If you take tadalafil, it can be effective for up to 36 hours. If tadalafil does not work, there are other tablets you could try that work in a similar way, such as:.
Only sildenafil Viagra is available without prescription. However, you should take sildenafil and avanafil on an empty stomach for fastest effects. Eating a meal which is high in fat may delay the effect of vardenafil. You could also try a medicine called alprostadil only available with a prescription. This is a man-made hormone that helps to stimulate blood flow to the penis. If you cannot get erections because of a hormonal problem, your doctor may refer you to an endocrinologist a doctor who specialises in the treatment of hormonal problems.
They may recommend hormone injections to bring your body's levels back to normal. Other treatments for erectile dysfunction include:. Some complementary therapies, such as acupuncture, have claimed to treat erectile dysfunction. But there's little evidence they work. There are lots of treatments that claim to be a "herbal Cialis". In fact, there's no such thing. There's no firm evidence to suggest that taking tadalafil will reduce fertility in either women or men.
Tadalafil does not affect any type of contraception, including the contraceptive pill and emergency contraception. Do not drink grapefruit juice if you're taking tadalafil. It interferes with the way the medicine works. Occasionally tadalafil can make you feel dizzy. If this happens to you, do not drive, cycle or use machines or tools until you feel better. If you're taking tadalafil to treat symptoms of an enlarged prostate gland , you might be able to help the symptoms by making some simple changes to your lifestyle:.
Page last reviewed: 6 September Next review due: 6 September Tadalafil On this page About tadalafil Key facts Who can and cannot take tadalafil Where to get tadalafil How and when to take it Side effects Pregnancy and breastfeeding Caution with other medicines Common questions. About tadalafil Tadalafil is a medicine used to treat erection problems erectile dysfunction and symptoms of an enlarged prostate benign prostate enlargement.
Tadalafil is available on prescription only. It comes as tablets that you swallow with water. It can be taken with or without food. It usually takes 30 to 60 minutes for tadalafil to work for erectile dysfunction. You can take it once a day, at least 30 minutes before you want to have sex. Taking tadalafil on its own is not enough to cause an erection.
You need to be sexually aroused for it to work. Many men do not have any side effects from tadalafil, while some have mild side effects. These may include headaches, back pain, muscle aches, pain in your arms and legs, facial flushes, stuffy nose, and indigestion.
Do not take tadalafil if you also take medicines called nitrates often prescribed for chest pain. This combination can cause dangerously low blood pressure. Tadalafil is sometimes called the brand names Cialis for erectile dysfunction and benign prostatic enlargement or Adcirca for pulmonary hypertension.
Tadalafil can only be taken by adults aged 18 and over. Tadalafil is not suitable for some people. Do not take tadalafil if you: have had an allergic reaction to tadalafil or any other medicines in the past are taking medicines called nitrates for chest pain have a serious heart and liver problem have recently had a stroke or a heart attack have low blood pressure or uncontrolled high blood pressure have ever lost your vision due to reduced blood flow to the eye Check with your doctor before taking tadalafil if you: have sickle cell anaemia an abnormality of red blood cells , leukaemia cancer of blood cells or multiple myeloma cancer of bone marrow have Peyronie's disease curved penis or a similar problem with your penis have liver or kidneys problems have a heart problem — your doctor will advise you whether your heart can take the additional strain of having sex.
Tadalafil is only available with a prescription. On the NHS Tadalafil is only available for erectile dysfunction if you have a specific condition such as multiple sclerosis or a spinal cord injury.
Tadalafil is not available on the NHS to treat benign prostate enlargement. Private prescription If you do not meet the NHS criteria for tadalafil you can get a private prescription from a doctor. It's important to take this medicine as advised by a doctor or pharmacist. Tadalafil tablets come in different strengths. How much will I take for erectile dysfunction? How much will I take for benign prostate enlargement? How much will I take for pulmonary hypertension? Tadalafil tablets for pulmonary hypertension come in 20mg strength.
What if I forget to take it? If you have: benign prostatic enlargement — take it as soon as you remember and then continue as usual pulmonary hypertension — take it within 8 hours if you can. If you remember after 8 hours, skip the missed dose and take the next dose as usual.
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one. Your doctor might increase the dose to 5 mg based on how you react to the medication.
Take one tablet as prescribed at the same time each day. Many people who take Cialis prefer this dosing because it provides flexibility for timing of sexual activity. For the as-needed dose, plan to take Cialis at least 30 minutes before sexual activity, but bear in mind it may take as long as 2 hours to take effect. Also, Cialis requires sexual stimulation to be effective, so arousal is an important part of the equation.
There are many considerations that affect how long it takes Cialis to take effect for ED. This includes factors such as:. Cialis can last from 24 to 36 hours. In some cases, it can last as long as 72 hours. This is one of the reasons Cialis has high patient satisfaction ratings in surveys compared to other PDE5 inhibitors: It allows more spontaneous sexual activity.
For as-needed dosing, take Cialis at least 30 minutes or more before sexual activity. If your prescription involves taking Cialis daily, take it at the same time each day.
This maintains steady levels of Cialis in your body. Smoking, heavy drinking, unmanaged stress, and an unhealthy diet can affect ED as well as how Cialis works, potentially leading to more side effects.
A healthy diet, increasing physical activity, and quitting smoking are important for wellness, physical health, and can affect the severity of ED. Strategies to reduce stress and support your relationship with your partner can also improve sexual performance and well-being. Working with a psychiatrist, therapist, or sex therapist can help you navigate strategies for the mental and emotional side of intimacy.
Other ways to improve your sexual performance include managing stress, working through relationship concerns, and treating performance anxiety.
Avoid high fat foods or heavy meals before taking Cialis and before sexual activity. High fat foods can affect how well Cialis works. It may also take longer to work. Be sure to talk to your doctor or pharmacist about how to take all your medications to avoid interactions. They can lower your blood pressure to dangerous levels. Use caution with alcohol consumption when taking Cialis. Too much alcohol can affect your ability to become aroused. It can also cause excessive low blood pressure, leading to headache, dizziness, and fainting.
Avoid grapefruit with Cialis. It can increase the levels of the medication in the blood, causing increased side effects. A generic drug is an exact copy of the active drug in a brand-name medication. The generic is considered to be as safe and effective as the original drug.
Generics tend to cost less than brand-name drugs. In some cases, the brand-name drug and the generic version may come in different forms and strengths. Typically, your doctor will start you on a low dosage. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. If you have certain conditions, such as kidney or liver problems, your doctor may have you start with a low dose of Cialis. The following information describes dosages that are commonly used or recommended.
However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to fit your needs. For symptoms of benign prostatic hyperplasia , the recommended dosage of Cialis is 5 mg once a day.
You should take the drug at about the same time each day. In some cases, your doctor may have you take 5 mg of Cialis a day along with finasteride Proscar to treat BPH. If your doctor recommends that you take Cialis only as needed for ED, the usual dosage is 10 mg before sexual activity.
They may reduce this to 5 mg if the medication is working too well. This will increase the dose back to 10 mg. The maximum dose of Cialis that can be taken in a day is 20 mg. In clinical trials , Cialis helped people with ED symptoms for up to 36 hours after their dose. And be sure to speak with them if you feel you need more of the drug, rather than increasing your dosage yourself.
Cialis can also be taken once a day to treat ED. In this case, the dosage usually starts at 2. And if your doctor recommends using Cialis every day, you should take the drug at about the same time each day. You should try to take your dose at about the same time each day. This dose is too high and may cause serious side effects, such as decreased blood pressure. If you forget to take your once-a-day dose of Cialis, take it as soon as you remember. However, never take two doses in 1 day.
If you missed your dose yesterday, just skip the missed dose and continue with your once-a-day dosing. A medication timer may be useful, too. Cialis may also be used to treat ED long term. But in some cases, your doctor may determine the cause of your ED, such as depression or an illness. In such instances, you may be able to stop taking Cialis after the cause of your ED has been treated.
Cialis can cause mild or serious side effects. The following lists contain some of the key side effects that may occur while taking Cialis. For more information on the possible side effects of Cialis, talk with your doctor or pharmacist. They can give you tips on how to deal with any side effects that may be bothersome. Most of these side effects may go away within a few days or a couple of weeks. Call your doctor right away if you have serious side effects.
You may wonder how often certain side effects occur with this drug. As with most drugs, some people can have an allergic reaction after taking Cialis. The allergic reactions included a serious rash and skin conditions such as Stevens-Johnson syndrome a life threatening rash that causes painful blisters. A more severe allergic reaction is rare but possible.
Symptoms of a severe allergic reaction can include:. Call your doctor right away if you have a severe allergic reaction to Cialis. Headache is a common side effect that may occur with Cialis. In clinical trials , depending on the condition being treated:. If you have headaches that are bothersome to you while using Cialis, talk with your doctor. They may be able to recommend ways to help ease this side effect. Changes in blood pressure are a possible side effect of taking Cialis.
Low blood pressure occurs most often while taking this medication. But high blood pressure can occur as well. Clinical trials looked at blood pressure in people who took 20 mg of Cialis or a placebo.
Blood pressure decreased by an average of 1. If you have these symptoms while taking Cialis, tell your doctor right away. Although rare, Cialis may also increase your blood pressure.
This was a side effect that was reported only in people who took Cialis once a day for erectile dysfunction ED. In this trial , depending on the condition being treated:. If you have any symptoms of high blood pressure, such as headaches or chest pain, tell your doctor right away.
Back pain is a common side effect with Cialis. In clinical trials , depending on the condition being treated, back pain was reported in:. Back pain usually occurs between 12 and 24 hours after taking Cialis. Usually, back pain goes away within 2 days of taking your dose.
Heartburn is a common side effect of Cialis. In clinical trials , depending on the condition being treated, heartburn occurred in:. They may be able to recommend ways to treat this side effect. This side effect can lead to priapism , which is a painful erection lasting longer than 4 hours. If you have an erection that lasts longer than 4 hours while using Cialis, see a doctor or go to the hospital right away.
Very rarely, Cialis may cause a loss of vision in either one eye or both eyes. While taking Cialis, if you have any changes in vision, such as decreased vision or loss of vision, tell your doctor right away. The best way to take Cialis is to use it exactly as your doctor directs, either once a day at the same time each day or only as needed. And you should never take Cialis more than once a day. If you have any questions about the best way to avoid specific side effects from Cialis, talk with your doctor.
You may wonder how Cialis compares with other medications that are prescribed for similar uses. Here we look at how Cialis and Viagra are alike and different. The active drug ingredient in Cialis is tadalafil. The active drug ingredient in Viagra is sildenafil. Both Cialis and Viagra come as tablets that you swallow. Cialis may be taken once a day or just when needed for sexual activity. Usually, Viagra is taken only as needed for sexual activity.
Cialis and Viagra both contain medications to treat ED. Therefore, these medications can cause very similar side effects, but some different ones as well.
Below are examples of these side effects. These lists contain up to 10 of the most common mild side effects that can occur with Cialis, with Viagra, or with both drugs when taken individually. This list contains examples of serious side effects that can occur with Cialis and Viagra when taken individually. One study compared men who took Cialis either once a day or as needed with men who took Viagra as needed. In another ED study , men took either Cialis as needed or Viagra as needed for 4 weeks.
They then switched to the other medication for an additional 4 weeks. Finally, the men decided which drug they preferred. Researchers found that Most often, men reported that they preferred Cialis because the medication lasts longer in the body.
The study also looked at how well the drugs worked to treat ED. Scores for self-esteem and relationship quality were about equal in the two groups.
Cialis and Viagra are both brand-name drugs. Currently, there are generic forms of both drugs. The generic form of Cialis is called tadalafil. The generic form of Viagra is called sildenafil. Brand-name medications usually cost more than generics. According to estimates on GoodRx. The generic versions of both Cialis and Viagra cost significantly less than the brand-name versions.
Like Viagra above , the drug Levitra has uses similar to those of Cialis. The active drug ingredient in Levitra is vardenafil. Both Cialis and Levitra come as tablets that you swallow. Cialis can be taken once a day or as needed for sexual activity. Levitra is taken only as needed for sexual activity. Cialis and Levitra both contain medications used to treat ED.
These lists contain up to 10 of the most common mild side effects that can occur with Cialis, with Levitra, or with each drug when taken individually. These lists contain examples of serious side effects that can occur with Cialis, with Levitra, or with both drugs when taken individually.
Studies have found both Cialis and Levitra to be effective for treating ED. Cialis and Levitra are both brand-name drugs.
The generic form of Levitra is called vardenafil. The generic versions of both Cialis and Levitra cost significantly less than the brand-name versions. Both Cialis and Adcirca have the same active drug ingredient, tadalafil.
Adcirca is approved to treat a type of high blood pressure in your lungs called pulmonary arterial hypertension PAH.
The drug is for use in men and women.
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