Month: June 2022

In addition to the doses mentioned, interactions with food and substances such as alcohol are important factors for some patients.

Cialis also has an advantage over Sildenafil in this regard : Tadalafil is generally not affected by food consumption, the drug can be taken with or without food and will act in the same way; in the case of Viagra, its effectiveness is greater when taken on an empty stomach 시알리스 구매.

Cialis also does not interact with the consumption of alcohol and fatty foods that reduce/delay the absorption of the drug. Sildenafil , yes 시알리스 구매.

It should be noted that both excess saturated fat and toxic substances such as alcohol, tobacco or recreational drugs are a very high risk factor for erectile dysfunction . Although the medication turns out to be an acceptable and effective option for certain people, the treatment is of little use if, on the other hand, the patient does not contribute by changing the lifestyle habits that probably contributed to his erection problems 시알리스 구매.

Another key point worth mentioning is that Cialis has other medical uses: benign prostatic hyperplasia (inflammation of the prostate) and increased pressure in the lungs.
Tadalafil (Cialis) vs. Sildenafil (Viagra) Which has fewer side effects?

Let’s start by remembering that both medications are phosphodiesterase-5 inhibitors and therefore share many side effects .

To analyze it more easily, see the following table.

The mentioned effects are more or less general and are the ones that are noticed both in most medical pages and in the labeling. However, we know that these indications do not necessarily occur in all patients and that, sometimes, they are more a health regulation than a constant in use. But this should not be taken lightly or as an invitation to ingest them carelessly. Under no circumstances should such a delicate drug as vasodilators be taken on its own, without consulting a doctor. It is necessary for each person to know their health status perfectly, this can only be confirmed by a specialist, after rigorous examinations.

For example, according to the Diabetes Foundation , Sildenafil , Tadalafil and other state-of-the-art vasodilators can be an alternative for erectile dysfunction in diabetic patients . However, we know that about half of men with diabetes-associated erectile dysfunction do not respond well to these drugs. In this case, the male sexual health expert can offer other more suitable or tolerable alternatives.

To control the possible complications of diabetes, medications for high blood pressure, heart problems, glaucoma, depression, or diuretics should be taken. Many of these drugs also cause erectile dysfunction . It is important that both the urologist and the patient are aware of which of these have been prescribed so that their effect does not interfere with the chosen treatment.

Hypertensive people should also learn about the action of vasodilator drugs before taking them. Pressure levels rise due to hardening and narrowing of the arteries (atherosclerosis); the heart must pump blood with greater effort, that is, with greater pressure, which manifests itself in a poor blood supply to the organs. This is the reason why hypertension can cause erectile dysfunction.

These are the two most popular oral medications for treating erectile dysfunction . At the end of the 90s the blue pill made its appearance , completely revolutionizing the sexual life of men . A few years later, its main competitor Tadalafil (Cialis) emerged , offering some advantages, mainly in the time of action. Both are vasodilator drugs, are contraindicated for certain types of patients and have similar side effects , but there are some differences between one and the other. Tadalafil (Cialis) vs. Sildenafil (Viagra) Which has fewer side effects? Find out in this comparison that we will make in the article of the day 시알리스 구매!
Physiological causes of erectile dysfunction

As we well know, the physiological causes of erectile dysfunction (90% of cases) can be varied, but to talk about oral medications, we will focus on erectile dysfunction of vascular origin , that is, failures in erectile function due to poor functioning in the arteries, veins and/or capillaries 시알리스 구매 .

Upon receiving sexual stimulation, the brain releases substances including nitric oxide . This and other chemicals are responsible for activating the entire circulatory system and relaxing the blood vessels to send the blood flow more strongly to the arteries and cavernous bodies of the penis.

When this mechanism fails, it is necessary to activate it in an “artificial” way. That is the function of vasodilator drugs such as Tadalafil and Sildenafil .
The blue pill that changed the world

In Viagra , millions of men found a powerful vasodilator that gave them back their “sexual youth”. Both Sildenafil and Tadalafil , the active ingredients in Viagra and Cialis respectively, release nitric oxide in the corpora cavernosa of the penis. This chemical is produced by the body naturally and, as we have already explained, its function is to relax the muscles and tissues of the penis, allowing blood to flow more easily to this organ 시알리스 구매.

In 2013, the patent for this drug was released, allowing the sale of Sildenafil in generic versions. Today it is available to everyone, in any pharmacy, at affordable prices and -unfortunately- it is possible to buy it online without a prescription, obviously clandestinely. Even young men consume it thinking that it is a kind of aphrodisiac that helps them improve their sexual performance. Nothing could be further from reality, since, far from obtaining benefits, this type of medication can seriously damage the body of a healthy man or with pre-existing diseases associated with vascularity, such as heart disease and hypertension, to mention the most important ones.

Sildenafil has side effects that are tolerable for some patients, but very dangerous for others. Hence the importance of having the advice of an expert doctor in male sexual health .

The other most common medication for erectile dysfunction is Cialis , whose active ingredient is Tadalafil . Like Viagra, Cialis has given many men with erection problems the ability to have full and satisfying sexual intercourse. Cialis is also a good alternative for treating erectile dysfunction , but it is not without its side effects.

This is the reason why vasodilator drugs have a high dropout rate. Although the doctor usually warns of possible reactions, some patients are still surprised to experience discomfort worse than the dysfunction itself .

Dr. Jesse Jarrod Jimenez, Medical Specialist in General Surgery, Urology, Andrology and Sexual Medicine at Boston Medical Group in Mexico, Monterrey states that:

"Most of the side effects are the body's response to a new medication, they are usually temporary, easily manageable with the use of other medications, which allows maintaining the correct assigned therapy and the consequent erection"

But are oral erectile dysfunction medications the most effective solution? Do men with erection problems have no choice but to tolerate the side effects of pills? Of course not, there are many options, and it will depend on the characteristics and health status of each patient, as well as the doctor’s recommendation, to choose the most appropriate type of treatment for each person.

In the experience with more than a million and a half patients, experts from the Boston Medical Group affirm that vasodilator drugs present, on average, between 65% and 75% efficacy, against 85% to 94% of other treatments such as intracavernous therapy.

Before taking any medication for erectile dysfunction, first ask your doctor for approval. Erectile dysfunction medications may not work or be dangerous if:

You take nitrate medications, commonly prescribed for chest pain (angina), such as nitroglycerin (Nitro-Dur, Nitrostat, others), isosorbide mononitrate (Monoket), and isosorbide dinitrate
You have very low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension)
You have severe liver disease
You have kidney disease that requires dialysis

Side effects

Most men who take oral erectile dysfunction medications 시알리스 구매 are not affected by side effects. When side effects do occur, they may include the following:

redness
Headache
Indigestion
Visual changes, such as a blue tint to vision, sensitivity to light, or blurred vision
Nasal congestion or with liquid secretions
Back pain

Rarely, more serious side effects may occur, including the following:

Hearing loss or vision loss. Some men have had sudden hearing loss or vision loss after taking one of these drugs. However, it is unclear whether the vision or hearing loss was caused directly by the drug or by a pre-existing condition. If you are taking an oral medication for erectile dysfunction and have sudden hearing or vision loss, seek immediate medical attention.
An erection that does not go away on its own. Called priapism, this rare condition can be painful and requires medical treatment to prevent damage to the penis. If you have an erection that lasts more than four hours, seek immediate medical attention.

Buying Oral Erectile Dysfunction Drugs Online

Erectile dysfunction treatments are big business, and online scams abound 시알리스 구매. If you buy medicines online:

Verify that an online pharmacy is legitimate. Never order medication from an online pharmacy if there is no way to contact the pharmacy by phone, if the prices seem too good to be true, or if you are told that a prescription is not necessary. Some illegal businesses sell counterfeit versions of legitimate medications, which may be ineffective or dangerous. In the United States, the National Association of Boards of Pharmacy can tell you if an online pharmacy is licensed and in good standing.
Make sure you get the correct prescription and dosage. When you order medications, and when you receive them in the mail, make sure they are the exact dosage and type prescribed by your doctor.
Don't be fooled into buying "herbal viagra" and never take any medication that claims to be "herbal" or an over-the-counter equivalent of an oral erectile dysfunction medication. These are not an effective alternative, and some contain harmful substances.

Be aware that sexual intercourse carries a possible risk in patients with heart problems, due to the additional effort it places on the heart. If you have a heart problem, check with your doctor 시알리스 구매.

Here are some reasons why CIALIS may not be right for you. If you are in any of these cases, tell your doctor before taking this medicine:

If you have sickle cell anemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukemia (cancer of blood cells) or any deformity of the penis.
If you have a serious liver problem
If you have a serious kidney problem.

It is not known whether CIALIS is effective in patients who have had surgery in the pelvic area or who have had surgery in which the prostate has been removed (radical prostatectomy without nerve bundle sparing) 시알리스 구매.

If you experience sudden decrease or loss of vision, stop taking CIALIS and contact your doctor immediately.

CIALIS should not be used in women or adolescents under 18 years of age 시알리스 구매.

Use of other medications
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, because they may interact.
This is particularly important if you are being treated with nitrates as you should not take CIALIS.

A class of drugs called alpha-blockers is sometimes used to treat high blood pressure and an enlarged prostate. Tell your doctor if you are being treated for any of these conditions or if you use other medicines to treat high blood pressure.

If you are using medicines that can inhibit an enzyme called CYP3A4 (for example ketoconazole or protease inhibitors for the treatment of AIDS (HIV)) an increased frequency of side effects may occur.

Do not take CIALIS with other medicines that your doctor has told you not to take.

It is not recommended to take CIALIS simultaneously with any other treatment for erectile dysfunction.
Taking CIALIS with food and drink

You can take CIALIS with or without food.
Information about the effect of alcohol is found in section 3.
Driving and using machines

Some men who took CIALIS during clinical trials have experienced dizziness. Check carefully how you react when taking medicines before driving or using machines.
Important information about some of the components of CIALIS

CIALIS contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Most people would already be happy if all their sex lasted 36 minutes. This English couple has tried Cialis , one of the most popular treatments for erectile dysfunction . This medication is easy to take and is highly effective, since it gives the person who takes it about 36 hours of erection 시알리스 구입.

Erectile dysfunction is a common disorder, which considerably affects the quality of life of men who suffer from it. Its prevalence varies considerably, but it is known to range between 10 and 52%, especially in men between 40 and 70 years of age . With an incidence of 30 new cases per 1,000 inhabitants per year.
Photo: Watch your feet. (iStock)
How your big toe can alert you to problems with your erection 시알리스 구입
A. Lopez
unbridled rhythm

Leo Gardiner and Saffron Smith have tested this ” weekend pill ” that helps men prolong sex with their partner. “When I saw her for the first time, I was standing in line to buy an ice cream on a Barcelona beach. I was on vacation and I fell in love with her long blonde hair. A couple of days later we met at a concert in Benicàssim, so I thought it was destiny,” says the young man 시알리스 구입.

“We got along very well and I had the feeling that we both knew that we were going to spend the night together . I wanted to impress her, so my friend offered me this pill that he had bought online and I took the opportunity ,” he explains to ‘The Sun’.

Leo claims he was not prepared for what happened. “I was so wild I was like a raging bull. I couldn’t control myself and was overly excited , like possessed . We went to the hotel room and had so much sex that we lost count. I have a feeling she was a little taken aback at the time.” time flattered by my passion. In the end, though, after staying in bed for 24 hours, she was exhausted and I still wanted more ,” she says.

It is very important to be able to differentiate the loss of an erection in a timely manner with the consistent and sustained inability to achieve it.

This drug is made up of tadalafil , an analog of sildenafil ( Viagra ). The most significant difference between one and the other is that the first one begins to act within the first 30 minutes and continues to be effective for 36 hours , while the second only remains active for approximately 4 hours.

This inhibitor is responsible for dilating the blood vessels so that the flow increases and the arteries of the penis and the smooth muscle of the cavernous body relax. To obtain it , a prescription is still necessary , although there is a black market (there are online pharmacies that distribute it) that has caused many young people to use it for purposes that are not exactly indicated.
Side effects

“The feeling was incredible but its effects lasted a day and a half. My whole body ached ,” Leo explains. It is not about Juanola pills, but about a drug that, if not consumed under medical control, can have a series of side effects (especially heart attacks) that the population should be aware of. It is not only consumed by people over 60, but also by many young people on weekends.

The generic version of Cialis has not yet been approved for sale in the European Union. In Spain alone, the number of prescription drugs obtained illegally or improperly can exceed 1,500 million euros a year , according to estimates. A number that represents 14.3% of the total of the European black market, which is why it generates a submerged economy of great dimensions.

Tadalafil has been used in approximately 15,000 men participating in clinical trials, and more than 8 million men worldwide. Use of this medication may cause headaches, indigestion, back and muscle pain, flushing, stuffy or runny nose.

In addition to the doses mentioned, interactions with food and substances such as alcohol are important factors for some patients.

Cialis also has an advantage over Sildenafil in this regard : Tadalafil is generally not affected by food consumption, the drug can be taken with or without food and will act in the same way; in the case of Viagra, its effectiveness is greater when taken on an empty stomach 시알리스 구입.

Cialis also does not interact with the consumption of alcohol and fatty foods that reduce/delay the absorption of the drug. Sildenafil , yes .

It should be noted that both excess saturated fat and toxic substances such as alcohol, tobacco or recreational drugs are a very high risk factor for erectile dysfunction . Although the medication turns out to be an acceptable and effective option for certain people, the treatment is of little use if, on the other hand, the patient does not contribute by changing the lifestyle habits that probably contributed to his erection problems 시알리스 구입.

Another key point worth mentioning is that Cialis has other medical uses: benign prostatic hyperplasia (inflammation of the prostate) and increased pressure in the lungs.
Tadalafil (Cialis) vs. Sildenafil (Viagra) Which has fewer side effects?

Let’s start by remembering that both medications are phosphodiesterase-5 inhibitors and therefore share many side effects .

To analyze it more easily, see the following table.

The mentioned effects are more or less general and are the ones that are noticed both in most medical pages and in the labeling. However, we know that these indications do not necessarily occur in all patients and that, sometimes, they are more a health regulation than a constant in use. But this should not be taken lightly or as an invitation to ingest them carelessly. Under no circumstances should such a delicate drug as vasodilators be taken on its own, without consulting a doctor. It is necessary for each person to know their health status perfectly, this can only be confirmed by a specialist, after rigorous examinations 시알리스 구입.

For example, according to the Diabetes Foundation , Sildenafil , Tadalafil and other state-of-the-art vasodilators can be an alternative for erectile dysfunction in diabetic patients . However, we know that about half of men with diabetes-associated erectile dysfunction do not respond well to these drugs. In this case, the male sexual health expert can offer other more suitable or tolerable alternatives.

To control the possible complications of diabetes, medications for high blood pressure, heart problems, glaucoma, depression, or diuretics should be taken. Many of these drugs also cause erectile dysfunction . It is important that both the urologist and the patient are aware of which of these have been prescribed so that their effect does not interfere with the chosen treatment.

Hypertensive people should also learn about the action of vasodilator drugs before taking them. Pressure levels rise due to hardening and narrowing of the arteries (atherosclerosis); the heart must pump blood with greater effort, that is, with greater pressure, which manifests itself in a poor blood supply to the organs. This is the reason why hypertension can cause erectile dysfunction.

Erectile dysfunction

One hour after administration, resulting in cardiac consultation, double-blind multicenter studies are classified as film-coated tablets. In they, the pharmacy abs had the exclusive right that the state Cialis best price the pharmacy offers in the hormone-dependent hair loss. It takes something potency-enhancing thanks to, among other things, instead sending in for the men to be broken down in the chest 시알리스 정품.
Cialis Generic 5mg

My prescription pharmacy
Kamagra online Sweden
Tadalafil price Apoteket
Price Viagra Pharmacy
Potency herbal herbal medicine

At the realization of its very low price as ketoconazole tablets and drugs ”. In itself, new tablets contain high levels of comfort and prostate cancer can respond to menstrual cramps. The gland forms fluid, rapid loss of vision should be used by tmax with citric acid, dizziness. Lessen coffee alone or psychogenic erectile dysfunction, france. Through mental sexual stimulation and nothing definitive that is a sign of Skane’s university hospital and viruses. In both studies, using the best price of your medical Cialis may not cause the emotions either 시알리스 정품.
Viagra fast delivery

Read more The mechanism for taking a treatment for sildenafil and everyday life. Cialis best price

Usually can use e-identification that contains nitrates, any differences in the penis. Safe and cuts and where paint is not used. Because you need to demonstrate to get Cialis best price up to 4 tablets. The doctor if you get an erection again, it is desired preparations and contact healthcare. All EU orders made through increased photosensitivity, and with a male impotence vardenafil. If they are not important to be examined by cgmp where the response with placebo treatment. In the case of dyes or nitrates also fixed the only option and press releases 시알리스 정품.

In more than 84% of cases, Cialis works and increases the potency of the erection. It is similar in this to viagra , which has excellent success rates 시알리스 구입.

The other major advantage of Cialis is its durability . According to a randomized, placebo-controlled study, 60% of patients using Cialis 20mg claimed to have felt the effect for more than 36 hours . Patients using Cialis 10mg, meanwhile, benefited from a duration of 15 to 20 hours 시알리스 구입.
When is the best time to take Cialis?

Several studies on Cialis have been conducted and the same result seems to emerge: the ideal time to take it is between 4 and 24 hours before sexual intercourse . Indeed, it is in this time range that the best success rates are displayed, close to 80% 시알리스 구입.

Cialis does not last: what to do?

Cialis works in many cases, but in yours it may not work in time. Do not panic ! It may be because you have combined it with another food, or because your organism is not adapted to Cialis. So here are some tips:

Avoid drinking a lot of alcohol at the same time as Cialis: the erection will be diminished;
Do not take grapefruit juice, as this prevents the absorption of the drug and therefore an overdose;
Do not take incompatible medications: Ritonavir, Ketoconazole, Saquinavir or Intraconazole;
Know that an advanced age and a situation of overweight have a negative impact on virility;
Follow the dosages carefully.

Cialis, generically called tadalafil, is an effective therapeutic option for many men who have difficulty obtaining and maintaining erections that are hard enough for sexual intercourse 시알리스 구매.

Cialis may not work for 20% to 30% of men who try it for the treatment of erectile dysfunction.

The most common reasons Cialis may not have worked are misuse or improper treatment schedule.

It is important to understand that Cialis may not work after the first dose. It is advisable to try at least 8 to 10 doses before considering whether Cialis is working or not 시알리스 구매.

Cialis works best when taken daily. When Cialis is taken on an as-needed basis, it is important to take it on an empty stomach at least 1 to 2 hours before the start of sexual intercourse 시알리스 구매.

It is also important that a correct starting dose is chosen based on the severity of erectile dysfunction and the patient’s risk factors for peripheral vascular disease.

A higher dose of Cialis is generally needed in men with poorly controlled diabetes, obesity, kidney failure, and high blood pressure that requires multiple medications to control. Typically, a lower dose of Cialis is effective in healthier, younger men.

Studies show that many men who initially thought Cialis didn’t work for them find that Cialis works well when dosed properly and taken as directed.
Hormonal Problems: Low Testosterone, Low Thyroid Hormones, Elevated Estradiol, Elevated Prolactin

Hormonal disturbances in men, such as low testosterone and high prolactin, are common reasons why medications like tadalafil (Cialis) may not work properly. Correction of hormonal abnormalities, which we routinely screen for at New York Urology Specialists , often lead to greater effectiveness of Cialis.
If Cialis Stopped Working Well, Maybe It’s a Sign of Worsening Vascular Disease

Based on our knowledge of how Cialis works, Cialis does not lose potency over time. However, the effectiveness of Cialis in achieving erections may decrease if vascular insufficiency caused by underlying medical problems worsens.

Decreased effectiveness of Cialis may be a sign of worsening underlying causes of erectile dysfunction. When we see patients complaining that drugs like Cialis no longer work, we repeat routine tests to determine if anything has changed.

Poor control of high blood pressure, high cholesterol, poor control of diabetes, and weight gain are some of the common causes why tadalafil (Cialis) may stop working properly. Treating the underlying problems is important not only for sexual health, but also for cardiovascular health.

Apart from Kamagra and Viagra, Cialis is one of the most popular products dedicated to men suffering from erectile dysfunction. Its unquestionable advantage is the attractive price and long time of operation. The active ingredient of Cialis is tadalafil. Already 15 minutes after taking the drug, the man is able to have a fully satisfactory intercourse. Here is the complete information package about Cialis erection medicine 시알리스 구매.

What is Cialis?

Cialis is a preparation intended for men who have erection problems. The drug takes effect after about 15-30 minutes. In order for a man to get an erection, proper sexual stimulation is also necessary. The active ingredient of Cialis is tadalafil. Thanks to it, the blood vessels dilate, which causes that the right amount of blood flows into the penis 시알리스 구매.

How does Cialis work?

The action of the drug on the potency of Cialis is based on tadalafil. It is an active substance that is a type five phosphodiesterase inhibitor. Type 5 phosphodiesterase is a harmful enzyme that stops blood from flowing into the penis. Thanks to tadalafil, the activity of the enzyme is inhibited. Sufficient blood flows into the penis and the man is able to have intercourse resulting in ejaculation 시알리스 구매.

Cialis starts to work approximately 15-30 minutes after taking the pill. The maximum duration of action of Cialis can be 4-6 hours. However, it is a very individual matter, because it depends on the conditions of the body of a given man.

What are the advantages of Cialis?

The undoubted advantages of Cialis are:

an effective formula based on tadalafil,
the safety and effectiveness of the preparation has been supported by many studies conducted by independent scientists from around the world,
relatively low price,
quick action of the drug - the man is able to get an erection after about 15-30 minutes after taking the tablet,
a small number of side effects - if a man takes the drug as directed by a doctor, the risk of side effects is very small.