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 anytime between your doses.
If you are taking tadalafil to treat both erectile dysfunction and BPH, take it as directed by your doctor, typically 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.
Fix challenges in your sex life
Follow these 5 steps to improve your sexual vitality and performance as you age.
On the outside, they may still look like the epitome of the tough American macho: a man’s man. But on the inside, it’s another story: Years of cigarettes, liquor, and steak, and eggs can take a toll on a man’s heart and sexual vitality.
It didn’t have to happen. Of course, men experience a drop in levels of the sex hormone testosterone as they age. Many men find that they are no longer the young men they were in their youth.
But if you’re concerned that your sex life is fading as you approach middle age, rest assured. You can maintain – even boost – your sexual vitality by making some smart choices now.
“Healthy men can have erections at any age,” says Michael Castleman, a San Francisco-based sex educator and health writer. “Once you reach your 50s, your erections change. They are slower, they do not rise just because of fantasy: you need manipulation and direct sexual stimulation. What happens to many men is that they notice these changes and become crazy and think: ‘My God, I’ve reached the end of my sexual journey.’
The problem is that most men do not know that many of these changes are preventable. They do nothing to maintain sexual vitality until a problem appears, and by then that is to close the stable door after the horse has run amok, says a leading erectile dysfunction (ED) expert.
“The emphasis in this field has been on treatment, not prevention,” says Dr. Irwin Goldstein, professor of urology and gynecology at Boston University School of Medicine, in an interview with WebMD.
Therefore, doctors know that there are several diseases associated with erectile dysfunction. About 40% of men with diabetes have some erectile dysfunction. Erection problems are also common in men with cardiovascular disease, especially those with angina pectoris or after a heart attack. And they can be caused by medications used to treat conditions like high blood pressure. Many doctors believe that reversing these problems would also increase a man’s sexual vitality. But they don’t know for sure.
Your best option? Prevent problems before they affect your sex life.
Step 1: Physical exercise for Sexual Vitality
There is at least one health habit – exercise – that has a clear relationship to sexual vitality, says Goldstein. Among men enrolled in the Massachusetts Male Aging Study, a long-term community study of health and aging, researchers found that men who burned an average of at least 200 calories a day through exercise were much less likely to become powerless over time than men who did not exercise.
But not all forms of exercise are created equal, Goldstein cautions: Men who rode bicycles – on the road or at the gym – were almost twice as likely to be impotent as men in the general population. Researchers attribute it to continuous compression of the nerves and the blood supply to the penis.
Step 2: Kick the routine and fat
The ability to have an erection depends on a complex web of factors, some physical and some psychological. One of the most important factors is the health of the arteries. The penis contains an intricate web of tissues that fill with blood during erection, and if these arteries are blocked by atherosclerosis, there can be trouble in paradise.
“It is incontrovertible that atherosclerosis, the narrowing of the arteries caused by plaque deposits, begins in youth,” Castleman tells WebMD. “What happens is that it does not usually cause significant clinical symptoms until boys are 40 or 50 years old. But if you are a man and you are between 40 and 50 years old, you can be sure that you have some narrowing. It may not affect your function. cardiac, but it’s there, and the narrowing of the arteries is not just in the coronary arteries of the heart, but throughout the body, including the pudendal arteries that have blood to the penis. ”
Three of the best ways to prevent atherosclerosis and enhance sexual vitality in the future are
- Reduce harmful fats in your diet
- Lose weight if you are overweight
- Quit smoking – or better yet, never start.
“I wish I could buy billboards all over America that said ‘With every puff (of tobacco), your penis suffers,'” says Castleman.
Step 3: Review your medications
According to the researchers, erectile dysfunction can also be an unwanted side effect of many of the commonly prescribed medications, as well as some over-the-counter products and illegal substances.
Talk to your doctor about this possible side effect if you are taking medications to treat
- High blood pressure
- Benign enlargement of the prostate
- High cholesterol
Your doctor may advise you to change your medicine. Or your doctor may suggest that you take the medicine at a certain time in the evening when it is least likely to interfere with your sexual vitality.
According to experts, substances such as alcohol, anabolic steroids, heroin, and marijuana can also cause impotence.
Step 4: Take into consideration Preventive Treatment
Other treatments include therapy, injections of drugs into the penis, and surgery. Each type of treatment has its own advantages and disadvantages. Talk to your doctor to determine the best treatment for you.
Step 5: Set New Expectations
It may come as no surprise to the women reading this, but men who are used to being ruled by their loins rather than their heads need to understand that “sex doesn’t just happen on the penis”: Making love is an experience of the whole body, “says Castleman.
“When Michael Jordan takes a jump shot, does he use only his wrist? No. He uses his total body; everything has to work at once. The way the human body is neurologically constructed is that sexual arousal, sexual arousal it’s a whole-body experience, and if you focus too much on one part of your body it doesn’t work well. ”
He says men should have a realistic understanding that after age 50 or so, erections are slower and come and go during lovemaking.
“After their mid-40s, many men have erections that come and go during sex,” says Castleman. “It’s perfectly normal, and what men have to do is have a little chat with the women in their life and say, ‘Look, this is what happens to me now, and I need more stimulation from you.’
How extended 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 things 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 takes place 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, causing 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 quickly 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. Typically, 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 length?
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 Secure 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 lessen 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 activities, 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. Dependent 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 need 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 drugs, 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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