Cialis is a drug used to treat erectile dysfunction, and is considered one of the well-known drugs in this field. It contains the active ingredient tadalafil, which works to inhibit the enzyme phosphodiesterase in the penis, which helps prevent blood vessels from relaxing and keeps them filled with blood, leading to a natural erection of the penis. In this article, myDalily Medical   guide, we will review the indications for use, doses, method of use, contraindications and warnings, in addition to side effects. Follow us for more information.

**What are Cialis pills?**

 

Cialis pills are the trade name for the drug tadalafil, which belongs to the class of phosphodiesterase inhibitors. This drug is used to treat erectile dysfunction in men, as it helps increase blood flow during intercourse. Cialis is also used as a sexual stimulant and sports stimulant, as it enhances muscle strength and increases blood flow, giving a greater feeling of strength. Tadalafil works by inhibiting the enzyme phosphodiesterase 5 in the penis, which prevents blood vessels from relaxing and causes them to fill with blood, facilitating an erection. In the case of sexual stimulation, this medication treats sexual problems that some men may suffer from, such as erectile dysfunction resulting from stress, fatigue, or low self-confidence.

**What are the doses of Cialis?**

 

The maximum recommended dose of tadalafil is one tablet daily. If this medication is used with finasteride to treat benign prostatic hyperplasia, the dose is adjusted to 5 mg of tadalafil once daily, for a period of up to 26 weeks.

**What is the best time to take Cialis?**

 

It is preferable to take Cialis 30 minutes to 3 hours before sexual activity, as the drug begins to work after 30 minutes and can last up to 36 hours. For a low daily dose, 5 mg of Cialis can be taken once daily to improve sexual function, and it may take several weeks to get full results from this use.

**Is it better to take Cialis before or after food?**

 

Cialis can be taken with or without food, depending on the individual's condition and the doctor's instructions.

**Can Cialis be used temporarily?**

 

Tadalafil can be used as needed before intercourse or as a daily dose. It is important to take the medication well before intercourse to ensure that it is fully absorbed.

**Does Tadalafil cause habituation?**

 

Repeated use of Cialis does not lead to addiction, but it may cause habituation to its use, where the person becomes accustomed to taking it before intercourse. Therefore, it is advisable to avoid excessive use or taking higher than recommended doses, as this may lead to serious health complications.

When is Tadalafil not effective?

 

Cialis may not achieve the desired results in 20-30% of men who use it to treat erectile dysfunction. Common reasons for its ineffectiveness are incorrect use or insufficient dosage. Therefore, users who want to know when Cialis 5 mg starts working should be aware that the first dose may not produce the expected results. It is important to be patient and continue using it in the right way.

Can you take half a tablet of Cialis?

 

For men with mild erectile dysfunction, taking one or half a tablet of 25 mg may be significantly effective.

Does Cialis affect the heart?

 

In some cases, it may lead to a sharp drop in blood pressure, which requires immediate medical intervention.

Is Tadalafil better than Viagra?

 

There is no difference in effectiveness between Cialis and Viagra when used one to two hours before sexual intercourse as needed. However, Cialis has fewer side effects than Viagra, and can be taken only 30 minutes before intercourse, while Viagra requires taking the dose one to two hours before intercourse.

**How ​​to store Cialis?**

 

Cialis should be stored at room temperature, avoiding refrigeration. It is necessary to keep it out of the reach of children, and it is preferable to keep it in the original package to protect it from moisture. The medicine should not be used after the expiry date printed on the package, as this date refers to the last day of the month.

**How ​​does Cialis 5 mg work?**

 

Tadalafil works to increase blood flow to the penis by inhibiting the enzyme phosphodiesterase 5, which prevents the breakdown of vital molecules responsible for relaxing smooth muscles in the penis. Therefore, you do not have to worry about knowing when Cialis 5 mg starts working, as this contributes to improving blood flow and increasing erection in a short time. However, there must be sexual arousal for the effective effect of Tadalafil to be achieved.

**How ​​quickly does Cialis work?**

 

Cialis usually begins to work within 30 to 60 minutes after taking it on an empty stomach. If it is taken with food, it may take longer to show its effect. It is important to note that Cialis does not automatically cause an erection, but rather helps blood flow to the penis, but still requires sexual stimulation or arousal to achieve an erection, just as it normally does during sexual activity.

**How ​​to use Cialis?**

 

To ensure the effectiveness of tadalafil, it must be taken in the correct manner. It is best to take the medication on an empty stomach. If it is to be used as needed, it is recommended to take it one to two hours before expected intercourse.

There are two ways to use Cialis. Depending on the reason for use and frequency of sexual activity, men can choose to use it only as needed before sex, or they can take a lower dose once daily.

Daily doses of tadalafil are beneficial for men who have problems urinating, as daily doses of Cialis also help improve this condition.

What are the doses of Cialis?

 

The dose of Cialis varies depending on the condition being treatedA:

- To treat erectile dysfunction: The recommended dose is 10 mg taken once daily 30 minutes before sexual activity. The dose can be adjusted to 20 mg or reduced to 5 mg as needed.

- To treat benign prostatic hyperplasia: The patient is advised to take 5 mg of Cialis tablets daily.

- In case of pulmonary arterial hypertension: 40 mg of Cialis is taken once daily.

- To treat premature ejaculation: Cialis tablets are used to help prolong the erection, allowing for a longer enjoyment of the marital relationship.

**Cialis pills for women**Cialis tablets with a concentration of 5 mg are used for women in cases of depression that lead to sexual frigidity, as these pills help treat the problem of sexual frigidity in women.

**Cialis pills for men**Cialis tablets are used to treat erectile dysfunction and premature ejaculation in men, which contributes to prolonging the duration of the erection.

**Cialis pills for erection**Cialis tablets help treat erectile dysfunction by relaxing the blood vessels in the penis, which enhances proper blood flow and helps achieve an erection for a sufficient period.

**Side effects of Cialis**

Some side effects may appear when taking Cialis tablets. If any of these symptoms occur, the patient should stop using the medication and consult a specialist doctor. The most prominent of these symptoms are:

- Feeling chest pain, in which case you should stop taking Cialis and contact your doctor immediately.

- Allergic reactions, such as a rash.

- Sudden loss of vision.

- Prolonged erection with pain. If the erection lasts for more than six hours, you should see a specialist doctor immediately.

What is the difference between Cialis 5 and Cialis 20?

 

Here we know the difference between Cialis 5 and Cialis 20 in terms of ingredients, benefits, side effects and doses:

**Ingredients of Cialis pills for men 20 mg** Tadalafil: It is an active substance that belongs to a class of drugs known as phosphodiesterase inhibitors (PDE), which work to enhance blood flow to certain areas of the body by relaxing the muscles of the blood vessels, including increasing blood flow to the penis to stimulate the natural erection process and prolong it for a sufficient period in order to enhance sexual intercourse.

One tablet contains a concentration of 20 mg of the active substance Tadalafil.

**Ingredients of Cialis pills for men 20 mg**

Tadalafil: It is the active ingredient that belongs to a class of drugs known as phosphodiesterase inhibitors (PDE). This substance works to enhance blood flow to specific areas of the body by relaxing the muscles of the blood vessels, which leads to increased blood flow to the penis, thus stimulating the natural erection process and prolonging it for a sufficient period to enhance sexual intercourse.

Each tablet contains 20 mg of tadalafil.

**Ingredients of Cialis 5 mg tablets**

Tadalafil: It is the same active ingredient in the previous concentration, and is considered a phosphodiesterase (PDE) inhibitor. It works to relax the muscles of the blood vessels and increase blood flow to certain areas of the body. With appropriate sexual stimulation, blood flow to the penis increases, which stimulates the occurrence of an erection and improves its continuation for a sufficient period.

**Dosage and method of use of Cialis 20 mg**

 

In cases of erectile dysfunction, the starting dose is 10 mg once daily, and the dose can be adjusted later to be between 5-20 mg once daily.

The tablets should be taken orally about 30 minutes before intercourse.

The tablets can be taken with or without food, with a sufficient amount of water.

The tablets are taken orally, either with or without food, with a sufficient amount of water.

It is recommended to take the dose at the same time every day.

**Cialis 5mg Benefits**

Cialis 5mg is used to treat:

- Erectile dysfunction in adult men.

- Reducing urinary symptoms associated with benign prostatic hyperplasia.

**Cialis 20mg Benefits**

Cialis 20mg is used to treat:

- Erectile dysfunction in men over the age of 18.

- Pulmonary arterial hypertension in men and women.

**Side effects of Cialis 5 and 20mg**

Using Cialis pills may cause some side effects, including:

- Headache.

- Swelling and redness of the face or feeling hot.

- Nausea or vomiting.

- Stomach disorders.

- Nasal congestion.

- Muscle pain.

- Lower back pain.

- Pain in the extremities.

Which is better: Cialis 5 mg or Cialis 20 mg?

 

Determining which is better depends on the health condition. Cialis 5 mg can be used in the following cases:

- Erectile dysfunction in adult men aged 18 years or older.

- Pulmonary arterial hypertension in men and women.

As for Cialis 20 mg, it can be used in the following cases:

- Erectile dysfunction in adult men aged 18 years or older.

- Relieving urinary symptoms associated with prostate enlargement in men.

The appropriate dose for erectile dysfunction is determined based on the response, ranging from 5 to 20 mg per day. While the doses used for prostate enlargement or pulmonary arterial hypertension are determined by the doctor according to the patient's condition.

What are the medical uses of Cialis pills?

 

The medical uses of Cialis are varied, as they are mainly related to treating some sexual and reproductive problems, and the most prominent of these uses are:

**Treatment of erectile dysfunction:**

Cialis pills are used to enhance erection and treat sexual impotence, in addition to increasing sexual desire.

**Relieving symptoms of prostate enlargement:**Cialis 5 mg is effective in relieving symptoms of prostate enlargement, such as difficulty urinating and severe pain during urination in adult men.

**Improving athletic ability:**Cialis helps toEnhancing the ability to exercise in people with pulmonary hypertension, which helps relieve difficulty breathing, fatigue and dizziness.

**Using Cialis for women: Does it prevent pregnancy?** Tadalafil does not affect pregnancy, but it should not be taken without consulting a doctor, as it may cause serious complications to the health of the woman and the fetus

**Damages of Cialis pills**

The damages and side effects associated with Cialis tablets include the following:

- **Tingling**: A person may feel a tingling sensation in some areas of the body.

- **Muscle aches**: Muscle aches, especially in the back, arms and legs, are common symptoms of Cialis use.

- **Respiratory congestion**: Nasal congestion and sore throat may occur.

- **Severe headache**.

- **Digestive disorders**: Some may experience nausea and other digestive problems.

**Long-term Cialis side effects**

- **Vision changes**: These may include blurred vision, sensitivity to light, and vision loss in rare cases.

- **Hearing loss**: This may lead to ringing in the ears or hearing loss in rare cases.

- **Heart attacks or strokes**: This may increase the risk of these conditions in some people.

- **Effects on liver and kidney function**: This may cause liver or kidney damage in some cases.

- **Effects on fertility**: This may lead to a decrease in sperm count in some cases.

- **Drug interactions**: This may interact with some medications, such as nitrates.

**Cialis side effects on the heart**

- **Low blood pressure**: This may lead to a slight decrease in blood pressure, especially in people who are taking other medications to lower blood pressure.

- **Increased risk of heart attack or stroke**: In some cases, this may increase the risk, especially in people with cardiovascular disease.

- **Arrhythmias**: It may cause heart rhythm disturbances in rare cases.

**Advantages and disadvantages of Cialis pills**

**Advantages**:

- Its effect lasts for up to 36 hours in some people, which is a longer period compared to Viagra.

- It can be taken as needed or on a daily and regular basis.

- Daily use enhances the quality of sexual life.

- It can be taken with or without food.

- It helps maintain an erection for a longer period.

According to the messages we received after our request to know your experiences with Cialis pills, many people confirmed that the experience of intercourse in general, especially "orgasm", was better after taking Cialis.

**Disadvantages**

It may cause headaches and muscle pain.

It must be swallowed whole.

It can lead to indigestion.

It may make you feel hot.

**What are the contraindications for using Cialis?**

 

- Hypersensitivity to any of the components of the drug.

- Having leukemia or sickle cell anemia.

- Clotting problems that increase the risk of bleeding.

- Retinopathy of pigment.

- Heart problems or irregular heartbeat.

- Previous heart attack or stroke.

- Angina.

- Severely low blood pressure.

- Uncontrolled high blood pressure.

- Liver cirrhosis.

- Liver failure.

- Undergoing dialysis.

- Some kidney diseases

What factors affect the effectiveness of Cialis?

 

It is worth noting that Cialis is an effective treatment for erectile dysfunction in many men, but its effectiveness is affected by several factors:

1. **Severity of the condition**: Cialis may be less effective in severe cases of erectile dysfunction.

2. **Medical causes**: Cialis may be less effective in treating erectile dysfunction resulting from some medical conditions, such as diabetes and heart disease.

3. **Personal factors**: The effectiveness of Cialis varies from person to person based on age, weight, and general health condition.

4. **Drug interactions**: Some medications may affect the effectiveness of Cialis and reduce its effect.

5. **Dosage**: The prescribed dose may not be sufficient for some men, which necessitates the need for a higher dose.

6. **Regularity**: It is necessary to take Cialis according to the doctor's instructions and on a regular basis to ensure achieving the best results

What are the side effects of Tadalafil?

 

Cialis (Tadalafil) is an effective treatment for erectile dysfunction, but it may cause some side effects that vary in severity from person to person. Therefore, it is important to know when Cialis 5 mg begins to work to be aware of whether these symptoms represent real damage or not. The most prominent side effects

**Common side effects:**

- Digestive problems such as indigestion, nausea, heartburn, and diarrhea.

- Headache and dizziness.

- Facial flushing and nasal congestion.

- Muscle pain, especially in the back, arms, and legs.

**Less common side effects:**

- Rash.

- Chest pain.

- Difficulty breathing.

- Pain or swelling in the penis.

- Dizziness.

- Rapid heartbeat.

- Ringing in the ears.

- Insomnia.

- Tiredness.

- Swelling of the face, lips, or throat.

- Vision changes, including blurred vision and temporary loss of vision.

****Things to avoid when using Cialis***

**Fatty foods**It is important to avoid heavy meals or fatty foods before taking Cialis and before engaging in sexual activity. These foods may affect the effectiveness of the medicine, which may delay its effect.

**Medications and Nitrates* There are some medications that may interact with Cialis and affect its effectiveness, including:

- Nitrates

- Anti-seizure medications

- HIV medications

- Some antibiotics

- Oral antifungal medications

- High blood pressure medications

The patient should inform the doctor of all medications he is taking to avoid any unwanted interactions. Cialis should also be avoided if you are taking angina medications or blood pressure medications from the nitrate class or alpha blockers, asIt can lead to dangerously low blood pressure.

**Alcoholic beverages** Excessive alcohol consumption can affect a person's ability to become aroused. It can also lead to low blood pressure, causing headaches, dizziness, and fainting.

**Grapefruit and grapefruit juice** Avoid taking grapefruit with Cialis, as it may increase the concentration of the drug in the blood, which can worsen side effects.

. **Instructions and instructions before taking the dose**

 

Here are some instructions to follow when taking Cialis pills:

- Cialis pills are taken by swallowing, and can be taken on an empty stomach or after a meal.

- If you are using Cialis to treat erectile dysfunction, you must adhere to your doctor's instructions regarding the appropriate doses for you.

- It is recommended to take Cialis as needed, and it is usually preferable to take it half an hour before sexual intercourse, taking into account not to use it more than once a day.

- If you are taking Cialis tablets at specific times, you must adhere to those times and not exceed them. If you are taking other medications, you should inform your doctor to learn about possible side effects.

- To ensure your safety, your doctor will start by prescribing a moderate dose of Tadalafil, then adjust the dose based on your response to treatment.