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Generic Cialis is a popular and effective drug that can improve an erection and even cure impotence. Initially, such drugs were expensive, so not every patient could afford them, but over time, the cost of generics has decreased several times, which allows each man experiencing erectile problems to buy them.
How does it work?
The active substance of the drug – tadalafil – improves erectile function, which contributes to normal sexual intercourse. After taking a pill, the active substance quickly enters the bloodstream. The concentration of tadalafil in blood plasma reaches its maximum values 2 hours after taking the medicine. Fatty foods have virtually no effect on the absorption rate of the active ingredient.
The pharmacological effect of the drug is based on the suppression of PDE-5, which leads to relaxation of arterial muscle tissue and increased blood flow to the penis. As a result of this, a man achieves a hard erection, sufficient for sexual intercourse. Please note: if there is no sexual arousal/stimulation, you will not be able to achieve an erection.
The main advantage of Cialis is that lasts for up to 36 hours. At the moment, this is the only drug that has such long-term effectiveness. The generic does not cause a significant change in blood pressure and heart rate and does not have any effect on color perception.
About 61% of the dosage taken is excreted in the stool, approximately 36% – in the urine.
Indications for use
The main indication for therapy is erectile dysfunction. Such a condition is often is caused by diseases of the genitourinary system, as well as certain endocrine pathologies (for example, diabetes mellitus). In this case, Generic Cialis helps even with the complete absence of an erection, which makes it one of the most effective drugs.
Contraindications
This is a quite safe medication that does not harm a healthy male body. However, in some cases, you’d better refrain from using these pills. Below you can see contraindications for treatment with Cialis:
- Hypersensitivity to tadalafil or tablet excipients. Such sensitivity can be expressed in various allergic reactions up to severe anaphylactic shock;
- Simultaneous use of another drug, which includes nitrates;
- Simultaneous use of other drugs designed to treat erectile dysfunction (in this case, overdose symptoms and side effects may occur);
- Severe diseases of the heart and blood vessels. This is primarily about angina pectoris which is not controlled by drugs, myocardial infarction, ischemic stroke or arrhythmia suffered during the last three months. In these cases, you must consult your cardiologist;
- Optic neuropathy, which may or may not be associated with treatment with PDE-5 inhibitors;
- Individual intolerance to lactose or glucose;
- The patient’s minor age (the drug should not be taken until the age of 18).
It is not recommended to take tadalafil medication more than twice a week if you suffer from kidney pathologies.
There are also relative contraindications for this drug. With caution, the pills should be prescribed to patients with liver failure since data on the treatment of such patients with ED drugs are currently not available. A predisposition to the development of priapism, anatomical defects in the penis, the simultaneous administration of medications with antihypertensive effect and some antiviral agents (erythromycin, ritonavir) are also relative contraindications to the purchase of the generic, that is, before using this potency stimulator, it is recommended to consult a specialist and indicate which drugs you are taking.
Side effects
Since the drug has a carefully balanced composition, side effects are extremely rare. Adverse events may occur with an incorrectly calculated dosage of tadalafil, as well as with individual intolerance of the active component. Side effects include:
- pain in the back muscles;
- face flushing;
- nasal congestion;
- headaches in patients with unstable blood pressure.
These are the most common side effects, but there are others:
- dizziness
- blurred vision, pain in the eyeball;
- heart rate increase;
- a change in blood pressure (increase or decrease), especially in men who take drugs with a hypotensive effect;
- dyspnea;
- pain in the abdomen;
- rash on the skin;
- in rare cases – stroke (rupture of the vessel and hemorrhage), seizures of epilepsy, swelling of the eyelids, bleeding from the nasal cavity, prolonged and painful erection (priapism).
In some cases, the patient may feel pain and a feeling of constriction in the chest, fainting conditions are possible.
However, today it is difficult to say whether such dangerous side effects as stroke and heart rhythm disturbances are directly associated with Generic Cialis. It is possible that side effects are affected not only by this drug but by a whole set of factors (for example, the presence of sexual arousal, initially increased or decreased pressure, and so on).
How to take Cialis?
If you want the product to really work and at the same time be completely safe for your health, it is recommended that you strictly follow the instructions for its use.
Patients who have an active sexual life (sexual intercourse occurs twice a week or more) should take 5 mg tablets per day, and it is advisable to do this at the same time. Depending on the individual characteristics of your body, you can reduce the dosage to 2.5 mg per day.
If sexual intercourse occurs less often than twice a week, experts recommend taking tablets a few minutes before sexual intercourse, while the dosage can be increased to 20 mg.
Please note: the maximum allowable dosage per day is 20 mg (for healthy men). Exceeding this dosage can lead to serious side effects.
The duration of therapy with this generic is established by a specialist individually, depending on the severity of the disease and associated pathologies.
Additional instructions: if the patient suffers from severe kidney pathologies, the daily intake of this drug is contraindicated. In this case, the use of the medicine should be discussed with a doctor, including with regular monitoring of vital signs and tests.
The product is available in dosages of 5 mg, 20 mg, 40 mg, and others. The cost may vary depending on the dosage of the drug, the manufacturer, as well as depending on the pricing policy of the pharmacy (periodically online stores offer various promotions and favorable discounts). In any case, the price of Generic Cialis is several times lower than the cost of the brand-name medication.
What if the drug does not help?
This remedy helps in the vast majority of cases. However, some men claim that a pill does not help to achieve the desired effect. Why does it happen? There are several reasons:
- This drug simply does not suit you. This is rare, but sometimes, due to the individual characteristics of the body, the medicine may simply not work. What to do in this case? Do not try to increase the dosage, as this can lead to adverse effects. The best way out is to choose another drug next time;
- You have taken too small dosage. For most healthy men, a dosage of 5 mg is enough to ensure a stable erection for the whole day. However, with severe violations of erectile dysfunction, especially if the man has an irregular sex life, sometimes a large concentration of tadalafil is required. If your sex life is not regular (less than twice a week), it is advisable to take a 20 mg tablet. Do not want to make a mistake? See a specialist who will help you choose the optimal dosage;
- You have consumed large quantities of alcohol before taking a pill;
- If you are taking any medications, it is recommended that you inform your doctor about it. Some medicines reduce the effectiveness of tadalafil;
- You purchased a low-quality drug. Some online pharmacies do not sell generics but counterfeits. The purchased fake at best will not bring any effect, at worst it will provoke side effects.
Interactions
Before you start taking Generic Cialis, you need to know the effect of other drugs on the active substance tadalafil. Antiviral agents such as ritonavir, erythromycin, itraconazole can enhance the effect of tadalafil, which can lead to side effects, especially in the presence of concomitant diseases.
The concomitant use of rifampicin with the drug reduces the concentration of tadalafil in the blood, as a result of which the effect may not be so pronounced.
Simultaneous administration with antacids helps to accelerate the absorption of the active substance in the blood, which should also be considered when using the generic.
Tadalafil enhances the hypotensive effect of drugs, which include nitrates, so they are not prescribed in combination. Since the drug causes temporary vasodilation, it can enhance the hypotensive effect of medications taken to lower blood pressure.
Please note: the simultaneous use of Cialis and other similar drugs for the treatment of erectile dysfunction have not been studied. In this regard, such a combination should be avoided and only one drug should be used to stimulate potency.
Special instructions
Please note that sexual activity can be hazardous to health in severe diseases of the heart and blood vessels. That is why, if you have a heart disease that interferes with normal sexual activity, the use of Cialis and other similar drugs is contraindicated.
In clinical practice, there are reports of the development of priapism (painful and long-term erection, which is not associated with sexual arousal). That is why experts recommend immediately contacting a doctor if an erection does not go away for 4 hours. If timely assistance is not provided in such situations, complete impotence may occur.
Since the drug belongs to the group of PDE-5 drugs, it affects blood pressure. The generic can affect both an increase and a decrease in pressure, but in most cases, this indicator decreases, which should also be taken into account.
In the course of post-marketing tests, cases of visual impairment after taking tadalafil were recorded. If you have a sudden loss of vision after taking this drug, you must seek medical help as soon as possible.
Since the medication can cause dizziness in some cases, it is recommended to exercise caution when driving vehicles and when performing work that requires an increased concentration of attention.
Additional information
It is recommended to store the drug out of the reach of children, preferably in the refrigerator. Do not use the medication after the expiration date, otherwise, there is a high risk of side effects, in addition, a pill may simply not be effective.
Thus, Generic Cialis is one of the most effective drugs for the treatment of erectile dysfunction. The medication helps both with mild erectile dysfunction caused by nervous strain or an improper lifestyle and with persistent erectile dysfunction, which is accompanied by a complete inability to have sexual intercourse. Before using this remedy, it is recommended to consult a urologist.