Cialis

You can engage in sexual activity within half an hour of taking the Cialis tablet and up to 36 hours later. It may be possible for you to engage in sexual activity more than once - for example, in the evening and again in the morning. The amount of time Cialis takes to work varies from person to person. After you have taken Cialis you may wish to attempt sexual intercourse at different times to decide the best time range for you and your partner. If you are not sure when to take Cialis, ask your doctor or health care professional.

Cialis Directions

Cialis tablets are for oral use. Swallow the tablet whole with water. You may take Cialis with or without food or alcohol.

Cialis Side Effects

Tell your doctor or health care professional as soon as possible if you do not feel well while you are taking Cialis. Cialis helps most people with erectile dysfunction, but it may have unwanted side effects in a few people. Most of the side effects are mild to moderate in nature. Do not be alarmed by the following list of the most common possible side effects. You may not experience any of them. Ask your doctor or health care professional to answer any questions you may have. Tell your doctor or health care professional if you notice any of the following and they are troublesome, severe, or do not go away:

• headache;
• indigestion;
• back pain;
• muscle aches;
• nasal congestion;
• facial flushing;
• swelling of the eyelids;
• eye pain;
• conjunctival hyperemia (red eyes);
• dizziness.

Allergic reactions to Cialis (including skin rashes) could occur. In rare instances it is possible that a prolonged and possibly painful erection may occur after taking Cialis. If you have such an erection which lasts continuously for more than 4 hours, you should contact a doctor immediately. In case of chest pain occurring during or after sexual activity you should NOT use nitrates but you should seek immediate medical assistance. Tell your doctor or pharmacist if you notice anything that is making you feel unwell.

Cialis Precautions

Do not take Cialis if you are currently taking any nitrates or amyl nitrite. Nitrates are medicines used in the treatment of angina pectoris ("chest pain"). Cialis has been shown to increase the effects of these drugs. If you are taking any form of nitrate or are unsure tell your doctor. Do not take Cialis if you have had an allergic reaction in the past to tadalafil or any of the other ingredients of Cialis. Some of the symptoms of an allergic reaction to Cialis may include shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, itching or hives on the skin. Do not take Cialis after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If you are not sure whether you should start taking Cialis, talk to your doctor. Before you start to take Cialis, tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes. For those who are lactose intolerant, be aware that Cialis tablets contain a small amount of lactose (approximately 200mg for the 10mg tablet and 250mg for the 20mg tablet). Tell your doctor if you have or have had any of the following medical conditions:

• you have a heart condition, including angina (chest pain), arrhythmia (changes in the rhythm or rate of the heart beat), heart failure or if you have had a heart attack. Sexual activity carries a possible risk to patients with heart condition because it puts extra strain on your heart;

• you have had a stroke;

• you have low blood pressure or uncontrolled high blood pressure;

•  you have a serious liver or kidney problem;

• you have sickle cell anemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukemia (cancer of the blood cells);

• you have any deformation of your penis.

Cialis is not intended for use by women or by children under the age of 18 years. No special consideration is needed for the elderly or people with diabetes.

Drug Interactions with Cialis

Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop. Some medicines and Cialis may interfere with each other. This is particularly important if you are treated with: nitrates (used to treat heart conditions); rifampicin (an antibacterial product used amongst others against tuberculosis); ketoconazole or itraconazole (used against fungal infections) erythromycin (an antibacterial product); protease inhibitors (HIV treatments). You may need different amounts of your medicines or you may need to use different medicines. You should not take Cialis together with any other treatments for erectile dysfunction. Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking Cialis.