Brand Cialis

Brand Cialis is a popular remedy for erectile disorders. It restores de-creased erectile function by increasing blood flow to the penis. The mechanism of action is based on the release of nitric oxide in the cavernous bodies at the time of sexual arousal. Free nitric oxide activates the enzyme guanylate cyclase, stimulating an increase in cGMP levels, which causes relaxation of the smooth muscle fibers of the corpora cavernosa and increased blood flow.

Indications

The drug is used in men with erectile dysfunction (inability to achieve or maintain an erection of the penis, ensuring successful intercourse).

Contraindications

Do not use Brand Cialis if you have:

  • allergy to sildenafil;
  • intolerance to auxiliary components;
  • treatment with drugs-donors of nitric oxide (for example, amyl nitrite) or nitrates;
  • severe heart failure, unstable angina pectoris;
  • loss of vision in one eye due to non-arterial anterior ischemic neuropathy of the optic nerve;
  • severe liver dysfunction;
  • arterial hypotension (blood pressure below 90/50 mm Hg);
  • recent stroke, myocardial infarction;
  • hereditary degenerative changes in the retina (for example, retinitis pigmentosa);
  • children under 18 years of age.

Use during pregnancy and lactation

Brand Cialis is not intended for use in women.

How to take the drug?

Take the drug orally as needed – 40-50 minutes prior to sexual intercourse.

To get a positive result, a man needs to be sexually aroused.

The standard single dose is 50 mg (preferably on an empty stomach).

The maximum single dose is 100 mg.

Overdose

Possible overdose symptoms: blurred vision, headache, flushing, dyspepsia, dizziness, nasal congestion.

In case of overdose, resort to standard supportive measures.

Side effects

  • Neurological disorders: headache, flushing, migraine, ataxia, tremor, weakening of reflexes, neuralgia, paresthesia, hypesthesia, depression, fainting, insomnia/drowsiness, dizziness;
  • Ophthalmic disorders: visual impairment (hypersensitivity to light, changes in color perception, blurred vision), conjunctivitis, mydriasis, cataracts, hemorrhages in the eyeball, pain in the eyeballs, xerophthalmia;
  • Otolaryngological disorders: deafness, ringing in the ears;
  • Respiratory disorders: nasal congestion, pharyngitis, bronchitis, sinusitis, laryngitis, dyspnea, increased cough, increased phlegm, bronchial asthma;
  • Cardiovascular disorders: arterial hypotension, tachycardia, orthostatic hypotension, palpitations, angina pectoris, myocardial ischemia, cardiomyopathy, ECG changes, heart failure, AV block, cerebral vascular thrombosis, cardiac arrest;
  • Hematological disorders: anemia, leucopenia;
  • Gastrointestinal disorders: glossitis, stomatitis, gingivitis, dry mouth, nausea, dysphagia, esophagitis, gastritis, colitis, gastroenteritis, rectal bleeding;
  • Metabolic disorders: thirst, hyperuricemia, hypernatremia, gout, labile diabetes, hyper- / hypoglycemia;
  • Genitourinary disorders: urinary tract infections, nocturia, cystitis, frequent urination, urinary incontinence, anorgasmia, ejaculation disorders, gynecomastia, edema of the genitals;
  • Musculoskeletal disorders: arthritis, myalgia, arthrosis, tendon rupture, myasthenia gravis, synovitis, tendosynovitis;
  • Dermatological disorders: contact dermatitis, rash, urticaria, pruritus, herpes simplex, skin ulceration, exfoliative dermatitis, photosensitivity;
  • Others: peripheral edema, pain syndromes, sweating, chills, shock, allergic reactions.

Drug interactions

Do not take Brand Cialis together with:

  • CYP3A4 inhibitors (erythromycin, cimetidine);
  • indinavir, saquinavir, ritonavir;
  • nitrates.

Storage conditions

Store the drug for no more than three years. Do not use expired medication.

Parents must ensure the safety of children and exclude the possibility of their access to medicine.