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.
This medicine is also used as a recreational drug. Please tell your doctor or pharmacist if you are also taking various other prescription medications. Some contain alcohol and cause unpleasant side effects
For further information see:
- reserved medicine for treating erectile dysfunction - view & author: VillicottNaturelussage: Villicott Park Road East
Men with a first date of sexual activity after trying CIALIS (the medicine tadalafil) are at higher risk of experiencing side effects. We have with us at Biggin that we can pack you in some medicine for a good price.
We have with you at Biggin that we can pack some medicine for a good price. You may buy this medicine from - only if you don’t have to, or have a better price.
Medicines are available in various forms for the treatment of health problems, some being prescribe on a medical prescription. Please visit for more information.
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Cialis 20mg is a tablet that is taken orally and works by increasing blood flow to the penis during sexual stimulation. This medication should be taken at the same time every day. It is important to note that Cialis 20mg does not work immediately if sexual arousal is not achieved. It takes 3 to 5 days for Cialis 20mg to start working and it may take up to 6 months to see the full effects.
Cialis 20mg tablets are to be used under the supervision of a healthcare provider. They will assess your suitability for Cialis and provide tailored guidance to ensure safe and effective treatment. The most common side effects of Cialis 20mg include headache, nasal congestion, dizziness, flushing, and indigestion. These side effects are usually mild and temporary and subside with the completion of treatment. However, if you experience any severe or persistent side effects, it is important to consult with your doctor promptly.
Side effects of Cialis 20mg may be less common if you do not have medical conditions, take more or less frequent medicines, or if you are using certain treatments.
Cialis Together for Erectile Dysfunction
Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.
Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.
It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.
Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.
The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.
The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.
Is Cialis Together right for me?
If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:
How to use:
Take Cialis Together as prescribed by your doctor. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Just take the medicine regularly as your doctor has told you.
Important safety information:
Do not take Cialis Together if you are allergic to tadalafil, any of the ingredients, or any of the products listed at the end of this leaflet. Tell your doctor or pharmacist if you have any of the symptoms of any of these diseases:
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If you want to buy the branded version, you can buy the generic version of Cialis, which can be purchased at the same time as the original Cialis. Make sure that you choose a pharmacy that has the best quality generic medication, and that you can get the medication delivered to your doorstep.
Follow Instructions</ Follow the instructions on the packaging and label.