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How long does it take cialis to work

Cialis is the trade name for a drug called Tadalafil. Cialis is one of a class of drugs known as PDE-5 (Phosphodiesterase type 5) inhibitors. Cialis and the other PDE-5 inhibitors can help men with erectile dysfunction (male impotence) by enhancing the erectile response when a man is sexually stimulated. Aside from Cialis, the other drugs in this class are Viagra (Sildenafil) and Levitra (Vardenafil). How does Cialis work? Cialis does not cause a man to how long does it take cialis to work be how long does it take cialis to work sexually aroused. Cialis will only be effective how long does it take cialis to work if a man is mentally sexually aroused. To understand how long does it take cialis to work how Cialis works you need to understand the mechanics of how a man gets an erection. When a man is sexually stimulated, the nervous system in the erectile tissue of your penis releases nitric oxide (NO). The nitric oxide stimulates an enzyme that produces a 'messenger' called cyclic guanosine monophosphate (cGMP). The cGMP relaxes the smooth muscle cells. One result of this is that the arteries in the penis dilate and the blood can flow into the penis more easily. Another result is that the erectile tissue itself fills with blood. Both of these processes result in an erection. Cialis works by maintaining the level of cGMP in the smooth muscle cells. If you are not mentally sexually aroused, your brain will not stimulate the release of any nitric oxide and you will not produce increased levels of cGMP. Clinical studies have shown that when compared to placebo, Cialis and the other drugs in the same class, result in significant improvement in erectile function. Although established to be a safe and effective drug, Cialis is not appropriate for everyone and may not work in all cases. How does it affect blood pressure? Cialis can slightly lower blood pressure. This is not a problem for most men, but Cialis' effect on blood pressure is exaggerated if the Cialis is taken with a nitrate drug. Nitrates are one of the treatments doctors prescribe for angina. If you take Cialis when you are also taking nitrates, the combined effect of the Cialis and the nitrates can lower your blood pressure to such an extent that it could prove fatal. Never take Cialis when taking nitrates. If I have a heart condition can I take it? If you have a heart condition it is important that you discuss this with the doctor before taking Cialis. Can women take it? Cialis is not licensed for use by women. How quickly does it work? On average, Cialis becomes effective within the hour although some men have reported that Cialis works best after a few hours. Cialis can remain effective for up to 36 hours. This does not mean that the erection will last that long - simply that you will have the ability to attain an improved erection for that period of time. Unlike Viagra, a meal will not delay the effectiveness of Cialis. Why are there different doses? Cialis is available in two dosages: 10mg and 20mg. Some men may respond to a lower dose of Cialis. Some men may already be taking medicines, other than nitrates, that interact with Cialis and thus need to adjust the Cialis dosage. What dose is right for me? The doctor needs to decide which dosage of Cialis is most appropriate. The doctor will take into account potential drug interactions, your age, the severity of your impotence and any previous experience you have had with Cialis. What if it does not work the first time I use it? Cialis might not work the first time you take it for various reasons. Most doctors advise taking Cialis at least eight times before trying a different medicine. What are the side-effects? Cialis' side-effects are generally mild. Cialis' most common side-effects are headache, facial flushing and, rarely, back-pain. Does it interact with other medicines? Cialis interacts with many drugs. The following list is not complete but it is important to inform the doctor of all prescription and non-prescription medication taken, especially nitrate medications (e.g. Glyceryl trinitrate (GTN nitroglycerin, isosorbide mononitrate or dinitrate nitroprusside, cimetidine, erythromycin, azole antifungals (e.g.

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