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The following Cialis information has been compiled from a variety of resources to give you an idea of just how effective Cialis will enhance your erections and treat your male  impotence symptoms:


Why is Cialis recommended by so many doctors?

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Cialis is the longest lasting erection enhancement medication. Cialis will enhance your erections for up to 36 hours.  No other impotence treatment last longer than Cialis. Cialis remains one of  the most prescribed prescription drug for the treatment of male impotence symptoms by doctors, worldwide.



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What is Cialis?

Cialis represents a new class of medications known as PDE-5 inhibitors. These medications are used to treat impotence. Cialis has been approved by the European Commission for the treatment of impotence. Cialis is different from other impotence medications e.g. Viagra, in that a single dose of Cialis treats impotence symptoms for up to 36 hours. Yes, 36 hours of enhanced erections with a single dose of Cialis. Doctors are referring to Cialis as the "weekender" secondary to their patients taking one dose for an entire "weekend" of impotence treatment.

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Why is Cialis sometimes referred to as tadalafil?

Tadalafil is the generic name for Cialis. The generic name represents the medications nonproprietary or chemical name, whereas, the brand name is the name a pharmaceutical give to a medication for marketing purposes. Eli Lilly owns the patent rights to Cialis including the generic version of Cialis, tadalafil. Therefore, if you see advertisements online for cheap tadalafil chances are this is counterfeit Cialis coming from India where international patent laws are not recognized.  You stand a good chance of your order being stopped by customs. Pfizer, Eli Lilly pay heavy revenue taxes, therefore, authorities are dedicated to stopping these rogue websites from shipping there counterfeit drugs into the UK and the rest of Europe.

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What is the appropriate dose of Cialis?

During clinical testing Cialis was administered in Cialis 10mg or Cialis 20mg doses, following a review of an individuals medical history a doctor will either prescribe Cialis in the 10mg or 20mg dose. Please note: if you take Cialis on an empty stomach the Cialis will get in your system faster. The fat in the diet competes with the Cialis to be absorbed.

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How long does it take to notice the effects of Cialis once I take the medication?


Cialis is fast acting during clinical studies most men noticed the erection enhancing effects of Cialis within 20-30 minutes. Again, take the Cialis on an empty stomach the Cialis will get in your system faster. The fat in the diet competes with the Cialis to be absorbed.



How long doe the positive effects of Cialis last?

Clinical studies have shown that Cialis will enhance your erections for up to 36 hours This enables you to put the spontaneity back in your love life.

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What is the mechanism of action of Cialis?

In technical terms Cialis exerts its action by effecting two enzymes, Cyclic guanosine monophosphate (cGMP) and phosphodiesterase type 5 (PDE5) that play important roles in erectile function. Sexual stimulation triggers the local release of nitric oxide (NO) from nerves and endothelial cells in the penis. NO stimulates an enzyme that catalyzes formation of cGMP from the nucleotide guanosine 5-triphospate (GTP) in the penile blood vessels and corpus cavernosum walls.

The cGMP causes vasodilation of arteries, allowing the influx of blood into the corpus cavernosum. Increased blood flow into the penis causes the erectile tissue to expand. When the erectile tissue has expanded sufficiently, the veins draining the corpus cavernosum become compressed. This decreases the outflow of blood from the penis, and the blood remains in the corpus cavernosum to keep the penis erect.

The enzyme PDE5 eventually causes degradation of the cGMP, and the erection ends.


Can I get Cialis over the counter?

No, Cialis is only available by prescription from a licensed physician. Regulations do not permit Cialis to be taken without prescription. Secondary to the advent of the internet individuals may now order Cialis online simply by completing an online medical questionnaire. Subsequently, a licensed physician will review your medical history and patient profile. If approved for a Cialis prescription, your order shipped discreetly to you overnight. Currently, there is no charge for the doctor to review your medical history, we also offer free next day postage on all Cialis orders.

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Are there Any Side Effects Associated With The Use of Cialis

Reported side effects associated with Cialis are rarely reported. There are less reported side effects associated with the use of Cialis than all the other impotence treatment drugs. If reported these side effects were mild and short lived and included the following:  flushing, nasal stuffiness, mild lightheadedness, etc. These symptoms generally occur early in the treatment and subside in a relatively short period of time with continued use of Cialis. If the side effects continue or you notice new side effects contact your medical provider

What are the precautions/warnings concerning the use of Cialis for the treatment of impotence?
 

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Men who are taking medicines that contain nitrates (Nitroglycerin) of any kind should not use Cialis. You should not take Cialis even if you only take nitroglycerin medication occasionally.  You should inform your doctor concerning all medications you are taking, including those medications acquired by a prescription as well as over the counter medicines especially alpha blockers e.g. alpha blockers (e.g. Doxazosin {Cardura}, Prazosin {Minipress}, Terazosin {Hytrin), etc.) or other anti-hypertensive medications. 

The reason you should not combine Cialis with nitrates or alpha blockers is Cialis along with these other medications decreases your blood pressure. Therefore, if you combine these medications with Cialis you may lower your blood pressure too much which can put unhealthy stress on your heart trying to compensate for the low blood pressure. There is also a potential for cardiac risk during sexual activity in patients with preexisting cardiovascular disease who have not participated in any physical activity for a while. Therefore, Cialis should not be used in men where sexual activity is inadvisable because of their underlying cardiovascular status.

The use of Cialis offers no protection against sexually transmitted diseases, including HIV. Patients should continue to use protective measures necessary to guard against these diseases.


Can I use Cialis with other medications?

Yes, it is generally safe to use Cialis while on other medications, however some medicines may potentate the effects of Cialis. Individuals should always consult with their healthcare provider prior to taking any medication. Note: Cialis does have one absolute contraindication; individuals who are taking medication-containing nitrates (even intermittently) should not take Cialis.


Why is Cialis absolutely contraindicated in individuals who are currently taking medications containing nitrates?

Cialis may increase the hypotensive effects of nitrates to life threatening levels. Therefore, individuals who are currently using nitrates in any form even intermittently should not take Cialis. Nitrates are available in many medications; sprays, ointments, skin patches, pastes and tablets dissolved in the mouth. Nitrates are also found in illicit drugs such as amyl nitrate or nitrite "Poppers". If you are unsure if you are currently taking nitrates please value your health and consult with your local physician or pharmacist.

What happens if there is no sexual stimulation following the ingestion of Cialis?

Cialis is naturally eliminated from your body in a few hours, you need some form of sexual stimulation for an erection to occur..


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