Does it work every time?
Response to treatment is usually predictable and consistent. On most occasions, if Cialis has worked before, it will work again.
Some causes of erectile dysfunction, such as physical injuries or nerve damage, are more resistant to tablet treatments and may require other therapies, such as injections or penile implants.
Erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling.
All men who are troubled by erectile dysfunction, which can be a distressing problem, should consult a doctor for a full assessment and advice.
Side effects of Cialis
Most men taking Cialis do not experience significant side effects. A full list of the most frequent side effects can be found in the manufacturer's patient information leaflet supplied with Cialis tablets (links below).
Some men experience a bluish or yellowish tinge to their vision after taking Cialis. This is not dangerous and fades after a few hours time. This is a possible side effect of all ED drugs (PDE5 inhibitors).
Other common side effects (affecting 1%-10%) include headache, back pain, muscle aches, pain in the arms or legs, nasal congestion, facial flushing, and indigestion.
On very rare occasions ED treatment produces prolonged and painful erections, in a condition known as priapism. Priapism is a medical emergency with the potential on rare occasions for irreversible injury to the penis. If an erection lasts for more than 4 hours, medical attention should be sought immediately.
When not to take Cialis
During an assessment on the Dr Fox web site, men are required to complete an erectile dysfunction questionnaire. This determines if Cialis is suitable. Men should not take Cialis without further assessment from their GP if any of the following apply:
They are taking other erectile dysfunction drugs such as Viagra/sildenafil, Levitra, or Spedra
They are currently taking nitrates for angina, including isosorbide mononitrate, isosorbide dinitrate, nicorandil, and glyceryl trinitrate - serious reactions possible
They are taking medications to treat HIV, including Indinavir and Ritonavir
They are using anti-fungal treatments like Itraconazole or Ketoconazole
They are using recreational drugs such as amyl nitrate (poppers)
They are taking alpha-blockers often used in the treatment of prostate enlargement and high blood pressure such as Doxazosin, Prazosin, Alfuzosin, Terazosin, Indoramin and Tamsulosin
Dr Fox cannot supply Cialis to men where the above are present.
Cialis should not be taken at the same time or within 36 hours of taking Viagra/sildenafil, Levitra/vardenafil, or Spedra/avanafil.