"Cialis" 5 mg: reviews of doctors. Cialis: instructions for use, analogues, prices

Male competence in any representative of the strong half of humanity stands almost in the first place. Problems that have arisen in the intimate sphere, can deprive a man of rest and sleep, significantly lower self-esteem and lead to depression. And do not think that such problems arise only in men over 50 and older. Erectile dysfunction significantly younger, and often enough you can hear about 30-year-old young men suffering from sexual disorders.

The modern market of medical preparations is ready to offer its patients a large list of products that will help to cause a qualitative erection for a sufficiently long period. One such means is Cialis. In pharmacies, it can be purchased and one by one (1 tablet), and in packages with a wide variety of (5, 10, 20, 30, 40, 50, 100 pieces).

What is "Cialis": composition and pharmacodynamics

"Cialis" refers to a group of medicines intended to improve erectile function. The main active ingredient of the drug is tadalafil. As auxiliary lactose monohydrate, giprolase, sodium lauryl sulfate, croscarmellose sodium and vegetable magnesium stearate. Tablets are available in oval form in a light yellow film shell. On one side of the tablet you can see the engraving of C5.

The drug "Cialis" action is based on the fact that tadalafil - the main active ingredient - suppresses specific PDE-5 (phosphodiesterase). During the onset of sexual arousal in a large amount of nitrogen oxide is released, which leads to an increase in the cavernous body of the penis concentration of cGMP (the action is similar to cAMP in the human body acts as a secondary mediator, whose purpose is intracellular signaling of certain hormones that are not able to To overcome the cell membrane).

The consequence of this process is the relaxation of the smooth muscles of the arteries and the inflow of blood to the tissues of the male sexual organ, that is, an erection occurs. However, consumers need to know that tadalafil will cause the necessary effect only if there is sexual arousal.

Effect of tadalafil on the human body

As already mentioned earlier, the main active ingredient of the preparation "Cialis" is tadalafil. After conducting clinical studies, it was found that this substance does not cause any significant, significant change in blood pressure (the comparison was done with placebo). Also, tadalafil does not contribute to any changes in the heart rate.

Since "Cialis" (or "Viagra", "Levitra", etc.) is a drug for solving problems with erectile dysfunction, clinical studies were conducted on the influence of medications with daily application to the process of spermatogenesis. The results showed that there were no undesirable effects on the morphology of spermatozoa, their mobility did not decrease to some critical value. In the course of one of the studies, a decrease in the concentration of spermatozoa was found compared with placebo. The reason was in high sexual activity and a higher frequency of ejaculation.

Also, the daily intake of the main active ingredient of Cialis (in comparison with placebo) was not affected by the average concentration of sex hormones, testosterone, FSH, and LH. Patients were not observed any abnormalities in color recognition (blue / green). Tadalafil had no effect on the visual acuity, intraocular pressure, the size of the pupil and the electroretinogram.

The "Cialis" medication (5 mg) is described by doctors as a very effective remedy for improving erection in patients with very different degrees of severity of the disease.

Generic "Cialis"

Generics in the field of pharmaceuticals are called a medical product offered to customers under an international name, not protected by a patent, or patented, but not identical with the brand name that the developer gave to the medicament. Today, generics are also called medicines, the active substance of which either expired the patent, or have patents and are manufactured under a compulsory license. Usually, the effectiveness of generic medicines is not lower than in the original, but their cost is much less, they are available to a wide range of consumers.

The generic "Cialis" (reviews of patients and doctors confirm) corresponds to the branded medical product for all characteristics. Compared with all other analogs and generics, for "Cialis" is characterized by a rapid onset of the effect, the duration of which reaches up to one and a half days. The action of the medicine is not influenced by alcohol, so you can not worry about your masculinity even if you spend time at a party or in a restaurant accompanied by drinking beverages.

Generic "Cialis" (5 mg) reviews of doctors and instructions for use recommend taking at least 20 minutes before the alleged sexual contact. The power mode does not matter. A persistent erection will occur within the next 36 hours, i.e., a man will be able to enter into sexual relations as many times as he wants, and at a time when this is required.

For whom is the preparation intended?

The drug "Cialis" is not intended for admission by women. Its main consumers are men suffering from erectile dysfunction. In addition, this medication is prescribed for men suffering from benign prostatic hyperplasia (BPH), who have symptoms of lower urinary tract diseases. Erectile dysfunction with such symptomatology in the background of BPH is also a good reason for the appointment of a Cialis medication.

Contraindications for the use of Cialis

The generic "Cialis" reviews medical specialists characterize as a drug with a fairly large list of contraindications.

As with absolutely all medications, patients who have increased sensitivity to the main active ingredient - tadalafil - and any component of "Cialis" should refrain from taking it. Do not prescribe medicines to young people under 18 (because there is no need for and clinical studies have not been conducted on this matter). It is unacceptable to use "Cialis" in parallel with drugs that have in their composition any organic nitrates.

Can not be appointed to receive "Cialis" to those patients who are contraindicated in sexual activity. Contraindications in this area may be associated with diseases of the cardiovascular system. This includes myocardial infarction, which occurred less than 3 months ago, unstable angina (there is always the possibility of developing an attack of angina in the process of sexual contact). Also to this group of diseases include heart failure (chronic form), uncontrolled arrhythmia, arterial hypertension and hypotension (arterial pressure lower than 90/50), an ischemic stroke that occurred less than six months ago.

Further, the drug "Cialis" is inadmissible to use in the loss of vision, provoked by non-arterial ischemic neuropathy of the optic nerve. It is impossible to take Doxazosin and drugs in parallel with Cialis. People suffering from renal insufficiency in chronic form, the medication can not be taken more often than twice a week.

Deficiency of lactose in the patient's body, its intolerance, glucose-galactose malabsorption (loss of nutrients entering the gastrointestinal tract due to insufficiency of their absorption in the small intestine) is also a good reason for refusing to take Cialis.

Possible side effects

Like any medical product, Cialis, whose price can range from 70 to 200 rubles per tablet, can cause some side effects from different body systems.

More often than not, patients diagnosed with erectile dysfunction (ED) complained of headaches, digestive disorders, myalgia, and back pain. Influx of blood to the face, stuffiness of the nose is possible.

Men who had ED accompanied by benign prostatic hyperplasia (BPH) often spoke about the occurrence of headaches and dyspepsia, pain in the extremities and myalgia. In some cases, gastroesophageal reflux has developed.

The nervous system may react to Cialis with impaired cerebral circulation, fainting, migraine, epileptic seizures, transient amnesia, or ischemic attacks.

There may be changes in visual perception (fuzzy), negative changes in the field of vision, pain in the eyeball, optic neuropathy by ischemic type, occlusion (impaired patency) of the retina. A sudden loss of hearing is possible.

Cardiovascular system in response to taking the drug "Cialis" (the analogs often cause the same deviations) can declare itself a tachycardia, fluctuations in blood pressure, manifestations of unstable angina.

Sometimes you can hear from patients about the appearance of a rash on the skin, the development of hyperhidrosis (increased sweating), hives, exfoliative dermatitis, Stevens-Johnson syndrome.

Strangely enough, sometimes the question arises whether Viagra or Cialis is better, because the latter can provoke negative manifestations on the part of the genitals, manifested in prolonged erection and priapism (a painful erection not related to excitement).

Dosing regimen

For patients with ED and high frequency of sexual contacts (more than 2 times during the week), 1 tablet of Cialis (5 mg) is recommended by doctors to take every day. It is advisable to do this at the same time, regardless of the diet. If individual sensitivity is observed in the medication, the daily dose can be reduced to 2.5 mg.

For men with a low frequency of sexual contacts, the instruction recommends taking the medicine immediately before the contact in a dosage of 20 mg.

If "Cialis", the price of which is lower for one tablet, the larger the package, is assigned to patients with BPH or ED / BPH, the drug is regulated to receive a slightly different scheme. The medication is very desirable to be taken at least approximately at the same time, regardless of the time of sexual activity. For patients with such diagnoses, the maximum daily volume of the drug "Cialis" is 5 mg. Reviews of doctors, their recommendations about the duration of the course of treatment are highly individual.

Features of the drug

Medication "Cialis", its analogs should not be used to treat ED in patients suffering from cardiovascular diseases, because the sexual activity for such patients is not recommended. Men with a diagnosis of BPH before the start of treatment should be screened to exclude oncology of the prostate gland.

In addition to the above, patients should be aware that the occurrence of an erection lasting more than 4 hours is the basis for seeking emergency help from a doctor, since priapism without proper and timely treatment will lead to damage to the tissues of the penis and the possible onset of irreversible impotence.

As for driving vehicles and performing jobs requiring high psychomotor, patients should be careful, although not often, but there is a chance of adverse reactions in the form of dizziness, headaches and fainting.

Analogues of Cialis

Currently, for the treatment of ED most often used drugs "Viagra", "Levitra" or "Cialis". The difference of all three from each other is in the duration of the action. In "Levitra" the time period is 10-12 hours, in "Viagra" - no more than 6 hours. The leader of this indicator is Cialis - up to 36 hours. If you compare "Cialis" with "Viagra" in terms of food intake, then "Viagra" should be taken only on an empty stomach, "Levitra" can become less effective after eating fatty foods, but "Cialis" does not care what a person ate, and , In general, whether he took food in principle: the drug is effective regardless of food.

One can not unequivocally answer the question about what is better - "Viagra" or "Cialis". Or maybe even prefer "Levitra"? "Viagra" is the most studied, its influence on the patient's body is known. This is a powerful medicine, but its duration is relatively small. "Cialis" is effective for 36 hours, which allows a man to enter into sexual relations when he considers it necessary. About "Levitra" we can say that this is the safest for a male body drug for the treatment of ED. However, the effectiveness of the drug may decrease after eating. Everything depends on the individual characteristics of the organism.

Feedback from patients and health professionals

The patients' comments about the preparation "Cialis" are mostly positive. A large group of patients says that they did not see anything better than Cialis, because the duration of the medication is very high (took a pill - and for at least a day or even a day and a half you do not have to worry about your male consistency), and the reception Food and alcohol will not affect the effectiveness. After all, a rare romantic date is at least without a glass of champagne (and sometimes more).

Although there is, of course, a barrel of honey and a fly in the ointment. Sometimes you can hear about headaches, back pain and limbs. Some patients speak of a digestive disorder. Often you can hear about pain in the heart, less often - the violation of visual perception. All that can be done in this case is to contact the doctor who will take into account all the features of the body, the state of health and select the most effective drug ("Viagra", "Levitra" or "Cialis"), with which the patient will feel real, healthy and Wealthy man.