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Cialis (Tadalafil)

What Is Cialis (Tadalafil)
Cialis is a brand name for a substance with the chemical name
tadalafil. It is used to treat men who experience difficulty having
and maintaining an erection to orgasm.

It was first introduced in February 2003 and it was approved by the
FDA on November 21, 2003. Cialis was first marketed by Lilly ICOS, a
joint venture between Eli Lilly and ICOS Corporation.
The standard starting dose size is 10 milligrams, but some men will
find 5 milligrams enough. In some cases a 20 milligram dose is
necessary. Cialis should be taken orally 30 minutes or longer before
sexual activity.

Medical testing has shown that cialis is effective in 60%-80%, of
cases when used to treat erectile dysfunction in men. Most failure
cases are from men that have had some form of surgery that made
getting or maintaining an erection physically impossible.
Cialis produces results similar to viagra, but the effects of cialis
last longer than viagra. In addition, cialis can be taken on an empty
stomach or with a meal.

Viagra should not be taken with high fat foods because these foods
reduce absorption of viagra in the human body. Cialis on the other
hand may be used even when dining on high fat foods, with no decrease
in effects.
How Does Cialis Work

Medications like cialis, viagra, and levitra work by inhibiting a
chemical called phosphodiesterase type 5. Because of their mode of
action, these drugs are commonly referred to simply as PDE5
inhibitors.
When a man gets sexually excited, it triggers cells in the penis to
produce nitric oxide. The increase in nitric oxide will in turn cause
production of cyclic guanosine monophosphate (cGMP). The cGMP causes
arteries in part of the penis to relax and allow more blood to flow
through them. The increase in blood flow causes an erection.

If the enzyme phosphodiesterase type 5 (PDE5) is of sufficient
quantity, it will attack the cGMP and erection will not be maintained.
Cialis and other PDE5 inhibitors reduce the amount of PDE5 available
to attack cGMP. With a reduction of PDE5, most men are able to
maintain an erection to orgasm.
How Long Do The Effects Of Cialis Last

The effects of cialis have been shown to last 24 to 36 hours in a
majority of users. The effects of viagra have been shown to last 4 to
6 hours in a majority of users.
Some men like the fact that cialis works for up to 36 hours and allows
the user and his partner to relax, forget about planning intimacy and
let things happen when the moment is right.

24 to 36 hours might seem ideal but some men report they switched back
to viagra because 6 hours or less was what they preferred.
Taking cialis does not increase sexual desire and it will not give you
an erection for 36 hours. Most men who take cialis report that for up
to 36 hours after taking cialis, an erection can be sustained when the
penis was stimulated by touch. After orgasm, the penis will usually
return to its pre-aroused state.

Some men may be able to have one or more orgasms after the first but
this an exception. In most cases, within 36 hours of taking 20
milligrams of cialis, you will be able to get and maintain an erection
to orgasm one time.
Most men that have had more than one orgasm from a single dose say
they had the first orgasm within 60-180 minutes of taking cialis, then
were able to have one or more orgasms by waiting 60 minutes or longer
before any more penis stimulation was attempted. This is something the
user will have to experiment with to find out their own particular
climax capacity.

How To Buy Cialis
Cialis is available by prescription only. You can talk to your doctor
about getting a prescription or you can buy cialis online. A
prescription will be issued by a doctor after you fill out a
questionnaire at the online pharmacy that sells the product. The only
product that works exactly like cialis is generic cialis.

Cialis Cautions, Side Effects, And Warnings
Cialis should never be combined with viagra, levitra, or any other
erectile dysfunction medication.

Cialis should not be taken more than once in a twenty four hour
period.
Excessive alcohol use may limit the effect of cialis.

An erection that lasts over 4 hours should be reported to a physician,
right away.
Cialis should not be used by patients taking nitrates or any alpha
blocker other than FLOMAX 0.4mg daily because the combination of these
with cialis could significantly lower blood pressure and lead to
fainting or even death.

The most common side effects when ingesting cialis are headache,
indigestion, back pain, muscle aches, flushing, and stuffy/runny nose.
Side effects will go away a few hours after ingestion. Back pain and
muscle aches can happen 12-24 hours after taking cialis, but the pain
will usually go away after 48 hours.
In rare cases there is potential risk of myocardial infarction (heart
attack), priapism (a painful medical condition where an erect penis
stays erect without stimulation for more than 4 hours), severe
hypotension (abnormally low blood pressure), stroke, sudden hearing
loss, and ventricular arrhythmias (fast heart rhythm).

Although there have been rare cases of visual disturbances associated
with consumption of cialis, visual disturbances are less common with
cialis than with viagra or levitra.
At present, cialis is not recommended for people taking commonly
prescribed short/long acting nitrates because the combination may
lower blood pressure. A list of commonly prescribed short/long acting
nitrates available in the United States:

Nitroglycerin
Deponit
Minitran
Nitrek
Nitro-Bid
Nitrocine
Nitro-Derm
Nitro Disc
Nitro-Dur
Nitrogard
Nitroglycerin
Nitroglycerin T/R
Nitroglyn
Nitrol Ointment
Nitrolan
Nitrolingual Spray
Nitrong
Nitropar
Nitropress
Nitroprex
Nitro S.A.
Nitrospan
Nitrostat
Nitro-Trans System
Nitro Transdermal
Nitro-Time
Transderm-Nitro
Tridil
Isosorbide Mononitrate
Imdur
ISMO
Isosorbide Mononitrate
Monoket

Isosorbide Nitrate
Dilatrate-SR
Iso-bid
Isordil
Isordil Tembids
Isosorbide Dinitrate
Isosorbide Dinitrate LA
Sorbitrate
Sorbitrate SA
Pentaerythritol Tetranitrate
Peritrate
Peritrate SA

Erythrityl Tetranitrate
Cardilate
Isosorbide Dinitrate/Phenobarbital
Isordil w/PB

Illicit Substances Containing Organic Nitrates e.g., amyl nitrate or
nitrite (It is known that amyl nitrate or nitrite is sometimes abused.
In abused situations, amyl nitrate or nitrite may be known by various
names, including poppers.)
e.g., butyl nitrate
A small percentage of men report that although viagra works
 perfectly for them, cialis does not work at all.

A small percentage of men report that although cialis works
 perfectly for them, viagra does not work at all.
Do not assume that because viagra works for you, that cialis will.

Do not assume that because cialis works for you, that viagra will.
If viagra does not produce any results, there is a chance cialis
 will work for you.

If cialis does not produce any results, there is a chance viagra
 will work for you.
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