6 ADVERSE REACTIONS

If you have questions about treating low sex drive, talk with your doctor.

2.6 Use in Specific Populations

The actual price you’ll pay for either of these drugs depends on your insurance plan, your location, and the pharmacy you use. Here’s a look at how the drugs Cialis and Adcirca compare. Use of the terms “male” and “female” in this article refers to sex assigned at birth. However, the Food and Drug Administration (FDA) has approved the drugs to treat different conditions. Cialis is FDA-approved to treat the following in males: erectile dysfunction (ED), a condition in which you can’t get or keep an erection symptoms of benign prostatic hyperplasia (BPH), a prostate condition that may cause problems with urination Adcirca is approved to treat a type of high blood pressure in your lungs called pulmonary arterial hypertension (PAH).

Cialis for benign prostatic hyperplasia (BPH)

The drug is approved for use in males and females. PAH is a specific kind of pulmonary hypertension that occurs in the arteries of your lungs. Although these medications are very similar, they can’t be swapped. This means that if you’re taking Cialis for ED or symptoms of BPH, you should not take Adcirca instead. And if you’re taking Adcirca for PAH, you should not take Cialis instead.

When to take

Although the active ingredient is the same in both Cialis and Adcirca, the two drugs have different dosages. If you’re taking Cialis, your dosage may be 2.5 mg to 20 mg as needed before sexual activity or once a day. But if you’re taking Adcirca, your dosage is usually 40 mg a day. You should take Cialis according to your doctor’s or healthcare professional’s instructions. Cialis comes as a tablet that you swallow. Use of the term “female” in this article refers to sex assigned at birth. Before the FDA approves a medication, it must test the drug for safety and effectiveness. Clinical trials show that Cialis is a safe and effective drug to treat erectile dysfunction (ED), benign prostatic hyperplasia (BPH), or both. However, for some people, Cialis may not be a safe option.

Aspect	Details	Notes
Average Price	$30-$50 per box of 30 tablets	Varies by pharmacy and region
Prescription Needed	Yes	Requires doctor consultation
Availability	Widely available online and in pharmacies	Check for official licensing
Generic Versions	Available in some regions as Tadalafil generic	May be cheaper

This can include people with heart conditions such as an irregular heart rhythm and people who take other medications such as nitrates. (See the “Cialis precautions” section below to learn more.) Before you start taking Cialis, be sure to tell your doctor about any medical conditions you have and any medications you’re taking. They’ll be able to decide whether Cialis is a safe choice for you.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€	Buy
Cialis Generic	5mg	270 + 10 Pills	205.81€ 196.01€	Buy
Cialis Generic	10mg	20 Pills	48.23€ 45.93€	Buy
Cialis Generic	5mg	120 + 6 Pills	132.92€ 126.59€	Buy
Cialis Generic	10mg	30 + 4 Pills	63.32€ 60.30€	Buy
Cialis Generic	5mg	30 + 4 Pills	53.56€ 51.01€	Buy
Cialis Original	20mg	12 Pills	78.32€ 74.59€	Buy
Cialis Professional	20mg	60 + 2 Pills	183.83€ 175.08€	Buy
Cialis Generic	40mg	270 + 10 Pills	382.19€ 363.99€	Buy
Cialis Super Active	20mg	270 + 30 Pills	661.49€ 629.99€	Buy
Cialis Generic	60mg	120 + 8 Pills	240.18€ 228.74€	Buy
Cialis Generic	10mg	120 + 6 Pills	178.49€ 169.99€	Buy
Cialis Black	80mg	20 Pills	71.83€ 68.41€	Buy
Cialis Generic	5mg	180 + 10 Pills	159.65€ 152.05€	Buy
Cialis Generic	60mg	20 Pills	65.61€ 62.49€	Buy

And talk with your doctor if you have any concerns. After ejaculation, you’ll likely lose your erection even if you’re taking Cialis.

5.11 Combination With Other PDE5 Inhibitors or Erectile Dysfunction Therapies

Note: Levitra, the brand-name version of the generic drug vardenafil, is discontinued and no longer available. Vardenafil is a generic drug, which is an exact copy of the active ingredient in a brand-name medication (in this case, Levitra, which is discontinued). Both Cialis and vardenafil belong to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. The Food and Drug Administration (FDA) has approved Cialis and vardenafil to treat erectile dysfunction (ED) in males. * ED is a condition in which you can’t get or keep an erection.

Serious side effects

Cialis is also FDA-approved to treat the following in males: symptoms of benign prostatic hyperplasia (BPH), a prostate condition that may cause problems with urination Use of the term “male” in this article refers to sex assigned at birth. Both Cialis and vardenafil come as tablets that you swallow. Cialis can be taken once a day or as needed for sexual activity. Vardenafil is taken only as needed for sexual activity. Cialis and vardenafil both contain medications used to treat ED.

Dosage for benign prostatic hyperplasia (BPH)

These lists contain up to 10 of the most common mild side effects that can occur with Cialis, with vardenafil, or with each drug (when taken individually). Can occur with Cialis:pain in your arms or legs Can occur with vardenafil:sinus infectionflu symptoms, such as fever and cold sweatskidney problems, such as an increased level of creatine kinase (a measure of kidney function) in your blood flu symptoms, such as fever and cold sweats kidney problems, such as an increased level of creatine kinase (a measure of kidney function) in your blood Can occur with both Cialis and vardenafil:headacheflushingstuffy noseheartburnback painmuscle paindizzinessnausea These lists contain examples of serious side effects that can occur with Cialis, with vardenafil, or with both drugs (when taken individually). Can occur with Cialis:no unique serious side effects Can occur with vardenafil:changes in heart rhythm called long QT syndrome changes in heart rhythm called long QT syndrome Can occur with both Cialis and vardenafil:prolonged erection (an erection that lasts more than 4 hours)allergic reactionloss of visionchanges in hearing, such as trouble hearing or ringing in your earschanges in blood pressure prolonged erection (an erection that lasts more than 4 hours) changes in hearing, such as trouble hearing or ringing in your ears Cialis and vardenafil have different FDA-approved uses, but they’re both used to treat ED. Studies have found both Cialis and vardenafil to be effective for treating ED. A generic form of Cialis, called tadalafil, is available. After ejaculation occurs, your sexual arousal usually decreases.

• Cialis 5 mg may cause side effects like headaches or facial flushing.
• It is important to follow the prescribed dosage instructions.
• Do not take Cialis 5 mg with nitrates or certain blood pressure medications.
• Consult a doctor before starting Cialis 5 mg to avoid interactions.

This means that you’ll likely lose your erection after ejaculation. However, Cialis can still work up to 36 hours after you take your dose. So the drug may help you get another erection. Cialis can stay in your system for more than 2 days after a dose. If you’re using the medication as needed, the drug may still increase your ability to get and maintain an erection 2 days after your last dose. Yes, Cialis can be used to treat ED after prostate surgery. A clinical trial was done in people with ED who had surgery to have their prostate removed. The people used either Cialis or a placebo (treatment with no active drug) as needed.

14.3 CIALIS 5 mg for Once Daily Use for Benign Prostatic Hyperplasia (BPH)

Cialis isn’t approved for use in females. * However, there are other options to treat low sex drive in females. Bremelanotide (Vyleesi) is an injectable medication that works on an area of your brain to increase sexual desire. This drug is also known as PT-141. Another medication used to treat low sex drive in females is flibanserin (Addyi). After 4 weeks, the people took a portion of a survey called the International Index of Erectile Function (IIEF).

Further information

It’s possible to get a prolonged erection that lasts more than 4 hours while taking Cialis. This side effect can lead to priapism, which is a painful erection lasting longer than 4 hours. It’s considered an emergency because it can cause permanent damage to your penis, such as being unable to have erections at all. If you have an erection that lasts longer than 4 hours while using Cialis, see a doctor or go to the hospital right away. The prolonged erection should be treated as soon as possible so that it doesn’t cause lasting damage.

Benign prostatic hyperplasia explained

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. You should not take any other medications to treat erectile dysfunction (ED) while you’re using Cialis, unless your doctor says that it’s safe. And you should never take Cialis more than once a day. Taking Cialis more often than prescribed or in high doses can increase your risk of side effects. If you drink alcohol, it’s important to avoid drinking too much alcohol while you’re taking Cialis.

Drug details

(See the “Cialis and alcohol” section below to learn more.) In addition, be sure to talk with your doctor or pharmacist about any other medications that you’re taking. They’ll be able to determine whether the drugs may interact with Cialis and whether that may lead to an increased risk of side effects. If you have any questions about the best way to avoid specific side effects from Cialis, talk with your doctor. Like Viagra, the drug vardenafil (Levitra) has uses similar to those of Cialis. Here’s a comparison of how Cialis and vardenafil are alike and different. The study showed that people who took Cialis after prostate surgery had a significant increase in average IIEF scores. In comparison, people who took a placebo after prostate surgery had a smaller increase in average IIEF scores. If you have questions about using Cialis to treat ED after prostate surgery, talk with your doctor. Cialis doesn’t increase the size of a penis.

Medication	Active Ingredient	Starting Dose	Typical Dose	Duration	Food Interaction
Cialis	Tadalafil	5 mg	Up to 20 mg	36 hours	Can be taken with or without food
Viagra	Sildenafil	50 mg	25-100 mg	4-6 hours	Takes 30-60 min, limit high-fat meals
Levitra	Vardenafil	10 mg	5-20 mg	4-5 hours	Best on an empty stomach

However, the medication does increase blood flow to the area.

• Patients should avoid grapefruit or grapefruit juice while on Cialis 5 mg.
• The medication can be used by men with certain cardiac conditions after consultation.
• Proper hydration and lifestyle changes can improve treatment outcomes.
• Cialis 5 mg has been shown to effectively improve erectile function in many users.

So if the penis wasn’t able to become fully erect before taking Cialis, it may appear larger after taking Cialis.

14.2 CIALIS for Once Daily Use for ED

Your doctor may have you take Cialis once a day or just as needed for sexual activity. If you have questions about how often you can take Cialis if you’re using it as needed, talk with your doctor. Keep in mind that you should never take Cialis more than once a day. The best time to take Cialis depends on whether you’re taking it once a day or only as needed. If you’re using the medication once a day, be sure to take it at about the same time cialis drug prices each day.

Professional resources

If you’re taking Cialis only as needed, you may wonder how long before having sex you should take it. The best time to take an “as-needed” dose is about 2 hours before sex. This is because on average, it takes the drug 2 hours to be at its highest level in your body. So at about 2 hours, you’ll have the best effects from the medication. However, some people may have better erectile function 30 minutes after they take the drug.

Taking Cialis with food

To help make sure that you don’t miss a once-a-day dose, try setting a reminder on your phone. You can take Cialis with or without food. You should not crush, split, or chew Cialis. It’s not known if the medication will be as safe and effective if you crush, split, or chew it. Here are answers to some frequently asked questions about Cialis. Although Cialis doesn’t change the size of the penis, the drug can increase the ability to have an erection. Cialis is approved to treat erectile dysfunction (ED), symptoms of benign prostatic hyperplasia (BPH), or both of these conditions. An erection occurs when blood flows into the penis and remains there for a period of time.

Condition	Details	Allowed Range	Notes
Temperature	Store below 30°C (86°F)	15-30°C	Keep in a cool, dry place
Light Exposure	Keep away from direct light	-	Store in original container
Humidity	Avoid excess moisture	Low humidity	Use desiccant if provided
Shelf Life	2-3 years from manufacture date	-	Check expiry date