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    Cialis is available in four different dosages of 2.5mg, 5mg, 10mg and 20mg. When you get a prescription for Cialis, your doctor or online doctor will recommend the dosage that is best for you. As with many medications, the effectiveness of Cialis differs between men. While most men find that a 10mg dosage suits them well, others find that the 20mg dosage works better for them.10mg is the recommended starting dose for Cialis. If you have never taken Cialis before, it is likely that your doctor will prescribe this dosage. If you find that the 10mg tablet is too weak, you can ask your doctor if you can take the 20mg dose instead. When you get your prescription, your doctor will ask you a range of questions about your health to determine which dose you can take. diflucan treatment for yeast infection Which drug is best may depend on your preference for quick onset versus long duration and your individual medical needs. They all work the same way, producing an erection by increasing blood flow to the penis. The Food and Drug Administration has approved four similar drugs for erectile dysfunction, sold under such names as Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil) and Stendra (avanafil). The discovery of Viagra is one of the classic stories of serendipity in drug development. In the 1980s, the pharmaceutical company Pfizer began studying sildenafil, the generic name for Viagra, as a treatment for heart disease. It didn’t work, but the men in the study developed unusually strong, long-lasting erections. All four of the currently approved drugs seem to be equally good at producing erections. But it is difficult to be more definitive in evaluatingtheir efficacy, because few studies directly comparing them have been conducted, a common problem with many drugs.

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    Tadalafil is a reversible phosphodiesterase type 5 (PDE5) inhibitor approved for the treatment of erectile dysfunction (ED). As a class, PDE5 inhibitors (including sildenafil [Viagra] and vardenafil [Levitra]), enhance erectile response to sexual stimulation by increasing penile blood flow. The duration of action of tadalafil is longer than that of sildenafil or vardenafil.-adrenergic blockers such as doxazosin (Cardura), prazosin (Minipress), and terazosin (Hytrin) but not tamsulosin (Flomax)—tadalafil can cause a significant drop in blood pressure. Similarly, concomitant use of nitrates (including recreational nitrates known as “poppers”) with tadalafil also is contraindicated. For life-threatening situations, nitrates may be considered if at least 48 hours have passed since the last dose of tadalafil and if close hemodynamic monitoring is available. Tadalafil will lower blood pressure an additional 4 to 10 mm Hg when used with antihypertensive drugs. Dosage should be limited to 10 mg within a 72-hour period when patients are also taking drugs such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), protease inhibitors, and other drugs that inhibit the CYP3A4 enzyme system.1Patients with cardiovascular diseases have been excluded from studies of tadalafil because so little is known about its safety profile in this population.1 The current recommendation for patients who experience coital angina after taking a PDE5 inhibitor is to contact emergency services that provide transport to a hospital.2 Rare reports of priapism have been reported with all of the drugs in this class.1 Long-term safety has not been established. The most common sexual dysfunctions in men include lack of interest, premature ejaculation and erectile dysfunction. The latter affects 52% of men between the ages of 40 and 70, including mild, moderate and complete forms of ED. Organic or physical causes for sexual dysfunction in men include vascular, hormonal and neurologic factors. Concerning vascular causes, the risk factors for atherosclerosis (including smoking, high blood pressure, diabetes (diabetics do not respond well to pills like sildenafil (Viagra)) and high cholesterol are ALSO risk factors for erectile dysfunction. Since a straddle injury or use of a narrow saddle can obstruct and impair arteries to the penis, bicycle riding is also considered a risk factor for erectile dysfunction. Little attention has been paid to endocrine factors. Testosterone modulates desire, arousal and orgasmic function.

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  4. CIALIS for Once Daily Use for Erectile Dysfunction. The recommended starting dose of CIALIS for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.

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    Cialis joins sildenafil Viagra, approved by the FDA in 1998, and vardenafil Levitra, approved earlier this year, as drugs for erectile dysfunction. The effect of. xanax water Jul 15, 2004. Like other PDE5 inhibitors, tadalafil effectively improves the ability of men with erectile dysfunction to achieve an erection and successfully. Cialis, Levitra, and Viagra are oral medications used to treat erectile dysfunction ED. You may also know them by their generic names, tadalafil Cialis, vardenafil Levitra, and sildenafil.

     
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