There are several reports available that show men taking Cialis tablets once in a day can restore their erectile function and return to normal sexual activities. The study results published in the Journal of Sexual Medicine reveled that this medicine has a greater percentage of men having an incomplete response to the PDE5 inhibitor treatment as needed or as compared to any placebo. The erectile function is measured with accordance to the domain of the International Index of Erectile Function or IIEF-EF. 

Cialis is actually a phosphor-diesterase type 5 inhibitor. This is approved by the Food and Drug Administration or FDA for different uses such as:

• Erectile dysfunction or ED
• The signs and symptoms of Benign Prostatic Hyperplasia or BPH and 
• For both ED and the signs and symptoms of BPH.

According to the study reports, the PDE5 inhibitors were found to be highly effective for most of the respondents but when it is taken as-needed. However, when the responses of the participants were measured, it was found that it ranges from a minimal change to just a simple return to normal erectile function. 

It is believed that the study results will help the prescribers in making better and more informed decisions while treating such patients. At this point there are a few points to note before using Cialis. 

• Cialis should not be taken with medicines that are marked “nitrates” such as isosorbide mononitrate or isosorbide dinitrate that are often prescribed by the doctors for chest pain.
• It must also not be taken with specific recreational drugs such as “poppers” like butyl or amyl nitrite as the combination. This might cause an unsafe and unexpected drop in blood pressure
• You must also not take Cialis if you are allergic to Adcirca or Tadalafil or any of its components. 

If you experience any allergic reaction symptoms such as skin rashes, swelling of the lips, tongue or throat, hives, or face difficulty in breathing or swallowing, you must get help or call a healthcare provider right away. 

About the safety aspect 

Cialis is actually indicated for treatment of erectile dysfunction in men whether it is simple ED, BPH or ED+BPH. It is certainly not indicated for women and children. There are a few most important information that you should know about Cialis to take it safely and have the best results. 

• You must take it just as directed and not take it as mentioned above. 
• You must also know that after you take a tablet some amount of the active ingredient will remain in your body for more than 2 days. 
• This active ingredient may even remain for a longer time if you suffer from any medical issues with your kidneys or liver and even if you are taking any other specific medications.

In case of any difficulty such as dizziness, chest pain, or nausea during having sex you should stop sexual activity and get medical help right away. This is because any sexual activity when you have such symptoms will put additional strain on your heart which can be very bad especially if you have had a heart attack or your heart is already weak due to a heart disease.

Meeting with the doctor

Right at the outset you must know that Cialis is not designed for everyone. It is only your doctor or healthcare provider who can decide whether or not this medication is right for you. The first thing that is required is to have a healthy heart enough to have a sexual activity. You should not take Cialis if you have any health problems.

When you meet your doctor or the healthcare provider before taking Cialis you must make sure that you ask a few specific things regarding your medical problems, all of it including:

• All heart problems such as heart failure, chest pain or angina, irregular heartbeats, or heart attack if ever
• Your low blood pressure or uncontrolled high blood pressure
• Event of stroke if any
• Any liver or kidney problems that require dialysis
• Rare genetic eye disease such as Retinitis Pigmentosa
• Any severe vision loss including NAION condition
• Any bleeding problem or stomach ulcers 
• Any deformation in the shape of your penis or Peyronie’s disease
• Any abnormal erection that lasted for more than four hours and 
• Problems with blood cells such as leukemia, sickle cell anemia, and multiple myeloma.

Make sure that you also tell about any other specific medications that you take on a regular basis because other medicines can affect the functioning of Cialis. Tell your healthcare provider especially about:

• Medicines called “nitrates” 
• Medicines called “popper”
• Alpha-blockers for prostate problems
• Blood pressure 
• HIV or of oral antifungal issues
• Antibiotics such as clarithromycin, erythromycin, telithromycin, and 
• Any other treatments or medicines erectile dysfunction.

The doctor will then decide whether or not you should at all place an order at RXShopMD.com for a pack of Cialis. If so, the doctor will also tell you the substances and medicines that you should not take Cialis with. 

• One such is Adcirca because Cialis too is used for the same treatment, pulmonary arterial hypertension. 
• You must not take Cialis with sildenafil citrate or Revatio as well and 
• Do not take Cialis if you take other ED medicines or treatments.

Also make sure that you do not consume too much alcohol when you take this medication. Drinking five glasses each of wine and whiskey will increase the likelihood of getting dizzy or a headache. This will increase your heart rate or lower blood pressure.

The possible side effects of Cialis

There are a few common side effects with Cialis such as headache, back pain, indigestion, muscle pain, flushing, and runny or stuffy nose. All these side effects however go away usually after a few hours. 

Back pain and muscle aches are commonly experienced 12 to 24 hours after taking the pills and typically stay for 2 days. If it stays for longer, call your healthcare provider.

As for the uncommon effects that can be serious and need doctor’s attention include erection that won’t go away, sudden loss or decrease of vision.