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WHAT IS CIALIS AND HOW DOES IT WORK?

Erection occurs when a man becomes excited sexually and the blood vessels that carry blood away from the penis become dilated. When this occurs, the blood vessels that carry blood away from the penis become contracted. This causes blood to accumulate in the penis. As a result, the penis becomes erect. When a man becomes sexually aroused, nitric oxide is released and fills the penis. Nitric oxide initiates cGMP (current Good Manufacturing Processes) production. cGMP is a naturally-occurring chemical in the body that controls the contraction and dilation of the vessels that carry blood into and out of the penis. Another chemical naturally produced by the body, PDE5 (phosphodiesterase 5), destroys cGMP. When this happens the blood vessels are returned back to their regular size and the erection goes away. Cialis works by preventing PDE5 from interfering with cGMP, allowing the penis to remain erect longer. Cialis only works to maintain an erection if physical contact keeps the penis stimulated, such as stroking or other sexual activity.

HOW LONG DO THE EFFECTS OF CIALIS LAST?

Cialis should be taken approximately 1 hours before intercourse. Its effects most commonly last for as long as 36 hours. The longevity of the effects can be affected by certain factors. For example, consuming a large meal soon after taking Cialis can cause a delay in its effects. This is especially true if the foods consumed are high in fat.

Cialis does take a bit of time to begin working. Since it works by utilizing the body's natural chemicals such as nitric oxide and phosphodiesterase 5, it will take time for the chemicals to be produced or depleted and for the body to respond accordingly. It will be helpful (and enjoyable) to use the time waiting for Cialis to take effect to engage in activities that help you become sexually aroused. Allow all of the senses to become involved in the process to make it as enjoyable as possible. This will provide the maximum amount of enjoyment from the experience.

It is not uncommon for Cialis to continue to be effective for as long as 36 hours. However, keep in mind that some type of sexual stimulation is necessary in order for an erection to be maintained during that time. Also, should the effects of Cialis cause an erection that lasts longer than 4 hours, it is imperative that you seek medical attention right away. This condition is called priapism. Priapism can affect the penile tissue, causing permanent, irreparable damage to the penis.

If Cialis takes longer than 2 hours to work, you may want to speak with your doctor about increasing the dosage. Do not take more of the medication than prescribed without your doctor's approval.

WHO SHOULD TAKE CIALIS?

Cialis can be prescribed for adult males who have difficulty getting and maintaining an erection firm enough to engage in sexual intercourse. This condition is known as erectile dysfunction or impotence. Cialis must be prescribed by a physician and taken exactly as instructed. Erectile dysfunction is the inability to get and/or maintain an erection firm enough for sexual intercourse.

If difficulty getting an erection is only an occasional occurrence, then there isn't necessarily cause for concern. However, if it is a frequent issue you should absolutely discuss it with your doctor. Erectile dysfunction can lead to serious relationship problems, depression, stress, anxiety, and decreased self-confidence. Difficulty getting and maintaining an erection may also be an indication of other, more severe, underlying health issues including (but not limited to) factors that can be indicators of heart disease. Erectile dysfunction can be caused by a number of physical issues including:

For this reason, it is important to follow your doctor's directions when taking Cialis.

Cialis should not be taken by anyone who has heart disease or who has had a heart attack within the last 3 months or a stroke within the past 6 months, or by anyone who has high blood pressure (hypertension). Your doctor may not recommend Cialis for use based on other health factors you may personally have, or based on other medications you may be taking.

DRUG AND ALCOHOL INTERACTION

When taking Cialis, excessive alcohol consumption can cause serious problems. Orthostatic hypotension can result. This condition can cause dizziness, disorientation, headaches, and fainting. Hypotension can cause the heart to race, which can lead to severe health issues. These effects can occur because both alcohol and Cialis act as vasodilators. These are substances that lower blood pressure. They do so by causing the walls of the blood vessels to relax and open wider. Since Cialis remains in the system longer than most erectile dysfunction drugs, orthostatic hypotension is more likely to occur in those who take it.

Consuming more than 5 alcoholic beverages in one sitting has been linked directly to orthostatic hypotension. Moderate drinking does not seem to affect those who take Cialis. Moderate drinking is defined as the following:

5 oz. of wine

1.5 oz. of 80-proof alcohol such as whiskey, rum, vodka, gin, tequila, or rum

12 oz. of beer

If you are taking other medications check with your doctor to ensure that there will be no undesirable or dangerous interactions. Cialis can interact negatively with the following types of medications:

SIDE EFFECTS OF CIALIS

The most common side effects experienced by Cialis users include:

When taking Cialis you should immediately contact your doctor if any of the following occur:

sudden decrease in vision incluing total blindness in one or both eyes

sudden decrease in or loss of hearing

painful prolonged erection lasting 4 hours or more (priapism)

The recommended dosage of Cialis is 5-20 mg daily, taken approximately 1 hour befour the sexual activity.

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CONCLUSION

While there are a number of prescription medications available to treat erectile dysfunction/impotence, Cialis has been proven to be the most effective and the safest for the largest number of patients suffering from these conditions. Even though there are some side effects, most are minor, and any serious effects or interactions can be avoided by adhering to all cautions and warnings related to the medication, as well as any directions your doctor gives you.

The effects of Cialis last longer than other medications of this type, giving them an advantage. Since Cialis lasts up to 36 hours following one dose, you can focus on building intimacy and enjoying the entire experience in full without having to stop and take more medication, then waiting for it to take effect again. The medication works even better when sexual arousal is strong and natural. As long as there is stimulation of the penis, such as stroking or sexual intercourse, an erection can be maintained. The only concern would be if an erection lasts for longer than 4 hours as this can indicate a serious condition called priapism which can cause severe and permanent damage to the penile tissue. However, the instances of priapism are low, and studies have indicated that overall Cialis works as intended to provide a healthy and satisfying sex life.

If erectile dysfunction only occurs occasionally, there is likely nothing to worry about. However, if it is a common occurrence, it is important that you speak with your doctor right away to make sure there isn't a more serious, underlying problem. Once other issues are ruled out, your doctor can get you started on Cialis and you can be on your way to a healthy, satisfying sex life. This is conducive to good mental health as being able to maintain a fulfilling sex life promotes a positive self-image and healthy self-confidence, a good attitude, decreased stress and anxiety, and an overall sense of happiness and well-being.

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