Cialis side effects impotence drug, danger and benefit - tadalafil
Cialis natural alternative
, herbal products that work
November 16 2016 by
Ray Sahelian, M.D.

 

Cialis is an impotence drug that has benefits as an impotence remedy, it works. Cialis also has side effects that sometimes can be serious. When using Cialis, initially try a low dose to avoid side effects. This ED medication is a potent selective phosphodiesterase 5 inhibitor for the treatment of erectile dysfunction.
 

Natural and herbal Cialis alternative:

Passion Rx with Yohimbe is an excellent choice for many people. So is the Natural Sex Booster package.

Natural Sex Boosters Kit, 8 Piece Kit

Buy Natural Sex Boosters package of several bottles of effective aphrodisiac herbs

 

Impotence drugs currently available on the market

Cialis tadalafil
Viagra was the first impotence drug to become available

Levitra impotence drug

 

Cialis side effects, danger, caution, risk
The most common side effects with Cialis are headache and nausea or upset stomach. The next most common are backache and muscle ache. Some men are bothered enough by Cialis side effects that they stop taking this impotence drug. As with any sexual drug tablet, in the rare event of priapism (an erection lasting more than four hours), consumers should seek immediate medical help to avoid long-term injury. In rare instances, men taking prescription Cialis report a sudden decrease or loss of vision. A rare adverse reaction is transient global amnesia. Some people notice insomnia or sleep problems if they take a pill later than mid afternoon.

 

Since the introduction of the first PDE5 inhibitor, Viagra, in 1998, and subsequent impotence drugs such as Levitra and Cialis, there has been concern about the side effects of these agents on the heart and their safety in patients with cardiovascular disease. Since Cialis causes vasodilation, it has blood pressure lowering ability. These Cialis side effects are usually mild and produce few symptoms. When combined with the nitric oxide donor nitroglycerine, however, blood pressure drops may be profound and life threatening. Cialis is contraindicated with nitrates.

 

Q. I took a dose of Cialis that my doctor gave me. I had body ache and headache. It did not appeal to me even though I did notice some erection improvement.
   A. Not all drugs work for everyone in a safe or pleasant manner, including Cialis.

 

Is blindness a Cialis side effect ?
Federal health officials are examining rare reports of blindness among some men using the impotence drugs Cialis. This type of blindness is called NAION, or non-arteritic anterior ischemic optic neuropathy. It is a common optic nerve disease in adults over age 50 and can occur in men who are diabetic, have high blood pressure or high cholesterol, the same risk factors that can cause impotence. By the year 2006, the FDA has 42 reports of the blindness, 38 among users of Viagra and four among users of Cialis.
 

Warning labels
Cialis side effect: “may uncommonly cause ... vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green.”
The most common Cialis side effects were headache, back pain, dyspepsia, and nasopharyngitis.

Eli Lilly has changed its labels. Patients with heart disease or high blood pressure should be warned about the elevated risk of NAION when taking anti-impotence pills.

 

Hearing loss danger
Braz J Otorhinolaryngol. 2013. Phosphodiesterase type 5 inhibitors and sudden sensorineural hearing loss. Phosphodiesterase type 5 Inhibitors, such as sildenafil, vardenafil and tadalafil have been increasingly used today and some of the users have developed sudden sensorineural hearing loss. Increased occurrence in clinical practice and scientific reports in the literature suggest that the phosphodiesterase type 5 inhibitors are considered a risk factor for sudden deafness.

 

Important Safety Information
Do not take Cialis if you  take medicines called “nitrates” which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure* use recreational drugs called “poppers” like amyl nitrite and butyl nitrite* are allergic to CIALIS or ADCIRCA (tadalafil), or any of its ingredients. After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications. Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

 

Q. I tried Cialis for the first time recently and came down with the worst back pain of my life about 12 to 24 hours later. It has lasted 3 or more days – don’t know how long it will last. I can’t sleep due to the pain. The pain affects me only when I lay down. What can I expect? Will the pain go away soon?
   I am not an expert on this topic but I suspect the symptoms will improve each day that goes on.

 

Combining with nutraceuticals
Q. I have a very specific question with respect to mixing Citulline Malate or L-Citrulline with the ED drug Cialis. I’m aware that Cialis makes mention that you should not take it with Nitrates, but seeing as how Citrulline converts to Arginine, which then stimulates NO production, I was concerned about mixing them. I would, but have not yet, take 6g of Citrulline Malate with 10mg of Cialis. Do you know if this is a safe course of action? I’m 28 years old and otherwise in good.
   A. I do not have experience with this combination. Overall I am not that impressed with citrulline as an effective sexual enhancer. There are many other ED supplements that are more effective, and when they are combined with Cialis, the dosage would need to be reduced.

 

How effective is Cialis?
I present summary findings from different research studies:

Serotonin increasing drugs can cause sexual dysfunction in women.  Three women with medication-induced sexual dysfunction derived benefit from using 20 mg of Cialis before anticipated sexual activity. Cialis appeared to be well tolerated. Journal of Sexual and Marital Therapy. 2006.

 

This 12-week, double-blind, parallel, placebo-controlled study was conducted at 25 sites in Canada to evaluate the efficacy and safety of oral Cialis for the treatment of ED. Fifty percent and 62% of patients treated with Cialis 10 mg and 20 mg, respectively, achieved successful sexual intercourse after their first dose, compared with 31% with placebo. Journal of Sexual Medicine. 2005.

 

In men with ED, Viagra and Cialis were both effective and well tolerated. After treatment with each alone, 29% of men chose Viagra and 71% chose Cialis for ED therapy during an 8-week extension. British Journal of Urology Int. 2005.

 

A 32-year-old male presented with recurrent nosebleeds during sexual intercourses. The patient controlled the bleeding each time with sponge packs and gauzes. During the consultation, he volunteered that the trigger for the nosebleeds appeared to have been the use of phosphodiesterase (PDE)-5 inhibitors, Viagra and Cialis. This first report of epistaxis after PDE-5 inhibitors in a young patient opens the possibility that in the next years the number of similar cases might increase. International Journal of Impotence Research. 2006.

 

A healthy 46-year-old man went to the Emergency Department with a 36-hour history of persistent, painful erection after taking the cyclic guanylyl monophosphate-specific phosphodiesterase 5 inhibitor Cialis. After confirmation of ischemic priapism and failure of bedside management in the Emergency Department, the patient underwent operative caverno-spongiosal shunting. Postoperatively, the erection initially rebounded but gradually receded with manual compression over 48 hours. At outpatient follow-up, the patient remained flaccid without erections. This is one of the first reports of Cialis side effect of priapism. Urology. 2005.

 

The potential mechanisms underlying back pain and/or myalgia experienced by men taking Cialis were investigated. An integrated analysis of 10 placebo-controlled Cialis clinical trials showed that the incidence of back pain and/or myalgia was 9% in patients receiving Cialis 10 mg (N=394), 8% in patients receiving Cialis 20 mg (N=883) and 3% in placebo-treated patients. Although the mechanism of back pain and/or myalgia remains unknown, these adverse reactions appear to be self-limiting and a general effect of phosphodiesterase 5 inhibition. International Journal of Impotence Research. 2005.

 

Many men with erectile dysfunction (ED) have hypertension as a comorbid condition. Recent guidelines recommend thiazide diuretics as first-line therapy for hypertension. We analyzed data from 14 randomized, double-blind, placebo-controlled trials to evaluate the efficacy of Cialis 20 mg for the treatment of ED in men on thiazides. Of the 2501 patients, 163 were on concomitant thiazides (116 Cialis /47 placebo) and 159 (98%) were reported to have hypertension. The Cialis group showed a significantly greater mean baseline to endpoint improvement on all efficacy outcome measures compared to placebo-treated patients regardless of concomitant thiazide use. More importantly, the responses to Cialis were similar regardless of concomitant thiazide use. Additionally, responses to Cialis were comparable between thiazide and nonthiazide users regardless of baseline ED severity. International Journal of Impotence Research. 2005.

 

Cialis effective for erectile dysfunction help in men with spinal cord injury
Nearly 85 percent of men with spinal cord injury given Cialis to be used as needed for a 12 week period had improvement in erections. The most common Cialis side effects were headache and urinary tract infection. Just one in four men with a spinal cord injury can achieve erections adequate for intercourse on their own. Cialis is effective for a longer period of time than Viagra and Levitra, and unlike the shorter-acting drugs, it does not interact with fatty foods. Archives of Neurology, 2007.

 

Cialis review
Q. I just wanted to ask about your "Passion Rx" supplement as far as what you say it seems to me it probably does work, the problem I have is I have tried so many different products in my years, I'm 58, I'm in very good health no problems and I take no prescription medication except for an occasional supplement for sexual performance, I have tried "Viagra" and "Cialis" and a slew of herbal supplements and have not been happy with any of them. I would appreciate your unbiased opinion on whether you think this Passion Rx should work any better for me.
   A. We find up to 80 percent of passion rx with yohimbe users are satisfied with the results, but we cannot predict an individual person's response, that is impossible to predict. As a rule, about 60 to 70 percent of Viagra or Cialis users are content with the results.


Q. I am 50 years old and am facing severe erectile dysfunction where my penis cannot erect anymore. During my teens I was full of lust and had to resort to frequent masturbation of an average of 2 to 3 times per day. But now I can't even get it erected without medication. I tried Passion RX and several other herbs but problem is once I get erected, before I finished putting on the condom, the penis is flaccid and no matter how I try or do after that it cannot erect anymore. The erection lasted only about 1 to 2 minutes even after taking Passion Rz and other herbs like Maca, Tongkat Ali, Horny Goat Weed and Testerol (which is made up of Beta Ecdysterone (30 gm)), Tribulus Terrestris 40% (200 mg) and Pepsin (10mg). However, if I take Cialis, the penis can erect for a long time and I have no problem with a full intercourse but I have difficulty ejaculating. If I don't take Cialis, my penis gets erected for a short while and goes limp immediately after that as if the flood that rush to the penis have suddenly been drained away. Arousal actions like masturbation to get it erect again after that only end in vain and draw pain and guilt in me although my wife says: "It's OK. I understand." but that makes me feel really guilty that I failed her. What is the reason for the Blood to just suddenly drained out of the penis? How come when I take Cialis I have no problem to stay erect at all? But Cialis is a prescription drug and it is embarrassing to go to the clinic with the nurse giggling away when they hand over the prescription to me. I really don't feel like going to the doctors for prescription because it is humiliating infront of the nurses who seem to think of me as an abnormal being. I know that Horny Goat Weed (Tribulus Terrestris) has the properties of a PDE5 inhibitor like Cialis or Viagra do but how come it does not work on me like Cialis can?
   A. Herbs take longer to work, they are not to be taken an hour or two or even the same day as intercourse, but they need to be built up in the body over time. The herbs increase libido, sensation, blood flow and overall sexual enjoyment, but they are not as specific as Cialis in terms of pure erection enhancement. Also, we have found that if Passion Rx is taken on an empty stomach in the morning, it works best if you don't eat anything for at least an hour, maybe two hours. You could consider doing this for 2 days on, one or more days off. If Passion Rx does not work, Passion Rx with yohimbe could, or alternating between them, or taking Prostate Power Rx on the off days.

 

Q. I just thought I would share my experiences with Passion Rx. Over two months ago, I chanced upon this sexual enhancing product. I was impressed by its list of ingredients, including maca, tribulus, muira puama, and yohimbe bark, and many others. Until this time, I have been dependent on Cialis - there was no way I could perform without it. Sometimes, even with Cialis, I had to have the greatest concentration else, I will lose it. I have been on testosterone patches and got no relief. So, I decided to take the plunge and ordered one Passion Rx with yohimbe. Around the 3rd week, I noticed that i started having spontaneous hard-ons. One night, during that week, my wife took me by surprise in the morning (I left the new pack of Cialis I just bought in my office and couldn't run downstairs before the action, so I decided to go ahead. I was surprised -- we did it. In the past, this would not have been possible, i would have lost my erection half-way.. But now I realized that I had so much libido -- the desire was strong. I decided to take the capsules for one more week. By the 4th week, I could have sex with my woman without taking the Cialis. In fact, I have used only 8 out of the 100 Cialis tabs that had arrived about 3 months ago. Interestingly, I noticed differences in how I feel even with a condom. Previously, I could not sustain an erection with a condom on, even when I take the Cialis. But now, without the Cialis and on this supplement alone, I can use a condom and still complete the act without losing it. I am so happy with your product that I reordered a second bottle and taking it now. I don't know when I would have to stop -- but realized that I can skip a couple of days and still have a long term effect. Thanks for a great product.