What is Cialis Super Active?
Cialis Super Active (tadalafil) is a generic medicine that contains the active ingredient, PDE5 inhibitor. The drug is made in the form of gelatin capsules that absorb much more blood than the tablets.
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How does the medication work?
Cialis is a drug used to treat erectile dysfunction in men over 18 years of age. Erectile dysfunction is defined as the inability to achieve and maintain an erection enough for a sexual relationship. The active ingredient in Cialis is tadalafil, which belongs to a group of preparations called PDE5 inhibitors. The therapeutic effect of Cialis is achieved by inhibiting the activity of the enzyme called PDE5 or phosphodiesterase type 5. The physiological mechanism of erection is in peeling and nitrogen oxide in response to sexual stimulation. The detached nitrogen oxide interacts with guanylate cyclase resulting in the production of cyclic GMP. This component binds to the smooth muscle proteins of the cavernous body of the penis causing them to relax and increase blood flow to the penis. Cialis acts by inhibiting the enzyme phosphodiesterase type 5 that breaks the cyclic GMP and in this way helps to increase the amount of cyclic GMP and increases the blood flow to the penis. This allows the man to achieve a stronger erection sufficient for sexual performance. Cialis Super Active works naturally, which means that the drug can work only in the presence of sexual desire (sexual arousal). It can be beneficial even in severe cases of erectile dysfunction. Due to an extended period of time half-life can work over a period of 36 hours, which means that a man taking a Cialis pill can achieve an erection for 36 hours.
When can Cialis be over-prescribed?
Cialis is prescribed for the treatment of erectile dysfunction. There is no service on men who can have a good erection. Cialis Super Active is not intended for use by women, children and adolescents.
When should Cialis Super Active be avoided?
There are some health conditions in which the medicine should not be taken. Cialis is contraindicated in:
• Hypersensitivity to any of the ingredients of the active ingredient and excipients.
• Children and adolescents under 18 years of age.
• Women. The effectiveness and safety of drug has not been studied in women. Women (including pregnant women and breast-feeding) are prohibited from taking Cialis.
• Liver diseases, tumors, cirrhosis
• Renal insufficiency
• Severe cardiovascular disease, coronary heart disease, angina (angiopathic, stable and unstable), heart attacks or recent spells, very low blood pressure, abnormal heart rhythm.
• Blood diseases such as anemia, multiple myeloma, leukemia.
• Concomitant application with certain drugs such as nitrates (nitroglycerin, transderm-nitro, nitro-dur, nitromint) and nitrogen oxide donors.
• Concomitant application with protease inhibitors
Cialis should be used with caution in cases of:
• Anatomical deformities of the penis (angulation, cavernous fibrosis or Peyronie’s disease)
• Priapism or diseases predisposing to priapism such as sickle cell anemia, multiple myeloma, leukemia, thrombocythemia.
How to use Cialis Super Active?
The medicine is available in the form of 20mg (tadalafil) gelatin capsules that are taken orally with enough water 30 minutes before intercourse. Do not break or chew the capsules. Swallow the capsules whole. You can take the medicine with or without food. It is not recommended to take Cialis Super Active with alcohol.
What are the possible side effects of Cialis Super Active?
Like other PDE5 inhibitors (tadalafil, vardenafil, sildenafil) Cialis Super Active (tadalafil) may cause some side effects. However, in most patients the drug does not cause significant disorders. Cialis has very good tolerability. Before taking Cialis make sure that you are not using nitric oxide donors or nitrates for the treatment of coronary heart disease (angina) because this combination can cause extremely low blood pressure.
The most observed side effects of Cialis Super Active include headache, dyspepsia, back pain, muscle pain, suffocation, nasal congestion, blurred vision, stomach pain, neck pain. Usually these effects are mild or moderate. In rare cases Cialis can cause: prolonged or painful erection, vision and hearing problems, vertigo, skin rashes, hives, insomnia, dry mouth, high blood pressure. There was no direct dependence between the application of Cialis and cardiovascular accident, heart attack, chest pain. However, Cialis is not recommended for patients with heart problems.
What other drugs will interact with Cialis Super Active?
Cialis Super Active should not be taken with certain groups of medications. This list includes:
Antiarrhythmic drugs such as amiodarone, quinidine, sotalol, procainamide. Concomitant use of Cialis and Antiarrhythmic drugs may cause prolonged QT interval and abnormal heart rhythm.
Certain macrolide antibiotics (erythromycin, clarithromycin).
Alpha blockers such as doxazosin, prazosin, tamsulosin. The concomitant use of Cialis and these drugs can cause dizziness, dizziness, fainting.
Anti fungal (ketoconazole, itraconazole, miconazole). These drugs may increase the risk of side effects of Cialis.
Grapefruit juice. Grapefruit juice inhibits liver enzymes and may increase tadalis levels in the blood.
Nitrates such as isosorbide dinitrate, isosorbide mononitrate, aerosol nitroglycerin, nitroglycerin ointment, nitroglycerin patches, nitroglycerin tablets. Patients taking nitrates and Cialis may experience a serious drop in blood pressure.
Protease inhibitors can significantly increase the levels of tadalafil in the blood.