
Chances are, you’ve seen TV commercials and magazine ads for the prescription medication, Cialis. And if you have, then you already know it helps many men with improving erection health. What you might not know is who it works for, what effect it has, when to use it, and how.
The answers to some of these questions are direct; some, not so direct. But all of them add up to an erection health medication that is proven effective for men with varying underlying causes.
The FDA approved Cialis for erection health in 2003. It’s also available for the treatment of benign prostatic hyperplasia (BPH) on its own, and in conjunction to erection health issues. BPH is a benign, non-cancerous enlargement of the prostate gland, which can trigger problems achieving and maintaining an erection.
The Journal of Sexual Medicine says Cialis works for men who suffer from erection health problems caused by diabetes, bilateral nerve-sparing radical prostatectomy, external beam radiotherapy for prostatic cancer, spinal cord injury, and lower urinary tract symptoms. This is only a partial list of men who can take the drug and see improvement.
Cialis has been determined a safe and effective treatment for many men, but there are some contraindications. Men who use nitrates, such as nitroglycerin, should not use Cialis because it can cause blood pressure to drop to a dangerous level. Men who are treated for BPH using alpha blockers should generally avoid Cialis for the same reason.
What Effect Does Cialis Have?

Cialis is a largely safe and effective way to improve erection health; that much is clear. The way it helps is by blocking a common cause of problems that interfere with your body’s ability to produce an erection naturally. It helps facilitate, not cause, an erection.
When sexual stimulation begins, signals travel from the brain down the spinal cord and trigger the release of nitric oxide into the penis. From there, a series of reactions take place that help encourage blood to flow into the penis and produce an erection. When anything blocks part of the series from happening, an erection becomes difficult or impossible to achieve or maintain.
Cialis blocks blocks an erection blocker in your body, so you get a green light instead of a stop sign.
When to Use Cialis
Cialis is approved for once-daily use, and on an as-needed basis. In clinical trials, once-daily was shown to be an effective alternative to using it only when you need it.
The dosage is different, depending on when you take it. Men you use Cialis daily usually get a lower dose, of 2.5 to 5 mg, where as-needed use comes with a dosage of 5, 10, or 20 mg, says the Lily Pharmaceutical Company, maker of Cialis. Daily use means you don’t have to plan for a romantic evening. When the time is right, you are ready. As needed means you don’t have to take medication every day just in case.
Whether you prefer a daily dose, which lets you get into a routine, or you’d rather take it only when you need it, Cialis has an option for you. Certain health conditions might prompt your doctor to prefer and prescribe one type of dosage over the other. You should discuss with him which choice is best for you, and why.
How to Use Cialis Safely

Cialis comes in pill form. Some erection health medications require you to avoid certain foods or all food for a while before and after taking it, but that’s not an issue with Cialis.
As with any tablet, take Cialis with water. Daily-dose can be taken at a time when you prefer. Some of the medication stays in your body for more than two days, which overlaps slightly with the next dose. You can take it when you first wake in the morning, noon, bedtime, or any time that you like. Just stay on the same routine. Except on the advice of your doctor, don’t skip doses, don’t break tablets, and don’t take more than a single dose per day.
With daily Cialis, you can go about your normal routine without having to plan for sex. As long as you don’t have a prohibitive health condition or take any drugs that could interfere with Cialis, it’s safe for men of any age over 18. It’s even safe for most men with diabetes and high blood pressure, as long as it’s controlled.
As-needed Cialis has a different protocol. This dosage lets you be ready when the time is right, but it also stays effective in the body more than just a few hours. If your “right time” is interrupted, as life has a tendency to do, your body is still ready at a later time within 36 hours.
An as-needed dose can work as quickly as 30 minutes after taking it. However, you might need more than one dose for Cialis to become fully effective for you. This doesn’t mean that you can take more than the recommended dose or take another tablet later in the same day. If you don’t get the results you want on your first dose, you’ll need to wait a day before taking another dose.
As with daily Cialis, you shouldn’t break tablets or take more than the recommended dose, except on the advice of your doctor.
Some People Shouldn’t Take Cialis
Although it’s proven safe and effective for many men of almost any age, and with a wide range of health conditions, your doctor could determine that it’s not right for you. He’ll likely ask you a series of questions, perform an examination, and talk with you about your needs.
Your heart should be healthy enough for sex, and you shouldn’t consume more than 5 drinks daily. Lily lists some other reasons why your doctor might decide you shouldn’t take it:
- Certain heart problems
- High or low blood pressure
- Stroke
- Liver or kidney problems
- Retinitis pigmentosa
- Severe vision loss, including NAION
- Stomach ulcers or bleeding problems
- Peyronie’s disease
- An erection that lasted more than 4 hours
- Blood cell problems, such as sickle cell anemia or leukemia
These conditions do not automatically mean you can’t take Cialis. Your doctor can make that determination.
Side Effects to Tell Your Doctor About
Any medication can cause side effects. Some are more common than others.
Less dangerous, but common, side effects include dizziness and headache, muscle aches and back pain, and a stuffy or runny nose. Lily explains that you may not see any sign of these side effects for several hours after taking Cialis, and they usually go away within a couple of days.
More serious, but rare, side effects should be reported to your doctor right away. Stop taking Cialis and call your doctor if you experience an erection that lasts more than 4 hours, or doesn’t go away at all. Loss of vision or hearing, ringing in the ears, and dizziness that can accompany ringing in the ears are also reasons to seek medical advice. When any serious side effect happens, stop taking Cialis.
Some erection health issues, such as a lack of sexual desire, aren’t likely to see improvement from using Cialis. There may be any number of causes for low libido. Your doctor can help you determine the best course in these causes, although Cialis might be part of a larger overall solution.
If you want to improve your erection health, Cialis might be exactly what you’re looking for. It’s helped scores of men find relief from a problem that’s probably a lot more common than you realize. Taken daily or only when you need it, there’s an option that suits your lifestyle.
Check with your doctor to see whether Cialis would be safe and effective for you. In a matter of days, or even sooner, you could find that healthy erections can become a part of your life now, and in the future.
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