity

Experiencing greater frequency of orgasms

Having increased satisfaction with, and enjoyment of, intercourse.

In previous clinical studies, up to 78 percent of men reported that Cialis allowed them to have successful intercourse. The medication was also shown to be effective in men with various health problems and medical conditions.

When Does It Start Working?

The time it takes for Cialis to work will vary, depending on the individual. In clinical studies, the medication began to work in as little as 30 minutes. For most men, though, it begins working within an hour. Cialis can work up to 36 hours after you take your dose.

When and How to Take It

Here are some general guidelines for when and how to take Cialis:

The medication comes in tablet form. It is taken as needed, usually one hour before sexual activity. However, you should not take Cialis more than once in a day.

Take your Cialis dosage with a glass of water. You may take it with or without food.

Do not break, chew, or crush the tablets.

For Cialis to work properly, you have to take it as prescribed. The medication will not work if you stop taking it.

Dosage Information

The dose of Cialis your healthcare provider recommends will vary, depending on a number of factors, including:

Other medical conditions you may have

Other medications you may be taking.

As always, do not adjust your dose unless your healthcare provider specifically instructs you to do so.

Side Effects of Cialis

As with any medicine, side effects can occur with Cialis. However, not everyone who takes the drug will experience side effects. In fact, most men tolerate it well. If people do develop side effects, in most cases, they are minor, meaning they require no treatment or are easily treated by you or your healthcare provider.

The most common side effects include:

Headache -- in up to 15 percent of men

Indigestion (dyspepsia) -- up to 10 percent

Back pain -- up to 6 percent

Muscle pain (myalgia) -- up to 4 percent

Nasal congestion -- up to 3 percent

Facial flushing -- up to 3 percent

Pain in the arms or legs -- up to 3 percent.

If you have cardiovascular disease or significant heart disease risk factors, there is an increased chance of serious problems related to your heart, brain, and blood vessels. These problems can lead to dangerous side effects, such as a heart attack, stroke, or sudden death.

Also, there have been rare cases of a condition called non-arteritic anterior ischemic optic neuropathy (NAION) in people taking Cialis. This condition can lead to sudden loss of vision in one or both eyes. If you experience any loss of vision while taking this medicine, contact your healthcare provider immediately (see Cialis and Blindness).

(Click Cialis Side Effects to learn more, including potentially serious side effects you should report immediately to your healthcare provider.)

Drug Interactions

Cialis can potentially interact with a number of different medicines

What Should I Tell My Healthcare Provider Before Taking Cialis?

Prior to taking the drug, tell your healthcare provider if you have:

Heart disease (such as angina, congestive heart failure, or irregular heartbeats)

Liver disease or liver failure

A history of a heart attack, stroke, or life-threatening arrhythmia within the past six months

Retinitis pigmentosa, which is a rare eye problem

Low blood pressure (hypotension)

High blood pressure (hypertension)

A history of severe vision loss, including a condition called NAION

Stomach ulcers

Other bleeding problems

Sickle cell anemia

Multiple myeloma

Leukemia

A history of priapism, which is a painful erection lasting longer than six hours

Any condition that causes a penis deformation, such as angulation, Peyronie's disease, or cavernosal fibrosis

Any allergies.

Also, tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, antacids, vitamins, and herbal supplements.

What If I Take an Overdose?

There have been a limited number of cases in which people overdosed on Cialis. In these cases, side effects were similar to those seen at lower doses. If you happen to take too much, seek medical attention immediately.

How Should It Be Stored?

Cialis should be stored at room temperature. Also, keep Cialis and all medications out of the reach of children.

Available Strengths

Several strengths of Cialis are available. These include:

Cialis 5 mg

Cialis 10 mg

Cialis 20 mg.

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