Cialis Professional
Cialis Professional is a popular drug used for treating erectile dysfunction in men.
Indications for use
- Erectile dysfunction (ED);
- Lower urinary tract symptoms in patients with benign prostatic hyperplasia;
- Erectile dysfunction in patients with lower urinary tract symptoms in benign prostatic hyperplasia.
How does it work?
The active ingredient of the drug is tadalafil, a phosphodiesterase 5 (PDE5) inhibitor. Inhibition of PDE5 leads to an increase in cGMP in the smooth muscle of the penis, causing it to relax, increasing blood flow to the penis to induce an erection.
How to take Cialis Professional?
The drug is taken orally 30 minutes before sexual activity. It may be taken with or without food.
For patients with frequent sexual activity (more than 2 times a week): the recommended frequency of administration is 5 mg daily, 1 time per day, at the same time. The daily dose can be reduced to 2.5 mg, depending on individual sensitivity.
For patients with infrequent sexual activity (less than 2 times a week): the recommended dose is 20 mg. The maximum daily dose of Cialis Profes-sional is 20 mg.
For patients with BPH or ED / BPH, the recommended dose of the drug is 5 mg; the drug should be taken at approximately the same time of the day, regardless of sexual activity. The duration of treatment is determined by the doctor individually. In patients with renal insufficiency of mild severity (Cl creatinine from 51 to 80 ml / min) and moderate severity (Cl creatinine from 31 to 50 ml / min), dose adjustment is not required.
Contraindications
The drug is not recommended in the following cases:
- age under 18 years;
- problems with the cardiovascular system, kidneys, liver;
- leukemia;
- myeloma;
- a curved penis;
- hypersensitive to the components of the product;
- use of other products containing organic nitrates;
- sharp pain or discomfort in the chest area;
- angina pectoris.
Side effects
Most men tolerate the drug well, but there are rare cases when side reactions occur:
- pain in the back and lower back;
- slight dizziness;
- eye discomfort;
- violation of movement coordination;
- runny nose.
Before taking Cialis Professional, be sure to consult your doctor to exclude any threat to your health.
Overdose
The maximum permissible daily dose of tadalafil is 20 mg per day. Otherwise, you may get an over-dose, which increases the risk of side effects. An overdose of any drug can be harmful to health.
Drug interactions
Tadalafil may interact with the following medicines and herbal products:
- St. John’s wort;
- Antibiotics;
- Antifungals;
- Antiseptic medicines;
- Blood pressure medicines;
- Antivirals.
Cialis Professional and alcohol
Drinking alcohol while taking these pills should be avoided as it can increase the risk of side effects such as dizziness, headache, low blood pressure, and heart palpitations.
Precautions
Use the drug with caution: severe hepatic insufficiency (class C according to the Child-Pugh classification); use of alpha1-blockers; a predisposition to priapism (sickle cell anemia, multiple myeloma or leukemia); anatomical deformity of the penis (angular curvature, cavernous fibrosis or Peyronie’s disease); use with potent inhibitors of the CYP3A4 isoenzyme (ritonavir, saquinavir, ketoconazole, itraconazole, erythromycin), antihypertensive drugs.
Diagnosis of erectile dysfunction should include identification of the potential underlying cause, appropriate medical examination and determination of treatment tactics.