Tadlafil vidalista cialis 20mg

Tadalafil, commonly known by brand names such as Cialis and Vidalista, is a medication used primarily to treat erectile dysfunction (ED) and, in some cases, benign prostatic hyperplasia (BPH). It is also used for pulmonary arterial hypertension (PAH) under the brand name Adcirca. Here’s an overview of tadalafil, including its uses, side effects, and other important details:

Uses

1. Erectile Dysfunction (ED): Tadalafil is used to help men achieve and maintain an erection sufficient for sexual activity. It works by increasing blood flow to the penis in response to sexual stimulation.
2. Benign Prostatic Hyperplasia (BPH): It can help relieve symptoms of BPH, such as difficulty urinating, frequent urination, and the need to urinate urgently.
3. Pulmonary Arterial Hypertension (PAH): Under the brand name Adcirca, tadalafil is used to treat PAH, which is high blood pressure in the arteries of the lungs.

How It Works

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. By blocking PDE5, it increases the levels of cyclic guanosine monophosphate (cGMP), leading to relaxation of smooth muscle and increased blood flow to certain areas, such as the penis. For PAH, it helps to relax and widen the blood vessels in the lungs.

Dosage and Administration

• Forms: Tadalafil is available in tablet form, typically in strengths of 2.5 mg, 5 mg, 10 mg, and 20 mg.
• Erectile Dysfunction:
  • On-Demand Use: The usual dose is 10 mg taken before sexual activity, with the option to adjust the dose up to 20 mg or down to 5 mg based on efficacy and tolerability. It can be taken as needed, but no more than once a day.
  • Daily Use: For daily use, the typical dose is 2.5 mg to 5 mg taken once daily, regardless of sexual activity.
• Benign Prostatic Hyperplasia (BPH): The usual dose is 5 mg taken once daily.
• Pulmonary Arterial Hypertension (PAH): The dose for PAH is typically 40 mg once daily.
• Administration: Tadalafil should be taken orally with or without food. The on-demand dose should be taken at least 30 minutes before sexual activity, though it can be effective for up to 36 hours.

Side Effects

Common side effects may include:

• Headache: A frequent side effect experienced by users.
• Indigestion: Stomach discomfort or heartburn.
• Back Pain: Some users report back pain or muscle aches.
• Nasal Congestion: Stuffiness or runny nose.

Serious side effects can include:

• Priapism: A prolonged and painful erection lasting more than 4 hours, which requires immediate medical attention to prevent permanent damage.
• Vision Changes: Sudden vision loss or changes, including seeing a blue tint to objects.
• Hearing Loss: Sudden decrease or loss of hearing, sometimes accompanied by ringing in the ears.
• Heart Attack Symptoms: Chest pain, nausea, or discomfort, particularly if experienced during or after sexual activity.

Warnings and Precautions

• Drug Interactions: Tadalafil can interact with other medications, especially nitrates (used for chest pain) and some other blood pressure medications, which can cause a dangerous drop in blood pressure. Inform your healthcare provider of all medications you are taking.
• Medical Conditions: Use with caution in individuals with cardiovascular conditions, severe liver or kidney disease, or a history of stroke. It should not be used in men for whom sexual activity is inadvisable due to cardiovascular risk.
• Pregnancy and Breastfeeding: Tadalafil is not intended for use in women, and its safety in pregnancy and breastfeeding is not established.

Considerations

• Efficacy: Tadalafil requires sexual stimulation to be effective. It does not cause an erection without sexual arousal.
• Alcohol: Excessive alcohol consumption can impair the effectiveness of tadalafil and increase the risk of side effects.

Safe Use

• Follow Prescriptions: Use tadalafil exactly as prescribed by your healthcare provider. Do not exceed the recommended dose or frequency.
• Avoid Nitrates: Do not use tadalafil with nitrates or other medications that can cause a significant drop in blood pressure.

Withdrawal and Discontinuation

• Discontinuation: Tadalafil does not cause physical dependence or withdrawal symptoms. It can be discontinued without tapering, but regular follow-up with a healthcare provider is important to manage the underlying condition.

If you experience severe side effects, signs of an allergic reaction, or symptoms of overdose (such as severe dizziness, fainting, or prolonged erection), seek medical attention immediately. Regular follow-up with your healthcare provider is essential to monitor the medication’s effectiveness and manage any potential side effects.