“Cialis” 5 mg: reviews of doctors.
The male viability of any representative of a strong half of humanity is almost in the first place. Problems that arise in the intimate sphere can deprive a man of peace and sleep, significantly reduce self-esteem and lead to depression. And do not think that such problems arise only in men 50 and older. Erectile dysfunction is much younger, and quite often you can hear about 30-year-old young men suffering from sexual disorders.
The modern market stop-ed-meds.com of medical products is ready to offer its patients a large list of tools that will help to cause a high-quality erection for a sufficiently long period. One such remedy is Cialis. In pharmacies, it can be purchased both individually (1 tablet), and in packages with a very different quantity (5, 10, 20, 30, 40, 50, 100 pieces).
What is Cialis: composition and pharmacodynamics
“Cialis” refers to a group of medications designed to improve erectile function. The main active ingredient of the drug is tadalafil. As auxiliary substances, lactose monohydrate, hyprolase, sodium lauryl sulfate, croscarmellose sodium and plant magnesium stearate are used. The tablets are available in an oval shape in a light yellow film shell. On one side of the tablet you can see the engraving C5.
In the Cialis medication, the action is based on the fact that tadalafil – the main active ingredient – suppresses specific PDE-5 (phosphodiesterase). During the onset of sexual arousal, nitric oxide is released in a sufficiently large amount, which leads to an increase in the concentration of cGMP in the cavernous body of the penis (an action similar to cAMP in the human body acts as a secondary messenger, the purpose of which is the intracellular distribution of signals of certain hormones that are not able to cross the cell membrane).
The consequence of this process is the relaxation of the smooth muscles of the arteries and a rush of blood to the tissues of the male genital organ, i.e., an erection occurs. However, consumers need to know that tadalafil will cause the desired effect only if there is sexual arousal.
The effect of tadalafil on the human body
As mentioned earlier, the main active component of the Cialis preparation is tadalafil. After conducting clinical studies, it was found that this substance does not cause any significant, significant change in blood pressure (a comparison was made with placebo). Also, tadalafil does not contribute to any changes in heart rate.
Since “Cialis” (or “Viagra”, “Levitra”, etc.) is a drug for solving problems with erectile dysfunction, clinical studies have been conducted on the effect of medications with daily use on the spermatogenesis process. The results showed that there are no undesirable effects on the morphology of sperm, their motility did not decrease to any critical value. In one study, a decrease in sperm concentration was found compared to placebo. The reason was a high sexual activity and a higher frequency of ejaculation.
Also, the daily intake of the main active component of Cialis (in comparison with placebo) did not affect the average concentration of sex hormones, testosterone, FSH and LH. No abnormalities in color recognition were observed in patients (blue / green). Tadalafil had no effect on visual acuity, intraocular pressure, pupil size, and electroretinogram.
The Cialis medication (5 mg) is described by doctors as a very effective tool for improving erection in patients with various degrees of disease severity.
Generic “Cialis”
A generic in the pharmaceutical field is a medicine that is offered to customers under an international name, not protected by a patent, or under a patented, but not identical to the brand name given by the developer to the medicine. Today, generics are also called medicines whose active substance has either expired or has patents and are manufactured under a compulsory license. Typically, the effectiveness of generic medicines is no lower than the original ones, but their cost is much lower, they are available to a wide range of consumers.
Generic “Cialis” (reviews of patients and doctors confirm) corresponds to the branded medical product in all respects. Compared with all other analogues and generics, Cialis is characterized by a rapid onset of effect, the duration of which reaches up to one and a half days. Alcohol does not affect the effect of the medicine, so you don’t have to worry about your male viability even if you spend time at a party or in a restaurant accompanied by strong drinks.
Generic “Cialis” (5 mg), doctors’ recommendations and instructions for use recommend taking at least 20 minutes before the alleged sexual contact. The diet does not matter. A persistent erection will occur within the next 36 hours, that is, a man will be able to have sexual intercourse as many times as he wants, and at the time when it is needed.
Who is the drug for?
Cialis is not intended for use by women. Its main consumers are men suffering from erectile dysfunction. In addition, this medication is prescribed to men suffering from benign prostatic hyperplasia (BPH), who have developed symptoms of lower urinary tract diseases. Erectile dysfunction with such symptoms against BPH is also a good reason for prescribing Cialis medication.
Contraindications for the use of “Cialis”
Generic “Cialis” reviews of medical specialists characterize as a drug with a fairly large list of contraindications.
As with absolutely all medicines, patients with hypersensitivity to the main active component – tadalafil – and any component of Cialis should refrain from taking it. Do not prescribe medication to young people under 18 years old (because there is no need and no clinical studies have been conducted on this subject). The use of “Cialis” in parallel with medicines containing any organic nitrates is unacceptable.
“Cialis” cannot be assigned to those patients for whom sexual activity is contraindicated. Contraindications in this area may be associated with diseases of the cardiovascular system. This includes myocardial infarction that occurred less than 3 months ago, unstable angina (there is always a chance of developing an angina attack during sexual contact). This group of diseases also includes heart failure (chronic form), uncontrolled arrhythmia, arterial hypertension and hypotension (blood pressure lower than 90/50), ischemic stroke less than six months ago.
Further, the drug “Cialis” is unacceptable to use for loss of vision, provoked by non-arterial ischemic optic neuropathy. You can not take “Doxazosin” and drugs in parallel with “Cialis”. People suffering from chronic renal failure, medication should not be taken more often than twice a week.
Lactose deficiency in the patient’s body, its intolerance, glucose-galactose malabsorption (loss of nutrients entering the gastrointestinal tract due to insufficient absorption in the small intestine) are also good reasons for refusing to take Cialis.
Feasible side effects
Like any medical product, Cialis, the price of which can range from 70 to 200 rubles per tablet, can cause some side effects from different body systems.
Most often, patients diagnosed with erectile dysfunction (ED) complained of headaches, disorders of the digestive tract, myalgia, and the occurrence of back pain. Possible blood flow to the face, nasal congestion.
Men whose ED was accompanied by benign prostatic hyperplasia (BPH) often talked about the appearance of headaches and dyspepsia, pain in the limbs and myalgia. In some cases, gastroesophageal reflux developed.
The nervous system can respond to Cialis with cerebrovascular accidents, fainting, migraines, epileptic seizures, transient amnesia, or ischemic attacks.
Possible changes in visual perception (fuzziness), negative changes in the visual field, pain in the eyeball, ischemic-type optical neuropathy, occlusion (impaired patency) of the retinal vessels. Sudden hearing loss is possible.
The cardiovascular system in response to taking the Cialis medication (analogues often cause the same deviations) can manifest itself as tachycardia, fluctuations in blood pressure, and manifestations of unstable angina pectoris.
Sometimes you can hear from patients about the appearance of a skin rash, the development of hyperhidrosis (increased sweating), urticaria, exfoliative dermatitis, Stevens-Johnson syndrome.
Oddly enough, sometimes the question arises of which is better – “Viagra” or “Cialis”, because the latter can provoke negative manifestations on the part of the genital organs, which manifest themselves in a prolonged erection and priapism (a painful erection that is not associated with arousal).
Dosage regimen
For patients with ED and a high frequency of sexual intercourse (more than 2 times per week) 1 tablet of Cialis (5 mg) is recommended by doctors to be taken every day. It is advisable to do this at the same time, regardless of the diet. If there is an individual sensitivity in the medication, the daily dose can be reduced to 2.5 mg.
For men with a low frequency of sexual intercourse, the instruction recommends taking the medication immediately before contact in a dosage of 20 mg.
If Cialis, the price of which is lower for one tablet, the larger the package, is prescribed for patients with BPH or ED / BPH, the drug is regulated for use according to a slightly different scheme. It is very desirable to take a medication at least at about the same time, regardless of the time of sexual activity. For patients with such diagnoses, the maximum daily amount of Cialis is 5 mg. Reviews of doctors, their recommendations on the duration of the course of treatment are purely individual.
Features of the use of the drug
The Cialis medication, its analogues should not be used for the treatment of ED in patients suffering from diseases of a cardiovascular nature, since sexual activity is not recommended for such patients. Men with a diagnosis of BPH should be examined before starting a course of treatment in order to exclude prostate cancer.
In addition to the above, patients should be aware that the occurrence of an erection lasting more than 4 hours is the basis for seeking emergency medical attention, since priapism without proper and timely treatment will lead to damage to the tissues of the penis and the possible onset of irreversible impotence.
As for driving vehicles and performing work that requires high psychomotor skills, patients should be careful, as if not often, but there is a possibility of adverse reactions in the form of dizziness, headaches and fainting.
Analogues of “Cialis”
Currently, Viagra, Levitra, or Cialis are most commonly used to treat ED. The difference between all three from each other is in the duration of the action. At Levitra, the time period is 10-12 hours, at Viagra – no more than 6 hours. Cialis leads in this indicator – up to 36 hours. If we compare “Cialis” with “Viagra” in terms of eating, then “Viagra” should be taken only on an empty stomach, “Levitra” may become less effective after eating fatty foods, but “Cialis” doesn’t matter what a person ate, and , in general, did he take food in principle: the medication is effective regardless of food.
It is impossible to unequivocally answer the question of which is better – Viagra or Cialis. Or maybe even prefer “Levitra”? “Viagra” is most studied, its effect on the patient’s body is known. This is a powerful medication, but its duration is relatively small. Cialis is effective for 36 hours, which allows a man to have sexual intercourse when he sees fit. About Levitra, we can say that this is the safest drug for men to treat ED. However, the effectiveness of the medication may decrease after eating. It all depends on the individual characteristics of the body.
Reviews of patients and health workers
Reviews of patients about the drug “Cialis” are mostly positive in color. A large group of patients says that they didn’t see anything better than “Cialis”, because the duration of the medication is very high (I took the pill for at least a day, and even a day and a half, you don’t have to worry about my male viability), and the reception food and alcohol will not affect effectiveness. Indeed, rarely a romantic date does without at least a glass of champagne (and sometimes more).
Although there is, of course, in a barrel of honey and a fly in the ointment. Sometimes you can hear about headaches, back pain and limbs. Some patients talk about digestive upset. Often you can hear about pain in the heart, less often – a violation of visual perception. All that can be done in this case is to contact a doctor who will take into account all the characteristics of the body, health status and select the most effective drug (Viagra, Levitra or Cialis) with which the patient feels real, healthy and wealthy man.