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
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.
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If you have an erection, it’s important to continue using tadalafil for the rest of your life. This is to allow the doctor toaedil to assess your response to treatment and make the most of the treatment. You can get more effective results by following these suggested sexfree MEDS instructions:
Do not try and achieve an erection with less than 4 minutes of sexual arousal.
Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
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What is the recommended dose of Cialis?Cialis can be taken with or without food. It is recommended to take Cialis about 30 minutes to 1 hour before sexual activity. Cialis can be taken on an empty stomach, with or without food. Cialis can be taken on an empty stomach, with or after a low-fat meal.
How should I take Cialis?Follow the directions provided by your health care provider.
What should I do if Cialis goesbadTSH is takenWe have with us superior quality Cialis (Tadalafil) which are well known among our customers for their high efficiency. Our offered medicines are primarily used for under doctors guidance in various hospitals and clinics.
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Delivery Details:
Destination | Delivery Time |
India | 24-48 Hours |
China / Hong Kong / Singapore/ Malaysia | Within 4-5 Working Days |
Vietnam / Philippines / Indonesia | Within 6 Working Days |
UK / USA / Europe / South America / UAE / Canada / Australia & Rest Of The Countries |
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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.
* 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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WIPO Arbitration and Mediation Center
ADMINISTRATIVE PANEL DECISION
Pfizer Inc. v. Cialis
Case No. D2006-0157
1. The Parties
The Complainant is Pfizer Inc., represented by Mark R. McEvoy, Special Agent in charge of the Anti-Counterfeiting and Counterfeiting Section Section 29 of the United States (the “United States” or “United States”) and of the Food and Drug Administration (the “FDA”) of the United States. The Respondent is Cialis, Inc. represented by James J. Sullivan, Director of the Office of Compliance for the FDA.
The disputed merchandise is Tadalafil 20 mg. Tadalafil is used to treat erectile dysfunction (ED) in men and the impotency disorder (ED) in men. The Complainant alleges that the Respondent is in violation of the Federal Food, Drug, and Cosmetic Act (“FDCA”), 21 U. S. C. 355(e) and (c). The Complainant requests that the FDA remove Tadalafil from the market.
2. The Federal Food, Drug, and Cosmetic Act
21 U. 355(e) provides that a drug is a drug, Rx, or any new drug, and a manufacturer may manufacture, sell, or supply the drug to the United States. 355(a) further provides that a drug is a controlled substance and may be sold in a variety of forms, including pills, capsules, tablets, and injectable solutions. 355(e) further provides that a manufacturer may not use a drug to treat any disease, disorder, condition, or disease process, even if a drug has been approved by the FDA. 355(e) also provides that a drug is not a controlled substance and may be sold in a variety of forms, including pills, capsules, tablets, and injectable solutions. 355(e) further provides that a drug is not a controlled substance and may be sold in a variety of forms, including pills, capsules, tablets, and injectable solutions.