Cialis

What is it?

Composition

Cialis contains tadalafil as the main active ingredient, which is responsible for its therapeutic effects. In addition to tadalafil, the drug also contains several auxiliary substances that ensure the stability, consistency and effectiveness of the drug. Here is a detailed list of its ingredients:

• Tadalafil: Active ingredient that increases blood flow to the penis and supports erection during sexual stimulation.
• Microcrystalline cellulose: Filler, which helps maintain the shape and consistency of the tablet.
• Hydroxylpropyl cellulose: It is used as a binder that improves the texture and stability of the tablet.
• Lactose monohydrate: Serves as a filler and improves the consistency of the medicine.
• Hyprolose: Stabilizer that helps maintain the shape of the tablet.
• Sodium lauryl sulfate: strong> Surfactant that improves the solubility of the tablet.
• Triacetin: It is used as a plasticizer in the tablet coating.
• Yellow iron oxide (E172 ): Colorant that gives the tablet its characteristic yellow color.
• Magnesium stearate: Used as a lubricant to improve tablet processability.

These components work together to ensure the correct function and stability of the drug, and each of them has a specific role. It is important to note that Cialis contains lactose, so patients with lactose intolerance should take this fact into account and consult with their doctor.

How to use?

Taking Cialis is relatively easy, but it is important to follow your doctors instructions or the information provided in the package leaflet. Dosage may vary depending on the patients health and response to the drug. Cialis can be taken in two ways: daily or as needed.

1. As needed: The recommended dose is 10 mg before expected sexual activity, while the pill should be taken at least 30 minutes before sexual intercourse. If necessary, the dose may be increased to 20 mg or decreased to 5 mg depending on tolerance and efficacy. The drug should not be taken more than once a day.
2. Daily use: In the case of long-term treatment, Cialis can be taken at a dose of 2.5 mg or 5 mg per day. This option is suitable for men who plan sexual activity more often than twice a week. Tablets are taken every day at approximately the same time, regardless of sexual activity.

Cialis tablets should be taken orally with plenty of water. They can be taken with food or on an empty stomach. It is important to remember that the effect of the drug is manifested only during sexual stimulation, therefore the use of Cialis alone does not automatically cause an erection. Before starting treatment, the patient should inform his doctor about all health problems and medications he is taking to avoid unwanted interactions.

How does it work?

Cialis works through its active ingredient, tadalafil, which belongs to the group of phosphodiesterase type 5 (PDE5) inhibitors. The mechanism of action of Cialis is that it blocks the activity of the PDE5 enzyme, which is naturally found in the walls of blood vessels in the penis. This enzyme normally breaks down cyclic guanosine monophosphate (cGMP), a molecule that helps relax smooth muscle in blood vessels and increases blood flow to the penis. When the PDE5 enzyme is blocked, cGMP levels remain elevated, allowing for better blood flow to the penis and thus a better erection.

Cialis is effective only in the case of sexual stimulation, which means that without physical or psychological sexual stimulation, the drug will not cause an erection. Its long-term effect, up to 36 hours, gives users more flexibility and reduces the need to plan the exact time to take the tablet. In addition, Tadalafil also works on the muscles of the prostate and bladder, which may be beneficial for men with symptoms of benign prostatic hyperplasia, such as frequent or painful urination.

In addition to treating erectile dysfunction, Cialis is also used to treat pulmonary arterial hypertension (PAH) and BPH symptoms. The mechanism of action in these cases involves a similar process of relaxation of blood vessels, which helps to improve blood circulation in the affected areas. This multi-purpose approach makes Cialis one of the most flexible drugs on the market for men with combined health problems.

Indications

Cialis is intended to treat several medical conditions that primarily affect men. Its effects are aimed at improving the quality of life of patients who suffer from problems with erectile function or have problems related to the prostate. The main indications for the use of Cialis include:

• Erectile Dysfunction (ED): Cialis is used to treat erectile dysfunction, a condition in which a man cannot achieve or maintain an erection sufficient for satisfactory sexual intercourse.
• Benign prostatic hyperplasia (BPH): The drug helps to improve symptoms associated with BPH, such as frequent urination, the urge to urinate, or difficulty urinating.
• Combination of ED and BPH: Cialis is also effective in men who suffer from both conditions at the same time, allowing both problems to be treated with one drug.
• Pulmonary arterial hypertension ( PAH): Although not primarily intended for this purpose, tadalafil is used to treat PAH because it helps improve exercise capacity and slows the progression of the disease.

Thus, Cialis is suitable for men who need to address multiple health issues related to sexual health or the urinary system. When prescribing it, the individual health status of the patient is taken into account, and therefore it should only be used on the basis of a recommendation and under the supervision of a doctor.

Contraindications

Cialis is not suitable for everyone and its use may be inappropriate or even dangerous for certain groups of patients. It is important to carefully consider contraindications and discuss all possible risks with your doctor before starting treatment. The following contraindications are important when deciding to use Cialis:

• Allergy to tadalafil or other components of the drug: Patients who have known allergic reactions to tadalafil or to any of the excipients in Cialis should not take this drug.

< li>Use of nitrates: Cialis is strictly contraindicated in patients who are taking any form of nitrates (eg nitroglycerin) or nitric oxide-releasing drugs, as the combination can lead to a dangerous drop in blood pressure.

• Severe cardiovascular diseases: Men with a recent myocardial infarction, severe angina pectoris, severe heart rhythm disorders or uncontrolled high or low blood pressure should not take Cialis.
• Impaired liver or kidney function: Patients with severe liver or kidney problems, especially if they require dialysis, should be cautious and use Cialis only after careful consideration
• Vision loss: Cialis is not recommended in patients with a history of non-arteritic anterior ischemic optic neuropathy (NAION) that has caused sudden vision loss.
• Penis deformations or predisposition to priapism: Men with anatomical deformations of the penis (e.g. Peyronies disease) or with a predisposition to priapism should be careful when using.

Before starting treatment with Cialis, a thorough examination and consultation with a doctor is always necessary to reduce the risk of serious side effects or complications. Each patient should inform the doctor about all their medical conditions and medications they are taking to ensure the safety of the treatment.

Side effects

As with any medicine, side effects can occur when taking Cialis, although not in every patient. Most side effects are mild and temporary, but some may be more serious and require medical attention. The most common side effects of Cialis are associated with its effect on blood circulation and smooth muscle.

• Headache: It is one of the most common side effects. It can be mild to moderate and usually goes away on its own.
• Facial flushing: This effect is caused by dilation of blood vessels and is manifested by hot flushes and reddening of the skin, especially on the face.
• Digestive disorders: Nausea, heartburn or abdominal pain may be side effects, especially if Cialis is taken on an empty stomach.
• Muscle pain and back: Slight pain in the muscles, back, or limbs may occur, usually within 12 to 24 hours after use and usually disappears within a few days.
• Congested nose: Cialis may cause temporary nasal congestion or a feeling of pressure in the sinuses.
• Dizziness: Some patients may experience dizziness as a result of a drop in blood pressure, especially if Cialis is used in combination with other medicines.

In rare cases, more serious side effects may occur, such as sudden deterioration of vision or hearing, chest pain, or priapism (painful erection lasting more than 4 hours). If any of these symptoms appear, seek medical attention immediately. It is always important to inform the doctor about all medical conditions and medications before starting to take Cialis to minimize the risk of side effects.