Cialis 20mg Tablet 1'S
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CIALIS 20MG TABLET is used in the management of erectile dysfunction and signs and symptoms of benign prostatic hyperplasia (BPH) in adult men. It can also be used to manage pulmonary arterial hypertension.
Cialis should be taken as prescribed by a healthcare provider, typically once daily or as needed depending on the condition being treated. It is important to take Cialis with caution, as it may interact with certain medications, especially nitrates, and may cause side effects like headaches, muscle pain, or dizziness.
Alcohol consumption should be minimized, as it can increase the likelihood of side effects. Before taking CIALIS 20MG TABLET inform your doctor if you have liver problems, kidney problems, diabetes, low blood pressure or if you are pregnant or breastfeeding.
The most common side effects of taking CIALIS 20MG TABLET are headache, muscle pain, flushing, nasal congestion and palpitation. Consult your doctor if any of these side effects trouble you.
Uses Of CIALIS 20MG TABLET
- Erectile dysfunction
- Signs and symptoms of BPH
- Pulmonary Arterial Hypertension
1. Benefits of CIALIS 20MG TABLET in Erectile Dysfunction:
CIALIS 20MG TABLET is widely recognized for its effectiveness in managing erectile dysfunction. Its primary benefit lies in its ability to enhance blood flow to the penile region by relaxing the blood vessels, which helps men achieve and maintain an erection during sexual stimulation.
2. Benefits of CIALIS 20MG TABLET in BPH:
Cialis (tadalafil) is effective in management of BPH by improving urinary symptoms such as frequent urination, weak urine flow, and the feeling of incomplete bladder emptying. It works by relaxing the smooth muscles in the prostate and bladder, which alleviates urinary obstruction.
3. Benefits of CIALIS 20MG TABLET in Pulmonary Arterial Hypertension:
Cialis (Tadalafil) is effective in managing pulmonary arterial hypertension by relaxing the blood vessels in the lungs, which lowers pulmonary blood pressure and reduces the strain on the heart. It improves blood flow, which can alleviate symptoms like shortness of breath and fatigue, and enhance exercise capacity, allowing patients to engage in physical activities with less discomfort.
To know more about the uses and benefits of Cialis tablet USFDA.gov. approved indications CDSCOonline.gov. lupin
Why choose CIALIS 20MG TABLET?
- Extended Duration of Action: Cialis provides up to 36 hours of effectiveness, allowing for more spontaneity in sexual activity and enhancing sexual performance and confidence.
- Psychological Benefits for ED: Cialis helps reduce anxiety and stress related to erectile dysfunction (ED), improving psychological well-being and boosting overall quality of life.
- Dual Benefits for ED and BPH: Cialis effectively manages both erectile dysfunction (ED) and benign prostatic hyperplasia (BPH), offering symptom relief for BPH while improving sexual function with minimal side effects.
How CIALIS 20MG TABLET Works
CIALIS 20MG TABLET contains an active ingredient called tadalafil which works by relaxing the blood vessels of body parts thereby improving blood flow and oxygen to improve its functions. In Erectile dysfunction, this action improves blood flow to penis which improves erection. In BPH, it relaxes the blood vessels of urinary bladder which reduces urinary symptoms. In Pulmonary Arterial Hypertension, it relaxes blood vessels of lungs which regulates respiratory functions.
How to use CIALIS 20MG TABLET
- Take the medicine about 30 minutes before engaging in sexual activity.
- Swallow the medicine with a glass of water. Do not crush or chew the medicine.
- The typical starting dose is 20mg, but your doctor may adjust the dose depending on your response and tolerability. You should not take more than one dose in a 24-hour period.
- Cialis can be taken with or without food. However, avoid heavy meals or excessive alcohol as they may delay the onset of action.
How long does Cialis last?
- The effects of Cialis (Tadalafil) can last up to 36 hours after taking a single dose, making it unique among erectile dysfunction medications.
- This prolonged effect allows greater flexibility for sexual activity, as it does not require timing around sexual intercourse.
- However, it does not mean you will have an erection for 36 hours; it simply means that the drug will be effective during that time frame, enabling sexual function when aroused.
Sources like NIH. PMC. PubMed Central and Drugs.com explain that this extended duration is due to Cialis's long half-life compared to other ED medications like Viagra, which typically lasts around 4-6 hours. It's important to note that the actual duration of effect can vary depending on individual factors, such as metabolism, overall health, and any other medications being taken
Missed Dosage Instruction for Cialis 20mg Tablet:
If you miss a dose of Cialis 20mg tablet, don't take an extra dose to make up for the missed one. Simply take it as soon as you remember, but not more than once per day. If you have any concerns, consult your healthcare provider for personalized advice.
Overdosage of CIALIS 20MG TABLET:
If you or anyone else accidentally took more CIALIS 20MG TABLET, consult your doctor or visit the nearby hospital. An overdose of Cialis (tadalafil) can cause serious health risks, including the following adverse effects:
- prolonged erections (priapism)
- severe dizziness
- fainting
- chest pain
- irregular heartbeats
- sudden vision or hearing loss
If an overdose is suspected, it is crucial to seek immediate medical attention to avoid long-term damage.
For more information on dosage instructions, refer to trusted sources such as USFDA.gov. Always consult with your doctor if you have any questions about your treatment plan.
Side Effects Of CIALIS 20MG TABLET
Like all medicines, CIALIS 20MG TABLET may cause side effects although not everybody gets them.
Some of the most common side effects of CIALIS 20MG TABLET are:
- Headache
- Back pain, muscle pain
- Pain in arms and legs
- Flushing of the face
- Nasal congestion
- Indigestion
- Nausea, indigestion, stomach pain, acidity
- Dizziness
- Blurred vision
- Palpitation (racing heartbeat)
- Changes in blood pressure (high/low)
For more information on side effects, refer to trusted sources such as USFDA.gov.
When to consult your doctor?
Contact your doctor immediately if you experience any of the following side effects:
- Severe allergic reaction (such as wheeziness, difficulty in breathing or dizziness, swelling of the face, lips, eyelids or throat)
- Priapism
- Chest pain
- Sudden decline or loss of vision
- Decreased hearing or sudden hearing loss
How To Manage Side Effects
Headache
If you experience a headache after taking Cialis (Tadalafil), several home remedies can help alleviate the discomfort. First, ensure you stay hydrated by drinking plenty of water, as dehydration can worsen headaches. Resting in a quiet, dark room can provide relief and applying a cold or warm compress to your forehead or neck may help reduce pain. It's important to limit alcohol consumption, as it can exacerbate the headache when combined with Cialis. If the headache persists or worsens, or if you experience other unusual symptoms, contact your healthcare provider to rule out more serious side effects.
Muscle Cramps
To manage muscle pain caused by Cialis (Tadalafil), it is important to allow the muscles to rest and recover by avoiding strenuous activity. Applying a warm compress or using heat therapy can help relieve muscle tightness, while gentle stretching can improve flexibility and reduce discomfort. Staying hydrated is also essential, as dehydration can sometimes contribute to muscle cramps. Over-the-counter pain relievers such as ibuprofen or acetaminophen may be used to alleviate soreness, but it's always best to follow the dosage instructions. If the pain persists or worsens, consulting a healthcare provider is recommended to rule out any serious concerns.
Warning & Precautions
Pregnancy
Consult your doctorThere are no adequate and well controlled studies of CIALIS use in pregnant women. Animal reproduction studies in rats and mice revealed no evidence of fetal harm. However, consult your doctor before use.
Breastfeeding
Consult your doctorIt is not known whether tadalafil is excreted in human breast milk or not. Animal studies indicate that some metabolite of tadalafil has been excreted in breast milk. Therefore, inform your doctor before taking CIALIS 20MG TABLET if you are breastfeeding.
Driving and Using Machines
Use with CautionDo not drive or operate any machines if you experience dizziness or blurred vision after taking CIALIS 20MG TABLET.
Alcohol
Consult your doctorAvoid consumption of alcohol while taking CIALIS 20MG TABLET, as it could make you feel dizzier.
Kidney
Use with CautionCIALIS 20MG TABLET should be used with caution in patients with kidney problems. Dose adjustments are needed in such patients. Therefore, consult your doctor before taking it.
Liver
Use with CautionCIALIS 20MG TABLET should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.
Allergy
ContraindicatedDo not take CIALIS 20MG TABLET if you are allergic to Tadalafil.
Heart Disease
Consult your doctorCIALIS 20MG TABLET is not recommended for use in patients with severe heart diseases. It should be used with caution in patients with other heart diseases. Therefore, consult your doctor before taking it.
Use In Pediatrics
Consult your doctorThe safety and effectiveness of tadalafil has not been well established in children aged below18 years. Therefore, your doctor will decide whether CIALIS 20MG TABLET should be used in children or not depending on the risks and benefits of the therapy.
Use In Geriatrics
Use with CautionCIALIS 20MG TABLET should be used with caution in elderly patients. Therefore, consult your doctor before taking it.
Others
CIALIS 20MG TABLET is not recommended for use if you:
- Recently had a stroke (within the last 3 months)
- Have severe low blood pressure
- Have uncontrollably high blood pressure
- Previously had vision loss due to non-arteritic anterior ischaemic optic neuropathy (nerve damage caused due to lack of blood and oxygen supply to the eye)
Before taking CIALIS 20MG TABLET, inform your doctor if you:
- Have sickle cell anemia
- Have cancers of the blood (leukemia) or bone marrow (multiple myeloma)
- Have penile deformation
- Had any pelvis surgery in the past
- Had any surgical removal of all or part of the prostate gland (radical non-nerve-sparing prostatectomy)
- Have stomach ulcers or bleeding disorders such as haemophilia
- Have any type of rare inherited eye disease (such as retinitis pigmentosa)
Safety Advice
Quick Tips to Follow While Taking Cialis 20mg Tablet (tadalafil):
- Take as Directed: Follow your doctor’s prescription carefully. Usually, it is taken once a day or 30 minutes before sexual activity.
- Avoid Alcohol: Limit alcohol intake as it can increase the risk of side effects like dizziness or low blood pressure.
- Do Not Combine with Nitrates: Never use Cialis with nitrate medications (e.g., nitroglycerin) as it can lead to a dangerous drop in blood pressure.
- Stay Hydrated: Drink plenty of water to stay hydrated and reduce the likelihood of headaches or other side effects.
- Timing Matters: For erectile dysfunction, take it at least 30 minutes before planned activity; its effects can last up to 36 hours.
Always consult your doctor or pharmacist for personalized guidance.
Interactions
A. Top Drug-Drug Interactions:
1. Nitrates (e.g., nitroglycerin, isosorbide dinitrate):
Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2. Alpha-blockers (e.g., prazosin, terazosin, tamsulosin):
Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3. Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril):
Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Other Drug-Drug interactions:
- Ketoconazole, itraconazole (used to manage fungal infection)
- Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
- Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
- Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
- Other medicines used to improve blood flow to the penis (Ex. sildenafil)
B. Drug-Food Interactions:
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
- Grapefruit and Grapefruit Juice:
Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis. - Alcohol:
Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis. - High-Fat Meals:
While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed. - Caffeine:
Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
Synopsis
| Drug | : | Tadalafil |
| Pharmacological Category | : | Phosphodiesterase-5 inhibitors |
| Therapeutic Indication | : | Erectile Dysfunction, Benign prostatic hyperplasia, Pulmonary arterial hypertension |
| Dosage Forms | : | Tablet, Oral disintegrating strips, Granules |
More Information
Lifestyle Advice for Maximizing the Benefits of Cialis Tablets:
- Exercise Regularly: Engage in moderate physical activity, like walking or swimming, to improve circulation and overall heart health.
- Quit Smoking: Smoking can impair blood flow and reduce the effectiveness of Cialis. Consider a smoking cessation program.
- Manage Stress: Practice stress-reducing techniques like yoga, meditation, or deep breathing to enhance overall well-being and sexual health.
- Sleep Well: Ensure you get adequate sleep, as poor rest can affect your energy levels and sexual performance.
- Follow Medical Advice: Regularly consult your doctor for follow-ups and adjust lifestyle changes based on medical recommendations.
Incorporating these tips can enhance the benefits of Cialis while minimizing potential side effects. Always consult with your healthcare provider for personalized advice.
Relevant Health Articles on ED treatment:
Comparison on Cialis and Alternate/Substitute medicines:
| Brand | Active Ingredient | Dosage | Effect Duration | Key Benefits | Price |
| Tadalafil | 20mg | Up to 36 hours | Long-lasting, spontaneity, fewer side effects | Rs. 548 | |
| Sildenafil | 100mg | 4-6 hours | Fast-acting, reliable, long-established effectiveness | Rs. 1200 | |
| Tadalafil | 20mg | Up to 36 hours | Affordable, long-lasting, similar to Cialis | Rs. 473 | |
| Tadalafil | 20mg | Up to 36 hours | Effective, long-lasting, cost-effective Cialis alternative | Rs. 236.70 | |
| Sildenafil | 50mg | 4-6 hours | Affordable, similar to Viagra, fast-acting | Rs. 146.41 |
Which is better? Cialis vs. Viagra: add h3 tag
| Feature | Cialis 20mg | Viagra |
| Duration of Effect | Up to 36 hours | 4-6 hours |
| Onset Time | Takes about 30 minutes to 2 hours | Takes about 30-60 minutes |
| Food Interaction | Less affected by food | Effectiveness may be delayed with fatty meals |
| Dual Use (ED and BPH) | Approved for ED and BPH | Only approved for ED |
| Side Effects | Headaches, back pain, flushing, indigestion | Headaches, flushing, stuffy nose |
| Convenience | Can be taken as needed or daily for continuous use | Typically taken as needed before activity |
| Cost | Typically higher due to long-lasting action | Often less expensive for a single dose |
| Psychological Impact | May help reduce anxiety related to ED | Focuses mainly on improving performance |
FAQs About CIALIS 20MG TABLET
Q: What is CIALIS 20MG TABLET used for?
A: CIALIS 20MG TABLET is primarily used to manage erectile dysfunction (ED), symptoms of benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension. It works by improving blood flow to specific areas of the body, enabling better erectile function and easing urinary symptoms associated with BPH and regulates respiratory function.
Q: How does CIALIS 20MG TABLET work?
A: Cialis contains tadalafil, a PDE5 inhibitor. It relaxes blood vessel walls in the penis, improving blood flow during sexual stimulation. For BPH, it relaxes muscles in the bladder and prostate, relieving urinary difficulties. For PAH, it relaxes muscles in the airways, relieving breathing difficulties
Q: How should I take CIALIS 20MG TABLET?
A: Take CIALIS 20MG TABLET as directed by your doctor, usually once daily or 30 minutes before sexual activity. Swallow the tablet whole with water, with or without food. Do not take more than one tablet in 24 hours.
Q: Can I take CIALIS 20MG TABLET with alcohol?
A: It is best to limit alcohol consumption while taking Cialis, as it may enhance side effects such as dizziness, headaches, and low blood pressure.
Q: Are there any food restrictions while taking Cialis 20mg Tablet?
A: Avoid grapefruit and grapefruit juice while taking Cialis, as they can interfere with the metabolism of the medication, potentially increasing side effects.
Q: What are the common side effects of Cialis 20mg Tablet?
A: Common side effects include headaches, back pain, muscle aches, nasal congestion, flushing, and indigestion. These usually resolve within a few hours. Contact your doctor if side effects persist or worsen.
Q: What should I do if I miss a dose of CIALIS 20MG TABLET?
A: If you are on a daily regimen, take the missed dose as soon as you remember. Skip it if it’s almost time for your next dose. Do not double the dose to make up for the missed one.
Q: Is CIALIS 20MG TABLET safe for long-term use?
A: Cialis is generally safe for long-term use when taken as prescribed. Regular follow-ups with your doctor are essential to monitor for any potential side effects.
Q: What medicines should be avoided while taking CIALIS 20MG TABLET?
A: Avoid combining Cialis with nitrates, alpha-blockers, or other medications for erectile dysfunction. Inform your doctor of all medications you are taking to prevent harmful interactions.
Q: How does Cialis work for ED and BPH?
A: Cialis (Tadalafil) helps with erectile dysfunction (ED) by relaxing the blood vessels in the penis, allowing more blood to flow during sexual arousal, which makes it easier to get and maintain an erection. For benign prostatic hyperplasia (BPH), it works by relaxing muscles in the prostate and bladder, easing urination and reducing symptoms like frequent urination and urgency.
Q: Can Tadalafil help with blood pressure?
A: Tadalafil can lower blood pressure by relaxing blood vessels, which helps improve blood flow. It is primarily used to treat pulmonary arterial hypertension (PAH) by reducing pressure in the lungs, but it can also lower systemic blood pressure slightly. However, if you're already on blood pressure medications, consult your doctor before using Cialis.
Q: What precautions should diabetic patients take while using Cialis?
A: If you're diabetic, it's important to manage your blood sugar levels well when using Cialis as uncontrolled diabetes can worsen erectile dysfunction (ED). Also, check for possible interactions with your diabetes medications and monitor for side effects like dizziness or low blood pressure. Always talk to your doctor before starting Cialis.
Q: Can Cialis be used by women?
A: Cialis (Tadalafil) has been primarily approved for men, but Tadalafil has also been studied for the management of pulmonary arterial hypertension (PAH) in women. Female patients who prefer using this medicine must consult your doctor for advice before taking it. To know more, lupin.PI
Q: What is the best time to take CIALIS 20MG TABLET:
A: The best time to take Cialis 20mg tablet depends on your individual needs and lifestyle. If you're using it as a "on-demand" medication for erectile dysfunction, it's typically recommended to take the tablet at least 30 minutes before planned sexual activity. Cialis can work for up to 36 hours, allowing for flexibility in timing. For those taking it daily for Benign Prostatic Hyperplasia or pulmonary arterial hypertension, it should be taken at the same time every day, regardless of sexual activity. Taking it consistently can help maintain steady drug levels in your body.
Q: Can I take CIALIS 20MG TABLET daily?
A: CIALIS 20MG TABLET is generally prescribed as one dose per day. However, your doctor will decide the number of doses per day depending upon your age, body weight and disease condition. Do not take CIALIS 20MG TABLET more than once a day without consulting your doctor.
Q: Can CIALIS 20MG TABLET helps for urinary symptom relief?
A: CIALIS 20MG TABLET helps to regulate the flow of urine by relaxing the smooth muscles surrounding the bladder and prostate. It improves urine flow and reduces pain and discomfort while passing urine.
Q: Can CIALIS 20MG TABLET stop urine?
A: In patients with urinary problems (such as unintentional passing of urine or frequent urination), CIALIS 20MG TABLET regulates the flow of urine by relaxing the smooth muscles surrounding the bladder and prostate. Therefore, it controls abnormal urinary symptoms (such as difficulty in passing urine or frequent urination).
Q: Does CIALIS 20MG TABLET affect fertility?
A: Studies have shown that CIALIS 20MG TABLET is not having any impact on fertility. However, if this is your concern, check with your doctor.
References
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023] click here
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023] click here
4. Leeford Healthcare Private Ltd. Bigfun-36. [Accessed on November 08th, 2023] click here
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023] click here
6. Lupin. PI. Tadalafil Tablets. Revised in Oct 2018. Accessed on 6th December 2024. Click here
7. Tadalafil Tablets. USFDA. Revised in Oct 2011. [Accessed on 6th December 2024]. Click here
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