Interested in using Cialis to combat erectile dysfunction? Here are answers to frequently asked questions about the popular ED medication.
If you are a man who experiences erectile dysfunction and wants to try Cialis, the top-selling prescription ED medication, it’s only natural that you may have questions about it … questions that you may not be comfortable enough asking your doctor.
Here are some of the most common questions men have about ED and Cialis … as well as answers from the experts.
Q. What health information do you need from me to determine if Cialis is appropriate?
A. Your doctor needs to know if you have any heart problems, including angina, irregular heartbeat, or heart failure. He or she needs to know if you have had a heart attack. If a physician has ever told you that you are not healthy enough for sexual activity, you need to report that. You should tell your doctor if you have low blood pressure, or high blood pressure that is uncontrolled.
You should also speak up if you have ever had a stroke, have liver or kidney problems, or if you have a genetic eye disease called retinitis pigmentosa. Your doctor needs to know if you have ever had vision loss, including a form of vision loss called NAION, short for non-arteritic anterior ischemic optic neuropathy. Tell your doctor if you have stomach ulcers, bleeding problems, sickle cell anemia, leukemia, or multiple myeloma. Definitely inform your physician if you have a curvature of the penis called Peyronie’s disease, or if you have ever had an erection that lasted longer than four hours.
Q. I have heard that Cialis has two dosing options. What are they, and which one is right for me?
A. Cialis can be taken in a low dose as daily therapy, or at a higher dose on an “as needed” basis. Cialis for daily use comes in a 2.5-mg or 5.0-mg tablet taken once a day. It may take several days before daily therapy becomes effective. The typical starting dosage for daily Cialis therapy is 2.5-mg. Regardless of dosage, do not take Cialis more than once a day. Your physician can adjust the dosage if necessary. The conventional way of taking Cialis as needed is in the form of a 5-mg, 10-mg, or 20-mg tablet. The recommended starting dosage for Cialis as needed is 10-mg.

Q. If I am taking other prescription drugs, is it safe to take Cialis too?
A. In many cases, it is safe to take Cialis with other necessary medications. But some medications should not be taken with Cialis. Tell your physician if you are taking:
- Nitrates
- Alpha blockers (Hytrin, Flomax, Cardura, Minipress, Uroxatral, and others)
- Medications used for treating high blood pressure
- Protease inhibitors for HIV, including Norvir and Kaletra
- Oral antifungal medications like Nizoral or Sporanox
- Antibiotics such as Biaxin, Ketek, or erythromycin
- Other medications for ED
- Adcirca or Revatio for pulmonary arterial hypertension
If you’re taking any other medications, including over-the-counter medications or herbal supplements, it is best to tell your physician up front so he or she can make an informed decision on whether Cialis is safe for you to take.
Q. I have symptoms of an enlarged prostate. Is it safe for me to take Cialis?
A. If you are taking medications for enlarged prostate, tell your physician. Cialis has been approved as a daily therapy for treatment of symptoms of benign prostatic hyperplasia (BPH). This is particularly helpful for men who experience BPH and ED, because daily Cialis therapy can be used to treat both conditions. Please note that alpha blockers are sometimes prescribed for prostate problems, and it may not be safe to take Cialis along with certain alpha blockers. Be certain to tell your doctor if you take alpha blockers.

Q. Is it safe to drink alcohol when taking Cialis?
A. In general, it is safe to drink moderate quantities of alcohol with Cialis. Drinking a large amount of alcohol (such as five shots of hard liquor or five glasses of wine), however, can increase your chance of experiencing side effects like dizziness, headache, increased heart rate, or lower blood pressure. For your own safety, it is best to minimize alcohol consumption when taking Cialis.
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