Cialis in South Africa

Cialis: Treatment and side effects for erectile dysfunction. What is the correct dosage of Cialis to take for me?

Category: Tadalafil

Have Erectile dysfunction? Cialis is here to help!

Cialis: All You Need To Know

Cialis, also known as Tadalafil or Adcirca,  is a popular erectile dysfunction drug that has gained notoriety and usage over the last few decades or so. While primarily used for impotence, it’ can also be used for pulmonary arterial hypertension and helps the artery blood vessels to open up . It’s also used for  benign prostate hyperplasia (enlargement of the prostate) , and other prostate and circulation problems.

History of Cialis

Tadalafil was originally developed by the Glaxo Wellcome in 1991, in partnership with ICOS . It was originally developed as a heart medication. Around the same time a competing pharmaceutical company, Pfizer, was developing a similar product known as Sildenafil, more commonly known as Viagra. During clinical tests, they noted that male patients tended to get erections as a side effect of the drug. ICOS later partnered with Eli Lilly and Company to further develop it further. It, along with Viagra was approved by the FDA for customer use in 2003, and was approved for treatment of pulmonary arterial hypertension in 2009.

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How Cialis works

Cialis works by blocking a chemical known as PDE5. When a man gets an erection, the blood vessels in his penis dilate, allowing it to fill with blood. During stimulation, Nitric Oxide is released into the genitals.This causes a substance know as cGMP to be released.  PDE5 destroys cGMP, causing arousal to end. Thus, Cialis combats this process. The walls of artery muscles also contain PDE5, which is why it works well for cardiovascular issues in addition.

Dosage

Doses usually come in 5,10 and 20 milligram doses. The pills tend to be yellow in color, and are almost always almond shaped. It is favored by some over Viagra due to it’s longer effectiveness of 17-18 hours. Sildenafil, by comparison, only has a half life of 4 to 5 hours. Contrary to popular belief, Cialis does not give one an “instant erection”. Sexual stimulus must still take place for it to be effective. It’s also not recommended to take more than one dose in a 24 hour period, and for daily use, no more than 2.5 to 5 mg for someone sexually active at least twice a week, unless recommended by a physician or general practitioner .

Side effects

Side effects vary, but the most common seem a prolonged erection and a sudden drop in blood pressure, more commonly known as hypertension. Priapism, an erection that lasts 4 fours or more, is very dangerous and can cause permanent damage to the genitals. They should also not be mixed with nitrate medication, as they can cause heart and chest problems. In some people, it can cause sudden blindness and restrict blood flow to the optic nerve. This is most common in diabetics and people with high cholesterol/heart disease.It’s also not recommended for use by anyone with general heart,kidney, liver or eye problems.

Availability

As mentioned earlier, many prefer Cialis to Viagra due to it’s longer duration of effectiveness. But other factors are also in play as well. Food and duration after meals  tends to effect the usefulness of Viagra, where as with Cialis it does not. Also, Cialis is a once daily pill, which many prefer to constantly re-dosing with Viagra, which is a “take as needed” solution that may not be preferable. One factor in Viagra’s favor however, is it’s less likelihood of negative reactions for men with  kidney or liver dysfunction. Finally, Cialis tends to be cheaper on the whole, starting at about .50 for a 5 mg tablet, all the way up to $ 28 for a 20 mg.

Viagra comparatively starts at for a 50 mg pill, up to for a 100 mg tab.

Where to buy in South Africa?

In South Africa, both Viagra and Cialis require a prescription to purchase. Many other places,  such as neighboring Australia and the  UK offer generic over the counter versions, albeit requiring consultation with a trained pharmacist among other things.  Despite this, many men purchase it online as an alternative. This is highly dangerous, as there is no guarantee where it was made or where it was shipped from, along with being highly illegal to receive.  There are currently no plans to implement an over the counter version of Cialis at this time.

HOW TO USE CIALIS MEDICINE

As far as to my knowledge humans are the only species who suffer from ailments related to sex. This might be a factor resulting from lifestyle habits, which I think we (humans) have altered ourselves to a great extent away from the biological evolution which has molded us since time immemorial.

But modern science has paved way to overcome these bottlenecks by formulating certain drugs which enhances our sex drive. One amongst those drugs is Tadalafil which increases the flow of blood to the penis and achieves and maintains erection sufficient for better sexual activity. The prevalent name which is common among people for this drug is Cialis, unlike the Pink Pill which is a recent invention to increase sexual desire in women, Cialis focuses on sexual stimulation alone. It is also used to treat symptoms of benign prostatic hyperplasia (BPH) in men with enlarged prostates, in laity it helps to relieve from conditions like frequent urination, alleviates pain while urinating, or the sensation of not completely emptying the bladder.
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Cialis usually is in the form of 2mg yellow-orange, almond-shaped, film-coated tablet, marked on one side with C2, another variant is composed of 5mg which is marked as C5. The above mentioned variants are normally prescribed for once-a-day dosage. For on demand dosing the pill comes as 10 and 20mg with C10 and C20 marked on them respectively. Doctors recommendation varies accordingly, as in for on demand the dosage would be 20 mg as required at least 30 minutes prior to having sex.

The effect starts after 30 minutes and is said to last for up to 36 hours depending on the person’s time interval post consumption and the time taken to start sexual activity. On a cautionary note only one tablet is recommended per day. In the case of the variants under once-a-day usage it is advised to be at about the same time each day and regardless of when sexual activity is planned. This might be lowered by the doctor on necessity either with or without food.

There are certain factors which makes this pill deadly, as in body weight and other medical conditions like vision loss called nonarteritic anterior ischemic optic neuropathy (NAION). Also people who take Nitrate medication in any form (oral, sublingual [under the tongue], skin patch, or spray) which is used to treat chest pain must refrain from taking this pill to avoid sudden severe drop in blood pressure that could lead to dizziness, fainting, heart attack, or stroke. Certain side effects which are temporary or permanent like back pain, facial flushing, headache, indigestion or stomach discomfort following meals, muscle ache and nasal congestion. Although only 1% of them have experienced these above mentioned effects they may lead to serious problems if left from seeking medical attention from the concerned doctors. Grapefruit juice consumption increases tadalafil in our blood, so it is better to refrain taking the pill while drinking grapefruit juice. In some rare cases people had experienced loss of hearing. People who is under medication for heart conditions must seek doctor’s advice before taking Cialis.