Cialis Over The Counter: Questions and Answers

Cialis Over The Counter: Questions and Answers

Cialis – what is it? Cialis is a drug created to provide a stable erection. It is designed to help men restore rich intimate relationships. The tool has extraordinary effectiveness, as evidenced by a large number of positive customer reviews that note the reliability, convenience, high performance, safety of Cialis. To normalize a normal sexual life, this tool is suitable, as well as possible, better.

Can Cialis be called an erection stimulator and how does it work?

Undoubtedly, Cialis refers to stimulants, because the effect of its action is possible only in case of sexual arousal of a man. When a partner does not cause your interest, and sexual contact is considered simply as a tribute to the situation, medications will not help here, you need to remove psychological barriers.

The occurrence of an erection occurs in a natural way, that is, the penis comes on alert only if necessary. Do not be afraid that after taking the substance you will have to face an erection during the entire period of its action.

The positive qualities of Cialis in the case of treatment of erectile dysfunction:

  • General beneficial effect on erection;
  • The appearance of an erection in the event of a desire for sexual contact;
  • Maintaining a member in an erect state throughout the intercourse;
  • Getting full satisfaction from intimacy;
  • Vivid emotions;
  • Libido recovery;
  • Providing psychological recovery and confidence in male solvency;
  • The joy of being sexually satisfied with a partner.

The effect of Cialis on the body

The main role in the occurrence of an erection is given to the blocking of the type 5 phosphodiesterase enzyme carried out by tadalafil. This ensures relaxation of smooth muscle cells, giving them volume and providing blood flow. In addition, the penis is filled with blood, which contributes to the appearance of an erection.

How to use Cialis?

Cialis is intended for internal use when necessary. One tablet is designed for a day. Most men diagnosed with erectile dysfunction report a marked improvement due to taking Cialis, and the degree of the disease does not matter.

Where can I buy Cialis in California?
Probably, every Moscow pharmacy has this drug on sale, but the price for it may be too high. In order not to spend extra money, take the opportunity to order a generic online, at the pharmacy Doctor Dick with courier delivery in the capital and St. Petersburg, as well as by mail to any city in Russia (2 weeks).

Is Cialis effective in case of severe erectile dysfunction?
Yes, the effectiveness of the drug has been proven empirically. Over eighty percent of men participating in clinical trials reported an increase in potency by taking 20 milligram tablets. The study involved patients with varying degrees of erectile dysfunction.

What is the speed and duration of the Cialis effect?

Some men feel the effect of the drug after 15 minutes, but, basically, patients call the time about half an hour. It is worth recalling that the effect is impossible without sexual arousal. Cialis works for 36 hours.

Is it true that Cialis adversely affects the cardiovascular system?
Sexual activity, in itself, creates a risky situation for a person who has heart problems, so it is better to consult a specialist before using a stimulant such as Cialis. The occurrence of heart pain after taking the drug requires immediate medical attention.

Recommended frequency of taking Cialis?
It is best to use tablets in a dosage of 20 milligrams. For a day, the drug can be taken no more than once.

Are there any contraindications for the use of Cialis?

The drug is mainly contraindicated in:

  • Treatment of angina pectoris with nitrates;
  • Sensitivity to individual components of the product.

Which doctor should I contact for the appointment of Cialis?

A doctor of any specialty can consult, but it is advisable to contact a sexopathologist, urologist, andrologist, cardiologist or endocrinologist.

Why is Cialis sold by prescription, despite the promised harmlessness?

Although the safety of Cialis has been confirmed by scientific research, its interaction with certain drugs can adversely affect the state of the body. This primarily relates to nitrates, which are used in the treatment of the cardiovascular system. That is why to buy Cialis, you need to go to a doctor who will study your medical history before writing a prescription.

What drugs are dangerous to take at the same time as Cialis?
Clinical trials revealed only a slight interaction of Cialis with some medications, with others it was not observed at all. The exception is nitrate-based products, most often used to treat heart problems. Therefore, Cialis is strictly forbidden to take simultaneously with nitrates, which is dangerous by a sharp drop in pressure to a critical level and the occurrence of hypotension. Nitrates are found in many medicines prescribed for sternal pain due to heart disease. The list of prohibited includes nitroglycerin in lozenges, ointments, aerosols, pastes, plasters, dinitrate – lozenges, chews, swallows, isosorbite mononitrate. Light drugs such as nitrite or amyl nitrate are also based on nitrates. This list can be continued, therefore it is very important to inform your doctor about taking medication.

What are the side effects of Cialis?

Side effects can be expressed as:

  • Dizziness or headache;
  • Dyspepsia;
  • Nasal congestion;
  • Tides;
  • Occasionally – temporary visual impairment.

The most common side effects are dyspepsia and headache. A negative reaction to tadalafil is usually mild or moderate. Continuing to take the drug, you can notice a decrease or disappearance of these side effects. The second most common are nasal congestion, facial flushing, back pain, myalgia. Occasionally, there are complaints of pain in the eyeballs, swelling of the eyelids, conjunctivitis, dizziness. During clinical trials, the vast majority of patients did not notice a negative effect of the drug on their well-being. Those who experienced certain side effects did not find them so serious as to refuse to continue taking Cialis.

In general, you need to remember that Cialis is not a drug for universal use.

How does Cialis affect reproductive function?
The ability to bear children is associated with Cialis only indirectly – when an erection disorder interferes with a normal sexual life, which, in turn, makes conception impossible. In this case, the benefits of Cialis are undeniable.

Does Cialis affect women? The problems of the female intimate sphere are not solved with the help of Cialis. The product is intended exclusively for male use.

At what age can Cialis be used? The drug is not indicated for use by young men under the age of eighteen.

Cialis refers to drugs on a synthetic or natural basis? The basis of Cialis is tadalafil, which is a synthetic substance.

In what form is Cialis produced? The release of the drug is carried out in two types of packaging: one and four tablets with a dosage of 20 milligrams.

Is it possible to use Cialis for men with diabetes? There are no indications against taking the remedy for patients with diabetes. Such patients participated in trials, more than half of them felt an increase in the quality of potency.

What kind of food is harmful when treated with Cialis? There are no bans, as such. The drug is allowed to be taken with meals and on an empty stomach; there are no dietary restrictions.

Is Cialis daily possible for a fairly long time? It is not recommended to use the product every day.

After taking Cialis, does an erection occur regardless of the patient’s desire? In order for Cialis to start acting, a man must have a sexual attraction.

Will there be an effect from the use of Cialis in the amount of half a tablet? The dosage of the drug is calculated accurately, taking half the dose is unlikely to have the desired effect.

Who is the manufacturer of Cialis and what medicines can be attributed to its analogues?
The development and production of Cialis is carried out by the American company Eli Lilly (more about manufacturers.). There is a form of Cialis with a similar effect, but with a lower cost – this is the generic Cialis. It is produced by various pharmaceutical companies, following the recipe for the manufacture of the original. Generics are assigned other brands, they can be called by the active substance – Tadalafil. The low price of generics versus branded drugs is due to lower production costs.

Which remedy is better – Cialis or Viagra?

No one can answer this question unequivocally – each person has his own characteristics of the body, Cialis is suitable for one, Viagra is for the other.

The best solution is to compare the effects of these two remedies. Our pharmacy offers its customers a kit with samplers of several drugs. The acquisition of such a kit will help determine the choice of the best tool for you.

Cialis: questions and answers
Cialis is highly effective, which not only improves an erection, but also helps the patient restore the naturalness of sexual relations. Cialis is reliable, effective, convenient to use and safe, it restores normal sex life for patients suffering from erectile dysfunction, freeing them from constant thoughts about treatment.

How is the effect of Cialis manifested? Is he a sexual stimulant?

NO, Cialis – THIS IS NOT A STIMULANT. A successful outcome requires sexual arousal. Everything happens naturally. Cialis acts when it is necessary, and not when it is not necessary.

Cialis has a positive effect on the following manifestations and consequences of erectile dysfunction:

  • Erection in general
  • The ability to achieve an erection sufficient for intercourse
  • The ability to maintain an erection during intercourse
  • Getting satisfaction from sexual intercourse
  • Positive emotions
  • Satisfaction with a good erection
  • Confidence in the ability to achieve and maintain an erection
  • Satisfying a partner from sexual intercourse.

What is the mechanism of action of Cialis?

Cialis (Cialis) is an effective, reversible inhibitor selectively acting on phosphodiesterase 5 (PDE5).

The blood vessels in the cavernous bodies are filled with blood, which causes a decrease in the outflow of blood from the penis and the creation of a gradient of blood pressure – an erection occurs. The PDE5 enzyme causes a decrease in the level of cGMP and stops the erection.

Cialis inhibits the action of PDE5, thus delaying the decline in cGMP levels. As a result, the level of cGMP in the cavernous bodies allows a man with erectile dysfunction to have a normal erection.

How effective is Cialis?

Cialis, which is taken as needed, up to once a day, improves erectile function in most men suffering from erectile dysfunction of any degree.

Does Cialis work with severe erectile dysfunction?

Yes. In clinical trials, 81% of patients taking Cialis in 20 mg tablets showed an improvement in potency. The study included patients with varying degrees of erectile dysfunction, from mild to severe.

How fast does Cialis start and for how long?

In some men, Cialis begins to act after 16 minutes. For most patients, this time is 30 minutes. But remember, without sexual arousal, the effect does not occur. The effect of Cialis lasts approximately 36 hours after administration.

I heard that Cialis has a bad effect on the heart.

Sexual activity poses a certain risk in the presence of heart disease, therefore, a doctor’s consultation before using the drug is strongly recommended.

How often can I take Cialis?

The recommended dose of the drug is 20 mg. The maximum recommended frequency of admission is once a day.

What are the contraindications for taking Cialis?

– simultaneous administration of nitrates in angina pectoris;
– Hypersensitivity to the drug.

What specialty doctor can prescribe Cialis?

A doctor of any specialty, but first of all, a urologist, sex therapist, andrologist, endocrinologist and cardiologist.

If Cialis is safe and effective, why not sell it over the counter?

Yes, clinical trials have proven the safety of Cialis. However, a manifestation of some drug interaction is known, especially with nitrates used in the treatment of heart disease. Therefore, it is very important that Cialis is prescribed by a doctor who is thoroughly familiar with the patient’s medical history.

How does it interact with other drugs?

In clinical trials, a slight interaction with other drugs or its complete absence was found. However, nitrates, which are mainly used in the treatment of heart disease, are an exception to this rule. Therefore, Cialis is contraindicated in patients receiving treatment with nitrates. The danger is a possible significant drop in blood pressure – hypotension.

Once again, it’s not that patients taking any form of nitrate should not take Cialis. If a patient takes Cialis while taking any nitrate-based drug or recreational drug containing nitrates, blood pressure can drop to dangerous levels. Many medications prescribed for treating sternal pain caused by heart disease contain nitrates. These drugs include nitroglycerin (aerosols, ointments, patches or pastes and tablets for resorption under the tongue) or isosorbide mononitrate (isosorbide mononitrate) and dinitrate (dinitrate) (tablets that are swallowed, chewed or kept under the tongue). Certain soft drugs such as amyl nitrate or “poppers” also contain nitrates. The list is far from complete, so it’s important to ask the patient if he is taking nitrates or drugs containing them.

What are the possible side effects of Cialis?

Possible side effects:

– headache, dizziness;
– tides;
– dyspepsia;
– nasal congestion;
– transient changes in vision (rarely).

The most commonly reported adverse events are headache and dyspepsia (11% and 7% of cases, respectively). Adverse events associated with taking tadalafil are usually minor or moderate in severity, transient and decrease with continued use of the drug. Other common undesirable effects were back pain, myalgia, nasal congestion, and flushing of the face. Rarely – edema of the eyelids, pain in the eyes, conjunctival hyperemia and dizziness.

Cialis should not be taken by everyone. Patients taking any form of organic nitrate should not take Cialis or any other PDE5 inhibitor. This combination can cause a dangerous drop in blood pressure. If a patient complains of chest pain or other symptoms related to cardiac activity during sex, he should immediately consult a doctor. In clinical trials, the most common side effects were headache, dyspepsia, back pain, muscle pain and a rush of blood to the face. Usually, the side effects are mild or moderate, go away quickly and their frequency decreases with constant use of the drug. In clinical studies, most men did not experience serious side effects that would cause them to stop taking Cialis.

Does Cialis affect fertility?

Cialis itself does not affect fertility. However, in cases where erectile dysfunction prevents conception in couples of childbearing age, Cialis can be beneficial.

How effective is Cialis for women?

Cialis is not intended to solve the problems in the sexual sphere in women.

Are there any age restrictions for taking Cialis?

Cialis is not prescribed to persons under 18 years of age.

Is Cialis a natural (herbal) or synthetic drug?

The active component of Cialis is tadalafil – a synthetic substance.

What is the form of Cialis?

Cialis is available in packs of 1 tablet of 20 mg and in packs of 4 tablets of 20 mg.

Can Cialis help patients with diabetes?

Yes. In clinical trials, 68% of men with diabetes taking Cialis in 20 mg tablets showed an improvement in erection.

If there are any food restrictions in the treatment of Cialis?

Not. Cialis can be taken with or without food, so the patient with his couple should not change their habits.

Can Cialis be used daily for a long time?

Daily use of the drug is strongly discouraged.

Will patients experience an erection if they don’t want to?

No, Cialis requires sexual arousal to be effective.

Will Cialis work if I take only half the pill?

Cialis is designed for use in a dosage of 20 mg, you can not divide the tablet into smaller doses.

Who produces Cialis and does it have analogues?

Cialis is designed and manufactured by the well-known pharmaceutical company Eli Lilly (USA). Currently, other pharmaceutical companies in the world have begun production of cheaper and equally effective generic forms * Cialis. Generic forms in composition are absolutely identical to Cialis, are issued under other trademarks or under the name of the active principle – tadalafil and are much cheaper, because advertising costs in proportion to the cost of generic forms of drugs, as a rule, are significantly lower.