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Brand Cialis (Tadalafil)
Brand Cialis
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Common use

Brand Cialis was developed by the pharmaceutical company LILLY and contains Tadalafil as its main component.

Cialis is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis. It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cialis has no effect when sexual stimulation is absent. Cialis improves erection and lets achieve a successful sexual intercourse. The drug acts during 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.



Dosage and direction

The recommended dose of Cialis is 20 mg it should be taken at least 16 minutes before the sexual activity. The effect persists during 36 hours. Take Cialis once daily and do not exceed the recommended dose.



Precautions

It is preferable not to use Cialis with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Cialis if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.



Contraindications

Cialis is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.



Possible side effects

Most usual side effects of Cialis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.



Drug interactions

Co-administration with medications containing organic nitrates may cause severe hypotension which is dangerous in some cases. Avoid taking Calis with medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate. Levels and toxicity of Cialis are increased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Inform your doctor if you are taking Atazanavir, Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, Urapidil as your Cialis dose may require correction.



Missed dose

Missed dose is not supposed if Cialis is taken for treatment of erectile dysfunction as it s used when needed.



Overdose

Overdose of Cialis causes symptoms described as side effects. Seek for immediate medical help if you by your opinion you took too much of this medication.



Storage

Store at room temperature away from moisture, sunlight, kids and pets in a tight container.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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Generic Priligy

Active Ingredients:

  • Dapoxetine 60mg

How does Priligy work and what pharmaceutical group does it belong to?

Generic Priligy contains the active ingredient Dapoxetine the first medication approved in premature ejaculation treatment. By its chemical structure and effects Dapoxetine belongs to a group of medicines called serotonin reuptake inhibitors. Dapoxetine works by increasing the amount of serotonin in the synaptic gap and improving neuronal transmission and possessing inhibitory effects of libido and ejaculation. Dapoxetine helps prevent premature ejaculation and prolong sexual intercourse.

Which conditions are treated with Priligy?

Priligy is indicated to prevent premature ejaculation in men over 18 years of age

What should a patient know before using Priligy?

The Priligy should not be used in cases of:

  • Reactions of hypersensitivity or allergy to dapoxetine or other components of the medication
  • Epilepsy
  • Suicidal thoughts or attempts
  • Cardiovascular diseases ((history of heart attacks and strokes for the past 6 months, high blood pressure, coronary heart diseases, heart failure)
  • History of serotonin syndrome associated with SSRI's use
  • Liver failure
  • Renal failure
  • Women and men under 18 years of age

Which adverse effects may manifest when using the medication?

The side effects of Priligy include:

  • Nausea
  • Diarrhea
  • Insomnia
  • Tiredness
  • Convulsions
  • Headache
  • Drowsiness
  • Dizziness

Other common Priligy side effects include:

  • Anxiety
  • Numbness
  • Problem with achieving erection
  • Hot flashings
  • Sweating
  • Heartburn
  • Nasal congestion
  • Fatigue
  • Nasal congestion
  • High blood pressure
  • Difficulty concentrating
  • Decreased libido
  • Shaking or trembling
  • Indigestion
  • Dry mouth
  • Blurred vision

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Priligy?

The drug is affected by the following:

  • Blood thinners (warfarin)
  • Tryptophan
  • Tricyclic antidepressants
  • Other SSRI or SNRI medications
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Monoamine oxidase inhibitors (MAOIs)
  • Lithium preparations
  • Seizures medications
  • Cardiac glycosides (digoxin)
  • Certain antipsychotic medications
  • Tranquilizers
  • Certain antibiotics (Linezolid)
  • St. John's wort

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient: Priligy is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.