Everything you need to know about the safety of Cialis

The concept of continuous daily use of Cialis for the treatment of erectile dysfunction is actively discussed in medical circles. This is because of some of Tadalafil effects, in particular:

• the longest half-life, compared to similar PDE5 inhibitors;
• relative safety;
• a positive effect on the regression of benign prostatic hyperplasia symptoms;
• improvement in sexual function, regardless of the disease severity and the form of ED (organic or psychogenic).

At the same time, this concept causes concern among some doctors. After all, regular use of Tadalafil, in their opinion, can negatively affect the psychological status and quality of life. In this regard, many clinical studies have been conducted to assess the safety of Cialis and identify its short-term and long-term side effects.

It should be noted right away that the results of the vast majority of studies did not confirm the fears of doctors. The clinical safety of Tadalafil is at a high level because of the peculiarities of its pharmacological action.

Considering the main theses that confirm the safety of Cialis, we can distinguish 4 main points:

• The pharmacological action of Tadalafil is reversible. This means that all physiological changes in the penis during the action of the drug are temporary, and the effect of the drug ceases after its complete elimination from the body,
• This drug works selectively. That is, an erection occurs thanks to an improved blood circulation only in the arterial vessels of the penis. However, Tadalafil does not affect blood pressure in the body as a whole.
• The main side effects that are possible in patients who take Cialis are associated with non-compliance with the recommendations of the pharmacist/doctor.
• Even with long-term use of pills for the treatment of ED or BPH, there are no long-term changes in psychoemotional or physiological processes. Again, we get back to the first point and remember that active substances have a reversible effect.

Cialis side effects

Despite the high level of pharmacological safety of Cialis, the risk of side effects still does exist.

Typically, adverse reactions are mild to moderate. The most common symptoms are:

• Headache (16-28%)
• Flushing (10-18%)
• Indigestion (3-17%)
• Nasal congestion (4-9%)

In rare cases, adverse reactions from the cardiovascular system are possible, including:

• Tachycardia (~ 4%)
• Increased blood pressure (~ 3%)
• Mild arrhythmia (~ 2%)
• Chest pain (~2%)

Side effects from the part of the cardiovascular system can be a sign on exceeding the allowed dosage. In addition, such symptoms may indicate some hidden abnormality that you are not aware of. Therefore, it is necessary to consult with a doctor.

To avoid even more severe adverse reactions, you need to take a number of precautions. In particular, there are absolute contraindications, in which Cialis should not be taken under any circumstances, such as:

• Uncontrolled arrhythmia
• Angina pectoris
• Recent heart attack
• Heart failure
• Coronary artery disease

Therefore, in order for the treatment to proceed as safely as possible and to avoid side effects, you need to have your health examined by a cardiologist and make sure that you do not have severe diseases.

Dosing regimen

Another common cause of side effects is overdose. The vast majority of men (especially those without much experience with the use of PDE5 inhibitors) want a quick and powerful effect. As a result, they take significantly higher doses of Cialis, than the one allowed.

This provokes unwanted symptoms of moderate severity: headache, tachycardia, increased blood pressure, etc.

To avoid this, you need to follow simple rules:

• When treating erectile dysfunction, always start treatment with a minimum dose of 10 mg.
• If you feel no side effects within 1-2 weeks of using Cialis 10mg and want a more pronounced clinical response, you can increase the dosage to 20 mg per day.
• Only in the most severe forms of ED and in the absence of contraindications is it possible to increase the dose even more to 30-40 mg per day.
• When treating BPH, the dosage should not exceed 20 mg per day. With such a daily dose, you can take the pills for a long period. You will achieve significant changes in the clinical picture and will not face side effects.

Drug interactions

When taking Tadalafil, you need to follow some more recommendations to reduce the likelihood of adverse reactions. They relate to drug interactions.

Tadalafil interacts with some active ingredients found in other drugs, which can result in a sharp decrease in blood pressure, arrhythmia or an allergic reaction.

You should not take Cialis jointly with the following drugs:

• nitroglycerine;
• PDE5 inhibitors (other ED drugs);
• nitric oxide donors;
• Indinavir, Ritonavir, Ketoconazole.

Does alcohol increase the likelihood of side effects

Tadalafil is the only PDE5 inhibitor allowed for use before or after alcohol consumption. If you have a mild alcohol intoxication, you will not experience any unwanted symptoms.

However, you should not abuse alcohol. For example, if you have 5 shots of spirits, Tadalafil will most likely not work the way you imagine. This dose of ethanol affects the central nervous system and cardiovascular system. Blood pressure of the man rises, the blood thickens, which makes the therapeutic effect of cheap cialis much worse.

If you plan to take a Tadalafil tablet or have already taken one, choose drinks with a low ethanol content, such as wine. One or two glasses of wine will only have a positive effect over your tone and help feel more relaxed before intimacy.