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Sunday, 12 April 2020

 There is a large number of factors that may lead to erectile dysfunction in men. Some of the most common are genetic predisposition, complications of other diseases, influence of various external factors, constant stress, and weakening of the immune system. 

 What should a man do, if the man’s power was lost? Is it possible to maintain a healthy relationship with a partner, providing there is such a problem? Those, who are ignoring the situation, should definitely try cialis online.


Its main active component is Tadalafil. This substance contains in many other products, that are designed to eliminate problems with erection. They have a high effectiveness and long-lasting results. One of the main advantages of Tadalafil is that it does not increase the heart rate, or affect the systolic or diastolic pressure. It can be taken regardless of food, as well as it is not contraindicated to use it with alcohol (unlike Sildenafil-based drugs as Viagra). The drug has almost zero side effects, and it's very simple in usage.

Kamagra is recommended for those men, who want to lead an active sexual life without any limits. A great advantage is that the medicine starts to act in just 40 minutes, and it works for the next 36 hours.

Tadacip is a generic of Cialis, that’s why there are no patent restrictions on the drug production and sale. This allows to make the price twice as lower as the cost of the original product.

Action

The medicine is used orally. When it gets inside the stomach, it starts to digest, releasing molecules of Tadalafil. In about 30 minutes after the intake, this substance gets into the blood. Partially, it settles in the cavernous bodies of the penis. The maximum concentration is reached in two hours. This concentration makes Tadalafil pharmaceutically active. It starts to selectively block PDE ferments, that are responsible for the break down of ATP and nitric oxide. Increased nitrogen triggers the production of highly-energetic connections in the penis tissues. By this, the product stimulates the blood circulation and provides for the relaxation of the smooth muscle. All these factors trigger natural mechanisms of erection. Tadacip keeps the pharmaceutical activity for 24 hours after the intake. It does not metabolize, and removes from the body naturally.

Usage and dose

The drug has 2 basic indications for usage. First of all, it treats the problem of erectile dysfunction in men. Secondly, it is prescribed to improve reaction on sexual arousal.

Due to high concentration of Tadalafil in each dose, the drug deals even with severe forms of erectile dysfunction. It has a great positive impact in such cases, when the erectile dysfunction is caused by vascular problems, for example, interrupted blood circulation, or pathologically low arterial pressure.

The clinical effectiveness is reached only when the patient is sexually aroused. Kamagra does not increase the arousal. Neither does it treat impotency.

The administration of the medicine is allowed without doctor’s prescription. However, it is recommended to take not more than a half of a tablet.

In other cases, the dosage is established by a medical expert.

As a rule, the most optimal dose is 10 mg of Tadalafil. The tablet is taken before the expected sexual intercourse regardless of food. It should not be taken more than once a day.

The dose can be increased up to 20 mg a day for those patients, who do not get the expected effect with 10 mg. At least 30 minutes should pass before the sexual intercourse. It is not recommended taking the tablets every day.

If the patient is planning to take the medication daily, this should be discussed with a health care practitioner. In the meantime, it is advised to reduce the dose to minimum. The safest choice is to use not more than 5 mg a day. Depending on personal tolerability, the dose might be lowered up to 2.5 mg. From time to time, the patient should undergo a medical examination. A dose correction may be required.

Certain groups of population may have specific dosage.

Elderly people

There is no need to change the dose for patients of elderly age (65 and older).

Patients with impaired kidney function

The dosage depends on the condition severity. Light or moderate impaired kidney function does not require dose correction. Patients with severe forms of the condition are not recommended to treat erectile dysfunction with this drug.

Patients with hepatic insufficiency

If the situation requires, the patients with hepatic insufficiency can treat erectile dysfunction with Tadalafil. The dose 10 mg should be taken prior to the expected sexual intercourse regardless of food.

There are certain safety measures concerning the drug usage for the people with severe forms of hepatic insufficiency (class C according to Child-Pugh classification). In prescribing the medication for this group, it is essential to carefully examine the health state, and weigh all the benefits against the potential risks. The indications may be different for every individual case. The dose for such patients should not exceed 10 mg.

Patients with diabetes

There are no restrictions in the drug usage for patients with diabetes.

Children and women

The medicine is not recommended for children. It is not indicated for women.

Side effects

Treatment with Tadacip may cause a number of side effects. If any side effects occur, the patient should immediately consult with a doctor. The most common conditions are headache, dyspepsia, back pain and myalgia. These side effects can be more pronounced if the patient takes the maximum day dose (which is 20mg). Below you will find a list of other potential side effects.

Often (≥1/100 -<1/10):

headache;
hyperemia;
blocked nose;
dyspepsia, gastroesophageal reflux;
back pain, myalgia, pain in the limbs.

Not often (≥1/1000 -< 1/100):

hypersensitivity;
dizzy head;
unclear vision, pain in the eye balls;
noise in the ears;
tachycardia, abnormal heart rate;
hypotension, hypertension;
difficulty breathing, shortness of breath, nosebleed;
abdominal pain, vomiting, nausea, gastroesophageal reflux;
rash, hyperhidrosis (increased sweating);
hematuria, bleeding from the penis, hemospermia;
prolonged erection;
pain in the chest, peripheral edema, fatigue.

Rarely (≥1/10000 -< 1/1000):

angioedema;
stroke, syncope, transient ischemic attacks, migraine, seizures or convulsions;
disturbance of visual fields, eyelid swelling, conjunctival hyperemia, anterior ischemic optic;
neuropathy not linked to arteritis, retinal vascular occlusion;
sudden hearing loss;
myocardial infarction, ventricular arrhythmia;
hives, Stevens-Johnson syndrome, exfoliative dermatitis, hyperhidrosis;
priapism, bleeding from penis;
edema of the face, sudden cardiac death.

Contraindications and compatibility

The drug has certain contraindications. Before starting the treatment, let your doctor know if any of the following conditions are applicable to you:

allergic or pathological reaction to Tadalafil;
any allergies to other medical drugs, food, chemicals;
high or low blood pressure;
angina pestoris, irregular heartbeat, heart diseases, heart attack in the last 90 days, other problems with heart;
diseases of kidneys or liver;
vision problems, low eyesight health (including a rare hereditary eye diseases, called retinitis).

It is prohibited to take Tadacip with any drugs based on nitrates (such as isosorbide dinitrate, nitroglycerin, isosorbide mononitrate, amyl nitrite). Their simultaneous administration may end up in serious unwanted consequences for health.

It is compatible with the following medicines and substances:

medications that treat AIDS and STIs;
certain medicines for high blood pressure;
certain medicines that treat yeast and fungal infections;
certain antibiotics like erythromycin and clarithromycin;
rifampicin or rifabutin;
grapefruit juice.

This list might be not complete. Interaction with other medical drugs might have an unpredictable effect. For this reason, inform our doctor about whatever other medicines you are taking (including medical drugs, herbs, remedies taken without prescription, nutrient supplements, and vitamins).
 
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