Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
Stop taking CIALIS and seek immediate medical assistance
medicines to lower blood pressure Sildenafil (Cialis) is now more used as a treatment alternative to Cialis (tadalafil) is now more used as a treatment alternative to daily management of erectile dysfunction (ED). Here is a step-by-step guide to help you use CIALIS safely:1. In consultation with a doctor or pharmacist
CIALIS is a daily medication which means you don’t need to daily use to use the medicine. It is taken by mouth, with or without food.
CIALIS is a ‘asma’ medicine, which means you do not need to take a tablet per day. It is available in the form of a small dose of 25mg, which is the same drug that was originally approved by the US Food and Drug Administration (FDA) for the treatment of Erectile Dysfunction (ED).. CIALIS is a ‘asma’ treatment (not a generic), so it is not suitable for everyone.
CIALIS is a phosphodiesterase-5 (PDE5) inhibitor.
Vardenafil is a drug developed to treat erectile dysfunction. It works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for breaking down chemicals that help dilate blood vessels in the penis. These chemicals relax blood vessels, increasing blood flow to the penis and allowing for an erection. It works in a similar manner to Viagra. It is often used as a treatment for premature ejaculation and other health issues.
Vardenafil is available as an oral tablet and can be taken as needed. You should not take more than one tablet in a 24-hour period. Taking more than one tablet within a 24-hour period can cause unwanted side effects. In some cases, a doctor may prescribe a higher dosage or even recommend taking a lower dosage to get the most benefits from the medication. If you are considering using Vardenafil, talk to your doctor about your options.
Vardenafil works by inhibiting the PDE5 enzyme, which is responsible for breaking down the chemical called cyclic guanosine monophosphate (cGMP). This allows the penis to relax and expand when sexually stimulated. When sexual stimulation occurs, the cGMP is released in response to sexual arousal. This helps blood vessels in the penis to dilate, allowing for an erection.
Vardenafil is a phosphodiesterase type 5 (PDE5) inhibitor. It works by blocking the action of an enzyme called PDE5, which allows cGMP levels to rise. This increase in cGMP causes the smooth muscles of the penis to relax and increase blood flow to the penis.
Take Vardenafil exactly as prescribed by your doctor. Do not take more than the recommended dose of Vardenafil or you could face more side effects. If you take more than one tablet, your doctor may recommend taking a lower dose to avoid any side effects. Do not exceed the recommended dose.
Vardenafil should be taken with a full glass of water. Do not take more than one dose within 24 hours.
If you take more than one tablet, your doctor may prescribe more than one dose per 24 hours. If you do not complete the full course of treatment, your doctor may require you to take the medication for an extended period. However, this will not cause any health complications. In most cases, Vardenafil has been used safely and effectively for the treatment of erectile dysfunction.
Like all medications, Vardenafil may cause side effects. Common side effects include:
Less common side effects include:
Severe side effects include:
Vardenafil can cause serious side effects. Although rare, they include:
If you experience any of these symptoms, talk to your doctor immediately.
Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.
Sildenafil is available in 25mg, 50mg, and 100mg strengths.
Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.
Common side effects include:
Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.
Sildenafil should not be used by those:
Inform your doctor of all medications and supplements before use. Interactions may occur with:
Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.
Sildenafil is available by prescription only in the UK.
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Store Notice: Orders placed after 11:00 AM on Friday, 23 May 2025 will be processed on the next working day, Tuesday, 27 May 2025, due to the bank holiday weekend. Thank you for your understanding.
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Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
Read More This Side effect is also reported in a small number of people who take Cialis. These side effects may disappear after you finish taking the medication. As with all prescription medications, we can receive a few phone interviews or e- mail questions.As with all prescription medications, we can receive a few office hours e-mail questions about Cialis. This is important to keep in mind for these people who experience side effects from other medications.
In addition, if you have been diagnosed with pulmonary arterial hypertension (PAH), your health care provider should order Cialis. PPHC is a rare side effect of Cialis, which can lead to a sudden lowering of blood pressure. If you experience a sudden decrease in blood pressure, it’s important to seek medical attention immediately.
In addition, if you have been diagnosed with PAH and are taking Cialis, your health care provider may order a lower dose to help you avoid potential side effects.
As with all prescription medications, we can receive a few hours e-mail questions about Cialis.
Read More This side effect is also reported in a small number of people who take Cialis. These side effects may remain after you finish taking the medication.
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