GENERIC NAME: TADALAFIL
Tadalafil is used to treat problems with male sexual function (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man achieve and maintain an erection. Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve the symptoms of BPH, such as difficulty starting a urine stream, a weak stream, and the need to urinate frequently or urgently (even in the middle of the night). Tadalafil is believed to work by relaxing the smooth muscle of the prostate and bladder. This medicine does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, or syphilis). Practice “safe sex,” such as using latex condoms. Consult your doctor or pharmacist for details.
How to use Cialis
Read the patient information leaflet provided by your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more than once a day.
The dose is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
To treat the symptoms of BPH, take this medicine as directed by your doctor, usually once a day. If you are also taking finasteride together with this medicine to treat the symptoms of BPH, talk to your doctor about how long to keep taking this medicine.
To treat erectile dysfunction (ED), there are two ways to prescribe tadalafil. Your doctor will determine the best way to take tadalafil. Follow your doctor’s instructions exactly, as the dose depends on the way you take it. The first way is to take it as needed, usually at least 30 minutes before sexual activity. The effect of tadalafil on sexual ability can last up to 36 hours.
The second way to treat erectile dysfunction is to take tadalafil regularly, once a day, every day. If you take it this way, you can try sexual activity at any time between your doses.
If you are taking tadalafil to treat both erectile dysfunction and BPH, take it as directed by your doctor, commonly once a day. You can try sexual activity anytime between your doses.
If you are taking tadalafil once a day for BPH, for erectile dysfunction, or for both, take it regularly for maximum benefit. To help you remember, take it at the same time each day.
Tell your doctor if your condition does not improve or if it worsens.
6 natural treatments for erectile dysfunction
What is erectile dysfunction?
Erectile dysfunction (ED) is commonly called impotence. It is a issue in which a man cannot achieve or maintain an erection during sexual performance. Symptoms can also include a reduction in sex drive or libido. Your doctor will likely diagnose erectile dysfunction if the condition lasts for more than a few weeks or months. Erectile dysfunction affects about 30 million men in the United States.
Standard treatments for erectile dysfunction include prescription drugs, vacuum pumps, implants, and surgery, but many men prefer natural options. Research has shown that some natural options can improve erectile dysfunction symptoms. Read on for natural selections with research to back them up.
1. Panax ginseng
Called the herbal Viagra, Panax ginseng (red ginseng) has solid research to back it up. Researchers reviewed seven studies that relied on the source of red ginseng and erectile dysfunction in 2008. Doses ranged from 600 to 1,000 milligrams (mg) three times a day. They concluded that there was “suggestive evidence for the efficacy of red ginseng in treating erectile dysfunction.”
Other current research is examining how red ginseng influences erectile dysfunction. Ginsenosides are an element present in Panax ginseng extract that has action at the cellular level to improve erection.
The action of Panax ginseng appears to be the most effective Trusted Source for those with high blood lipids and metabolic syndrome. This herb is a trusted source known for having anti-inflammatory action, bettering lung function, and improving blood flow in other conditions, all of which can reduce erectile dysfunction.
2. Rhodiola Rosea
A small study indicated that Rhodiola Rosea may be helpful. Twenty-six of 35 men received between 150 and 200 mg a day for three months. They experienced a substantial improvement in sexual function. This herb has been demonstrated to improve energy and reduce fatigue. More studies are needed to understand the action and ensure safety.
Dehydroepiandrosterone (DHEA) is a natural hormone produced by the adrenal glands. It can be converted to estrogen and testosterone in the body. Scientists make dietary supplements from wild yams and soybeans.
The influential Massachusetts Source Male Aging Study showed that men with erectile dysfunction were more likely to have low levels of DHEA. In 2009, 40 men with erectile dysfunction participated in another study in which half received 50 mg of DHEA and the other half a placebo once a day for six months. Those who received DHEA were more likely to achieve and maintain an erection.
More recently, DHEA has been identified as an option for the treatment of erectile dysfunction in men with concurrent diabetes. Erectile dysfunction often affects these men due to hormonal problems and complications from diabetes that interfere with blood flow to the organs.
L-arginine is an amino acid naturally present in the body. Helps produce nitric oxide. Nitric oxide relaxes blood vessels to facilitate a effective erection and is essential for healthy sexual function.
Researchers analyzed in Reliable Source the effects of L-arginine on erectile dysfunction. Thirty-one percent of men with erectile dysfunction who took 5 grams of L-arginine per day experienced significant improvements in sexual function.
A second Trusted Source study showed that L-arginine combined with Pycnogenol, a plant product made from French maritime pine bark, restored the sexual ability of 80 percent of the participants after two months. 92% had regained sexual ability after three months.
Another Trusted Source placebo-controlled study discovered that L-arginine in combination with other medications was well-tolerated, safe, and effective for mild to moderate erectile dysfunction.
Although the studies are mixed, many show positive results when acupuncture is used to treat erectile dysfunction. A 1999 study that was trusted by Source, for example, found that acupuncture improved the quality of erections and restored sexual activity in 39% of participants.
A later study released in 2003 Trusted Source reported that 21 percent of erectile dysfunction patients who received acupuncture had their erections improved. Other studies have shown conflicting results, but this treatment has potential and may work for you.
The risks of Trusted Source acupuncture are low if performed by a licensed acupuncturist. Acupuncture shows promise for treating erectile dysfunction, but more studies are needed.
This supplement is extracted from the bark of the African Yohimbe tree. Some Reliable Source studies have shown positive effects on sexual performance with the use of this drug.
However, the American Urological Association does not recommend Yohimbe as a treatment for erectile dysfunction. This is because there is not much evidence to show that it works. Its side effects could be harmful to health. These include increased blood pressure and heart rate, irritability, and tremors.
If you make a decision you want to try Yohimbe, be sure to speak with your doctor beforehand.
Other possible natural treatments
Other alternative therapies that are believed to help erectile dysfunction include zinc supplements (especially for men who are low in zinc), the herb ashwagandha (also called Indian ginseng), and Ginkgo Biloba, but more are needed. studies to know for sure.
Speak to your doctor
If you have symptoms of erectile dysfunction, it is important to consult your doctor before trying any treatment on your own. This is because erectile dysfunction can be a sign of other health problems. For example, heart disease or high cholesterol can cause erectile dysfunction symptoms. With a diagnosis, your doctor may recommend a number of measures that are likely to improve both your heart health and erectile dysfunction. These measures include lowering cholesterol, losing weight, or taking medications to unclog blood vessels.
If other health problems are not found to be causing your erectile dysfunction, your doctor will likely prescribe some common treatments. However, you can also go for natural options, but be sure to discuss these with your doctor first.
Whichever path you take, keep in mind that erectile dysfunction is a frequent condition that can be treated. With a little trial and error, you will likely find a treatment that works for you and your partner.
It is important to remember that the US Food and Drug Administration does not regulate the quality, potency, purity, or packaging of herbs. If you decide to take herbs, make sure you get them from a reliable source.
Look up Roman drugs for erectile dysfunction on the internet.
Changes in lifestyle
In many cases, Way of life and diet changes can help relieve erectile dysfunction symptoms. Lifestyle changes that may help improve your sexual function include exercising and losing weight. You can also quit smoking and reduce your alcohol consumption.
Your diet can also affect your sexual performance. To find out which foods can benefit you, like cocoa and pistachios, check out this article on diet and erectile dysfunction.
How very long does Viagra last?
Sildenafil is a popular drug used to stimulate erections in men with erectile dysfunction (ED) and to treat pulmonary arterial hypertension (high blood pressure that affects the lungs and heart).
There are many factors that can influence the time it takes for Viagra to start working. In general, it takes about 30 minutes for Viagra to produce noticeable effects.
But your diet, your general health, the medications you are taking, underlying diseases, and many other things can affect the amount of time it takes for Viagra to work in your body and how long it lasts.
How does it work?
An erection happens when the nerves of the penis are stimulated.
As a result, the muscles that surround two cylindrical chambers of spongy material along the penis, known as the corpora cavernosa, relax and allow blood to flow, leading to an erection.
With erectile dysfunction, the nerves do not communicate properly with the brain and the blood does not flow properly to the corpus cavernosum. Taking Viagra relaxes the walls of the blood vessels and allows blood to flow conveniently to the parts of the penis that cause an erection.
How long does it take to take effect?
Typically, Viagra starts to work 30 to 60 minutes after taking it as an oral pill. It may take up to 2 hours to take effect.
Viagra does not work on its own. You will still have to feel sexually aroused to get an erection. Feeling relaxed and comfortable can also help Viagra take effect sooner.
How long does it last?
On average, Viagra usually lasts 2-3 hours before its effects start to wear off. Viagra can last up to 5 hours or more depending on the dose, your body’s metabolism, and other external factors.
Depending on how your body metabolizes it, you can get an erection multiple times with Viagra in your body. However, Viagra probably won’t make you last longer in bed. No research has definitively shown that Viagra can increase the duration of sexual intercourse.
Viagra may not work again right after you’ve had sex. Commonly, you cannot get another erection right after ejaculating because your body is not physically ready for it.
This is known as the refractory period. It can last only a few minutes, but it can last several hours or days. However, a 2000 analyze trusted by Source found that Viagra can decrease this recovery time.
Are there any factors that may affect the period?
There are several important factors that can influence the duration of Viagra.
The amount of Viagra you take affects how long it stays in your body. The smallest available dose, 25 milligrams (mg), will not last as long as the largest available dose, 100 mg. But taking a higher dose is not always recommended as it may not be safe for you.
As you get older, your metabolism slows down. Therefore, Viagra can last longer as you age. In general, you may notice that Viagra works longer when you are 65 or older.
Diet and lifestyle. Eating a large meal or a large amount of high-fat foods just before taking Viagra can prevent it from being metabolized quickly or efficiently. But this can also make it last longer, as it is metabolized along with food. Drinking alcohol or smoking can also decrease blood flow to the penis, making Viagra less effective or shorter in duration.
Some medications, especially antibiotics such as erythromycin (Ery-Tab), clarithromycin (Biaxin), and ciprofloxacin (Cipro), can interact with Viagra and affect its duration.
Some existing diseases can affect the duration of Viagra and its effectiveness. Diabetes, nervous system diseases such as multiple sclerosis (MS), and heart conditions such as atherosclerosis (accumulation of fat in the blood vessels) can make Viagra less effective and do not last as long. Some kidney diseases can make Viagra last longer due to the disease’s effect on your metabolism.
state Feeling anxious, nervous, depressed, or stressed can influence your body’s response to sexual stimulation. If you are not relaxed or comfortable during sex, or if you have performance anxiety due to previous sexual experiences, Viagra may not last long or not fully effective.
How long does it take to vanish from the body?
Viagra usually disappears from the body after 2 to 3 hours. Depending on your metabolism, it may take 5 to 6 hours for Viagra to completely disappear from your body.
A higher dose will take longer to leave the body. A 25 mg dose may wear off after a couple of hours, but a 100 mg dose can take almost four times longer to leave the body.
Is there anything I require to be concerned about?
Viagra usually lasts a few hours. You will not normally have an erection for the entire time, as Viagra is only used to help increase blood flow. If you think Viagra isn’t working fast enough, try masturbating or foreplay to help stimulate arousal.
If Viagra does not work after 30 minutes, do not take more than the daily dose prescribed by your doctor. Never take more than 100 mg of Viagra in a 24-hour period.
Taking too much Viagra can cause priapism, a painful erection that lasts more than 4 hours. This can damage the tissue of the penis because the blood stored in the penis does not receive oxygen. Get emergency treatment right away if this happens.
When to see your doctor
Talk to your doctor before taking Viagra or any other medication connected to erectile dysfunction. It is important that you take a safe dose and be clear about how much to take in a 24-hour period.
Some heart disease medications, such as nitroglycerin and other nitrates, can dangerously interact with Viagra and cause blood pressure to drop too low.
If Viagra doesn’t work or isn’t safe for you, talk to your doctor about other possible treatments for erectile dysfunction, such as
- penis pumps
- penile implants
- therapy for anxiety, depression, or other similar conditions
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