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Cialis has an effect much like Viagra as it is the same type of drug with a slightly different chemical formula. The active part of Cialis is called tadalafil. Like Viagra it increases the blood flow to your penis and you get an erection.

The main difference from Viagra is the speed at which it starts to work and the length of time it works for (around 36 hours as opposed to 4 or 5 for Viagra).

How Cialis works

Basically it increases the blood flow to your penis and this gives you an erection. You really need to be getting in the mood as well as that gives a far better result. It is a useful treatment for erectile dysfunction as for the majority of men, lack of blood flow to the penis is the main problem.

Is Cialis Effective?

Most definitely. In early research some men reported erections in barely a quarter of an hour and as a bonus it can also work for up to 36 hours or occasionally longer. There have been reports of it working up to 3 days later.

As opposed to Viagra and Levitra, neither food or drink have much effect on the speed of onset. Cialis improved erections in 81% of men who had previously experienced impotence, with 75% of intercourse attempts successful.

In view of the potential length of action, when you first start taking it see if you need a tablet every time or if you’re one of the lucky men in whom it has long-lasting effects.

What Time Is Best To Have Cialis?

Take it around 30 minutes before sexual activity and it stays in your system for around 36 hours.

What dose will I need?

Discuss it during the online consultation. Cialis comes in 10 and 20 mg tablets. It may be suggested you commence at 10mg and gauge the effects. You can always increase the dose.

Are there side effects?

Yes, like with all drugs there are side effects.

They  include facial flushing, headaches, nasal congestion, indigestion and bluish or blurred vision. These effects are usually mild and don’t last long

When is Cialis not recommended?

This will be covered in more detail during the online consultation but Cialis has effects on the heart and blood pressure. So if you have had heart problems discuss  it during the online consultation. It should not be taken by patients already on nitrates such as GTN spray.

Cialis should not be taken if you have any of the following health problems:

Heart problems that make sexual activity inadvisable

Heart attack or stroke within the last six months

Unusually high or low blood pressure

When you complete the medical questionnaire you must mention if you have experienced any of the following medical conditions. Don’t be tempted to miss out any relevant medical facts:

A heart attack, chest pains (angina) or irregular heart rhythm

Kidney or liver diseases

A stroke or TIA

Hypertension (high blood pressure)

Blood conditions such as sickle cell anemia or leukemia

Any disease or deformity of the penis (such as angulation or Peyronie’s Disease)

Stomach ulcers

A very rare eye problem called retinitis pigmentosa

Any other medical problems you think may be relevant shoula aldo be disclosed. It should not be taken if you have a previous history of non-arteritic anterior ischaemic optic neuropathy.

It can also interact with some drugs and grapefruit juice.  However the FREE online consultation and medical questionnaire will cover these points in detail.

Nitrate containing medicines include
nicorandilglyceryl trinitrate, isosorbide mononitrate, isosorbide dinitrateamyl nitrate (poppers)

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