But you can keep them between 59°F and 86°F (15°C and 30°C) for short periods of time, if needed.
If you’re taking Cialis, you usually won’t have to take other medications with it. But if you have a prostate condition called benign prostatic hyperplasia (BPH), your doctor may first prescribe a drug called finasteride (Proscar). Finasteride is a first-line treatment (the first treatment used) when medications are recommended for BPH. This is because the drug shrinks the prostate by blocking the growth of prostate cells. Cialis treats the symptoms of BPH by reducing the prostate gland muscle tone, but it doesn’t block the growth of the cells.
Finasteride can help also ease symptoms of BPH, such as having to urinate suddenly and more often than usual. However, this medication can cause negative sexual side effects such as decreased libido (sex drive) and erectile dysfunction. To help ease these side effects, your doctor may have you also take Cialis. If you have questions about using Cialis and finasteride, talk with your doctor. You should not take anything in addition to Cialis to enhance the drug, unless your doctor tells you to. Store Cialis in a tightly sealed container away from light. And avoid keeping this medication in areas where it could get damp or wet, such as bathrooms. If you no longer need to take Cialis and have leftover medication, it’s important to dispose of it safely. This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment.
This article provides several useful tips on medication disposal. You can also ask your pharmacist for information on how to dispose of your medication.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 50mg | 120 + 6 Pills | 129.64€ 123.47€ | |
| Cialis Generic | 10mg | 30 + 4 Pills | 63.32€ 60.30€ | |
| Apcalis SX Oral Jelly | 20mg | 70 + 7 Sachets | 184.98€ 176.17€ | |
| Apcalis SX Oral Jelly | 20mg | 17 + 4 Sachets | 95.52€ 90.97€ | |
| Kamagra Soft Tabs | 100mg | 32 Pills | 120.11€ 114.39€ | |
| Cialis Black | 80mg | 60 + 4 Pills | 150.98€ 143.79€ | |
| Apcalis SX Oral Jelly | 20mg | 10 Sachets | 58.75€ 55.95€ | |
| Kamagra Oral Jelly | 100mg | 220 + 18 Sachets | 662.24€ 630.70€ | |
| Viagra Super Active | 100mg | 30 + 6 Pills | 64.09€ 61.04€ | |
| Cialis Black | 80mg | 270 + 10 Pills | 502.88€ 478.93€ | |
| Tadalista Super Active | 20mg | 10 Pills | 55.64€ 52.99€ | |
| Apcalis SX Oral Jelly | 20mg | 120 + 13 Sachets | 280.38€ 267.03€ | |
| Apcalis SX Oral Jelly | 20mg | 50 + 6 Sachets | 146.39€ 139.42€ | |
| Viagra Generic | 150mg | 180 + 10 Pills | 236.46€ 225.20€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Apcalis SX Oral Jelly | 20mg | 30 + 5 Sachets | 141.84€ 135.09€ | |
| Cialis Original | 20mg | 120 + 8 Pills | 497.29€ 473.61€ |
Cialis can interact with several other medications.
This allows more blood to flow in and produce an erection. BPH is a condition in which the prostate gland gets larger but isn’t cancerous. BPH may cause problems with urination such as the need to urinate frequently or having to urinate more often at night. Cialis is approved to treat the symptoms of BPH, but it’s not known exactly how the drug does this. It’s believed that Cialis works by relaxing muscles in your bladder, which allows you to urinate more easily.
Clinical trials show that Cialis may work as quickly as 30 minutes after you take your dose. However, in some people, the medication may take up to 6 hours until you notice it working. On average, it takes about 2 hours for Cialis to peak. This is how long it takes for you to have the highest level of medication in your body. This is when the drug should work the best to treat your ED, symptoms of BPH, or both conditions.
Both alcohol and Cialis can decrease your blood pressure. So if you drink alcohol while taking this medication, it’s recommended that you don’t apcalis 20 mg drink too much. This may help prevent your blood pressure from becoming too low. Having five or more drinks (five shots or glasses of wine or beer) along with Cialis can increase the risk of side effects. In addition to decreased blood pressure, these side effects can include: If you drink alcohol, talk with your doctor about what amount is safe to drink while you’re taking Cialis. It can also interact with certain foods. For instance, some interactions can interfere with how well a drug works. Other interactions can increase the number of side effects or make them more severe. Note: In addition to the information apcalis gel below, you can refer to this article about Cialis interactions. Below is a list of medications that can interact with Cialis. This list doesn’t contain all drugs that may interact with Cialis. Before taking Cialis, talk with your doctor and pharmacist.
| Use Case | Description | Typical Patients |
|---|---|---|
| Erectile Dysfunction (ED) | Helps achieve and maintain an erection | Men with ED |
| Pulmonary Hypertension | Off-label use for some related cardiac conditions | Patients under supervision |
| Enhancement of Sexual Activity | Improved blood flow to penile tissues | Adult males seeking treatment |
| Psychological Aid | Reduces anxiety related to sexual performance | Men experiencing performance anxiety |
Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You can also see this detailed article about Cialis and its interactions. You should not take Cialis if you’re taking a medication called a nitrate.
Other drugs are available that can treat your erectile dysfunction (ED), symptoms of benign prostatic hyperplasia (BPH), or both. Some medications may be a better fit for you than others. If you’re interested in finding an alternative to Cialis, talk with your doctor. They can tell you about other drugs that may work well for you. Note: Some of the drugs listed here are prescribed off-label to treat these specific conditions.
Examples of other drugs that may be used to treat symptoms of BPH include: Examples of other drugs that may be used to treat ED include: Cialis is the only medication that the Food and Drug Administration (FDA) has approved to treat both ED and symptoms of BPH together. However, other combinations of drugs may be used for this purpose. Also, other single medications may be used off-label to treat both ED and symptoms of BPH together. Examples of other drugs that may be used to treat ED and symptoms of BPH together include: Taking more than the recommended dosage of Cialis can lead to serious side effects. Do not take more Cialis than your doctor recommends.
Overdose symptoms are similar to the typical side effects of Cialis. For more about side effects, see the “Cialis side effects” section above. If you think you’ve taken too much of this drug, call your doctor. You can also call America’s Poison Centers at 800-222-1222 or use its online tool. But if your symptoms are severe, call 911 or go to the nearest emergency room right away. This type of drug may be used for chest pain.
| Common Side Effects | Severity | Management | Notes |
|---|---|---|---|
| Headache | Mild to moderate | Hydration, over-the-counter pain relief | Usually temporary |
| Flushing | Mild | Cooling measures, stress reduction | Common post-dose |
| Nasal Congestion | Mild | Use of nasal sprays if needed | Usually subsides quickly |
| Indigestion | Mild | Dietary adjustments, antacids | Usually transient |
| Dizziness | Mild | Rest, avoid rapid movements | Seek medical advice if severe |
Taking nitrates along with Cialis can cause a serious decrease in your blood pressure. However, in some cases, your doctor may give you a nitrate: for example, if you have chest pain and your life is at risk, and it’s been at least 48 hours since your last dose of Cialis. After you receive the nitrate, your doctor will likely monitor you to make sure your blood pressure doesn’t drop to an unsafe level. Both Cialis and medications called alpha-blockers can cause a decrease in blood pressure. So taking these medications together can cause blood pressure to drop further. If you have benign prostatic hyperplasia (BPH) and are taking a medication called an alpha-blocker, you should not use Cialis. And if you have erectile dysfunction (ED) and are taking an alpha-blocker, your doctor will likely lower your dose of Cialis. Before taking Cialis, tell your doctor about any medications that you use, including alpha-blockers. So if you’re taking other medications to reduce your blood pressure, taking Cialis along with them may cause a larger drop in blood pressure.
In comparison, people who took a placebo after prostate surgery had a smaller increase in average IIEF scores. If you have questions about using Cialis to treat ED after prostate surgery, talk with your doctor. Cialis doesn’t increase the size of a penis. However, the medication does increase blood flow to the area. So if the penis wasn’t able to become fully erect before taking Cialis, it may appear larger after taking Cialis.
Although Cialis doesn’t change the size of the penis, the drug can increase the ability to have an erection. Cialis is approved to treat erectile dysfunction (ED), symptoms of benign prostatic hyperplasia (BPH), or both of these conditions. An erection occurs when blood flows into the penis and remains there for a period of time. This happens because the blood vessels and muscles in the penis relax and open up, allowing more blood to flow into the area. Cyclic guanosine monophosphate (GMP) is a chemical in your body that relaxes the muscles in the penis and increases blood flow into the penis.
With ED, this activity isn’t working properly, so you can’t have or maintain an erection. Cialis belongs to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. It works to treat ED by blocking PDE5. When PDE5 is blocked, your body makes more cyclic GMP. And when you have more cyclic GMP, the blood vessels and muscles in your penis relax. Before you start Cialis treatment, tell your doctor if you’re taking any blood pressure drugs. They may give you a lower dose of Cialis or monitor you more often. If you’re taking Cialis and use antacids to treat heartburn, the antacids may decrease the level of Cialis that your body absorbs.
This means that you may not get the full dose of Cialis, so it may not work as well to treat your ED or symptoms of BPH. Before you start using Cialis, tell your doctor if you’re taking antacids.
Talk with them about how far apart to take the doses of each drug if you need to use both medications. Cialis is broken down in your body by an enzyme in your liver called CYP3A4. (An enzyme is a protein that aids chemical changes in your body.) Certain drugs can inhibit (block) this enzyme from working. So if the enzyme is unable to break down Cialis, the level of Cialis in your body may get too high. This can be dangerous and may increase your risk of side effects from Cialis. Examples of medications that can block CYP3A4 from working include: antibiotic drugs, such as: erythromycin (Ery-Tab) Before starting Cialis treatment, talk with your doctor about any medications that you’re taking.
When you get Cialis from the pharmacy, the pharmacist will add an expiration date to the label on the package or bottle. This date is typically 1 year from the date they dispensed the medication. The expiration date helps guarantee that the medication remains effective during this time. How long a medication remains good can depend on many factors, including how and where you store the medication. You should store Cialis tablets at 77°F (25°C). They’ll be able to determine whether the drugs are CYP3A4 inhibitors and whether they can interact with Cialis.
| Ingredient | Quantity per Tablet | Function | Notes |
|---|---|---|---|
| Tadalafil | 20 mg | Active ingredient | Main component for efficacy |
| Microcrystalline cellulose | 50 mg | Filler and binder | Ensures tablet integrity |
| Croscarmellose sodium | 10 mg | Disintegrant | Promotes quick dissolution |
| Magnesium Stearate | 2 mg | Lubricant | Facilitates manufacturing |
| Hypromellose | 5 mg | Coating agent | Protects active ingredient |
In some cases, your doctor may recommend a lower dose of Cialis or a different medication to treat your ED, symptoms of BPH, or both.