Drug Information

What do I need to discuss with my health care provider before taking Cialis?

Before taking Cialis, it is better to discuss with your doctor all your present and past medical conditions.

Tell your doctor if you have any of the following medical conditions:

• Low/high blood pressure
• Heart related problems like irregular heart beats, heart failures or angina
• Stroke
• Kidney problems
• Liver problems
• Ulcer in the stomach
• Bleeding disorder
• Leukemia, multiple myeoloma, leukemia
• retinitis pigmentosa
• Erections that lasts for 4 hours or more
• Physical deformity of the penis

If you have any of these problems, your doctor may not prescribe Cialis or he may adjust the dosages. Well, he may also recommend periodic health check up while you are on Cialis.

Even though Cialis is not prescribed for women, the drug comes in the FDA pregnancy category B, which means that it dos not cause any harm to the fetus. It is also not known if this drug is excreted into breast milk. Well, cialis is formulated for men only and not to be used by women.

It has also been reported that a few persons have experienced loss of eyesight after taking Cialis. The vision loss commonly called NAION (Non-Arteritic Anterior Ischemic Optic Neuropathy) happens because of the blockage of blood to the optic nerves. However, there is no concrete evidence to show that Cialis causes NAION. Well, people who are not on Cialis have also experienced NAION.

People who have diabetes, high blood pressure, heart diseases and high cholesterol are at a higher risk of NAION. People who are over 50, and have certain eye problems are also at higher risk. While taking Cialis, if you start losing eyesight, stop the drug and get immediate medical attention. It is always better to discuss with you doctor all the complications related to Cialis.

If you are over 65, your doctor may prescribe a lower dosage, as there is a high risk of the side effects of Cialis in older people.

How do I take Cialis?

Cilais should only be taken as per your doctor's direction. You can take the drug with or without food and with a full glass of water. You can take the drug as needed before any sexual activity. It is known that the effect of the drug lasts for about 36 hours.

When taking Cialis, do not drink alcohol in large amounts as it can lead to dizziness, headaches, increased heartbeats and low blood pressure.

If you develop nausea, dizziness, angina or vomiting during sexual activity or after that, you should have to immediately contact your doctor. If the erection lasts for more than four hours, you have to call your doctor immediately as prolonged erection can damage the penis.

It is better to avoid grape fruit and grape juice while taking Cialis as it only brings in adverse side effects. But if you want to eat grapefruit or drink grape juice, better discuss about it with your doctor.

What happens if I miss a dose?

There is no way you are going to mss any dosage. The drug is taken when it is needed.

What should I do if I overdose on Cialis?

You should have to contact your doctor immediately if you suspect an overdose. Well, the symptoms of an overdose are not yet known.

What should be avoided while taking Cialis?

When you are taking Cialis, you should not use any other erectile dysfunction drugs like Viagra, Alprostradil and Levitra without discussing with your doctor.

Do not consume alcohol in large amounts while taking Cialis as it can lead to dizziness, headaches, increased heartbeats and low blood pressure. Grape fruit and grape juice should be avoided.

What side effects are possible while taking Cialis?

Some of the common side effects that come with Cialis are:

• Irregular heart beat and pain in the chest
• Breathing difficulty
• Swelling of the face, lips and tongue
• Closing of the throat
• Nausea, dizziness, angina and vomiting
• Swelling in legs and ankles
• Prolonged erection for more than four hours

If you come across these side effects, you should have to stop the drug and immediately contact your doctor.

The lesser-known side effects are indigestion, muscle aches, back pain, headache, flushing and runny nose. If you come across these side effects, you can still continue taking Cialis but you should have to discuss these with your doctor.

Another side effect that you come across is a difficulty in distinguishing the differences between the blue and the green colours. Even though this is uncommon, you have to contact you doctor if you experience blue tint in your vision.

What kind of drugs should I avoid while on Cialis?

As like other drugs, certain medications can interact with Cialis. Therefore, it is better to discuss with your doctor about all the medications that you are taking.

When taking Cialis avoid the following:

• Alpha brokers other than Flomax. Avoid Hylorel (guanadrel), Hytrin (terazosin) and Minipress (prazosin).
• nitrates like nitroglycerin, isosorbide dinitrate and isosorbide mononitrate. Avoid nitrates found in various recreational drugs.

Cialis taken along with the above-mentioned drugs can cause a sudden drop in the blood pressure, which can lead to heart attack, stroke, dizziness and fainting.

Before your doctor prescribes Cialis, inform him if you are taking the following medicines:

• Erectile dysfunction drugs like Viagra, Alprostradil and Levitra
• Erythromycin (common names - Eryc, Ery-tab and E-Mycin)
• Any anti fungal medicines like ketoconazole (Nizoral) or itraconazole (common name Sporanox).
• HIV medications like ritonavir (Norvir) and indinavir (Crixivan).

If you are taking any of these medicines, your doctor may not prescribe Cialis or may be he changes the dosage. He may also direct you for periodical medical check ups.

The drug should be stored at indoor temperature.

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