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Cialis Brand

Brand Cialis Review – The Long-lasting Treatment For Erectile Dysfunction

Cialis is a medicine for the treatment of erectile dysfunction, developed by Eli Lilly Company. Cialis dilates some blood vessels and promotes erection. Cialis pills are almond-shaped and marked “C 20” on one side.
CIALIS 20 mg available in blister packs containing 2, 4, 8 or 12 tablets.

Uses

Cialis 5mg

Doctors prescribe it in sexual disorders (erection problems), in pulmonary arterial hypertension and in an enlarged prostate.

Erectile Dysfunction

An erection occurs because with sexual stimulation the blood vessels in the penis become wider. The so-called swelling bodies in the penis can thus flow full of blood. The blood vessels that have to drain the blood are temporarily closed. This keeps the penis stiff during sexual stimulation.

Cause
In erectile dysfunction the penis can not become stiff or stay stiff for long enough during sexual stimulation. Causes for this can be:

  • Age: the erectile capacity gradually decreases in old age;
  • Psychological causes such as anxiety, stress or depression;
  • Diseases such as diabetes, hormone diseases, cardiovascular diseases, prostate diseases;
  • Certain medicines or excessive alcohol and drug use.

Dilation is triggered by substances that are released into the penis during sexual stimulation.

Tadalafil inhibits the breakdown of these vasodilating substances. They therefore remain in the penis longer          and in larger quantities. The penis can therefore become stiff and stays stiff longer. Sex stimulation is required        for the effect.

The effect of Cialis 10 mg and 20 mg occurs within 16 to 30 minutes, reaches a maximum after about 2 hours, and it lasts up to 36 hours, after intake you will get an erection more easily with sexual stimulation. Cialis once daily works continuously but the effect of Cialis can differ per person, because every situation is unique.

Pulmonary Arterial Hypertension

Symptoms
In pulmonary arterial hypertension (PAH) there is an abnormally high blood pressure in the pulmonary vessels. This will affect heart function. The blood is no longer pumped around properly. You are short of breath, tired faster and can experience chest pain, fainting, and fluid in the legs.

Causes
PAH can be congenital or result from another condition. For example, a congenital heart defect, pulmonary fibrosis or scleroderma. In these conditions, there are inflammations in blood vessels, kidneys, intestines or lungs, causing scar tissue. The walls of blood vessels, alveoli and other organs become stiff and do not work well anymore. The heart can not contract properly anymore. As a result, the heart no longer pumps the blood around properly and heart failure develops.

Treatment
PAH is a serious disease. In the past, no treatment was possible and a lung transplant was the only option. Now there are several medications, including tadalafil.

Action
Cialis dilates the blood vessels. This lowers blood pressure in the vessels of the lungs. Because of these effects, the heart needs to exert less pressure on the blood that flows to the lungs. The heart then has to work less hard. This reduces the symptoms of pulmonary arterial hypertension.

You notice that you are less tired and short of breath from 12 weeks of use.

Prostate Enlargement

Men can have different types of urinary problems, such as not being able to urinate more vigorously, often having to urinate small amounts and suffering from dripping.

There are a number of possible causes, and sometimes there is a combination of causes.
One of the causes is inflammation or damage to the bladder or prostate. Furthermore, diseases such as heart failure or diabetes can cause urinary problems. Also, blockage in the intestines can exert pressure on the bladder. In rare cases, urinary problems are caused by enlargement of the prostate. Often the exact cause can not be found.

Prostate
enlargement The prostate is a gland that is located near the bladder around the urethra in men. If the prostate is enlarged, it can start to press on the urethra. The discharge of the urine then runs less smoothly

Your prostate can enlarge from the age of 30 years, at the age of eighty, 9 out of 10 men have an enlarged prostate. So it is a normal age phenomenon. Half of these men will eventually have urinary problems.

Treatment
Sometimes you can find out whether there are causes for urinary problems by keeping a “urine diary”. For example, drinking a lot of drinks at night can give more pressure at night. Drinking too little can actually cause blockage, and thereby also cause urinary problems. Sufficient physical exercise and pelvic floor exercises can alleviate the symptoms in some people.

Doctors prescribe medication if these rules do not help. Usually this is initially an alpha-blocker, because these drugs work the fastest against the symptoms. If that does not help sufficiently, the doctor prescribes other medications, such as finasteride, dutasteride or tadalafil.

Action
Cialis relaxes the muscles of the prostate and the outlet of the bladder. This makes the urethra less narrow and the urine can flow better. The prostate however remains the same size as before.

Tadalafil does not work equally well for everyone. If the medicine starts with you, you can expect an improvement in symptoms after 1 to 2 weeks.

How Does It Work ?

Cialis Brand

You take a tablet Cialis well before the desired sexual intercourse. Cialis only helps you get an erection when you become sexually excited. As a result, no undesirable erection occurs. Cialis continues to work for up to 36 hours , after which the efficacy slowly disappears.

Lilly has also developed a daily treatment for erectile dysfunction. When you take Cialis once a day, you can get an erection at any time of the day when you are sexually stimulated.

A Cialis pill can be recognized by the unique orange / yellow color and round shape with one point bearing the letter C and the number of milligrams.

Cialis Clinical Results

Tadalafil has been studied in 179 men in a randomized double-blind placebo-controlled study. The condition for participation in the study was at least 3 months of erectile dysfunction. After a treatment-free period of 3 weeks, the men were randomized to placebo, or tadalafil 2, 5, 10 or 25 mg. The clinical effect was determined on the basis of answered questions from the International Index of Erectile Function, which patients had to complete during both the entry and test periods. Only subjective scores were assessed. In the run-in period, sexual intercourse was successful in 28-39% of cases compared with 45-70% in the treatment period. The degree of success increased with the dose, but the effect of the highest dose of 25 mg was not significantly better than the 10 mg dose. In the placebo group, the success rate was 23 before and 27% after the treatment.

In a second study, randomized and double-blind, 12-month studies were carried out with 1,112 men (age 22-82 years) with tadalafil 2.5, 5, 10 and 20 mg, and placebo.  At both endpoints, successful sexual intercourse and normal erectile function, dosages from 5 mg scored significantly better compared to the same outcome measures during the run-in period. After placebo, sexual intercourse was successful in 32% of cases, compared with 61 and 75% respectively at the two highest doses. In both studies, patients were instructed to only take the medication ‘if necessary’.

Cialis Effect on Women

Two studies have looked at the effect of Cialis on FSAD (female sexual arousal disorder). From this it emerged that Cialis has no effect on this. There is also one report stating that cialis in women could provide increased vaginal humidity. The “counterpart” of erectile dysfunction in women is a reduced vaginal wetting. Sexual arousal increases the blood flow to the genitals, causing the tissues to swell. In the man this is the erection, in women it is the tissues around the vagina that expand. And since they are not watertight (as opposed to the man’s swelling bodies), they transmit moisture, the vaginal transudate. However, there is still insufficient evidence in this area to confirm this theory.

How to Use Cialis ?

Cialis Pills

Look for the correct dosage on the label of the pharmacy.

When?

  • Erectile dysfunction:
    You can take the tablet half an hour before sexual activity. You may also take it earlier, because the effect of 1 tablet can last 36 hours. If you expect to have sex twice a week, it is also possible to take tadalafil every day at a fixed time. Never use 1 dose twice a day.
    If you suffer from nausea or upset stomach, you can take the tablet with some food.
  • Pulmonary arterial hypertension (PAH) and prostate enlargement:
    You may take the medicine at any time of the day. It is best to choose a fixed time, for example in the morning, then you forget a dose less quickly. If you suffer from nausea or upset stomach, you can take the tablet with some food.

How long?

  • Erectile dysfunction and prostate enlargement :
    If tadalafil works well for you, you can use it as long as you need it.
  • Pulmonary arterial hypertension (PAH) :
    Usually you can use this medicine for several months or years. Over time, tadalafil can no longer be sufficiently effective, because the disease can worsen PAH over time. Consult with your doctor if your symptoms return.

Dosage

Erectile Dysfunction

In general, the ‘if necessary’ use: 10 mg, to be taken at least 30 minutes before sexual activity. In case of insufficient response 20 mg. In severe renal impairment , the maximum dose is 10 mg. There are no data available on doses higher than 10 mg with impaired liver function . Maximum dosing frequency is 1 × / day. Due to the lack of safety data and the long duration of action, long-term daily intake of these doses is not recommended.

With regular use (≥ 2 × / w.) You can opt for ‘daily use’: 5 mg 1 × / day at a fixed time. Due to the lack of a fracture slot, a lower dosage is not possible. The application 1 × / day is not recommended for severe renal impairment . This was not assessed in case of impaired liver function .

Benign Prostatic Hyperplasia

5 mg 1 × / day. This dose also applies to the combination of erectile dysfunction and BPH. The application 1 × / day is not recommended for severe renal impairment . This was not assessed in case of impaired liver function .

Pulmonary Arterial Hypertension

Recommended dosage is 40 mg 1 × / day. In mild to moderate severe renal impairment or mild to moderately impaired liver function , the starting dose is 20 mg 1 × / day. Then possibly increase to 40 mg 1 × / day. Because of the limited experience in impaired liver function, these patients carefully follow. In case of severe cirrhosis of the liver , use of tadalafil is advised against.

Cialis Vs Viagra

Does cialis work differently / more effectively than viagra? 

The mechanism of action of viagra and cialis is exactly the same. The difference in both means is in the operating time and time of maximum effect.

The action of viagra starts after half an hour, reaches a maximum after about one hour and disappears after about four hours.

The effect of cialis starts after about half an hour, reaches a maximum after about 2 hours and can persist for up to 24 hours after ingestion. In terms of efficacy, 100 mg viagra corresponds to 20 mg cialis. It is not recommended to combine both drugs because there is a chance of damaging the erectile tissue in the penis.

Can I use viagra and cialis in combination at the same time ?

Discouraging combining these drugs at the same time (simultaneous intake). The effect of cialis is longer than that of viagra, Effect of cialis starts after 16 to 30 min. Duration of action, up to 36 hours. With viagra the duration of action is only 4-5 hours. The advice is to wait at least 24 hours until the next dose, assuming that the effect is over, if this is desired.

Side Effects

Cialis Online

In addition to the desired effect, this can cause drug side effects in some cases. It is therefore important to read the package leaflet before you use this medicine. The most common side effects are headache (especially in the first 10 to 30 days with once daily dosing), dyspepsia (stomach complaints), back pain and muscle pain. You may also experience dizziness or blurred vision. Warn your doctor if you suddenly see or hear less well.

Elderly people with cardiovascular disease (such as heart cramp, after a heart attack or stroke) may regain symptoms. Do you get chest pain? Then immediately notify a doctor.

In pulmonary arterial hypertension (PAH), side effects occur more frequently than when used as an erection agent or in prostate enlargement, because the dose at PAH is higher.

Do not use tadalafil more than once a day, otherwise you have too many side effects.

The main side effects are the following.

Sometimes with PAH , rarely with other applications

  • Nausea, pain , heartburn, vomiting. You can prevent nausea and upset stomach by taking the tablet with some food. Consult your doctor if you continue to suffer.
  • Headache, hot flashes, flushing. Sometimes migraine. This is because the blood vessels also dilate slightly in the head. Do you use this medication every day? These side effects will pass if you have become accustomed to the drug.
  • Back pain, muscle pain , pain in arms and legs.
  • Cold , sore throat, stuffy nose , very rarely nosebleed.

Rarely with PAH , very rarely with other applications

  • Dizziness, fainting . Especially people over the age of 75 can become dizzy. This is due to the lower blood pressure. This goes over again when your body gets used to it.
  • In women: bleeding longer during menstruation.

Very rare (affects less than 1 in 100 people)

  • Eye complaints , such as blurred vision, a blue-green haze of the eyes, double vision, swollen eyelids, painful red eyes, light sensitivity, loss of visual field.
    Most eye complaints disappear automatically. However, the visual field loss can be permanent. Warn your doctor if you suddenly see less well. Do you have an inherited condition on the retina of your eyes? Consult your doctor before use.
  • Excessive sweating .
  • Ringing ears , suddenly less able to hear. Consult your doctor if you notice this.
  • Prolonged and sometimes painful erection , bleeding of the penis or blood in urine or semen. Tell your doctor if the erection lasts longer than 4 hours or if you notice blood in urine or semen. There is a small chance of damaging the swelling bodies in the penis.
  • Heart cramp, palpitations, heart attack and stroke. This has occurred occasionally when used as an erection agent by men older than 60 years with cardiovascular disease, diabetes or high blood pressure. Before using your doctor, discuss whether your body can handle the effort of sexual activity. Do you get chest pain during sexual activity: immediately call a doctor. In this case, do not take a cure for heart cramps, such as a puff from a spray can or a tablet for under the tongue. This can actually have a counterproductive effect.
    If you have had a heart attack or stroke in the last six months, you should not take this medicine.
  • Attack with muscle jerks and muscle spasms ( fits ). Then contact a doctor immediately.
  • A sickle cell crisis in people with sickle cell disease . Sickle cell disease is a congenital defect of the red blood cells. With a sickle cell crisis, the disease suddenly worsens. You will notice severe pain and swelling around bones and joints, abdominal pain, chest pain and shortness of breath. If you notice this, please contact your doctor immediately.
  • Hypersensitivity to tadalafil. You will notice this by skin rash, hives and itching. Consult your doctor.
    Occasionally you can get swelling of lips, tongue, throat or face. You can then become stuffy. There is also a serious skin condition with blisters on the skin. In both cases, go immediately to a doctor or the First Aid Service.
    If you are hypersensitive to tadalafil, you should not use this medicine in the future. Therefore, please inform the pharmacist. The pharmacy team can then ensure that you do not get this medication again.

Consult your doctor if you suffer too much from one of the above mentioned side effects or if you experience other side effects that you are worried about.

Frequency of Side Effects

Frequent : in more than 30 in 100 people
Uncommon : in 10 to 30 in 100 people
Rare : in 1 to 10 in 100 people
Very rare : in less than 1 in 100 people

Precautions

Cialis should not be used by patients who have had a heart attack within a period of 90 days, heart failure or stroke within a period of 6 months, patients with reduced blood pressure (<90/50 mm Hg), uncontrolled hypertension (high blood pressure) , uncontrolled heart rhythm, anginal complaints during sexual intercourse.

Cialis with Alcohol

Drinking alcohol can affect your ability to get an erection. Drinking alcohol can temporarily lower your blood pressure. If you have taken Cialis, or you are planning to take Cialis avoid excessive drinking (alcohol level in the blood of 0.08% or higher) as this may increase the risk of dizziness on standing up.

Contraindications

Cialis 20mg

Do not take Cialis;

  • If you are allergic (hypersensitive) to tadalafil or any of the other ingredients of Cialis.
  • If you use organic nitrate in any form or use an agent that releases nitric oxide (such as amyl nitrite). This is a group of medicines (nitrates) that are used for the treatment of angina pectoris (chest pain). CIALIS has been shown to enhance the effect of these medicines. If you are taking nitrate in any form or are not sure
  • If you have a severe heart condition or recently had a heart attack.
  • If you have recently had a stroke.
  • If you have low blood pressure have high blood pressure that is not controlled.
  • If you have ever had loss of vision due to non-arteritic ischemic anterior optic neuropathy (NAION), a condition sometimes described as “paralysis of the eye”.

Drug Interactions

Comedication with nitrates, nitric oxide donors (including party drugs, ‘poppers’) and stimulants of guanylate cyclase (such as riociguat) is contraindicated because of a potentiation of the hypotensive effect; in this context, a serious reaction can occur with nicorandil.

Do not combine with other medicines to treat erectile dysfunction due to lack of data.

Combination with antihypertensive agents may increase the blood pressure lowering effect. Comedication with alpha-blockers, such as doxazosin, is not recommended due to the possible occurrence of symptomatic hypotension.

Concomitant use of moderately strong to strong CYP3A4 inhibitors such as itraconazole, ketoconazole, erythromycin, clarithromycin, ritonavir and grapefruit juice may significantly increase the plasma level of tadalafil and CYP3A4 inducers such as rifampicin, phenytoin and carbamazepine may decrease plasma levels.

Bosentan reduces systemic exposure to tadalafil; the efficacy of tadalafil in patients already using bosentan has not been convincingly demonstrated.

Use caution when combined with a 5-α reductase inhibitor.

In combination with theophylline, the heart rate can accelerate slightly.

The efficacy and safety of a combination of tadalafil and a prostacyclin analogue have not been studied.

Buying Cialis Online

Cialis is legally a prescription drug, which means that this medicine can only be delivered by a pharmacy after submitting a prescription. You can order Cialis through various internet pharmacies online, but here too you need a prescription. Without a prescription, internet pharmacies can not deliver this product. An examples of reliable internet pharmacies are Ritedrugstore.Please note that when ordering via an internet mail order pharmacy, there are often extra costs for shipping and handling. The big problem is that the origin and quality can not be traced and that it is the question whether you will get the right medicine.Moreover, a recently published survey shows that most internet pharmacies are not faster and cheaper than the regular pharmacy in your area.

Cialis Without Prescription

Cialis Tablets

Buying Cialis without knowing the pros and cons is unwise. We therefore recommend that you always consult with your doctor if you want to buy medication. You will find a lot of counterfeit medication on the internet. This not real medication can even be dangerous to health in some cases. You should not think about what side effects fake pills can have. Read the package leaflet carefully so that you are aware of all possible side effects.

Questions & Answers

Cialis tablets

Can I just stop this medicine?

If you occasionally use this medication for erectile dysfunction, you can stop it without delay. If you use this medicine everyday, talk to your doctor. In that case it is usually better to gradually reduce the dosage. Then you are less likely that the original complaints will come back too violently in one go.

Can I use Cialis in combination with other medicines?

This drug has interactions with other medications. The text below only lists the active ingredients of these medicines, not the brand names. Whether your medicine contains one of those active substances, you can check in your leaflet under the heading ‘composition’.

The medications with which the most important interactions occur are the following.

  • Blood vasodilators with nitrate , such as nitroglycerin, isosorbide mononitrate, isosorbide dinitrate and nicorandil. If you are taking these medicines at the same time as tadafil, you may have sudden and long-lasting low blood pressure. Note: so-called ‘poppers’, sometimes used in sexual activity, also contain nitrates. Contact your doctor if you feel chest pain.
    If you use tadalafil for erectile dysfunction:

    • Have you used any of these medicines and do you now want to use tadalafil? Wait at least 24 hours before using avanafil.
    • Did you use tadalafil and do you want to take one of these medicines now? Wait at least 48 hours before using this.
      Do you use tadalafil for pulmonary hypertension (increased blood pressure in the lungs) or an enlarged prostate? Consult with your doctor. He may prescribe another medication.
  • Other medications against an enlarged prostate alfuzosin, doxazosin and terazosin. The combination can temporarily lower your blood pressure. You notice this by dizziness. This goes by itself again. Do not stand suddenly if you are dizzy.
  • The antibiotics clarithromycin and erythromycin, the antifungals itraconazole and voriconazole, and the drug against Cushing ‘s disease ketoconazole. The amount of tadalafil in the blood can increase due to these drugs. This makes the side effects stronger. Consult your doctor if you have been prescribed this combination.
  • Some medicines against HIV and hepatitis C . Ask your pharmacist for which medication this is.

Do you doubt whether one of the above interactions is important to you? Then contact your pharmacist or doctor.

Can I drive when using Cialis, drink alcohol and eat or drink everything?

Driving : Cialis can cause dizziness and blurred vision. Do not take part in traffic as long as you suffer from this.

Drinking alcohol : Alcohol dilates the blood vessels, just like this medicine. You may therefore experience more dizziness. Try drinking alcohol first in moderation. You can then assess yourself whether you will be bothered by this. Usually a glass of wine is no problem a few times a week.
Drinking a lot of alcohol also reduces the ability to get an erection. Are you using this medicine as an erection agent? Do not use too much alcohol in combination with this medicine.

Eating : There are no restrictions for this medicine.

What should I do if I have forgotten a dose?

Have you forgotten a dose and are you less than 8 hours late? Take this dose as yet. Are you more than 8 hours late? Skip the dose you missed. Do not take a double dose.

Can Cialis be used in combination with blood pressure lowering pills?

Blood pressure lowering pills may be used together with cialis, and these medicines do not affect the functioning of cialis. Cialis does give interactions with vasodilators with nitrate, such as nitroglycerin, isosorbide mononitrate and isosorbide dinitrate. If you use one of these drugs, you should not use a cialis. You can suffer from serious side effects. Note, so-called ‘poppers’, sometimes used in sexual activity, also contain nitrates. Also the drugs used against an enlarged prostate such as doxazosin, prazosin and terazosin can interact with cialis. If you use these medicines, your blood pressure may temporarily drop extra if you take cialis. You notice this by dizziness. This goes by itself again. Do not stand suddenly if you are dizzy if you use this combination.

Can I use this medicine if I am pregnant, want to become or breastfeed?

Pregnancy : Consult with your doctor. Little is known about the use of this medication during pregnancy. Together with your doctor, weigh the seriousness of your illness against the possible disadvantages for the child.

Breast-feeding : If you want to breastfeed, talk to your doctor. It is not known whether this drug passes into breast milk and whether it is harmful to the baby.

Alternatives

Cialis has been on the international market since 2002. It is available on prescription in tablets under the brand names Cialis, Adcirca and Talmanco and as the unbranded Tadalafil.

Cialis is used in erection problems and in an enlarged prostate, Adcirca is only used in pulmonary arterial hypertension (PAH).

Overall Rating

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SuperB

Brand Cialis is considered the most effective PDE5 inhibitor for achieving erection for a longer time than other pills.

User Rating: 4.7 ( 1 votes)

52 Unbiased Opinions

  1. Anonymous
    Anonymous

    once or 4 cialis 20mg taken and never has this helped, weird if I read your comments so directly hot in the head and headache Take it with some other medication

    Rating
  2. Anonymous
    Anonymous

    Long time Cialis used, not recommended, over time severe tinnitus, leg pain and headache.

    Rating
  3. Anonymous
    Anonymous

    I was plagued by some uncertainty regarding my erection during a new sexual contact. Cialis (half of 20 mg) made sure that I did not have to worry and actively dared to seek sexual rapprochement. Because of this I have had some great experiences. But every time with a few unpleasant side effects after sex: – Fast throbbing heartbeat – stuffy nose – headache – can not sleep Next time I try 5 mg or maybe nothing at all

    Rating
  4. Anonymous
    Anonymous

    Have LAT relation, so sex is not always relevant. Cialis (20 mg) is certainly effective. And one pill is certainly sufficient for 2 to 3 days, depending on the need for an “encounter”. The only side effect I experience is occasional heartburn and regurgitation. A Renny might want to help. But apart from this (and of the price!) For me a great medicine. Viagra and Levitra work with me about the same, but for a shorter duration.

    Rating
  5. Anonymous
    Anonymous

    On the advice of urologist Cialis, I have been moderately satisfied with this. take 4 arginine daily from the juvel company (not available in pharmacy all via internet). Do not suffer from erectile dysfunction anymore. Arginine is pricey, but is also cialis.

    Rating
  6. Anonymous
    Anonymous

    I also used CIalis and Kamagra for a while. The advantages certainly do not weigh on the disadvantages. Bah, never again! I have now switched to Vigor Gold 800 mg. Also called Golden Viagra. What a good stuff is that. All people around me are now using that too.

    You just order it on the internet and pay only € 25, then you have 10 golden tablets.

    Rating
  7. Anonymous
    Anonymous

    Does not work at all. Good for the pharmacy’s wallet. What does WEL work. L-arginine 1000 mg 3 times daily. The price is very pleasant. For comparison 4 Cialis pills cost E 50 and is therefore only 4x. The 300 arginine pills are good for 100 consecutive days for the same price !!! Nothing more plans, but just as usual if you feel like it.

    Rating
  8. Anonymous
    Anonymous

    Had trouble that my erection could not last long enough and often not stiff enough. Penis very stiff and can hold this long after taking a half tablet of 10 mg. Good for 3 to 5 days of sex

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  9. Anonymous
    Anonymous

    Did not really need it … once tried as well as once viagra. Much less side effects as viagra. Little blushing feeling. Had ff a weekend want to be solid together … but did not come.

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  10. Anonymous
    Anonymous

    Muscle pain everywhere and no erection

    Rating
  11. Anonymous
    Anonymous

    After radiation therapy (just over 1 year ago), erectile problems did not exist for several months. Now they have been there for six months now. After a conversation with the urologist, he gave me Cialis 20mg to try. First started with a half, no result. Afterwards a whole, again no result.

    First again tried (GP go f to try better again because last time I may have been too focused on an erection, again nothing new result. Particularly hopeful if you, as a man, want to have the pleasures of physical love again after a situation 🙁

    Rating
  12. Anonymous
    Anonymous

    Take them occasionally. I suffered from reduced erection. With this got erection again as ever.

    Rating
  13. Anonymous
    Anonymous

    Situation that gave rise to the use. I ordered a vasectomy 20 years ago. About 5 years ago I noticed 2 swellings in the scrotum, varicose veins according to the urologist. In my opinion the result of the badly performed vasectomy, which incidentally took place in the private practice of a female gynecologist without any assistance.

    Would not mind me as it was her first vasectomy, because it was very painful. Another 5 years ago I started to experience urinary problems, according to the urologist a result of stones in the bladder, simultaneously with those urinary problems (frequent urination) was decreased potency ie erectile loss during penetration. My experience was that there was a conflict between the almost constant urge to urinate and the feeling of the erection.

    I then ordered mail order Cialis which was very expensive. When I finally found courage and courage to discuss the erection problem with the urologist (yes men do not talk about that easily) and who told me about my experiment with Cialis, I got prescriptions for Cialis 5mg, in the beginning I took daily a tablet but because there is little or no sexual activity in the middle of the week, I only take a tablet at the beginning of the weekend, ie Friday and Saturday.

    I have no side effect and the Saturday taken Cialis still works until Wednesday. In the meantime, the female GP has received a report from the urologist and she is writing to me the Cialis. Problem solved.

    Rating
  14. Anonymous
    Anonymous

    I order generic cialis in a strip of 10 x 60 mg on the internet and I break it in 4 so that is 40 x a few days of fun. I am 51 years old and I notice that the erection is not as hard as it used to be, so that my wife did not get ready so easily (she always wants a hard erection).

    Now we can do it again and have sex even longer than before. A solution and appeal there for every couple who loves sex.

    Rating
  15. Anonymous
    Anonymous

    After the death of my wife in 2003, I met my new girlfriend, but could not get a full erection. First I started using Cialis on the advice of a psychiatrist, then from my GP since 2005. First 10 mg, later 20 mg, First used fairly regularly, after a year or 4 at most once every 2 months. Did in 2012 get a series of 8 st, but since then I have not asked for a new one anymore, so I stopped now. In the beginning Cialis was sometimes effective. At intake one night in advance I had hard erections all night. Difficult.

    But, if I went to bed with my wife in the morning, I had an erection in the beginning, but after a foreplay of 20 to 30 minutes it went down. We have long developed the habit that I do not penetrate anymore, but when my wife has her orgasm, she grabs my penis, which then becomes hard and together we get nicely done. Keep a towel handy. But I do not need Cialis. With some nostalgia I think back to my nights, where I entered her. But you’re getting older, so it’s okay. Have been happy for a long time that we are still making love.

    Rating
  16. Anonymous
    Anonymous

    1 times 10mg taken. Because I could no longer get erections after a hernia operation. Getting started with cialis this worked and now I can do without. Only heavy tinnitus about it kept me completely on hope that this still pulls away. If I had known this before, I would have got rid of this drug. Unfortunately, on the advice of the specialist.

    Rating
  17. Anonymous
    Anonymous

    20 mg does nothing at all with excitement or stimulation. remains superslap. Be positive in life and have no stress or psychological problems. luckily you can also reach a climax with a flaccid penis, but it is less intense unfortunately.

    Rating
  18. Anonymous
    Anonymous

    Swallowed at times when it was necessary first 2x 5mg tablet, little effect. Recently once 4x 5mg tablet still swallowed hardly any effect. Well expensive

    Rating
  19. Anonymous
    Anonymous

    Am a man of 37 years old, and use cialis daily 5mg, to a lot of satisfaction. After years of walking around with an erectile problem, just call in at the GP. The nice thing about this medicine is that the sex just spontaneously expires, you get a coughing erection, and it can last longer than I could otherwise.

    Only downside I find sometimes have a nagging headache, and a blushing (warm) face. Use the daily 5mg of Cialis for 2 months now, it costs a lot, but you definitely get a lot more!

    Rating
  20. Anonymous
    Anonymous

    Is extremely effective for me: during a long weekend, ie at least 3 x 24 hours, 1 pill of 20 mg is good for endless hard and durable erections. Awesome ! !

    Light side effects are unfortunately: stuffy nose, heartburn, belching and sometimes some headaches. But all in all a very effective tool (it does not work when there is no sex the excitement is).

    Rating
  21. Anonymous
    Anonymous

    I have got 5mg but € 75 but none effect had so hoped after 15 years of sex again but a big deep disappointment. Nothing at all terrible

    Rating
  22. Anonymous
    Anonymous

    In conversation with the sexologist (was about my concerns about low testosterone) I mentioned as a side issue that my erections have been weaker since about 2 years, but not really problematic (penetration well possible, and further fine sex). He then persuaded me to use a helping hand in the form of 5mg Cialis, at least for a few months, to come with a 100% rigid penis.

    I did for about 3 months, and I like the result very well. No side effects at all. a few weeks I use Cialis less often, about 1x per 2-3 days, still fine erections. Am very satisfied. Because of high price, I consider trying the generic version for a while.

    Rating
  23. Anonymous
    Anonymous

    After I was not completely satisfied with Viagra, I asked my doctor whether I should try Cialis 10 mg once. I use this medication because of erectile dysfunction caused by anxiety. For me this medicine worked from about 60 minutes, but for me it has serious side effects such as headache, dizziness, flushing and a stuffy nose. What is not such a would have been a disaster if the duration of this pill had not been that long. In this respect, this pill makes its name true. I have been able to enjoy it for a whole weekend (36 hours after intake).

    But it also affected the side effects for 24 hours. The plus point of this medicine is that I got very hard erections with it so I felt very confident with this medicine and performed well with it. Afterwards I tried it with half pills which, although less, gave side effects, but also less erection force. For the rest, I think this medicine is also very expensive for the long term. Which I have decided that this medicine is not for me. My experience with Levitra can be read in the Levitra experience topic.

    Rating
  24. Anonymous
    Anonymous

    Stuttered after heart attack and received a stent. And a portion of medication for daily use. In good consultation with my doctor -she is a whopper- first the simvastatin kicked out and then, after 3 years of use, the metoprolol 25. This last medicine turned out to be 80% guilty of my erection problems. As an extra “helping hand” Cialis 5 mg. prescribed got. Fantastic! Excellent erections and sex experiences.

    I use this medicine every other day. The costs are not too bad, every two months I lose a little more than 80 euro, 1.35 per day! Well that is worth the quality of life I won!

    Rating
  25. Anonymous
    Anonymous

    I suffered from erectile dysfunction got totally no erection after the GP viagra got used to this but had a lot of side effects.

    After examination of the urologist cialis 20 mg did not suffer from side effects a very hard erection and a considerably thicker and longer penis, only the erection does not last long enough for community bben. For a problem that is solved half an expensive solution.

    Rating
  26. Anonymous
    Anonymous

    Cialis was recommended to me by the family doctor. Works fine, but I get sick of it. From the 5mg for daily use I got a rash throughout my body. So switched to 1x per week.

    The ‘weekend dose’ of 10mg is about 24 hours ‘ready for action’, the 20mg to 48h or even longer. Pleasant side effect is that your penis is also thicker in rest and sometimes even s spontaneously comes up, as in your teens. I thought that was an ego booster. But then I pay the price: 3 days of stomach acid (but then real lava attacks) 24h p / d. The side effects of Cialis are very annoying to me, hopefully I have less trouble with Levitra.

    Rating
  27. Anonymous
    Anonymous

    For the first time Cialis used, because sex became somewhat difficult – the erection did not last long – it works with Cialis a lot better, nice as a young man 😉

    Rating
  28. Anonymous
    Anonymous

    Does not work at all. And that for 15 euros per pill. Pure scam. I do not recommend it to anyone. Get a lot of pain in the shoulders. I recovered from an infarction more than a year ago. But because of medication use for cholesterol, it seems that this pill does not work. It has 0 effect on me. Erection comes, but is of very short duration.

    Rating
  29. Anonymous
    Anonymous

    Erection was no problem, keep it. Kamagra tried (1/5 pill was sufficient). Also tried Cialis (5mg). Takes longer for working against Kamagra but works much longer, the day after even while Kamagra after 5 hours is up.

    I do feel a bit of pressure with Cialis on my ears and that at only 5 mg! The big advantage of Cialis is that you sex needs less planning but Kamagra gives me less side effects. While you often read that it is the other way around.

    Rating
  30. Anonymous
    Anonymous

    I started with 5 mg per day, result 0, zero. After consultation with Urologist started with 20 mg. That pill is incredibly good. It works like crazy. I perform again as a young god, 4 times a day i no exception. In a weekend itself 17 times! That is why I am now taking 10 mg …

    I am not 20 anymore. All weekend long, just sex without problems. The only thing is that it is a hour is medicine, .. but yes it works. In the past Viagra had, but the duration was short and I got a red head and headache. Cialis is a must!

    Rating
  31. Anonymous
    Anonymous

    After intake for 36 hours and do 2x half tablet, stays active throughout the weekend with stimulation. We have wonderful sex again.

    Rating
  32. Anonymous
    Anonymous

    Fantastic tool too bad that it is so expensive. I only use it when I have a sex date.

    Rating
  33. Anonymous
    Anonymous

    After Kamagra (working briefly) Cialis tried. Did not work at all the first time. Got a short Sturdy but not enough for a free party. I tried again next weekend. Better results but also annoying side effects. Especially strong headache.

    Coincidence? No, because the next weekend exactly the same, while I almost never have a headache. I also got suffer from red spots in the face. Not pleasant either. So you have to be a bit ahead of it ;-(

    Rating
  34. Anonymous
    Anonymous

    The death or the gladioli is therefore only a whole pill of 20 mg. As far as I can remember, I never had such a big and especially thick rock hard cock.

    Not a single update and four times a huge amount of work within 24 hours. Well expensive, what is not expensive! Cherish my pills and when they are finished, I just buy them again.

    Rating
  35. Anonymous
    Anonymous

    Because of my diabetes, I have to deal with erectile dysfunction. With cialis 20 mg I get fortunately a good solid erection that makes sex very enjoyable. Especially my partner is now much better at her right. Personally, I do not yet come to full satisfaction, but I really enjoy our community. We are very happy with this drug.

    Rating
  36. Anonymous
    Anonymous

    For years suffer from erectile dysfunction. If I do it myself, it usually goes fine. Sometimes almost every day, sometimes not a big week. I recently got a new relationship and after a visit to the family doctor I was prescribed cialis. 10Mg, but pills are 20 mg.

    Used twice; first time 10 mg (1/2 pill), in progress and in no time I was so far, no long sex, but good. Then return with the thought e Eight evening sex, 20 mg. In advance, I had “really fast” with myself. And then she came home. Well first hard, but after 10 min (not) ready is kees, slap. Attempt 2 hours later also yielded very little. Shit it does not work with me, or not when it comes to it! No noticeable side effects were observed. But is the result: Heavy!

    Rating
  37. Anonymous
    Anonymous

    April 2015 tumor fixed just above sphincter, after surgery rectum removed, now 8 months with erection problem.

    After once use of viagra 50 Mg and this without any result proceeded to Cialis 20 Mg.

    Great expectation, but no result hardly slight swelling of penis. Next time test with double dose of Cialis 2x 20 Mg.

    Rating
  38. Anonymous
    Anonymous

    I have Osteoarthritis in severe form, but I am 80% restored by medicine use Humira. The side effect for me was bad erection, no feeling or lust with a result of failure and a lot of grief and stopped this medicine.

    At doctor’s advice I started using Cialis 5 mg every other day a tablet and expecting to have a super moment twice 5mg for that da g. I have found my way here and am very satisfied and not at work. What is against is the costs and do not know what the consequences are on long-term use.

    Rating
  39. Anonymous
    Anonymous

    After prostatectomy prescribed 5mg cialis daily to promote vascular action.

    However, this did not lead to erections. then prescribed by specialist androskat. this proved effective in tests.

    Rating
  40. Anonymous
    Anonymous

    For explicit and better sexual pleasure, I sometimes take 1/2 pill, if intake is necessary for a longer period of time (extra performance during vacation), then I get a precisely narrowed / dilated esophagus, so I have to cough …

    I also get the impression that it reduces my stomach and reduces my appetite.

    Rating
  41. Anonymous
    Anonymous

    Do not have erectile problems yourself but heard positive stories about it (even if you do not have erectile problems). The effect (half pill of 20mg … so about 10mg). Super effect! Very natural (not that you suddenly get an erection).

    But during the lovemaking the effect was absolutely noticeable. Bit dangerous actually as “addiction” lurks around the corner …

    Maybe use it once in a while. But still in moderation. Disadvantage at me: after taking (2-3 hours) afterwards I got blue lips.

    Rating
  42. Anonymous
    Anonymous

    normally not a problem with an erectile dysfunction, but due to stress, relationship problems and little sleep, therefore performance urge etc I was 3 times unable to get a good and firm erection with my girlfriend. We went for a weekend trip, and the evening before 1 pill of 5mg taken and in the afternoon 2x 5mg. Did not miss its effect ………. works perfect.

    Girlfriend completely happy and me too. However, you just have to be asked by prescription, you have to pay yourself, not too expensive but definitely worth it!

    Rating
  43. Anonymous
    Anonymous

    No 100% satisfaction or erection (do not last long). This helps a bit. Just supporting.

    Rating
  44. Anonymous
    Anonymous

    I had an incomplete paraplegia in 2010. The specialist prescribed me cialis. I now get this via the pharmacist. I can see you can also order them online, but when I see the price I am scared to death. that is really not normal.

    I know you may be ashamed of your doctor for the first time, but you can count on it only once for that white. I get 5 mg and 28 pieces per month, I pay 78 euros for that. That is quite a big difference. so men do not order over the internet, but go to the doctor.

    Rating
  45. Anonymous
    Anonymous

    Hello, My friend has erectile problems for as long as he can remember. He has been prescribed 4 pills of Cialis 10 mg from the family doctor. We have tried it once and unfortunately no result. He could last longer but not a firmer erection. Side effects, palpitations during exercise .

    Rating
  46. Anonymous
    Anonymous

    I am a heart patient. I would like to know what is good against an erection problem for a heart patient. A heart patient may not use erectile pills at all. What is recommended for this group of patients? Because using these pills is very risky. Because the person involved can get heart problems during sex. Please give your advice

    Rating
  47. Anonymous
    Anonymous

    Expensive viagra and cialis, worthless. Get a blue haze on the eyes. Since I use Tadalafil it goes fine. And it costs a fraction of Viagra etc. Up to 3 days (!!!) you have a great erection without any side effect.

    Rating
  48. Anonymous
    Anonymous

    Helps to enjoy sex for a long time. Really something for men who started to get older, but want to behave as if they were 20 years old

    Rating
  49. Anonymous
    Anonymous

    Cialis works totally toppie for me! Actually the first erection pill I tried because I read a good article that Cialis performs well with many men. The pills work well, but I get a full nose of it, no idea how that can be but walk around for an hour with a cold. My wife is also very happy with it and ah, a cold I will also pass over it. Fine pill!

    Rating
  50. Anonymous
    Anonymous

    I buy the generic tadalafil Preferably the 40 mg and then cut it. Is much cheaper than the original cialis and I notice no difference.

    Rating
  51. Chris Speir‎
    Chris Speir‎

    Since a month I use Cialis Once a day 5 mg. It is prescribed by my doctor for urinary problems, in combination with a less strong erection. It is a great medicine, it meets all my expectations, hard. Other than described, I regularly spontaneously have a stiffness like my younger years and my penis is just thicker again. As a rule moderate sauna visitor is sometimes difficult, at the slightest I get a beginning erection, I discrete discreetly. I am very positive.

    Rating
  52. Chris Speir‎
    Chris Speir‎

    Extremely satisfied with the “Weekend pill” of 20 mg, only drawback is that the pill is very expensive € 25.75.

    Rating
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