Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.
Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.
Read the /Order your Tadalafil prescription today.
awaitedViagra is used to treat Erectile Dysfunction (impotence). It contains a single dose of 5mg. It is taken orally with or without food. Viagra should work about 30 minutes after taking it and the person will then be able to get an erection.
Viagra works by relaxing the blood vessels in your penis, allowing blood to flow into the penis when you are sexually excited. This increased blood flow will cause a erection. Viagra will not work if there is no blood in the penis.
Like any medication, Viagra can cause side effects. However, the most common side effects are headache, muscle pain, flushing, stomach pain, and back pain. More serious side effects are common but should stop if you have recently had a heart attack, stroke or heart failure.
Some of the more serious side effects of Viagra include:
For more information regarding Viagra, talk to your doctor or pharmacist.
Viagra is used for the treatment of Erectile Dysfunction (impotence). Viagra should work about 30 minutes after it is taken and the person will then be able to get an erection.
Viagra has been shown to be highly effective in treating erectile dysfunction. More than 80% of men report that they have taken Viagra successfully.
However, the most common side effects are headache, muscle pain, flushing, stomach pain, back pain, indigestion, and facial flushing.
Before we explain how Tadalafil helps manage ED, we need to explain how erections occur naturally. When you become aroused, your body releases a substance called nitric oxide (NO). In turn, levels of a chemical known as cyclic guanosine monophosphate (cGMP) increase in your body, relaxing the muscles on the sides of your penis so blood can flow into the organ and trigger a stiff erection.
While all this is happening, your body also compresses the veins that take blood away from the penis, so that the blood remains in place and you can maintain that erection. Eventually, the PDE5 enzyme in your body gets to work, and it processes the cGMP. When that happens, your erection dissipates, and the penis becomes flaccid once again.
If you have ED, regardless of the underlying cause, this natural process is somehow interrupted. That makes it more difficult for you to get or maintain an erection that’s sufficient for intercourse. And that’s where Tadalafil, a PDE5 inhibitor, can help. By blocking this enzyme in your body, you’ll have an easier time getting an erection and holding on to it until sex is complete.
How Tadalafil Suppresses ErectionsTadalafil works by relaxing the blood vessels in your body, known as the penile blood vessels. This allows blood to flow into the penis and cause an erection when you get sexually excited.
It may take several weeks of consistent use for you to see the onset of tadalafil’s effects. And that’s because each dose carries a chance of side effects. And if you have the opportunity to, you can stop taking Tadalafil and resume your normal activities.
If you’re interested in taking Tadalafil, it’s important tofits your health requirements.While it’s not an FDA-approved oral medication, Tadalafil is prescribedby healthcare professionals. It's available in 10, 20, and 40-mg tablets.
Depending on the treatment, your healthcare provider may increase your dose or decrease your frequency. And that’s okay. That’s especially important if you’re undergoing medical treatments to treat a rare but serious form of ED.
You should not increase your dose without consulting your doctor. That’s why it’s important tofollow your doctor’s instructionsabout how to take Tadalafil.
Tadalafil 10, 20, and 40 mg is available in various strengths, including:
Depending on your condition, your provider may increase your dose if needed.
You shouldnottreat Tadalafil with any of the following ED medications:
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
How to split a medical questionnaire medicine order with the pharmacist:You should select the medical questionnaire that the following questions on the medical questionnaire are intended to be a part of the medical interview and that are not. For this to be a proper medical questionnaire, you must have a thorough medical evaluation including a full medical history and a list of your current medications.”
You should read the instructions on the label of the medicine that you are taking and not complete the entire course.
What other committees havekillerservices.co.ukkillerservices.co.ukkillerservices.co.ukdoctors.gov access restrictions?You should be aware that there are currently only two antidepressants on demand in the United Kingdom and that you are taking a particular type of medication called.’s have been posted below for your reference.’
Antidepressants are prescribed for a range of different conditions, including major depressive disorder, panic disorder, anxiety disorder and attention-deficit hyperactivity disorder. There are currently 2 antidepressants on demand on demand in the United Kingdom and 1 on demand on a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a future medication on demand in the United Kingdom and the United States.’
You should read the instructions on the label of any antidepressant that you are taking and not complete the entire course.
You should speak to your GP if you have any questions that you may have about the medication
Chloramphenicol
The use of this drug is contraindicated because the use of chloramphenicol will increase the effect of Sildenafil by affecting the patient hepatic and intestinal enzyme metabolism.
Isosorbide dinitrate
The use of this drug is contraindicated because the combination of this drug either increases the effects of the other by vasodilation which leads to fatal hypotension.
Nitroprusside sodium
The use of this drug is contraindicated because the combination of this drug either increases the effects of the others by pharmacodynamic synergism.
Enzalutamide
Use alternative drugs because the use of enzalutamide will decrease the effect of Sildenafil by affecting patient hepatic and intestinal enzyme metabolism.
Acetazolamide
Therapy should be administered with caution because the use of Sildenafil increases the effect of acetazolamide by pharmacodynamic synergism and it also increases the risk of hypotension.
The use of this medicine can lower blood pressure and when combining it with alcohol further increases the effect. You may experience dizziness, lightheadedness, fainting, flushing, headache, and heart palpitation. Also, avoid consuming grapefruit juice because it may increase the effect of avanafil on blood levels.
Cardiovascular disease:
The use of phosphodiesterase-5 enzyme inhibitors is contraindicated in patients with cardiovascular disease. A doctor should consider the vasodilatory effects of this drug and whether they may affect patients with cardiovascular disease. The use of this drug may increase the risk of angina pectoris, AV block, myocardial infarction, ventricular arrhythmia, tachycardia, palpitation, hypotension, postural hypotension, syncope, cerebral thrombosis, cerebrovascular hemorrhage, transient ischemic attack, cardiac arrest, heart failure, and hypertension. These events can occur during or after sexual activity.
Renal dysfunction:
Therapy should be administered with caution in patients with severe renal disease or on renal dialysis. The plasma clearance of this drug is decreased in patients with a severe renal impairment which results in drug accumulation.
Liver diseases:
The use of this drug is not recommended for patients with severe hepatic impairment because the pharmacokinetic disposition of this drug has not been assessed in patients with severe hepatic impairment.
Addictive (essel) drugonzarvedilil
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8.8. Tadalafil Tablets
This medicine is an addictive drug and your user must avoid the following:
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