Cialis is an oral medication that helps males gain and sustain a stronger erection while performing sexual activity.
Cialis should be taken as recommended by your doctor. The drug comes in different doses (5mg, 10mg and 20 mg). The ideal starting dosage is 10mg only once a day. Take it half an hour before sexual activity.
Take only before sexual activity. Do not take more than one dose a day.
Store it at room temperature.
Seek medical attention immediately if you suspect an overdose.
Use with caution if you have cardiovascular disease, severe kidney or liver problems or an inherited retinal disorder. Do not consume alcohol along with the drug. Do not drive or handle heavy machinery until you know how to react to the drug.
Do not take Cialis, if you are also using a nitrate drug for chest pain or heart problems, including
nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro),
isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate),
isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").
Taking Cialis with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke or heart attack. Before taking tadalafil, tell your doctor, if you have:
heart disease or heart rhythm problems;
a recent history a heart attack (within the past 90 days);
a recent history of stroke or congestive heart failure (within the past 6 months);
angina (chest pain);
high or low blood pressure;
kidney disease (or if you are on dialysis);
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye);
a physical deformity of the penis (such as Peyronie's disease); or
if you have been told you should not have sexual intercourse for health reasons.
Possible Side Effects
The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours.
Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor, if you get a side effect that bothers you or one that will not go away.
Sexual stimulation is required for Cialis effect. Without sexual stimulation you can't get erection just by taking Cialis.