Cialis

Description overdue on 12.11.2011

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It is used to treat Erectile Dysfunction . Active ingredient is tadalafil . The mechanism of action is based on the selective inhibition of the enzyme phosphodiesterase-5, which is contained in the smooth musculature of the corpus cavernosum penis. Cialis leads to relaxation of smooth muscles of arteries, improving blood flow to the penis, which allows for persistent, prolonged erection. The preparation begins its effective action in 15 minutes. after receiving tadalafil in the body, the effect lasts 36h. Cialis no effect on heart rate and blood pressure, visual acuity, pupil diameter, eye pressure, electroretinogram . At a dose of 10 mg did not affect the morphology and sperm motility, number, and concentration of sperm. Cialis starts its action during sexual arousal.

Indications:

Erectile dysfunction.

Contraindications:

Cialis is not applied in paediatrics. Contraindications simultaneous reception   Nitrate , Allergy to the components. With caution is prescribed for diseases of the cardiovascular system, hypotension, uncontrolled hypertension, severe renal insufficiency, adjourned stroke   and heart attack a history of anatomical deformation of the penis (cavernous fibrosis, angulation, Peyronie's disease), susceptibility to priapism .

Side effect:

It is noted in the initial stages of the drug Cialis, independently tested after prolonged use: dyspepsia, headaches, "tides" of blood to the face, myalgia , Back pain, nasal congestion. Very rarely observed sore eyes , Eyelid edema, conjunctival hyperemia , Dizziness. At higher doses of Cialis is noted increased severity of side effects. Apply symptomatic therapy.

Mode of application:

Cialis is taken orally, 20 mg, 15 minutes before intercourse. The drug acts 36 hours. It is not allowed more than one of the drug per day. At insufficiency of liver and kidney systems, the elderly do not need dose adjustment.

Special instructions:

Increased sexual activity in patients with CVD can lead to death, disability. In the event of an erection lasts for more than 4 hours to seek medical help. Cialis reduces the speed of psychomotor reactions.

Drug Interactions:

Cialis enhances the hypotensive effect of nitrates. It is not recommended to combine the drug with other drugs to increase potency. Saquinavir, ritonavir, itraconazole, erythromycin   enhance the effect of tadalafil. Antacids drugs reduce the rate of absorption of Cialis. It does not affect the pharmacodynamics and pharmacokinetics of warfarin, theophylline.