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How Long Does Cialis Last? Tadalafil Half Life Explained By My Canadian Pharmacy Experts

Cialis has been sold worldwide since 2003. It was the drug manufacturer Eli Lilly who developed Cialis and today is a very strong competitor for Viagra. The biggest difference between Viagra and Cialis is that Cialis has an effect lasting about 36 hours while Viagra lasts about four hours.

Cialis (tadalafil), like sildenafil, is a selective inhibitor of phosphodiesterase with the indication erectile dysfunction. As with sildenafil, sexual stimulation requires that the drug is effective. The proportion of responders in clinical trials, i.e. Patients who recovered normal erectile abilities were 10.9% in placebo groups, while 39.7% and 58.6% in the 10 and 20 mg tadalafil groups respectively. The drug has a long half-life, which means that the effect can last for 24-36 hours. The drug has been shown to be effective in patients with diabetes. However, no studies have been performed on patients with central nervous system disorders or have undergone different types of surgery in the pelvis.

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Cialis effect duration that makes it unique

Tadalafil is the second selective inhibitor phosphodiesterase for the treatment of erectile dysfunction. The efficacy compared to sildenafil has not been clarified but appears to be similar. A difference compared to sildenafil is that tadalafil has longer efficacy time. The significance of this for safety has not been clarified. Another difference is that the effect of tadalafil, in contrast to the case of sidafil, has not been documented in patients with neurological damage such as spinal cord injury or in patients who have undergone various forms of surgery in the pelvis.

As stated above, the biggest difference between Viagra, Cialis and Levitra is that they have different long-lived effects. Cialis has effect up to 36 hours which is 32 hours longer than Viagra and Levitra, Cialis is also called the weekend game.

In order for an ED drug to give effect, you need to be sexually excited to get an erection. Over 80% of those who test Cialis have experience potent results of restored erectile function. Cialis works within 30 minutes and lasts about 36 hours.

Most men choose Cialis in front of Viagra because Cialis has less effect on the other body, which may feel milder.

A functioning erection is a basis for a good sex life and positively influences relationships. As men have a better potency, their self-confidence increases when using Cialis or Viagra. Cialis has affected more than 80% of men with erection problems. Tadalafil is the active substance found in Cialis.

The function that Cialis provides is that the muscles around the swelling bodies of the penis relax and increase blood flow to the penis, resulting in erection.  If you are 18 years old and experience erection problems, you can order Generic Cialis online from us at My Canadian Pharmacy (view offer page: http://www.mycanadianpharmacygroup.com/generic-cialis). There are only a few who have experienced side effects. Cialis is most appropriate if you are taking other medicines.

All drugs give some side effects. Most people who take ED drugs are not affected by any side effects. The side effects listed below have only been found a few times. Nasal congestion, headache, indigestion, back pain, hives, flushing, muscle pain, swollen eyelids are listed by the developer as possible side effects to Cialis use.

Cialis can be purchased in 10mg or 20mg. We recommend 10 mg initially because there are lower side effects. If you do not get the result you want, try 20mg. After about 30 minutes you will notice the effect of Cialis, which lasts for up to 36 hours when you are sexually excited.

What is Cialis half life?

In sexual stimulation, a localized release of nitrogen oxide occurs in the erectile tissue of the penis, which stimulates guanyl cyclase activity. This raises the intracellular concentration of cyclic guanosine monophosphate (cGMP) that relaxes the smooth muscle in the blood vessels. This leads to increased blood flow in the penis and erection. Inhibitors of phosphodiesterase 5 reduce the degradation of cGMP thereby enhancing the response to the release of nitrogen oxide. Phosphodiesterase inhibitors have no effect in the absence of sexual stimulation.

In 1998, the first oral drug was approved for erectile dysfunction, sildenafil, a selective inhibitor of phosphodiesterase 5. Now, an additional selective inhibitor of phosphodiesterase 5, tadalafil, has been approved.

A pharmacokinetic difference between tadalafil and sildenafil is that tadalafil has a half-life of 17.5 hours in healthy subjects, while sildenafil is approximately four hours.

Dose effect studies have been conducted at doses ranging from 2-100 mg tadalafil. In all studies, fixed doses were tested in parallel groups. No dose titration studies have been conducted to attempt to highlight treatment response at higher doses in patients who did not have adequate effect of 10-20 mg. Based on the outcome of the dose-effect studies, doses of 10 and 20 mg were tested in phase III studies.

Six placebo-controlled parallel group studies have been conducted. In three of the studies, tadalafil was given in the recommended doses of 10 and 20 mg. All studies began with a treatment-free period of four weeks to determine the erectile function and sexual function at the base level. Patients were instructed to take the drug as needed regardless of the expected sexual activity. The effect was evaluated after twelve weeks in six studies, (interim report in one) and after six months in a study. A total of 1,113 patients were included in the six studies.

The study population consisted of men over 18 years of age in a stable monogamous relationship with female partners who had had at least three months of erectile dysfunction. Patients who used nitrates or had an unstable heart disease including unstable angina, heart failure or uncontrolled hypertension were excluded. In a study, patients with diabetes mellitus were included. Patients suffering from erectile dysfunction due to spinal cord injury or other neurological damage, as well as prostatectomized patients or pelvic surgery or trauma patients were excluded or studied to a limited extent, therefore the efficacy of these patients is not known.

The drug effect was evaluated using two questionnaires. IIEF (International Index of Erectile Dysfunction) is a questionnaire that evaluates the patient’s perception of the erectile function in the last four weeks. The total score may vary from 1 to 30. A score >26 is considered normal erectile function.

The SEP Diary (Sexual Encounter Profile) is a questionnaire filled in by the patient shortly after each sexual intercourse attempt. SEP has five questions, the answers should be yes or no.

The primary effect measure was composed of three variables that illuminated the erectile function. The one highlighted function in the last four weeks (IIEF domain erectile function), the second and third were SEP Question 2 (Could you insert your penis into your partner’s vagina?) And 3 (If your erection is long enough to make you could carry out a successful intercourse?).

Make it or break it things affecting Cialis results

The major benefit of Cialis compared to other erectile drugs (Viagra, Levitra) is the long-term effect. Since it is not necessary to take this erectile pills right before sexual intercourse, your sex life becomes a natural character again. But for Cialis effects to be their best, a few simple rules should be observed.

Cialis can be ordered in 10 mg and 20 mg packagings. The tablets 5 mg and 2.5 mg are called Cialis Once a Day. Always follow the doctor’s advice when using this erectile agent. Cialis 10 mg and 20 mg take at least 30 minutes before you have sex. After ingestion, this drug is still active for 36 hours. You can experience sex without problems during these 36 hours. The variant Cialis Once a Day is taken every day at a fixed time, which gives you a continuous effect. It is not recommended to use Cialis in combination with alcohol. This can have a negative influence on the effect. Use Cialis 10 mg, 20 mg, 5 mg and 2.5 mg no more than 1 time a day.

Note: Cialis is not intended for men under 18 years or for women. If you are taking other medicines, tell your doctor. It is possible that the combination with Cialis gives interaction.

If you use your Cialis pills with regard to the safety rules, you will observe the following benefits:

Normal sex life. Unlike other erectile pills, the effect of Cialis is about 17 to 36 hours. That is also why it is also called the weekend puzzle. With Cialis you do not need to ‘plan in’ sex and can therefore have spontaneous intercourse. You then get the feeling of having an erection in a natural way. Cialis only has effect when you become sexually stimulated;

Available in different dosages. Cialis can be ordered at Dokteronline.com in 2.5 and 5 mg (this is the ‘Once a Day’ variant), 10 mg and 20 mg. By testing on different dosages (start with a low dose), you prevent side effects such as headache and pain in the back;

Longer and faster effect. In addition to the long lasting effect, you notice the effect of Cialis after 15 minutes. It’s faster than ‘colleague’ Viagra.

More news about Cialis by My Canadian Pharmacy Team:

Malayan Root Can Beat Cialis

History of Tongkat Ali (Malayan Root)

According a number of scientists from Oxford university, 18 million people living on Earth have one and the same ancestor. And this forerunner is Genghis Khan. His relations with wives were under seal of secrecy. Anyway, it was known that the quantity of his wives reached 7000. Only nowadays, research studies in Mongolia, the USA, Japan and India discovered unknown details of Genghis Khan’s intimate life. It is known that he liked Chinese women, since they were aware of great secret of male power enhancement. They always prepared specific tea for Khan which was made of Malayan root, Tongkat.

Malayan RootTongkat root was good for clear mind, confidence in one’s strength and vital energy. Also, Tongkat increased quality and quantity of semen. Therefore, Genghis Khan could spend just one night of love with a woman and make her pregnant. This root was much more expensive for Mongols than gold. Ancient Mongols was known in the world’s history as quite lovable people. Impossibility or refusal to have sex with a woman from captured town could even entail death penalty. Therefore, Mongol warriors were afraid of impotency more than death and took Tongkat root regularly.

Centuries-old wisdom of indigenous community in Southeast Asia was object of desire for all conquerors of the East at all times. The secrets of unique herbal extracts were hand down by Malayan oracles from generation to generation. Even modern medicine which is aware of all components of old infusion, since they are not able to find out the correct proportions. Secret Malayan formula which was used within ages for overall rehabilitation and sexual attraction boost remained accessible only for selected number of oracles’ descendants.

Legendary Remedy

Fabulous root Tongkat and complex of natural biocomponents promote natural production of testosterone by male organism. Tongkat Ali is beneficial for men’s self-confidence in any situation, boost of sexual activity and achieving of harmonious relations. This root is 100% natural and is aimed at sex quality improvement. Its impact on male organism may occur in two aspects: provision of mechanical factors, such as enhancement of erection and penis enlargement, and stimulation of emotional sensations during coitus. The medication is able to boost testosterone level in blood leading to libido enhancement and stimulation of blood supply to pelvic organs. Thus, blood circulation may increase and enhance fill rate of cavernous bodies of penis, and erection will become more steady and long-lasting.

Read this article if you want get to know more information about Testosterone: A New Look at Testosterone Replacement Therapy

Tongkat Mechanism of Action

Tongkat Mechanism of Action

  1. Boosts sexual attraction

Malayan root is a tried-and-true aphrodisiac awakening a real macho in each man. It increases the level of natural testosterone making a man more sexually energetic. Aged man will definitely experience intense and varied sexual life as it was at the young age.

  1. Enhances quality of erection

Your erection will surprise your partner. This ingredient improves blood supply and the work of cardio-vascular system due to which nitrogen oxide is actively supplied to penile cavernous bodies. Filled with blood arteries is a long and steady erection.

  1. Prolongs sexual intercourse

High levels of testosterone are not only good for increase for sexual abilities, but also prolongation of coitus. Fast ending of sexual intercourse is often connected with psychological problem – anxiety about firm erection. In case of Tongkat intake, a man has nothing to worry about. Long-lasting and steady erection along with high testosterone level provide a man with self-confidence.

  1. Enhances orgasmic sensations

Orgasm is one of the most pleasant joys of life. What may enhance these feelings? Tongkat root makes orgasm more bright and vivid due to enhanced amount of testosterone. Testosterone is considered to be a strong antidepressant. On the background of overall emotional lift all pleasant events acquire especially intensive color. Orgasm is no exclusion. Unforgettable feeling during sexual intercourse provide you with deep emotional satisfaction with your own capacities and relations with a partner.

  1. Boosts physical endurance

Malayan root keeps a man in perfect fit, since it activates metabolic function, improves cardiac work, and normalizes blood pressure. While increasing the level of natural testosterone, sport indicators grow, the restoration period after physical training reduce, and mind set of a winner is formed.

  1. Good for muscle gains

Terrific effect of Malayan root is noticeable at a gym. In several weeks, muscles will grow. But why? Scientists have discovered that muscle development process is affected by testosterone. This hormone impacts muscle tissues in two ways: acceleration of protein synthesis rate in muscles and protection of muscles against damage during loads. Thus, the higher testosterone level is, the faster muscle bulk grows and safer its condition is during training.

  1. Stimulation of immunity

Natural Malayan root enhances body resistance to various infections. Viruses and bacteria will keep away from you.

All in all, Tongkat root improves erection, enhances orgasm, redoubles sexual desire, prolongs sexual intercourse, enhances sensations, stimulates immunity, boosts workability and ameliorates blood circulation.

Synthetic Cialis or Natural Malayan Root?

Synthetic Cialis or Natural Malayan Root

Chemically synthesized medications for ED treatment (including Cialis) are medicinal products, which means they can be prescribed by physicians for treatment. Tongkat Ali is a biologically active supplement and not a medication; therefore, it is impossible to state that it treats anything. Only safety of this remedy is clinically confirmed. Tongkat is known as a healing herb from Malaysia.

Let us compare the products according to:

  1. Onset time;
  2. Naturality;
  3. Efficiency;
  4. Side-effects

Onset time

Chemically synthesized products for potency boost are more advantageous than natural remedies due to their fast action. Cialis is taken minimum 16 minutes prior to sexual intercourse and acts for 36 hours. Both medications are taken once a day. Malayan root acts fast as well and is administered 1 hour before coitus; its action lasts up to 7 days which gives possibility to be spontaneous in sexual relations.

Naturality

Naturalness is absence of problems connected with clearance of medicinal product from organism. Natural remedies are chemically distinguished from synthesized medicines by the fact that they do not pollute body tissues. Xenobiotics (foreign chemical compounds) must be cleared from organism, otherwise they turn into poison and get accumulated in tissues. Synthetic medications-xenobiotics are dangerous for liver, kidneys and gastro-intestinal tract.

When organism cannot clear toxic substance, organism deposits them in fatty tissue from where they may come out causing headache, weariness, lack of energy, absence of sexual desire and interest of life. Due to the fact that Cialis is cleared by kidneys, it gives strong impacts on these organs and counter-indicative to people with strong hepatic impairment, but it doesn’t mean that these drugs are safe for sound kidneys. Overdose of Cialis is dangerous, since the dosage is not to be exceeded. Malayan root doesn’t have this drawback, since it is natural herb. Tongkat-based medications do not affect liver, kidneys or gastro-intestinal tract.

Combined intake of Cialis and alcohol is not recommended, since the latter may reduce the action of medication to zero and neutralize the effect of erection restoration. Malayan root doesn’t interact with alcohol; therefore, side-effects do not occur in this case.

Effectiveness

Erection provides a man with physical capacity to commit sexual intercourse. Nevertheless, the aim of coitus is not just physical process, but the possibility to take sexual pleasure, vividness of sensations and male ability to control ejaculation and provide his partner with unforgettable feelings. Brightness or sexual sensations is caused by hormones functioning, including testosterone.

Cialis causes blood flow to penis, but doesn’t affect the level of testosterone; therefore, administration of Cialis will not be accompanied by qualitative changes in the form of libido enhancement, whereas brightness of sexual perception will remain the same (possibly low) as before the medications. Tongkat root will be good for blood capillaries and steady erection. Besides, it will take soft and natural impact on hormonal profile. The medication will allow a man to restore lost vividness of sensation and feel sexual intercourse with eroticism and passion. Moreover, Malayan root is highly effective in struggle against premature ejaculation (read our interview about PE), since it increases serotonin quantity (hormone which influences mechanism of sexual arousal) allowing a man to control emission of seminal fluid to please his partner.

Side-effects

The most typical Cialis side-effects are headache, blushing, tachycardia, blood pressure increase, nasal congestion, indigestion, backache, vertigo, vision alteration (change of color perception or blurred vision). Cialis overdose may cause priapism (painful erection lasting several hours). Also, Cialis is counter-indicative for co-administration with nitrates-containing drugs and other PDE5 inhibitors. Also, the list of diseases which are a direct contra-indication to Cialis usage which runs as follows: old myocardial infarction, old arterial thrombosis, uncontrolled arterial hypertension, uncontrolled hypotony, usage of medications for arterial blood pressure control, ischemic cardiac disorder, brain blood circulation impairment, apoplectic and heart attack.

You are invited to learn more about Generic Cialis (Tadalafil) in the article that is fully dedicated to the benefits, side-effects, instructions, safety and reviews of this preparation at My Canadian Pharmacy: www.mycanadianpharmacymall.com/generic-cialis

As to Malayan root, headaches were registered. Moreover, such cases were observed in young and sound men who had almost no issues with potency and took the remedy as prophylaxis means. In some cases, Malayan root dosage increase could cause backache, heavy arms and legs. Temporary dosage reduction (but not termination of the intake) allowed solving these problems. In case of diabetes or other severe disorders, it is required to consult a specialist in regards to possibility of biologically active substances administration.

Is Cialis Effective for Severe Forms of Erectile Dysfunction?

Causes of Erectile Impairments

Erectile Dysfunction Possible Way Out

There are the following causes of ED:

  1. Hormonal impairments – decrease of testosterone production, formation of pituitary adenoma, hypogenitalism due to production of the female hormone, prolactin, in male organism.
  2. Anatomic changes of penis along with structure alteration of cavernous bodies after wounds, infections, or inflammatory processes.
  3. Tonus impairment of vessels that are responsible for blood supply of male sexual organs. Varicose, thrombosis, or wall tonus impairment reduce the possibility of erection to zero, since blood cannot fill penis in required quantity and vessels cannot contract timely in order to return blood to vascular bed.
  4. Such diseases as diabetes and hypertension have direct adverse impact on erection. It is connected with vascular tonus which is most affected by these disorders.
  5. Neurologic problems influence erection due to absence of impulses or neurologic regulation from the part of cerebrum or medulla.
  6. Alcoholism, smoking, drug abuse also take adverse impact on erection.
  7. Psychological issues lie in fantastical fears:
  • Fear of failure during coitus;
  • Fear of sexually transmitted diseases;
  • Fear of possible conceiving;
  • Lack of confidence in one’s sexual abilities.

You may also like: 5 Health Conditions That Could Be Causing Erectile Dysfunction

Erectile Dysfunction: Possible Way Out

Mishaps and failures in sexual life are a frequently-met phenomenon for aged partners. Very often a man may be a cause of such awkward situation which may result in different psychological inferiority complexes, quarrels and constant dissatisfaction with one’s intimate life. The causes of erectile dysfunction may be different. Erection may be affected by excessive amount of alcoholic beverages, constant stresses and disputes with colleagues or a partner, as well as by physical exertion or common sickliness. In case bad erection or its complete absence is a sole phenomenon, there is nothing to worry about: after some rest and full relaxation your potency will restore. But in case intimate failures occur repeatedly, it is required to consult a specialist in order to get a particular diagnosis and solve the problem. In the majority of cases, a man will be diagnosed erectile dysfunction (ED) regardless of its cause which is successfully treated with modern medications.

How to Get Rid of Erectile Dysfunction?

Medical expert will recommend a patient to change his accustomed way of life. He will have to refuse obnoxious habits, reduce quantity of alcoholic drinks or reject them completely, and combine working activities with rest reasonably. In case constant stresses and nervous tension are causes of a weak potency, it is worth changing occupation for the more tranquil one or taking a leave. The struggle against poor erectile capacity includes the intake of special medications and refuse of self-medication with unreliable healing methods or doubtful herbs. Such procedures will not only be useless against erectile dysfunction, but also lead to various allergic reactions.

Cialis occurred on pharmaceutical market after it was nearly completely occupied by Viagra. Cialis is based on tadalafil in doses of 20 and 40mg. It has the same mechanism of action as Viagra but has a number of advantages which make it a medicine of choice for ED treatment. Tadalafil acts on male organism by means of blocking of PDE5, a special enzyme that is responsible for contraction of unstriated muscles in penile cavernous body. Its inhibition causes relaxation of muscular tissues and vessels which results in sufficient filling of penis with blood to have a fully-realized sex.

Generic Cialis Will Help You to Beat Erectile Dysfunction

Cialis Will Help You to Beat Erectile DysfunctionCialis (see full Generic Cialis guide) is a time-honored medication which is trusted by thousands of men. The composition of this remedy includes special chemical substances which affect the organism in a particular way and cause a steady erection. Moreover, principle and particularities of the action of such substances were studied long ago; therefore, a man will apply only safe and credible method for ED therapy. As opposed to other stimulants, Cialis acts during thirty-six hours providing a patient with full sexual life. This medication is taken perorally with a lot of water. Its action starts in half an hour.

Even in case of daily administration, a person will not get addicted to Cialis; and upon his recovery, he will be able to go without it. Most men who use this remedy and its generic confirm that they are able to solve easily sexual issues and relieve even the severest forms of erectile dysfunction. According to statistics, in 24 hours after the intake of the first pill, penile functions improve considerably in 75 per cent and in 12 hours – in 80 per cent of the representatives of stronger sex.

Cialis is a convenient method for application in tableted form with soluble coating. One tablet may contain 20 or 40mg of active substance tadalafil. It is worth mentioning that optimal dose is exactly 20mg and increase of dosage may only be made after consultation by a specialist. Moreover, it is worth passing complete medical examination before using this drug especially if a patient has other health issues.

Cialis: Counter-Indications

Cialis is counter-indicative in the following cases:

  • Cardiac pathologies;
  • Hepatic diseases;
  • Peptic ulcer;
  • Allergic reactions to tablet’s components;
  • Combined intake of Cialis with nitrates, nitrate-containing drugs and nitroglycerin;
  • Under age (in this case organism is not sufficiently resistant; therefore, its reaction on medications is hard to predict);
  • Administration by women (Cialis was developed in accordance with requirements of male organism).

Incorrect intake and individual intolerability of such medication may cause side-effects, such as vertigo, sudden pains, decrease or increase of arterial blood pressure and tachycardia. Occurrence of serious side-effects is a direct requirement to terminate Cialis administration and consult a doctor.

My Canadian Pharmacy recommend to read: Cialis (Tadalafil) Side Effects and How to Minimize Them

Original Cialis vs Generic Cialis

Original Cialis vs Generic Cialis

Original Cialis is a pleasure which is not affordable to any man; therefore it is unlikely be used by an average man in a therapy course which requires everyday usage. The point is that development of this medicinal product and its subsequent testing are expensive and long-term procedures. Another part of expenses includes advertising of the new medications which is quite dear. Therefore, more and more men prefer purchasing generic Cialis that represent exact copies of the original with ready pharmaceutical formula. Generic price is not so high, because developers are aware of what substance and in what proportions must be taken in tablets. It cannot be stated that the efficiency of cheap generic is less than the one of expensive product. Both medicines are qualitative and absolutely safe for regular use.

Cialis Advantages

Thus, the main advantages of Cialis are the following:

  • High performance (the medications is helpful in the severest forms of erectile issues including elderly men);
  • Long-term action (this is the most long-lasting stimulant with only one tablet of which, a man can take pleasure of normal sexual life within more than 36 hours);
  • Safe and thoroughly developed composition which is suitable for the majority of men;
  • Rarely occurring side-effects;
  • Compatibility with fatty food and relative compatibility with a bit of alcohol;
  • Reasonable price (Cialis may be purchased in its generic form as well).

If you still have questions about the drug and want to have a chance at comparing the best generics to each other, please visit the page of the drug in our store. http://www.mycanadianpharmacygroup.com/generic-cialis – this is exactly where you get all the info!

My Canadian Pharmacy Confirms the Possibility of BPH Treatment with Cialis

Benign Prostatic Hyperplasia

BPH or prostate adenoma means the increase in size of prostatic gland. Prostate is a walnut-shaped gland located on the neck of the urinary bladder. It surrounds urethra. Prostatic gland is a part of male reproductive system. Its enhancement is not connected with cancer. The exact cause of BPH is unknown. It is supposed that the disease is connected with age-related change of hormones level. In the end, prostatic gland becomes so increased that it puts pressure on urinary tract. This leads to narrowing and even obstruction of urethra.

What are symptoms of benign prostatic hyperplasiaProbability of prostate adenoma occurrence is the highest for people above 50 years of age.

What are symptoms of benign prostatic hyperplasia?

  • Pain while urination;
  • Weak urine stream;
  • Urine trickling after urination;
  • Feeling of incomplete emptying of bladder;
  • Frequent urges especially at night;
  • Strong discomfort at the bottom of stomach;
  • Urinary incontinence

Severity of symptoms generally aggravates with the time.

Main Types of Medications for Benign Prostatic Hyperplasia

Medicines for prostate adenoma treatment are generally used in traditional medicine for elimination of symptoms of this disorder. Many men can cope with this disease by means of pills alleviating the state and improving functioning of reproductive organs. When may medicamentous therapy be applied? Several decades ago, it was said that BPH could be treated only via surgery. Fortunately, modern medicine offers a variety of alternative ways of treatment where the first position belongs to medicinal products.

Conservative treatment by means of medications is recommended in case of the following indications or conditions:

  • Small size of adenoma at the initial stage;
  • Advanced years of the patient;
  • Recurrent adenoma growth after operation;
  • Patient’s refusal of surgery.

Anyway, a patient is to consult a specialist before administration of any drug.

We recommends for read: Benign Prostatic Hyperplasia Treatment by Flomax (Tamsulosin)

My Canadian Pharmacy Overview of BPH Drugs

Adenoma Prostate Therapy with Cialis

BPH is mainly treated by means of the following groups of medications:

  • Alpha-adrenergic blocking agents

Mechanism of their action is based on decrease of the tonus level of smooth muscles in the area of prostatic gland. A patient experiences the acceleration of urination rate and decrease of morbid symptoms degree. The quantity of residual urine in bladder decreases and prostatic gland reduces in size. Drugs from this group do not influence male hormonal profile. Positive effect is achieved in several weeks after their intake. The most popular drugs belonging to alpha-adrenergic blocking agents are doxazosin, tamsulosin, alfuzosin, terazosin.

  • 5-alpha reductase enzyme blockers

Their action mode is based on enzyme blocking which transforms testosterone into dihydrotestosterone. Since the latter promotes excessive growth of prostatic tissue, the intake of these medications contributes decrease of gland’s size, eliminates symptoms of disease and normalizes urination. Patients experience the first results of blockers therapy in a couple of weeks after first intake. In three months, prostatic gland decreases in size considerably. The best representative of 5-alpha reductase blockers is finasteride.

This medication is used for male adenoma treatment. It inhibits testosterone production within a day after the intake due to which the size of benign tumor decreases. Finasteride is beneficial because of its capacity to accelerate the urine deflux rate and to decrease the risk of impenetrability of urinary tracts which reduces the probability of new life-dangerous conditions occurrence. Nevertheless, finasteride’s advantages do not end here. Many men taking the drug regularly report such excellent effect as reduction of hair loss, increase of hair growth rate, and even decrease in baldness size.

This happens due to normalization of male hormonal balance, since excessive production of testosterone in men often causes early or excessive baldness, whereas reduction of synthesis of this hormone to normal values improves the condition of hair-covering. Thus, resulting from finasteride intake, a man gets rid of BPH, improves his looks, feels younger and more energized.  5-alpha reductase blockers are also represented by such medications as Dutasteride or Avodart. This medicine also blocks excessive production of male hormone and improves prostate functioning. (See also: List of 5-alpha-reductase inhibitors)

  • Combined therapy

In some cases, physicians recommend the intake of combined medications containing finasteride and tamsulosin. Such medicines are effective for decrease of prostate volume and reduction of symptoms of prostate adenoma due to decrease of gland and urinary tract’s tonus.

In case of prostate adenoma therapy, medications remove the symptoms of the disorder over the course of time. During the therapy course, a man may experience some problems with potency, since each disease affects male strength adversely. In EU countries in case of benign prostate hyperplasia, Cialis is recommended in small doses (5mg of tadalafil daily) in order to remove erectile dysfunction. Main advantages of this remedy are fast action (effect occurs in 15-25 minutes) and long-term period of potency enhancement (up to 36 hours). After tadalafil intake, a man may not worry about forthcoming sexual intercourse.

Due to components impact, blood circulation in reproductive system enhances, steady erection in case of presence of an object of sexual desire, and adenoma symptoms get relieved which allows to take pleasure of sex and give agreeable sensations to a partner. Tadalafil causes adverse effects very rarely. Only small group of men may appear to have sickliness, rhinitis, nausea, and headache. The medicine is fast cleared from organism; therefore, even in case of the afore-mentioned symptoms occurrence, they disappear shortly. In case a patient observes the instruction strictly, their possibility is very low.

Thus, in case of prostate adenoma occurrence, therapy course with tablets is required in the majority of cases. Disease is not to be neglected. It is important to follow doctor’s recommendations and start taking medications as soon as possible.

Adenoma Prostate Therapy with Cialis

Adenoma Prostate Therapy with CialisIsraeli scientists made a curious discovery. It turns out that medication deigned for erection restoration may treat BPH. The results of research studies conducted are so convincing that Department of Public Health in Israel approved Cialis application in urological oncology. Clinical trials with participation of 1990 volunteers confirmed efficiency and safety of this pharmaceutical product. For adenoma therapy, 5mg of Cialis was used. The same dosage is applied for potency boost.

My Canadian Pharmacy mycanadianpharmacymall.com warns that the medication is rather expensive, and its therapy course will cost several thousands of dollars. Cialis may be prescribed not to every patient, since it has a number of side-effects. For instance, long-term introduction of medication provokes vasodilation of blood vessels, arterial blood pressure decrease, and may lead to headaches and labored breathing.

Read about Cialis side effects and how to minimize them: mycanadianpharmacymall.com/cialis-tadalafil-side-effects.html

Nevertheless, medication will definitely find its niche, since benign hyperplasia of prostatic gland is frequently met. According to statistics, around 40% of men at the age of 50-60 years have a propensity for prostate adenoma. But it is noteworthy that 50 years ago this disorder affected around 70% of men in this age group.

Besides, effective therapy with Cialis will allow men to prevent from diseases accompanying adenoma, such as infection of urinary tract and kidneys. Nowadays, treatment of BPH is conducted by means of inhibiting enzyme 5-alpha reductase or surgery. Over the last years, there was a real breakthrough in the area of benign oncological diseases therapy and a range of innovation remedies were developed. They include Cialis as well.

Cialis Role in Rehabilitation of Patients after Nerve-Sparing Prostatectomy

What is Nerve-Sparing Prostatectomy?

Prostate cancer is an oncological disease in aged men. Unwilling to attend an annual medical examination by a specialist leads to aggravation of this disease and its detection at late stages. There are many methods of therapy of this cancerous disorder, and surgery is one of them. If a man consults a physician timely, oncotomy will be performed without complications. But more often, patients consult a specialist when they have symptoms indicating the late stage. According to tumor size, disease state and localization of swelling, operation is conducted in various ways.

Cialis Role in Rehabilitation of Patients after Nerve-Sparing ProstatectomyWidely-spread operation for tumor removal is radical prostatectomy. Prostatic gland is removed completely in case cancer is located in this gland; also adjacent tissues, neck of the urinary bladder, seminal vesicles and lymph glands are liable to dissection as well. Generally, oncotomy is performed at first or second stages of the disease, but in case metastases are present, it may be conducted at the third stage. Age of a patient is taken into account, since he must not be above 75 years of age.

Nerve-sparing prostatectomy is performed for prophylaxis of consequences of surgical treatment. Two fascicles controlling erection are located lengthwise the prostatic gland. During nerve-sparing prostatectomy a surgeon tries not to damage these fascicles. It is not always possible to remove prostatic gland without affecting nerves. This operation can spare not only fascicles, but also parts of cancerous cells. Surgeon estimates the degree of affection of neurovascular tissues by cancerous cells within the course of operation. He removes vessels and nerves regardless of patient’s request. It is explained by the fact that the result of oncotomy, whereas erection may be restored by means of prosthesis. Nerve-sparing prostatectomy is conducted in those who are diagnosed cancer at an early stage and tumor does not go beyond male gland. In case cancerous process affected nerves or grew into their cells, NSP is not performed.

After the operation, a patient is directed to reanimation where attending doctor examines his condition, observes his anesthesia recovery and conducts necessary therapeutic procedures. In order to check patient’s post-operative condition, the controlled tests are performed. If operation passed uneventfully, a patient is directed to a common chamber next day. He is prescribed antibiotics and anti-inflammatory medications. Stitches are taken out in a week. Recovering patient may get on with his work in a month reducing physical activities. Post-operative period lasts one year.

Experimental data of Cialis application

A growing number of patients suffering from prostate cancer undergo nerve-sparing prostatectomy due to which the problem of their rehabilitation and potency restoration becomes particularly pressing. The remedies of the first line for erectile dysfunction in these patients are phosphodeisterase-5 inhibitors (PDE5) and in particular, the medicine of prolonged effect, Cialis.

Prostate cancer is a serious problem of modern medicine. It takes the fourth position according to morbidity rate and the first position in regards to its increment among all malignant tumors in men. In the meantime, due to introduction of PSA test, the morbidity patterns changed toward the earlier localized forms. Thus, radical prostatectomy (including nerve-sparing operation) is performed for growing number of patients.

Erectile dysfunction after radical prostatectomy determines quality of patients’ lives considerably. Even after nerve-sparing prostatectomy, erectile dysfunction of various severity levels is observed in 65-75% of patients. It is particularly important for young patients who are more interested in preservation of erectile function. They more often become candidates for prostatectomy due to early detection of the disease. The first line medications for erection restoration after nerve-sparing prostatectomy are PDE5 inhibitors, since they are more convenient, safe and efficient in patients of this group. Recent large multicenter randomized study based on vardenafil demonstrated that PDE5 inhibitors are similarly effective regardless of the time of therapy beginning (right away or in a year after operation).

Learm more about PDE5 inhibitors: PDE5 inhibitors and Their Role in Erectile Dysfunction Treatment

One of the drugs belonging to this group is Cialis. It appeared in 2003. During the large multicenter randomized study, it was shown that Cialis’s intake after ambilateral nerve-sparing prostatectomy improved erectile function in 71% of patients against 24% in placebo group. The percentage of successful sexual intercourses was 52% for Cialis administration period and 26%, i.e. twice less for the time of placebo intake.

But Why Cialis?

But Why Cialis

Tadalafil is active substance of Cialis and differs from the two other remedies from this group (sildenafil and vardenafil) according to its chemical composition. The rate and degree of tadalafil absorption in gastro-intestinal tract do not depend on food and alcohol intake. Cialis elimination half-life is 17,5 hours, whereas it is 4-5 hours for sildenafil and vardenafil. Achievement of one or several erections after Cialis administration is possible within 36 hours. This fact allows a man to take Cialis not only right before sexual intercourse, but also long before it.

The duration of action and stability of tadalafil concentration in blood also give possibility to administer Cialis every day, and not only when required. Due to these particularities, Cialis is a preferable medication in the situations when it is hard to predict time of coitus and if sex occurs twice a week and oftener.  In some cases, the indicated features of tadalafil are good self-confidence of patients and lower level of their anxiety in regards to time which passed from the moment of drug’s intake. This information is confirmed by data of research studies for selection of PDE5 inhibitor where Cialis was demanded by most patients.

Side-Effects

The medicine is prescribed in dosage of 20mg for the intake not oftener than once a day. Side-effects of Cialis are mild and decrease or disappear after repetitive intake. More often headache and dyspepsia are diagnosed. More seldom, backache, vertigo, nasal congestion, and myodynia are met. During clinical trials a number of patients refusing Cialis due to its side-effects was the same as a number of the ones who refused placebo. Like in case with other PDE5 inhibitors, Cialis cannot be taken simultaneously with nitrates. It cannot be applied by patients suffering from cardiac or cardio-vascular disorders and are counter-indicative to physical activity.

Thus, Cialis is the most convenient and effectives remedy for erectile dysfunction even for such complicated group of patients as the ones who underwent nerve-sparing prostatectomy. It has all advantages of PDE5 inhibitors, and due to particularities of pharmacodynamics, it allows prolonging the time frame and pills administration regimen. All in all, patients have freedom of selection and confidence in the result.

Cialis (Tadalafil) Side Effects and How to Minimize Them

Every PDE5 inhibitor is famous for its own benefits it provides to patients. So, generic Cialis is not an exception to the rule either.

Generic Cialis opens the possibility for men suffering from the erectile dysfunction to treat their disorder mildly and effectively. Under the circumstances of the growing problem of ED in the modern society Cialis has become a real saver for those who want to conduct their usual way of life. In this article My Canadian Pharmacy Mall has collected the comprehensive information about the possible side effects of the medicine and methods of their minimizing.

Generic Cialis Benefits

So, let’s start with Cialis’s advantages. Generic Cialis is famous for its effectiveness and long duration of action that can last for about 36 hours. That is the greatest competitive advantage of Cialis that has made the drug one of the most popular ED treatment medications. There is no need to calculate the duration period and to be nervous about meeting the time as it may happen with Viagra. In case of Cialis one can just take the pill, relax and have great time during the day and a half.

Cialis is available in standard dosages (5, 10, 20 and more mg of Tadalafil) that should be taken as needed and small dosages of 2.5 mg of Tadalafil designed for the treatment of BPH (benign prostatic hyperplasia). In the course of BPH treatment Cialis should be taken every day, not more than 2.5 mg per day. The matter is that showing excellent results in BPH treatment Cialis for everyday use is also reported to improve sexual function with stable and long-standing results.

The last, but not the least benefit of generic Cialis is its availability in different pharmaceutical forms such as standard coated pills, sublingual and oro-dispersible tablets, chewable and jelly pills. It means that every patient can choose the dosage and type which suits him perfectly.

There are many varieties of Generic Cialis at My Canadian Pharmacy:

http://www.mycanadianpharmacygroup.com/cialis-professional

http://www.mycanadianpharmacygroup.com/cialis-soft-tabs

http://www.mycanadianpharmacygroup.com/cialis-super-active

My Canadian Pharmacy Mall

What Side Effects of Generic Cialis to look out for?

According to the legislation pharmaceutical producers are obliged to provide information about all the possible side effects, even the rarest ones. The complete list of side effects is usually provided in the medical leaflet enclosed in the package.

Cialis is known to have very few side effects that are experienced in 10% cases. Other cases of negative consequences are diagnosed in less than 1% patients. The side effects may influence nearly all the human internal organs and systems, so we have decided to provide the most complete list of possible side effects of Cialis having grouped them according to the internal system and frequency of occurrence.

In general, most common side effects of Cialis involve headaches, pain in back and extremity, hot flushes, nausea, myalgia and nasal stuffiness. These effects usually occur if the dosage is defined incorrectly; they are usually mild and disappear in the course of treatment.

Cardiovascular side effects are the most common as cardiovascular system carries the major load of sexual activity and Cialis’s medical action. In more than 14% cases patients experience hot flushes. In up to 10% cases the state of hypertension occurs. Rarer cases (less than 1%) include hypotension. The rarest cardiovascular side effects are reported to include arrhythmia, chest pain, unstable angina etc. The fact is that most of the described cases usually occur in patients who had heart problems before they took Cialis. So, the medication just intensifies the already existing problem and in some cases may lead to more serious consequences such as myocardial infarction, heart stroke, tachycardia and sudden cardiac death.

Gastrointestinal side effects are reported in rather frequent cases as gastrointestinal system is involved in the process of Tadalafil removal from the human body. Thus, if any problems with human liver of kidneys have already existed these organs may be affected by the Cialis’s action. The most frequent side effects are reported to be nausea and dyspepsia. Their frequency exceeds 11-13%. Less frequent side effects that are experienced in not more than 10% cases include abdominal pain, diarrhea, gastroenteritis, gastroesophageal reflux disease and constipation. Patients may also suffer from dry mouth, hemorrhage, gastritis, and stomach aches.

The medical action of Tadalafil may also affect musculoskeletal system of the patient and cause back pain (in more than 14% cases), myalgia and pain in extremity. Muscle spasms, pains in neck and limb, arthralgia and musculoskeletal stiffness are also reported, but in quite rare cases.

Nervous side effects usually involve headaches which are reported in up to 42% cases and dizziness (in 1-10% cases). The patient may experience transient ischemic attacks and amnesia, somnolence, hyperesthesia and paraesthesia. Postmarketing reports reveal the cases of migraine and seizures.

Genitourinary system is reported to suffer most from urinary tract infections and menorrhagia which may involve uterine bleeding in up to 10% cases. Hematospermia and prolonged erections are also among the possible side effects of generic Cialis. One should also take into account the risk of priapism, prolonged and painful erection which may last for more than 4 hours.

Respiratory side effects may be experienced in 13% and fewer cases. Among them nasopharyngitis and respiratory tract infections are the most common ones being reported in up to 13% cases.

Among less common respiratory side effects there are cough, rhinitis, influenza, nasal congestion and pulmonary hypertension.

Ocular side effects are experienced very rarely. However, they may be very risky for patients with NAION. Factors that affect the ocular system during the Cialis therapy include, but are not limited to age (over 50), diabetes, smoking, coronary artery disease, hypertension and hyperlipidemia.

Patients taking generic Cialis may suffer from eye pain and ocular hyperemia in up to 10% cases, changes in colour perception (rare, 0.1% and less), blurred vision, and conjunctivitis. In very rare cases such side effects may lead to ocular damages such as vein and retinal artery occlusion, decreased vision and even permanent loss of vision.

The other side effects occurring during the ED treatment with generic Cialis may involve edema (peripheral, facial etc.), fatigue, vertigo, sudden decrease or loss of hearing, rash, sweating, Stevens-Johnstons syndrome, hematuria and angioedema.

Cialis and Other Drugs: Interaction and Consequences

Another important thing every patient should take into account while taking the decision to start ED treatment with generic Cialis is its interaction with other drugs. The incorrect co-administration of generic Cialis with other medications may cause the deterioration of the human health during the Cialis therapy.

Generic Cialis should not be co-administered with nitrates designed for the treatment of arterial hypertension. Nitroglycerin and other medications containing nitrates may cause sharp drop of blood pressure and hypotension state.

Another group of drugs, alpha-blockers designed for the treatment of prostate disorders may also trigger hypotension state if being taken together with PDE5 inhibitors like Tadalafil.

Generic Cialis is prescribed with care if the patient is undergoing any therapy with antibiotics, antifungal drugs or HIV/AIDS treatment drugs.

Co-administration of Cialis with other PDE5 inhibitors is prohibited due to the serious damages of cardio-vascular system that may occur.

My Canadian Pharmacy Mall Guide to Curbing Tadalafil Side Effects

What should a patient do in order to avoid undesired consequences for his health? My Canadian Pharmacy Mall has compiled a short and useful guide how to curb the side effects of Tadalafil.

The guide is provided in the form of short pieces of advice.

  1. Study the complete information about generic Cialis which is available in the Internet and offline. You’d better be informed before going to the doctor and starting the therapy. Here the comprehensive help and database can be found on My Canadian Pharmacy Mall website. If something is unclear our customer support service is available for all your questions.
  2. Consult your doctor and give up the desire to treat by yourself. Tadalafil is a prescription drug, so the decision whether you’ll take it or not should be taken by the health care specialist. Maybe you will need additional medical tests. Believe it is better to make tests before than to make efforts to recover from the acquired health disorders. If you have some hesitations you can get in touch with our pharmaceutical and health care experts from our Customer Support service. Surely, online consultation will not replace the complete medical consultation and investigation. However, it will certainly help you take the decision upon your further steps.
  3. Once you obtain the clear instruction regarding the course of treatment, dosage and precautions don’t try to change the dosage and disregard the instructions. Especially it refers to the increasing of the dosage without consulting the doctor. Please remember that most side effects and negative consequences of generic Cialis intake take place after the patient increases his prescribed dosage.
  4. In case of any side effects and deterioration of health condition you should apply for the medical assistance immediately. Sometimes there is no need in medical assistance however some cases cannot be cured without the professional help.

My Canadian Pharmacy www.mycanadianpharmacymall.com mission is to make people healthy and happy. That is why we are always eager to help our customers with all their questions and problems occurring in relation with their human body, treatment methods and existing pharmaceutical products.

What is Cialis Used to Treat Apart from Erectile Dysfunction?

What is Cialis (Tadalafil)?

Cialis (also known as Tadalafil) is the most effective and popular erectile dysfunction (ED) medication on the market. It is much alike its competitor, Viagra, however has much longer active life (36-48 hours compared to 4-6 hours) from a single intake.

How it works?

What is Cialis

Tadalafil is a PED5 (phosphodiesterase-Type-5) Inhibitor. Like other PED5 inhibitors, Cialis increases the flow of blood to the penis, negating the main cause of ED. It is a viable solution unless ED is caused by non-physical issues, such as low libido, or psychological issues.

Cialis also has an effect of blood pressure lowering.

Cialis was also approved to be applied as a remedy for PAH (Pulmonary Arterial Hypertension, increased blood pressure in the lungs). Later it was also approved as a working solution for treating BPH (Benign Prostatic Hyperplasia, prostate enlargement) as it was found to lower pressure around the area.

What is benign prostatic hyperplasia?

prostatic hyperplasia

BPH, or benign prostatic hyperplasia (aka benign prostatic hypertrophy) is a state of prostate gland abnormally enlarging. The gland embraces the pipe, which is called urethra, which allows the urine to be excreted. Prostate enlargement often causes urethra to be squeezed or blocked. This is where urinating related problems come from.

Benign prostatic hyperplasia happens to more than 50% of men as they grow older. To make you feel a bit better, BPH has no relation to cancer and cannot cause it. Neither does it have an effect on potency or fertility. Swollen prostate can be a very annoying experience, but that’s not something to worry too much about.

What are the reasons of BPH?

BPH is quite characteristic for aging men; it’s a usual state of things when hormonal balance changes.

How do you determine it’s BPH?

As mentioned before, you can recognize BPH via various problems accompanying urinating process:

  • Having trouble starting and stopping urinating in full.
  • Urge to urinate. To the extent it gets you up at night.
  • A faint urine stream.
  • A feeling that you did not completely empty your bladder even after urinating.

Diagnosing BPH

BPH is usually diagnosed by a doctor with the help of various physical examinations. Those include urinalysis (examination of urine), a rectal exam to understand the factual prostate size. Sometimes, a prostate antigen test is applied to exclude cancer (those two diseases are not related but may have similar symptoms).

BPH treatment

Self-treatment will not stop your prostate from enlarging, but may be helpful if you want to control the symptoms or weaken them.

Below are some tips that may be useful for addressing those symptoms:

  • Try an interrupting technique. Urinate as long as possible, take a short break, and then start urinating again.
  • Do not consume caffeine or alcohol. Those are diuretic agents and will force you to urinate more often.
  • Consult your doctor regarding the medicines you may be using at the moment.
  • Apply Cialis, as it is an effective and approved BPH treatment medicine.

In the worst case scenario when the symptoms persevere and are real bad, surgery may become a way out, subject to a prior advice from your doctor. But that really is a very rare occasion.

What is pulmonary arterial hypertension?

What is pulmonary arterial hypertension

Pulmonary arterial hypertension (PAH) is a life-threatening condition that grows gradually worse as the time goes by. However, treatment is possible, which can help coping with symptoms to make life more comfortable. The condition is by no means a death sentence, which is proven by a gazillion of real life examples. People continue to live their normal lives even with PAH.

In essence, PAH is a specific condition (not to be confused with the regular high blood pressure) when there’s a high blood pressure in the blood vessels that connect heart to lungs. Therefore those microscopic lung arteries are constricted or obstructed. In the end that causes high blood pressure in lungs. Which in turn increases the strain on the heart. weakening and wearing out the heart muscle over time. It may lead to an unhappy ending in the form of heart failure, but then again, with preventive diagnostics applied, it will allow you to continue as usual.

What are the reasons of PAH?

PAH may either be unconditional (determined by the genetic predisposition, or, as is the case with idiopathic pulmonary hypertension, have no visible reason) or conditional.

In the latter case, any of the below may  cause PAH:

  • Congestive cardiac failure
  • HIV
  • Heavy drug use
  • Liver diseases
  • Some of the autoimmune conditions
  • A congenital heart defect
  • A number of lung diseases
  • Blood clots in lungs
  • Sleep apnoea

How do you determine it’s the PAH?

The trick with PAH is that symptoms may not even show themselves for a while. The main symptom is you get short of breath when being active. It develops slowly over time, getting worse. You get winded too much and too often and can no longer do some customary things you are used to.

Some other symptoms are:

  • Chest pains
  • Exhaustion
  • Losing your consciousness occasionally
  • You lower limbs often get swollen

Diagnosing PAH

If you suspect PAH and visit a doctor, get ready to answer some questions that may have relation to a possible diagnosis:

  • Are you a smoker?
  • Are heart or lung conditions a common thing for your family?
  • When did you first notice the symptoms?
  • Does anything affect your symptoms and to what extent?
  • Are your symptoms permanent or temporary?

The concurrent physical examinations and tests may include the following:

  • An ultrasound heart exam to check the pulmonary pressure.
  • CT scan to check pulmonary arteries (or notice other lung issues that may be the reason for short breath).
  • Ventilation/perfusion lung scan to spot possible blood clots in the lungs.
  • An EKG to track the cardiac activity and check if there is a strain to the right side of heart (another warning sign of PAH).
  • Spot X-ray to check your chest (may also find some other issues to cause your condition).
  • Performance tests to see how your body, namely the lungs react to physical activity (level of oxygen, heartbeat, etc.).
  • Blood tests to check some of the above reasons.
  • The final test is a right side heart catheterization (inserting a catheter into a big enough vein, like the jugular vein in the neck, and threading it into the heart’s right side) to check the pressure and check if the pulmonary blood vessels are hard (a separate sub-test called the vasoreactivity test).

PAH treatment

PAH is a very individual condition and each separate plan of treatment will be determined by your personal specifics.

The primary step is dealing with the cause.

The obvious one is applying means to ease and improve the breathing that allows returning to the daily routine, such as oxygen therapy. Or blood thinners if blood clots are suspected. In case of severe condition, special medications that lower pressure in the whole body may be prescribed.

There are also dedicated treatment centers available for service, if none of the above works (if the doctor considers that to be appropriate). In such cases a targeted therapy may be applied

One of the most easily accessible solutions is Cialis pills. It’s an efficient remedy that however should first be approved by the doctor.

And of course, never forget to look after yourself – stay active (again, discuss the extent of physical activity allowed with your doctor), rest well, eat well and healthily.

You may also like: Cialis (Tadalafil): Do We Need Another Viagra?

Article provided by My Canadian Pharmacy expert Thomas Grimm, MD – http://www.mycanadianpharmacygroup.com

Generic Cialis: Do We Need Another Generic Viagra?

In the pantheon of globally known brand names, Viagra is in the top list, along with Rolls-Royce and Coca-Cola. In terms of customer feedback, however, Generic Viagra (active component: sildenafil) comes in a distant second to Cialis (active component: tadalafil).

Viagra & CialisWe’ve discovered 12 separate studies, and none of them has been sponsored by any drug company, in which participants from different countries tried both Generic Viagra and Cialis and reported which one they liked the best. It was a shock: Cialis 12, Viagra 0. All 8,300 participants had favored Cialis by a long shot — 3 to 1, in fact. In studies that also included the third popular ED drug Levitra (active element: vardenafil), Cialis was still way more popular than either of the competitors.

Women also preferred Cialis. In four separate studies in which couples were using Viagra and then Cialis (or the other way around), the women strongly voiced their preference to Cialis.

What could be the explanation for this? Easy: Cialis lasts for a longer time. Generic Viagra and Levitra are both effective for roughly four hours, and Generic Cialis for 36. Thus, if a man takes a Cialis pill on Friday evening, he can still count on its effect to work for some time on Sunday. Both women and men had said they liked the fact that Cialis has allowed them not to worry about that ticking clock and just make love whenever they felt like it. For new couples who are fond of sexual spontaneity, Cialis is a clear winner.

Oddly enough, Cialis is preferred by less sexually impulsive customers as well – long-term couples, who are more likely to schedule their sex dates. The drug’s wider window of opportunities seems to make for more relaxed discussions about the time and place of sexual activity.

Similarities and differences

Couple in bed

Apart from the time span that they last, all erection drugs work in a similar fashion. They start working in about one hour after being administered. They will work equally well when taken after a meal or on an empty stomach. None of them cause spontaneous erections; they only enhance the necessary firmness in the presence of sexual stimulation. Their side effects are also similar: headaches (reported by 16 percent of users), upset stomach (7 percent) and/or nasal congestion (4 percent).

Important: Never take erection medications if you’re taking nitroglycerin for angina; this combination can be fatal!

You might be surprised at how very few older men use erectile dysfunction drugs. The sales rate of “vitamin V” had never reached above a half of what most experts were predicting when these drugs were first approved in 1998. When the Cornell researchers surveyed 6,291 older men on this subject, 48 percent of them reported some level of erectile dysfunction, but only 7 percent had tried erection drugs. Why so few? One of the reasons is that men are less likely to open to taking any medication (compared to women).

However, one larger reason is that the drugs enhance traditional sex, whereas older couples usually evolve out of the old “in-out” towards oral sex, hand massage, and vibrator play. An accepted realization for many older lovers is that sex is kind of a hassle. Even with the help of drugs, erections may be not that stiff at an old age. Even with a lot of lubrication, vaginal dryness can cause much pain during sex. And thus, many older lovers shift away from intercourse to other pleasurable sexual activities. If you no longer have intercourse, and erections are not necessary, why take a drug?

In fact, a man does not need an erection to have an orgasm. Given sufficient stimulation, a man can have a glorious orgasm with a half-hard or a flaccid penis.

Effectiveness survey results (according to Canadian Pharmacy)

Among the men who tried erection drugs, only half refill the prescription. Why? Firstly, effectiveness. The drug-producing companies claim that these drugs have 70 to 85 percent effectiveness, but any serious research shows the effectiveness being only in the 50 to 60 percent range; for men who have heart disease, diabetes, high level of cholesterol or high blood pressure, it can be even less effective. Furthermore, you should know how the studies interpret “effectiveness”: We’re not talking about rock-hard erections here, but more like any increase in firmness that allows for intercourse. This means that even drug-stimulated erections can be on the soft side, which leaves many men feeling rather disappointed.

Summary: If you have never tried an erection drug, you’re with the majority of people. However, if you’re using one, you and your partner are likely to be happier with one that lasts the longest. At the moment, according to the latest studies, that’s Cialis.

Article by My Canadian Pharmacy Team – www.mycanadianpharmacymall.com

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