Cialis

What is Tadalafil?

Cialis works by relaxing muscles in the walls of the blood vessels. Sexual stimulation increases the blood flow to the penis. Following sexual stimulation, Cialis helps to produce an erection that will be firmer and longer lasting. Its effects can last for up to 36 hours.

Is this medicine suitable for you?

Cialis is not suitable for everyone and will not be prescribed to anyone under the age of 18 years. It is therefore important that our doctor knows your full medical history.

Our doctors may only prescribe this medicine with special care or may not prescribe it at all if you:

• are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
• have certain types of heart problems which could be made worse by engaging in sexual activity
• have conditions which increase the risk of priapism such as sickle cell anaemia, leukaemia or multiple myeloma
• have galactose intolerance
• have glucose-galactose malabsorption problems
• have had a heart attack within the last 90 days
• have had a stroke within the last six months
• have had pelvic surgery
• have had surgery of the prostate
• have high blood pressure which is not well controlled
• have kidney problems
• have Lapp lactase deficiency
• have liver problems
• have loss of vision
• have low blood pressure
• have penile problems such as a deformed penis, Peyronie’s disease or penile scarring

Can I take Cialis with other medicines?

Cialis can interact with some medicines used for the treatment of some heart conditions such as nicorandil or nitrates, such as GTN spray or isosorbide mononitrate. Cialis can also interact with a group of medicines called alpha-blockers. It is important to inform our doctors of any medicines you are taking whether they are prescribed or purchased over the counter.

How to take your medicine?

Cialis will take a short time to work and therefore should be taken around 30 minutes before sexual activity. Cialis can be taken with or without food. This medicine may not have the desired effect the first time it is taken, however, it can be more effective the next time it is taken. Cialis must not be taken more than once in 24 hour period.

To increase the effectiveness of this medicine, avoid taking this medicine with more than one or two units of alcohol.

Possible Side Effects

Most people taking this medicine will not experience side effects. However, common side effects of taking this medicine can include back pain, blocked nose, flushing, gastro-oesophageal reflux, headaches, indigestion, muscle pain or tenderness and painful extremities.

If you experience any eyesight problems you must stop taking this medicine and contact a doctor. If you experience any side effects, other than those listed, please inform a doctor.