FULL PRESCRIBING INFORMATION: CONTENTS*

There are other agents, such as flibanserin or bremelanotide, which are specifically studied for female sexual interest/arousal disorder.

5.12 Effects on Bleeding

Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals. Since its FDA approval in 2003, Cialis medication has become one of the most recognized names in the treatment of erectile dysfunction (ED). Known for its long duration of action (up to 36 hours) and the option for daily dosing, Cialis quickly became a preferred choice for millions of men worldwide. Beyond ED, it’s also approved for managing benign prostatic hyperplasia (BPH) and, under a different brand name, pulmonary arterial hypertension. Its success in clinical use, along with favorable tolerability, led to widespread demand and, eventually, generic competition.

Use in children

With the expiration of the Cialis patent in 2018, a new chapter began. Generic Cialis, sold under the name tadalafil, entered the market at a significantly lower cost while maintaining the same buy cialis with priligy online therapeutic efficacy. Many patients now ask: What is Cialis used for today? Is there any difference between Cialis and tadalafil? This article provides a comprehensive overview of Cialis and its generics, from active ingredients and approved indications to formulation types and appropriate use.

Tell your doctor if you:

Whether you’re considering your first prescription or switching to a generic, understanding the distinctions between brand-name Cialis and generic tadalafil is essential for making informed treatment decisions. At the core of all Cialis products is the active ingredient tadalafil, a long-acting phosphodiesterase type 5 (PDE5) inhibitor. This compound enhances blood flow by relaxing smooth muscle in the blood vessels, particularly in the corpus cavernosum of the penis, the prostate, and the pulmonary vasculature. Tadalafil works by increasing levels of cyclic guanosine monophosphate (cGMP), a molecule involved in vasodilation. Because of this mechanism, Cialis medication is effective not only for sexual health but also for certain urinary and cardiovascular conditions. In all its approved forms, including generic Cialis (tadalafil), this medication offers proven, targeted effects for vascular-related dysfunction, making it a cornerstone in both urology and cardiopulmonary care.

Product	Dosage	Quantity + Bonus	Price
Cialis Soft Tabs	20mg	270 + 10 Pills	471.40€ 448.95€	Buy
Cialis Original	20mg	8 Pills	61.70€ 58.76€	Buy
Cialis Super Active	20mg	180 + 20 Pills	521.59€ 496.75€	Buy
Cialis Soft Tabs	20mg	120 + 6 Pills	248.64€ 236.80€	Buy
Cialis Black	80mg	180 + 10 Pills	356.64€ 339.66€	Buy
Cialis Generic	40mg	120 + 8 Pills	206.98€ 197.12€	Buy
Cialis Professional	20mg	60 + 2 Pills	183.83€ 175.08€	Buy
Cialis Generic	2.5mg	10 Pills	28.51€ 27.15€	Buy
Cialis Generic	10mg	20 Pills	48.23€ 45.93€	Buy
Cialis Original	20mg	22 + 2 Pills	129.20€ 123.05€	Buy
Cialis Generic	5mg	270 + 10 Pills	205.81€ 196.01€	Buy
Cialis Super Active	20mg	10 Pills	55.64€ 52.99€	Buy
Cialis Generic	40mg	10 Pills	37.79€ 35.99€	Buy
Cialis Professional	40mg	30 Pills	148.94€ 141.85€	Buy
Cialis Soft Tabs	20mg	180 + 8 Pills	353.17€ 336.35€	Buy

Researchers continue to explore the broader therapeutic potential of PDE5 inhibitors beyond their established indications.

• Erectile improvement typically occurs within 30-120 minutes after ingestion.
• Response may vary based on individual factors and sexual stimulation.
• Alcohol in moderation is generally acceptable with Cialis use.
• Smoking may reduce effectiveness by impairing blood vessel function.
• Regular exercise and healthy diet can complement Cialis treatment.

In this evolving landscape, tadalafil has shown promise in several novel clinical applications.

7.2 Potential for Other Drugs to Affect CIALIS

It increases blood flow to your penis, which helps you maintain an erection. It can also treat benign prostatic hyperplasia and symptoms of an enlarged prostate. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.

Drug details

TADALAFIL (tah DA la fil) treats erectile dysfunction (ED). It works by increasing blood flow to the penis, which helps to maintain an erection. It may also be used to treat symptoms of an enlarged prostate (benign prostatic hyperplasia). This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. COMMON BRAND NAME(S): Adcirca, ALYQ, Cialis They need to know if you have any of these conditions: Blood diseases, such as sickle cell anemia or leukemia Have had a painful and prolonged erection Heart disease, such as angina, heart failure, irregular heartbeat or rhythm Stomach ulcers, other stomach or intestine problems An unusual or allergic reaction to tadalafil, other medications, foods, dyes, or preservatives Take this medication by mouth with a glass of water.

1. They Look Different

Follow the directions on the prescription label. You may take this medication with or without meals. When this medication is used for erection problems, your care team may prescribe it to be taken once daily or as needed. If you are taking the medication as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it. Whether you are taking the medication as needed or once daily, you should not take more than one dose per day. Recent studies have investigated its effects on cognitive function in schizophrenia, vascular health in small vessel disease, and even potential benefits for inflammatory conditions.

Contraindication	Details	Risk
Nitrates use	Taking nitrates concurrently is dangerous	Severe hypotension
Heart conditions	Severe cardiovascular disease	Increased risk of adverse events
Eye problems	History of non-arteritic anterior ischemic optic neuropathy	Vision loss
Liver impairment	Dose adjustment required	Possible accumulation of drug

These emerging research avenues highlight the drug’s multifaceted biological activity and suggest new therapeutic possibilities that extend well beyond its original urological indications.

UK DOCTORS AND CLINICIANS

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse. Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs). Stop and call your care team right away if you have symptoms such as nausea, dizziness, or chest pain during sex. Contact your care team right away if you have an erection that lasts longer than 4 hours or if it becomes painful.

Before taking tadalafil,

This may be a sign of a serious problem and must be treated right away to prevent permanent damage. Side effects that you should report to your care team as soon as possible: Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision Redness, blistering, peeling, or loosening of the skin, including inside the mouth Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision Sudden vision loss in one or both eyes Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Keep out of the reach of children.

As-Needed Dosage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medication after the expiration date. It may not dapoxetine and cialis cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider. Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more. Clock-Tuning with cGMP: Could Tadalafil Influence Circadian Rhythm and Psychiatric Sleep Disturbance?

• Cialis for BPH helps relax prostate and bladder muscles for better urine flow.
• Some men take Cialis for both ED and BPH with one convenient medication.
• Do not exceed prescribed dosage as it increases risk of adverse effects.
• Missing a dose of daily Cialis is not critical; take next dose as scheduled.
• Discontinue use and seek medical help if allergic reaction occurs.

Mind over Libido: Using Tadalafil to Counter SSRI-Induced Sexual Dysfunction and Protect Treatment Adherence Emerging Evidence for PDE5 Inhibition in Dementia Prevention The term Cialis refers to the original, brand-name version of tadalafil, developed by ICOS and marketed by Eli Lilly. After its launch in 2003, Cialis quickly became one of the leading medications for erectile dysfunction, thanks to its long duration of action and flexible dosing schedule.

• Cultural considerations may affect how patients seek ED treatment.
• Healthcare providers should approach sexual health discussions sensitively.
• Multiple language resources available for non-English speaking patients.
• Religious and personal beliefs may influence treatment decisions.
• Privacy concerns should be addressed in prescription handling and delivery.

For many years, Cialis was only available as a branded prescription medication, often priced at a premium.

1. How it works

If you are taking this medication for symptoms of benign prostatic hyperplasia (BPH) or to treat both BPH and an erection problem, take the dose once daily at about the same time each day. Do not take your medication more often than directed. Talk to your care team about the use of this medication in children. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you.

Your questions answered

Do not share this medicine with others. If you are taking this medication as needed for erection problems, this does not apply. If you miss a dose while taking this medication once daily for an erection problem, benign prostatic hyperplasia, or both, take it as soon as you remember, but do not take more than cialis 20mg tadalafil lilly one dose per day. Do not take this medication with any of the following: Nitrates, such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin Other medications for erectile dysfunction, such as avanafil, sildenafil, vardenafil This medication may also interact with the following: Certain antibiotics, such as clarithromycin or erythromycin Certain medications for fungal infections, such as fluconazole, itraconazole, ketoconazole, voriconazole Certain medications for seizures, such as carbamazepine, phenytoin, phenobarbital Other medications may affect the way this medication works. Talk with your care team about all of the medications you take.

Report Side Effects

They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended. This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. However, in 2018, the Cialis patent expired, opening the market to generic versions.

How should this medicine be used?

The drug is FDA-approved for three primary indications: Erectile dysfunction (ED) – Taken either on demand or daily to improve the ability to achieve and maintain an erection in response to sexual stimulation. Benign prostatic hyperplasia (BPH) – Used as a daily therapy to relieve urinary symptoms such as frequency, urgency, and weak stream caused by prostate enlargement. Pulmonary arterial hypertension (PAH) – Though not under the Cialis brand, tadalafil is also marketed as Adcirca to treat PAH by improving exercise capacity through pulmonary vasodilation. It’s important to clarify that Cialis is not approved for use in women or children. While there is ongoing research into tadalafil’s effects in female populations, such as for pulmonary hypertension and overactive bladder, the drug is not indicated for increasing libido or treating sexual dysfunction in women.