What is Cialis?
Cialis is a treatment prescribed for men with erectile dysfunction (ED), often known as male impotence. This is when a man cannot sustain an erect penis suitable for sexual activity. Cialis is the trade mark of Eli Lilly and the active ingredient in this yellow, film coated, tear drop (almond) shaped pill is Tadalafil. It is available in various strengths and pack quantities, and genuine Elli Lilly Cialis boxes will contain a batch number, an expiry date and licence number.
How does it work?
Cialis will only work following sexual stimulation which causes the blood vessels in your penis to relax, and hence an increased blood flow. The result of this is improved erections. It is important to note that Cialis does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
What is erectile dysfunction?
Erectile dysfunction is a medical condition when a man cannot get, or has difficulty getting or maintaining an erection long enough for sexual activity. This happens when not enough blood flows to the penis as previously described.
Male Impotence is not the same for all men. Some men are not able to get an erection at all, while others can get one but it is not hard enough for sex. Other men can get an erection but lose it before or during sexual intercourse, for others the symptoms can be intermittent. In most cases, erections will not improve without prescribed erectile dysfunction treatment.
How to take Cialis
You should take a Cialis tablet at least 30 minutes before sexual activity, which may still be effective up to 36 hours later. Drinking alcohol may affect your ability to get an erection, and may temporarily lower your blood pressure. If you have taken or are planning to take Cialis, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up. You should NOT take Cialis more than once a day. Cialis 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use.
How to store Cialis
See patients leaflet for storage details.
How can I buy Cialis online
You can buy Cialis online with or without a prescription at medical specialists, after completing a simple online consultation. If you prefer to order Cialis UK over the phone, just give us a call and we will be pleased to help. We are the UK’s leading supplier of erectile dysfunction medication, and Cialis for sale in the UK by a pharmacy is regulated by the Royal Pharmaceutical Society of Great Britain.
For full patient information, please read or print out the leaflet provided at the bottom of this page about Cialis.
This patient information leaflet is provided for information purposes only. This leaflet information should not be used in contradiction with your Doctor or Pharmacist's advice. Medical Specialists recommend that you carefully read the information leaflet provided with your medication. Medical Specialists will not accept liability for information displayed. Please refer to the leaflet provided with your medication for the latest manufacturer's information.
Possible side effects:
Like all medicines, Cialis can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
In this leaflet, when a side effect is described as "very common" this means that it has been reported in at least 1 in 10 patients taking the medicine. When a side effect is described as "common" this means that it has been reported in more than 1 in every 100 patients but less than 1 in every 10 patients. When a side effect is described as "uncommon", this means it has been reported in more than 1 in every 1,000 patients, but less than 1 in every 100 patients. When a side effect is described as "rare", this means it has been reported in more than 1 in every 10,000 patients, but less than 1 in every 1,000 patients.
Common side effect are:
Headaches and indigestion, back pain, muscle aches, facial flushing, nasal congestion, dizziness, pounding heartbeat sensation, abdominal pain and reflux.
Uncommon side effects are:
Allergic reactions including rashes and hives, blurred vision, swelling of the eyelids, eye pain, red eyes, increased sweating, nose bleeds, a fast heart rate, high blood pressure, low blood pressure and chest pain. In case of chest pain occurring during or after sexual activity you should NOT use nitrates but you should seek immediate medical assistance.
Rare side effects in patients taking Cialis include:
Fainting, migraine and swelling of the face. In rare instances it is possible that a prolonged and possibly painful erection may occur after taking Cialis. If you have such an erection, which lasts continuously for more than 4 hours, you should contact a doctor immediately.
Heart attack and stroke have also been reported rarely in men taking Cialis. Most, but not all of these men had known heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Cialis.
Partial, sudden, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
Some additional side effects have been reported in men taking Cialis that were not seen in clinical trials and their incidence is unknown. These include seizures and passing memory loss, some disorders affecting blood flow to the eyes, irregular heartbeats and angina, serious skin rashes and sudden cardiac death. Sudden decrease or loss of hearing has been reported.
Effects were seen in one animal species that might indicate impairment of fertility. Subsequent studies in man suggest that this effect is unlikely in humans, although a decrease in sperm concentration was seen in some men.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Do not take Cialis
If you are allergic (hypersensitive) to tadalafil or any of the other ingredients of Cialis.
If you are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines ("nitrates") used in the treatment of angina pectoris ("chest pain"). Cialis has been shown to increase the effects of these medicines.
If you are taking any form of nitrate or are unsure tell your doctor.
If you have serious heart disease or have had a recent heart attack.
If you have had a recent stroke
If you have low blood pressure or uncontrolled high blood pressure.
If you have ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition sometimes described as "stroke of the eye".
Take special care with Cialis
Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.
The following are reasons why Cialis may also not be suitable for you. If any of them apply to you, talk to your doctor before you take the medicine:
You have sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood cells) or any deformation of your penis.
You have a serious liver problem.
You have a severe kidney problem.
It is not known if Cialis is effective in patients who have undergone pelvic surgery or radical non-nerve-sparing prostatectomy.
If you experience sudden decrease or loss of vision, stop taking Cialis and contact your doctor immediately.
Cialis is not intended for use by women or by adolescents under the age of 18.
Using other medicines
Please tell your doctor if you are taking or have recently taken any other medicine, including medicines obtained without prescription, because they might interact.
This is particularly important if you are treated with nitrates as you should not take Cialis if you are taking these medicines.
A type of medicine called an alpha blocker is sometimes used to treat high blood pressure and enlarged prostate. Tell your doctor if you are being treated for either of these conditions or if you take other medicines to treat high blood pressure.
If you are taking medicines that can inhibit an enzyme called CYP3A4 (for example ketoconazole or protease inhibitors for treatment of HIV) the frequency of side effects might increase.
Do not take Cialis with other medicines if your doctor tells you that you may not.
You should not use Cialis together with any other treatments for erectile dysfunction.
Taking Cialis with food and drink
You may take Cialis with or without food.
Driving and using machines
Some men taking Cialis in clinical studies have reported dizziness. Check carefully how you react to the medicines before driving or using any machinery.
