Cialis was clinically tested for BPH use in 3 trials involving men with symptoms of BPH. The last trial includes patients with BPH and ED. The trials demonstrated beneficial effects in reducing the symptoms of enlarged prostate and significant improvement of erectile function.

Due to the long term effect of Cialis it is administered in men with BPH once a day in the dose of 5 mg of tadalafil. Besides, Cialis usually causes no serious side effects, so it can be administered in older patients with both ED and BPH.

Before using Cialis for your condition it is necessary to consult your doctor. Cialis may be contraindicated for you in certain cases.

The most serious uncommon side events include:

• changes in vision or sudden vision loss;
• ringing in ears, or sudden hearing loss;
• penis erection that is painful or lasts 4 hours or longer.

It is highly advised by the doctors to stop use any PDE5 inhibitor including Cialis and get medical help in the accidence of a sudden vision loss in one or both eyes. This event may be afflicted by many factors one of which can be non-arteritic anterior ischemic optic neuropathy (NAION). This can lead to permanent loss or vision and thus demands immediate medical attention. Besides, patients having retinitis pigmentosa and other hereditory degenerative retinal disorders were not tested during clinical trials of the drug, so they are not recommended to use Cialis.

Cialis like any other PDE5 inhibitor may cause decreased hearing or complete loss of hearing. The events of sudden hearing loss usually are accompanied by dizziness, general ill feeling and tinnitus. In case patients experience any side effects affecting hearing they should call the doctor right away.

During clinical trials of Tadalafil few cases of prolonged erection were noted. The prolonged erection or priapism is characterized by pain, and duration of erection up to 4-6 hours and more. If not treated correctly as soon as possible priapism can lead to complete damage of the penile tissue. So the patients with ED having such conditions as sickle cell anemia, multiple myeloma, leukemia, men with anatomical deformity of the penis (Peyronie’s disease. Cavernosal fibrosis or angulation) and taking Cialis should be warned about the possibility of priapism adverse condition.

Cialis may cause allergic reactions, never use this medication if you are allergic to Tadalafil or other components.

Serious side effects of Cialis include irregular heartbeat, general ill feeling because of sexual activity, chest pain, nausea, seizures. These conditions require special medical help.

If you experience other adverse reactions during Cialis treatment or if you suddenly feel bad during sexual activity you should get medical help right away.

So it is very important to tell your doctor about all other medications you use for erectile dysfunction, or for other disorders. The following list of drugs with which Cialis may interact is not full; if you are taking other medications inform your doctor:

• antibiotics;
• rifabutin;
• rifampin;
• rifapentine;
• barbiturates;
• medications for high blood pressure;
• medications for prostate enlargement;
• antifungal medications;
• antidepressants (nefazodone);
• heart medications;
• seizure medications;
• other ED medications;
• HIV or AIDS medications.

If your doctor prescribes Cialis for the treatment of your ED, don’t forget to tell him about other conditions you have, especially if you suffer from one of the following disorders:

• angina;
•  high or low blood pressure;
• liver or kidney diseases;
• sickle cell anemia, multiple myeloma, leukemia;
• hemophilia;
• a stomach ulcer;
• a physical deformity of the penis (Peyronie’s disease);
• if you have ever experienced prolonged erections before.

Such serious medical conditions as heart attack, a stroke, or congestive heart failure should be reported to your doctor.

Tell your doctor if you have allergic reactions to Cialis or to any other medications. Do not take Tadalafil, if you have severe allergic reactions to it.

Stop using Cialis if you experience any serious side effects of this medication, they may be life-threatening especially if you have other serious medical conditions.

Your doctor may change your dose or adjust special tests to undergo to make sure that your clinical response to the medication is adequate and it does not make your harm.

Cialis contradicts with any form of nitrate medications, do not combine these drugs together; it may be dangerous for your health.

There were several reports of sudden decreases or loss of hearing following the use of PDE5 inhibitors such as Cialis (vardenafil) as well as other ED oral therapies for the treatment of erectile dysfunction. These cases require immediate medical attention. Medical information on these reports was often incomplete which makes it impossible to say for sure if the loss of hearing (or vision) was associated with the use of Cialis, an underlying medical condition or other risk factors.

FDA advised the manufacturers and medical professionals to warn the users of these serious adverse reactions. Cialis should be taken only after careful examination, used only by a person for whom it was prescribed and never shared with others.

The manufacturer of Cialis recommends not drinking alcohol while being treated with this drug. Alcohol can increase certain side effects of Cialis. Men should be aware that both Cialis and alcohol act as mild vasodilators and when taken in combination their blood- pressure lowering effects may double. Therefore doctors as well as manufacturer inform patients that substantial consumption of alcohol in combination with Cialis can increase the potential risk for health. The mixing can result in increased heart rate, decrease in standing blood pressure, dizziness, headaches and others.

Special alerts should be made for those men who often eat grapefruit or drink grapefruit juice. The grapefruit products may interact with Cialis and lead to potentially dangerous effects.

The usage of other medicines to treat erectile dysfunction, such as sildenafil (Viagra) or vardenafil (Levitra) while you are taking Cialis is strictly prohibited. The combination of Cialis with other PDE inhibitors increase the chances of development of serious side effects.

Cialis should be used exactly as ordered by your doctor. Follow his instructions or directions on your prescription label.

Take the exact dose, prescribed for you, do not enlarge your dose by your own even if you feel fine and have no side effects. Dose changes are made by a medical professional.

Cialis can be taken with or without food. If your stomach bothers you when you take Cialis, try to use the medication with food.

Cialis is taken when needed, just before sexual activity or daily (at a lower dose), regardless of when sexual activity is planned.

Cialis provides an erection when sexual stimulation occurs. You should be sexually aroused to get the medication start working. If you have problems with sexual desire, tell your doctor about it.

Do not take Cialis if you are using other ED drugs such as Viagra or Levitra or other alternatives.

If you take Cialis as needed allow 24 hours to pass between doses. If you take the medication daily, take it at the same time each day.

Avoid drinking alcohol, grapefruit juice while being on Cialis.

Store Cialis at room temperature away from moisture and heat. Never give your medication to others.

Brand Name: Cialis. Cialis is a registered trademark of Eli Lilly and Company.
Class: Phosphodiesterase Inhibitors
VA Class: GU900
Chemical Name: (6R,12aR) – 6 – (1,3 – benzodioxol – 5 – yl) – 2,3,6,7,12,12a – hexahydro – 2 – methylpyrazino[1′,2′:1,6]pyrido[3,4 - b]indole – 1,4 – dione
Molecular Formula: C₂₂H₁₉N₃O₄
CAS (Chemical Abstract Service) number of Cialis is 171596-29-5.

Cialis is a selective phosphodiesterase PDE type 5 inhibitor, a vasodilating agent which makes getting a sexually functional erection in men who suffer from ED easier.

Tadalafil is the active ingredient of Cialis, the other inactive ingredients include: crodcarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide and triacetin. If you are allergic to Tadalafil or other inactive components of Cialis inform your doctor about it.

Cialis is available in four strengths of tablets and supplied in the following package sizes:

Cialis tablets in dose of 2.5 mg imprinted with C 2 ½, supplied in blisters of 2×15;

Cialis tablets in dose of 5 mg imprinted with C 5, packed in bottles of 10, 30 and 2×15;

Cialis tablets in dose of 10 mg imprinted with C 10, packed in bottles of 30;

Cialis tablets in dose of 20 mg imprinted with C 20, packed in bottles of 30;

The tablets are film-coated, almond-shaped and produced in different sizes and different shades of yellow.

Your doctor will prescribe you the initial dose of the drug which can be changed if necessary. The dose changes can be made if you are taking certain medications or suffering from chronic and/or serious diseases.

Cialis should be stored at 23ºC, away from heat and moisture. Keep the drug out of reach of children. Never share your drug with others even if they have the same condition as you.