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What Is Cialis 40 MG?

Cialis 40 MG (tadalafil) is usually prescribed to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Cialis interferes with the production of a hormone in our body called PDE5

It relaxes the blood vessels surrounding the penis to allow increased blood flow during sexual arousal having decreased nerve activity, and increased smooth muscle relaxation and tissue perfusion of the prostate and bladder. With the use of Cialis, men can easily get and maintain a hard erection after being sexually stimulated. You will only get an erection after becoming sexually aroused and the erection will go away on its own.

It can also be taken as a daily low dose pill.

It doesn’t cause erections on its own — sexual stimulation is still needed. Cialis does not cure ED, increase a man’s sexual desire, protect from sexually transmitted diseases or serve as a male form of birth control.

If you use Cialis, you should not take any more than one tablet in 24 hours and it should not be taken with other ED medicines.

Tadalafil is also prescribed for men with prostate gland enlargement. The prostate gland commonly becomes larger in older men. The condition is also called benign prostatic hyperplasia (BPH). The prostate is situated close to the bladder, so its enlargement can cause problems with passing urine. Common symptoms that are experienced are having to wait before your urine starts to flow, taking longer at the toilet, dribbling urine, and a feeling that your bladder is not quite empty.

Tadalafil works by improving the blood flow to the prostate and bladder, and also by relaxing the muscles in these areas. These actions help urine to follow more easily.

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How to take Tadalafil 40 MG

  • Before you take tadalafil, read the manufacturer’s printed information leaflet from inside your pack. It will give you more information about the tablets and will provide you with a full list of the side-effects which you could experience from taking them.
  • Take tadalafil exactly as your doctor tells you to. There are several strengths of tablet.
    • If you are taking tadalafil 10 mg or 20 mg tablets for erectile dysfunction: these tablets should only be taken before sexual activity – they are NOT for continuous daily use. You should take one tablet at least half an hour before you plan to have sex (it may still be effective up to 36 hours after taking the tablet). Do not take more than one dose in 24 hours.
    • If you are taking tadalafil 2.5 mg or 5 mg tablets for erectile dysfunction: take one tablet a day. Take the tablet at the same time of day each day.
    • If you are taking tadalafil 5 mg because of an enlarged prostate gland: take one tablet daily. Take the tablet at the same time of day each day.
  • You can take tadalafil either with or without food. Swallow the tablet with a drink of water.
  • Each time you collect a prescription, check to make sure it contains the strength of tablet you are expecting.

Cialis 40 MG Side Effects

The most common side effects with Cialis 40 Mg include:

  • headache
  • indigestion
  • back pain
  • muscle aches
  • flushed skin
  • stuffy or runny nose

These side effects usually go away after a few hours.

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • an allergic reaction (e.g., rash; itching; shortness of breath; swollen face, lips, or throat)
  • chest pains, an irregular heartbeat, or shortness of breath when starting sexual activity (if you have a heart condition)
  • hearing loss
  • prolonged (longer than 4 hours), painful, or inappropriate erection of penis
  • temporary memory loss
  • vision changes, including partial or total loss of vision

Very occasionally, Cialis can cause a painful erection or an erection that won’t go away. If this happens, and the erection lasts for more than 4 hours, you should go to the nearest emergency department. Prolonged erections can be dangerous.

Cialis may not be safe to take for men with certain medical conditions, including men who have had a stroke, have heart disease or retinitis pigmentosa (an eye disease).

It can also interact with many medicines, particularly nitrates (used in heart disease) and blood pressure medicines. Men who use nitrates in any form or are being treated for pulmonary hypertension should not take Cialis.

If you are thinking about using Cialis, please discuss it with your doctor.

Tadalafil 40 MG Precautions

Health conditions

There are particular health conditions that mean you should not take Cialis.

  • You should not use Cialis if you know that you have an allergy to tadalafil or any of the other listed ingredients.
  • If you have serious heart disease or have experienced a recent heart attack (within the last 90 days) you should not use this medication.
  • Men who have had a stroke in the past six months and those who have hypotension (low blood pressure) or uncontrolled hypertension (high blood pressure) are not suitable candidates for Cialis use. This is because Cialis use can put extra strain on the heart which can be dangerous, especially during sexual activity.
  • Another Cialis contraindication is the condition called non-arteritic anterior ischemic optic neuropathy (NAION) which can cause a loss of vision and is sometimes referred to as a stroke of the eye. Any past vision issues should be disclosed to your doctor.

Your doctor also needs to be made aware if you have, or have ever had:

  • sickle cell anaemia
  • multiple myeloma
  • leukaemia
  • a penis deformity
  • or liver or kidney problems.

Your prescriber will assess the suitability of Cialis against your current condition and medical history.

Conflicting medications

  • Patients taking nitrates should avoid Cialis use. This group of medication is used to treat angina pectoris or chest pain. It has been noted that Cialis can increase the effects of these drugs.
  • Riociguat is a drug used to treat some heart conditions. It is known to have a potentially dangerous interaction with Cialis and so the two medications are not prescribed at the same time. The interaction could decrease your blood pressure which may cause you to faint or even lead to a heart attack.

The use of other medicines can also have an impact on the suitability of Cialis. Your doctor needs to know if you are taking any of the following:

  • high blood pressure medication, such as alpha-blockers;
  • 5-alpha reductase inhibitors;
  • ketoconazole tablets;
  • protease inhibitors;
  • phenobarbital;
  • phenytoin;
  • carbamazepine;
  • rifampicin;
  • erythromycin;
  • clarithromycin
  • or itraconazole.

It is also important to mention if you are using or have used other erectile dysfunction treatments.

Tadalafil 40 MG Drug interactions

There may be an interaction between tadalafil and any of the following:

  • abiraterone
  • alcohol
  • alpha-blockers (e.g., alfuzosin, doxazosin, terazosin)
  • alprostadil
  • alpha agonists (e.g., clonidine, methyldopa)
  • amiodarone
  • angiotensin-converting enzyme inhibitors (ACEIs; captopril, enalapril, ramipril)
  • angiotensin receptor blockers (ARBs; e.g., candasartan, irbesartan, losartan)
  • antacids (magnesium hydroxide, aluminum hydroxide)
  • aprepitant
  • “azole” antifungals (e.g., itraconazole, ketoconazole, voriconazole)
  • beta-adrenergic blockers (e.g., atenolol, propranolol, sotalol)
  • bicalutamide
  • boceprevir
  • bosentan
  • calcium channel blockers (e.g., amlodipine, diltiazem, nifedipine, verapamil)
  • carbamazepine
  • clonidine
  • conivaptan
  • cyclosporine
  • desipramine
  • diuretics (water pills; e.g., furosemide, hydrochlorothiazide, triamterene)
  • enzalutamide
  • HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., delaviridine, efavirenz, etravirine, nevirapine)
  • abiraterone
  • alcohol
  • alpha-blockers (e.g., alfuzosin, doxazosin, terazosin)
  • alprostadil
  • alpha agonists (e.g., clonidine, methyldopa)
  • amiodarone
  • angiotensin-converting enzyme inhibitors (ACEIs; captopril, enalapril, ramipril)
  • angiotensin receptor blockers (ARBs; e.g., candasartan, irbesartan, losartan)
  • antacids (magnesium hydroxide, aluminum hydroxide)
  • aprepitant
  • “azole” antifungals (e.g., itraconazole, ketoconazole, voriconazole)
  • beta-adrenergic blockers (e.g., atenolol, propranolol, sotalol)
  • bicalutamide
  • boceprevir
  • bosentan
  • calcium channel blockers (e.g., amlodipine, diltiazem, nifedipine, verapamil)
  • carbamazepine
  • clonidine
  • conivaptan
  • cyclosporine
  • desipramine
  • diuretics (water pills; e.g., furosemide, hydrochlorothiazide, triamterene)
  • enzalutamide
  • HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., delaviridine, efavirenz, etravirine, nevirapine)

References

Tadalafil Reference

Tadalafil in management of ED

 

Additional information

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