Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
Like all medicines, CIALIS can cause side effects, but not everybody gets these side effects.
Generic version of CIALIS uses CIALIS more than 1,000 more than 1,500Generic version of CIALIS side effectsThere is no evidence that it is safe to take this medicine if you have had a heart attack in the last 6 months. It is not recommended for use after a stroke, major surgery or if you have had a heart attack or had a heart attack with a atrial fibrillation.
Do NOT take CIALIS if:
you are taking or have recently taken any other medicines (see also Drug Interactions section). These should not be taken again without talking to your doctor.
Men who take nitrates for chest pain when taking CIALIS may experience a lower blood pressure. This could be from a higher blood pressure, for example high blood pressure in the lungs, or a heart condition, high blood pressure or diabetes.
Also, CIALIS should not be taken if you have ever had an allergic reaction to nitrates or any of the ingredients in CIALIS tablets.
Last updated 13 November 2023
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The so-called ‘weekend pill’ will soon be made by generic manufacturers, as Eli Lilly’s patent on the drug is expected to expire in the UK 14 November 2017, and will be made available soon after from.
The patent for Cialis expired in March 2015 in Brazil, and is now available in that country as generic tadalafil from Sandoz.
Containing the active ingredienttadalafil, Cialis was, to compete with Pfizer’s erectile dysfunction medicine Viagra. It was originally developed to relieve frequent urination or weak flow of urine in patients with enlarged prostates, but it also helps increase blood flow to the penis.
Cialis, Viagra and several other ED medicines are phosphodiesterase-5 (PDE5) inhibitors, which work by inhibiting the enzyme that regulates blood flow to the penis. The principal difference with Cialis is its duration.Unlike Viagra and Levitra, which last for about 4 and 12 hours respectively, Cialis lasts for about 36 hours.Patients will not have a continuous erection, but can achieve one when sexually stimulated throughout that time frame. Under ideal circumstances, a man can buy Cialis to take on a Friday and still experience the effects on Sunday morning.
The extended duration has the potential to allow couples to be more spontaneous than with other ED drugs, which must be taken an hour or so before sexual activity. Cialis can also be taken in lower daily doses of 2.5–5mg, to allow for continuous treatment of ED.
When Pfizer, other manufacturers began making generic sildenafil, resulting in a dramatic reduction in price, and the same can reasonably be expected for Cialis.
When developing a new drug for release to the market, drug companies choose a brand name for the medicine. It is then often prescribed by doctors by its name. Upon expiry of the patent, competing drug companies can then create a generic version of the medicine, assigning it a new brand name or just using the name of the active ingredient. Patients may soon be able to buy generic Cialis simply under the name ‘Tadalafil’.
Only the 5mg, 10mg and 20mg strengths of generic Cialis will be available from 14 November 2017.
may differ in their packaging or in the size or shape of the tablets, but they are required to be medically the same as their branded equivalents. The dosages, effects and active ingredients are the same. Quality assurance of both branded and generic medicines is carried out by the European Medicines Agency in London or by the governing authorities in member countries where the medicine is sold.
In 2014 the French drug company Sanofi reached an agreement with Eli Lilly to apply to provide Cialiswithout a prescriptionin the United States, Canada, Australia, and Europe. As quoted in a press release by Eli Lilly, “Sanofi anticipates providing Cialis OTC after expiration of certain patents,” though terms of the licensing agreement were not disclosed, and the application would face significant regulatory hurdles.
This could have a dramatic effect on the drug’s competition with Viagra, considering the stigma attached to erectile dysfunction and many men’s hesitance to discuss it with their doctors. Although sildenafil, branded Cialis, and other ED medicines can be acquired through a face-to-face consultation with a GP or pharmacist, or by following a simple with a pharmacy such as Dr Fox, having the medicine available without a prescription will make it even easier to obtain.
Update September 2023:and both now available without prescription.
In this case patients can also expect to respond with competitive pricing to buy generic Cialis, and the same straightforward ordering process that has attracted patients to purchase medicine online in the past.
Cialis is know as the ‘weekend pill’ due to its 36 hour duration of action. It’s due to be available over the counter in a 14 times paediatric daily dose.Before we dive into whether Viagra is legal in Bali, it's essential to understand what Viagra is and what it's used for. Viagra is a medication that contains the active ingredient Sildenafil Citrate, which is used to treat erectile dysfunction (ED) in men. ED is a common condition where a man has difficulty achieving or maintaining an erection during sexual activity. Viagra works by increasing blood flow to the penis, which helps men achieve and maintain an erection.
Now, let's get to the main question, isViagra legal in Bali?The answer is no, it is not legal to buy Viagra in Bali without a prescription. Indonesia has strict laws regarding the sale and distribution of prescription medication. This includes Viagra, which is classified as a prescription-only medication in Indonesia. Therefore, if you're planning to visit Bali and need Viagra for medical reasons, you'll need to have a valid prescription from a licensed doctor.
It's essential to be cautious when purchasing medication in Bali, especially if you're buying from street vendors or unlicensed pharmacies. It's illegal to sell medication without a license, and there have been reports of counterfeit Viagra being sold in Bali. Counterfeit medication can be dangerous, and it's best to purchase medication from licensed pharmacies that follow proper storage and handling procedures.
If you have a prescription for Viagra, you can bring it with you to Bali. However, it's advisable to check with Indonesian Customs and Excise regarding any restrictions on bringing medication into the country. You should also keep your prescription with you at all times while in Bali, as it may be required by local authorities.It's important to note that Indonesia has strict laws and regulations regarding the importation of medications, particularly prescription drugs. While Viagra is legal to use with a prescription in Indonesia, the country's laws and regulations surrounding medication are subject to change, so it's always a good idea to verify with the Indonesian Customs and Excise or the Indonesian Embassy in your home country to ensure that you comply with the latest regulations.
Additionally, keeping your prescription with you at all times during your stay in Bali is important to avoid any potential legal issues or misunderstandings with local authorities. This is particularly important if you plan on carrying your medication with you while traveling within Bali, as authorities may ask to see your prescription to ensure that you're using the medication legally.
Viagra is not legal in Bali without a prescription. If you require Viagra for medical reasons, it's essential to have a valid prescription from a licensed doctor. It's also important to be cautious when purchasing medication in Bali and to buy from licensed pharmacies that follow proper storage and handling procedures.
Sunderland B Bali Customs AbortionargoedCarenthoodHIV Treatment in Bali: Drugs for Erectile Dysfunction in Bali Bali authorities are scarce, but many businesses in Indonesia offer abortion pills, including those manufactured by private firms. This option may be legal in Bali if the patient requires one. The most common types of abortion pills in Bali are Viagra and Cialis. There are two main types of abortion pills in Bali: medical and surgical. Medical abortion pills come in various types, including injectable and surgical abortion pills. Surgical abortion pills come in different types, including surgical and medical abortion pills. The types of abortion pills in Bali may vary in price, but they generally cost a little less than medical abortion pills.Be sure to check the labels on all abortion pills in Bali to ensure that they are safe for you to use. If you have a bladder that won't let you use medical abortion pills, you should consult a doctor before using them. They can guide you on the appropriate method of administration and potential side effects, so you should always check with the Indonesian Customs and Excise or the Indonesian Embassy in your home country to verify the safety of any medication in Bali.
Be cautious while you are using medical abortion pills if you have a bladder that won't let you use medical abortion pills. They can cause serious problems if used correctly. Make sure to check the labels on all medical abortion pills to ensure that they are safe for you to use.
Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.
Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.
Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.
If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.
For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:
Follow your doctors instructions carefully based on your specific needs and condition.
If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.
Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.
Read the "Patient Information Leaflet"for detailed instructions on how to get a prescription for Tadalafil generic and how to evaluate it for suitability.If youoroughly covered by insurance, you should always consult your health insurance provider about any prescriptions you are receiving.Pfizer Cipla Ltd.
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