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Cialis - Sexual Improvements
March 21, 2016

Cialis

(6R-trans)-6-(1,3-benzodioxol-5-yl)- 2,3,6,7,12,12a-hexahydro-2-methyl-pyrazino [1′, 2′:1,6] pyrido[3,4-b]indole-1,4-dione. This is the complex chemical designation for the drug commonly known and sold as Cialis (pronounced see-Alice), also known as Tadalafil.  The molecular formula for Cialis is C22H19N3O4, and the molecular weight is 389.404 g/mol. Cialis is a drug used to treat the symptoms of Erectile Dysfunction. Cialis can also be utilized to treat the symptoms of Benign Prostatic Hyperplasia (also known as BPH). Some men with Erectile Dysfunction may also have BPH.

This drug was discovered in 2003 by Glaxo Wellcome (now known as GlaxoSmithKline), Eli Lilly, and ICOS: who at that time were working together.  These companies later sold out their shares and Cialis is now marketed, sold, and produced by Lilly USA, LLC. Cialis is only the third prescription medication that has been made available for erectile dysfunction.  It also happens to be the only Erectile Dysfunction medication that patients who are suffering from erectile dysfunction can consume on a daily basis. The FDA approved Cialis for use in Erectile Dysfunction patients in 2003. It was not approved by the FDA for use as a treatment for the symptoms of Pulmonary Arterial Hypertension until May of 2009.

What is Erectile Dysfunction?

what is erectile dysfunction and how would cialis helpErectile Dysfunction, also known as ED or impotence, is a diagnosis in which a man is unable to achieve or keep an erection during sexual intercourse. There may be many causes for occasional impotence while still not having Erectile Dysfunction. The causes including but not limited to stress, depression, drinking too much, medications, and being overly tired. Symptoms of Erectile Dysfunction are usually related to a blood flow issue to the penile arteries.

Remember, it is normal to have arousal issues occasionally. When it becomes a persistent problem, however, that is when you could be diagnosed with ED. Please consult with a medical professional regarding your personal case. Erectile Dysfunction is becoming a widely known issue for men, affecting roughly 18 million men over the age of 20. Men aged 20 to 40 made up only 5% of this number.

How Cialis Works

First, it is beneficial to understand the process of obtaining an erection.  Nitric oxide is released from nerve endings, and this leads to the production of cGMP (cyclic nucleotide guanosine monophosphate). cGMP smoothens the muscles of the arteries and results in increased blood flow.

When you take Cialis, it prohibits the production of phosphodiesterase type 5, also known as PDE5.  With less PDE5 there is more cGMP which results in a better chance of an erection.  The effect of Cialis on the PDE5 enzyme will work but if there is no sexual stimulation an erection is impossible. Therefore, there is no chance of that awkward or unpredictable erection which can be the cause of an embarrassing moment. Cialis has a long half-life of 17.5 hours, which has earned it the nickname “the weekend pill”.  This causes each pill to be beneficial to you for between 24 and up to 36 hours and possibly even longer if you have kidney or liver problems.

Cialis is several thousand times more potent at prohibiting the PDE5 enzyme production, as well as disturbing the production of these other enzymes: PDE1, PDE2, PDE4, and PDE7. These enzymes have been discovered in blood vessels, the skeleton, the liver, and the brain. Cialis has been able to provide results of arousal four times longer than that of the other ED drugs on the market.

Encouraging Erections

Whenever you desire to have an intimate time with your partner, the hours before having sex should be used to set the mood. Enjoyment is part of this process, and there should be lots of it. Cialis requires sexual arousal to work; here are a few pieces of advice to help you.

Prepare the Mood: Set yourself up for a relaxing evening with your partner. Dress up and do the little things that matter, be it going to her favorite restaurant or just mentioning how beautiful she looks. If you happen to be staying at home, make the night special. Give her a nice, soothing massage, and have a candlelight dinner. For Cialis to be most beneficial, the desire for relations with your partner must be present.  Celebrate! Enjoy each other.

Take your time: Cialis will reach its promised performance in roughly 15 to 30 minutes. Rest assured, Cialis can also be taken up to 4 hours before the desired time you intend to have sex. Use a good strategy for the evening, and you will reap the benefits.

Improve your health: Diet and exercise will not only help your physical appearance, but it will also improve your sexual performance while taking Cialis. Certain foods may slow the process of Cialis entering your system. So be mindful of your diet, it is crucial in allowing the medication to be of most benefit to you. Overall, an exercise and diet plan is an excellent way to keep you in great shape both mentally and physically. Discuss with your doctor and a nutritionist about your diet and exercise goals suitable for you and your particular situation.

Discussing Cialis with your Doctor

Cialis is not a good fit for everyone. Consult with your physician about cialis and the doctorwhether Cialis is an appropriate fit for you.  Inform your doctor of all medical problems before beginning a Cialis regimen.

Especially if you’ve had any of these medical conditions:

  • heart problem – irregular heartbeat, heart attacks, heart failure, or chest pain(angina)
  • pulmonary hypertension
  • low blood pressure or uncontrolled high blood pressure
  • stroke – especially in the past six months
  • liver, kidney problems or if dialysis is required
  • retinitis pigmentosa – a rare eye disease which runs in families(passed genetically)
  • severe vision loss – which also entails NAION
  • stomach ulcers – or any other bleeding problems
  • a deformed or abnormal penis shape – a disease called Peyronie’s
  • blood cell problems – such as sickle cell anemia, leukemia, or multiple myelomas

Other Medicines Affecting Cialis

  • nitrates – which are medicines usually prescribed for chest pain
  • guanylate cyclase stimulators – as in Adempas, a medication used to treat chronic thromboembolic hypertension and pulmonary arterial hypertension
  • Alpha blockers – often for prostate problems
  • any blood pressure medications
  • medications for HIV – or other forms of oral antifungal medications
  • some antibiotics – which include telithromycin, clarithromycin, erythromycin (many are available, please consult your healthcare provider to discover whether you are or will be taking this medicine)
  • Other medicines or treatments for ED.

Avoid grapefruit and grapefruit juice, as this may cause you to have adverse effects.

Taking Cialis

Cialis should only be consumed once every 24 hours. If you miss a dose, you may consume it as soon as you remember. Do not take if it is close to your next dose. Just remember not to take more than one dose a day.  Take this medicine exactly as prescribed by your healthcare provider.

Avoid excessive alcohol use. Consuming alcohol significantly boosts your chance of getting a headache, upping your heart rate, decreasing your blood pressure, and making you dizzy.

Side Effects of Cialis

Most frequent side effects include:

  • headache
  • indigestion
  • muscle aches
  • back pain
  • stuffy or a runny nose
  • flushing
  • sore throat

Most of these side effects should start disappearing in a couple of hours. Men who experience back pain or muscle aches often develop those 24 hours after ingesting Cialis. These pains are usually temporary, and it takes roughly two days to recover from them. Call your healthcare provider promptly if you feel disturbed by these side effects or they do not go away.

Uncommon side effects:

side effects of CialisAn uncommon side effect of Cialis is the case of an erection that will not go away. If an erection persists more than 4 hours – seek medical attention immediately to reduce the risk of long-term injury

In rare cases, men taking prescriptions for ED, like Cialis, reported a sudden loss or decrease in vision or hearing (sometimes there is ringing in the ears and dizziness). It is impossible to conclude whether this is directly related to the ED medications or because of different factors. If this happens to you, stop all ED tablets immediately and call your healthcare provider.

Make sure that you realize that Cialis does not cure ED, raise sexual arousal, safeguard a man or his partner from diseases transmitted sexually(including HIV), or serve as a male form of contraception.

Dosage and chemical composition

Cialis is available in 2.5, 5, 10, or 20 milligrams. Cialis tablets are yellow in color, film-coated and shaped like an almond that is intended to be taken orally. Cialis will not dissolve in water, and in pH ranges 1-11 Cialis does not possess any ionizable groups.  It is also only somewhat soluble in ethanol. Croscarmellose sodium, titanium dioxide, microcrystalline cellulose, sodium lauryl sulfate, talc, hydroxypropyl cellulose, hypromellose, iron oxide,  triacetin, magnesium stearate, and lactose monohydrate are the inactive ingredients found in Cialis.  The regular starting dose for Cialis daily use is 5 to 10 milligrams. Some adjustments may be necessary depending on how your body tolerates Cialis use. It may be lowered to 5 milligrams or increased to 20 milligrams per your healthcare providers’ orders. Again, Cialis is to be used only once a day unless instructed otherwise by your healthcare provider.

Counterfeit or Fake Pills

Beware when buying Cialis, as the opportunity for receiving fake or counterfeit pills is possible if Cialis is not purchased through the proper dispensaries.  It is impossible to guarantee the actual chemical makeup of these fake or counterfeit pills. Some of these fake pills contain lead, mercury,  and even pesticides. Therefore, these counterfeit pills can be damaging or even deadly when ingested. Always use caution when purchasing pills online!  Buy Cialis only from reputable sites using a valid prescription.  Despite what you may read, there is currently no generic approved by the FDA for Cialis.

Conclusion

Inability to get or maintain an erection is a sign of Erectile Dysfunction. Please discuss your options with a medical professional. Cialis is available by prescription only and should not be used as a recreation drug. This prescription medication was approved for use by the FDA to treat Erectile Dysfunction in 2003 by what is now the pharmaceutical company known as Lilly USA, LLC. Please discuss all previous and current medical conditions with your healthcare provider before beginning Cialis use.

Source Material

http://www.cialis.com/ http://www.drugs.com/cialis.html http://www.webmd.com/erectile-dysfunction/ http://www.rxlist.com/cialis-drug.htm

Mark Meyers

Mark is founder and sexcoach at Sexual Improvements. "Anyone can have an awesome sexlife with the right information!"

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