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Cialis is a prescription drug that primarily treats erectile dysfunction (ED), but it’s also commonly prescribed to treat an enlarged prostate (benign prostatic hyperplasia or BPH). Cialis is marketed as a different drug, Adcirca, to treat high blood pressure in the lungs (pulmonary hypertension).
It’s a brand name for the drug tadalafil, which belongs to a drug class called phosphodiesterase inhibitors (PDE5 inhibitors). Phosphodiesterase type 5 is an enzyme that controls blood flow in blood vessels around the penis, lungs, and other areas. By blocking this enzyme, tadalafil allows for more blood flow to the area, making it easier to get an erection during sexual activity.
Arousal, however, is all about timing. Men often wonder when they should take Cialis and how long it lasts. Fortunately, there’s a pretty big window. It can take anywhere between 15 minutes and two hours to take effect. After that, it can last up to 36 hours. Taking it two hours before sex is usually the best bet. However, Cialis isn’t an aphrodisiac. It makes getting an erection easier but still requires sexual stimulation.
There are multiple brands of tadalafil, but Cialis (created by Eli Lilly) is the most popular. It’s also expensive. Depending on the strength and dosage prescribed, it can cost upward of $1,350 without insurance.
Doctors will prescribe Cialis, generic tadalafil, or a comparable medication like Viagra for men who have ED. However, underlying health issues like heart disease, high cholesterol, obesity, diabetes, and others can cause ED, so the doctor might want to test for and treat those first or simultaneously.
Why is Cialis prescribed?
Tadalafil (Cialis) is used to treat erectile dysfunction (ED, impotence; inability to get or keep an erection), and the symptoms of benign prostatic hyperplasia (BPH; an enlarged prostate) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency in adult men. Tadalafil (Adcirca) is used to improve the ability to exercise in people with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness). Tadalafil is in a class of medications called phosphodiesterase (PDE) inhibitors. It works to treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Tadalafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow more easily.
If you are taking tadalafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Tadalafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).
How should this medicine be used?
Tadalafil comes as a tablet to take by mouth. It may be taken with or without food.
If you are taking tadalafil to treat erectile dysfunction, follow your doctor’s directions and the guidelines in this paragraph. There are two different ways to take tadalafil, either daily or on an as needed basis. Talk to your doctor about which dosing schedule is right for you. Tadalafil is sometimes taken as needed, usually at least 30 minutes before sexual activity and not more often than once every 24 hours. Your doctor will help you decide the best time for you to take tadalafil before sexual activity. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. You may attempt sexual activity at any time between doses. If you are taking tadalafil on a regular schedule, take it at around the same time every day. If you have certain health conditions or are taking certain medications, your doctor may tell you to take tadalafil less often or may prescribe a lower dose to be taken once a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take tadalafil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
If you are taking tadalafil to treat PAH or BPH, follow your doctor’s directions and the guidelines in this paragraph. You should take tadalafil one time a day. Take all of the tablets for your daily dose at one time each day; do not divide the tablets to take as separate doses. Take tadalafil at around the same time every day. If you are already taking medication to treat BPH, your doctor may tell you to stop taking your other medication at least one day before starting treatment with tadalafil. Follow your doctor’s directions carefully, and ask your doctor or pharmacist to explain any part you do not understand.
If you are taking tadalafil for erectile dysfunction, your doctor will probably start you on an average dose of tadalafil and increase or decrease your dose depending on your response to the medication. Tell your doctor if tadalafil is not working well or if you are experiencing side effects.
If you are taking tadalafil for PAH, you should know that tadalafil controls PAH but does not cure it. Continue to take tadalafil even if you feel well. Do not stop taking tadalafil without talking to your doctor.
Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.
Cialis Candy
Cialis is the brand name for tadalafil, a drug used to treat erectile dysfunction. It is similar to Viagra and Levitra. Under the brand name Adcirca, tadalafil is used for pulmonary arterial hypertension.
Cialis increases blood flow to the penis, and this enables a man to achieve an erection. It does not lead to sexual arousal. It should be used with caution, and only under medical supervision.
Tadalafil was approved by the United States (U.S.) Food and Drug Administration (FDA) in 2003 for the treatment of erectile dysfunction (ED). It is also used to treat pulmonary arterial hypertension and benign prostatic hyperplasia, a condition in which the prostate gland becomes enlarged, causing problems with urination.
Other uses for this medicine
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What should I talk to my doctor about when considering if Cialis is right for me?
How long does tadalafil last?
Keeping it simple, tadalafil lasts for 36 hours and sometimes longer, and has the longest duration of action of all the PDE5 inhibitors. This compares for example to sildenafil (Viagra) which lasts for around 4 hours.
In addition, absorption of tadalafil is not affected by food, so it can be taken at any time before, during, or after a meal.
Tadalafil is a drug used to treat erectile dysfunction. It is a type of PDE5 inhibitor. Tadalafil is a generic or drug name – ‘Cialis’ is a branded form of tadalafil.
36 hours – really?
Yes, although this does not mean a continuous erection for 36 hours. Like all PDE5 inhibitors, tadalafil requires sexual stimulation to work – ie: you only get an erection when you want to.
The following timeline has been collated from several studies. After taking tadalafil:
- First responders: 16 minutes
Some men report having an erection as quickly as 16 minutes. - Average responders: 30 minutes
Most men feel the benefit of tadalafil after 30 minutes. 52% of patients can have successful sexual intercourse within 30 minutes of taking tadalafil. - Maximum effect: 2 hours
After 2 hours, the maximum concentration of the drug is in the bloodstream. - Half mast: 17.5 hours
Tadalafil has a 17.5-hour ‘half-life’, meaning it takes 17.5 hours for half the drug to have left the blood stream. This long half-life is the reason tadalafil is effective over such a long time period. - Still effective?: 36–48 hours
Some men can get good erections for upto 48 hours. This is why tadalafil is sometimes known as ‘the weekend pill’ – you can take it on a Friday night and still make use of it on a Sunday morning! - All gone: 96 hours
After 96 hours tadalafil has virtually disappeared from the blood stream.