Impotence or ED is defined as the failure to maintain
a satisfactory erection throughout intercourse to
ejaculation and affects over 14 million American men.
Until the advent of drugs like Cialis this condition
was left largely untreated because, like blood pressure,
diabetes, liver diseases and chronic lung disorders
it was considered a natural condition that accompanied
aging. However, while statistically old age plays
a part in these conditions, there are many examples
of men living well into their seventies and eighties
without manifesting any of these infirmities, raising
the possibility that in some cases they are lifestyle
rather than age-related.
In fact researchers now see both a statistical
and causal link between ED and all of these so called
“aging diseases.” Between ED and overall
health, especially that of the cardio-vascular system.
Normally, in response to arousal, the penile arteries
dilate. This engorges the penis with blood, causing
an erection. This erection is sustained by a simultaneous
compression of the surrounding vascular system,
keeping the penis engorged until after ejaculation
and the process is reversed. This reversal, the
compression of the penal arteries and the dilation
of the surrounding arteries, allows the blood to
flow from the engorged penis back into the body’s
vascular system. Because of aging and the various
conditions that are often associated with aging,
the parasympathetic nervous and vascular systems
that together produce erections in response to arousal
can fail to function correctly.
Cialis works by increasing the blood flow to the
penis when a man is sexually stimulated, and is
effective in helping over 80 percent of men achieve
harder erections that enable completion of intercourse
to ejaculation.
Possible Adverse Reactions (Rare)
• Central Nervous System: Dizziness,
drowsiness, vertigo, anxiety, nervousness and headaches.
• Cardiovascular: Ventricular arrhythmias,
cerebrovascular hemorrhage, hypotension and facial
flushing.
• Ear, eyes nose and throat: Temporary
loss or blurred vision, bloodshot or red eyes, retinal
bleeding, temporary color blindness, nasal congestion,
facial swelling, swollen throat and extreme sensitivity
to light.
• Gastro intestinal: Diarrhea indigestion
and upset stomach.
• Skin: Redness and unexplained rash.
• Genitourinary: Urinary blood, prolonged
erections and priapism
• Respiratory: Infections of the
respiratory tract.
• Other: Flu-like symptoms such as
muscle pain and general aches.
Interactions (Drug and Food)
Cialis, taken with the following drugs can have
unintended consequences:
• Isosorbide nitroglycerin (Nitrates): These
drugs, whether in the form of tablets or patches,
are used for the treatment of angina (chest pain),
a symptom of heart disease. Nitrates, in any form,
when used with Cialis can cause sudden, severe hypotension
(low blood pressure). Some recreational drugs called
“poppers” also contain nitrates and
these include amyl nitrite, and butyl nitrate. Do
not use Cialis if any of your medications include
nitrates.
• Alpha blockers other than 0.4mg of FLOMAX
per day can also significantly lower blood pressure
and lead to fainting or, in extreme cases, death.
Alpha blockers are sometimes used for prostate problems,
and hypertension (high blood pressure)
High fat meals can reduce the rate of absorption
and peak levels of this drug. It is advisable to
take Cialis, whenever possible, on an empty stomach.
Grapefruit and grapefruit juice may increase the
level of the active ingredient of Cialis while delaying
absorption, so they should be avoided.
Cautions
• Cialis is contraindicated in patients hypersensitive
to the drug or its constituent parts and for those
taking organic nitrates.
• It should be taken with caution (dosage
may be limited to 10mg) if you are 65 or older;
if you suffer from kidney or liver problems (dosage
may be limited to once every two or three days);
have high blood pressure or prostrate problems (dosage
levels may be reduced).
• Cialis is not recommended if you suffer
from any anatomic deformation of the penis or from
blood cell problems such as sickle cell anemia,
leukemia or multiple myeloma.
• Alcohol can react in various ways with Cialis.
Do not use alcohol to excess when taking Cialis
as it can increase your heart rate, cause headaches
and dizziness or cause a dangerous lowering of blood
pressure.
• If you are concerned you may have overdosed
with Cialis, it is important to call a doctor or
go to an emergency room immediately.
• Cialis isn’t recommended for patients
whose cardiac status makes sexual activity unadvisable.
• Rarely, Cialis causes an erection that will
not go away (priapism). If the erection lasts longer
than 4 hours it is important to contact a doctor
or go to an emergency room as failure to do so can
result in permanent damage and a loss of ability
to attain erections.
General Information
Cialis is an oral prescription medication for ED
and should be taken about an hour before sexual
activity. It does not increase the desire for sex,
nor does it protect from sexually transmitted diseases,
including the human immunodeficiency virus (HIV)
that leads to AIDS. You should seek immediate medical
help if after taking Cialis you suffer from chest
pain.
Other Suggestions
Many genitourinary (relating to the genital and
urinary organs) disorders can be helped by altering
your diet. Also, conditions such as high blood pressure,
diabetes and overall health, which can contribute
to ED, are improved by a regimen of exercise and
better nutrition. It was thought until recently
that conditions such as hypertension, diabetes and
prostrate disorders were the inevitable consequences
of aging. However, many researchers have now concluded
that a good diet and nutritional program is essential
for the normal function for the genitourinary tract
and cardiovascular system. Simple precautions will
help, like the avoidance of alcohol, tobacco and
spicy foods that aggravate the prostate, as do foods
high in fat and carbohydrates. A diet rich in vegetables
and low in animal fats will also help reduce blood
pressure.
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