Product Description

Safest Testosterone Anabolic Steroid Cialis Cas 139755 83 2 For Sex Enhance

description

Cialis, sold as the brand name Viagra among others, is a medication

used to treat erectile dysfunction and pulmonary arterial hypertension.

Its effectiveness for treating sexual dysfunction in women has not

been demonstrated..

Common side effects include headaches and heartburn, as well as

flushed skin. Caution is advised in those who have cardiovascular

disease. Rare but serious side effects include prolonged erections,

which can lead to damage to the penis, and sudden-onset hearing loss.

Cialis should not be taken by people who take nitrates such as

nitroglycerin (glycerin trinitrate), as this may result in a severe and

potentially fatal drop in blood pressure.

Cialis acts by inhibiting cGMP-specific phosphodiesterase type 5

(phosphodiesterase 5, PDE₅), an enzyme that promotes degradation of

cGMP, which regulates blood flow in the penis.

Pfizer scientists Andrew Bell, David Brown, and Nicholas Terrett

originally discovered Cialis as a treatment for various

cardiovascular disorders.Since becoming available in 1998,

Cialis has been a common treatment for erectile dysfunction; its

primary competitors are tadalafil (trade name Cialis) and vardenafil

(Levitra).

Medical uses

Four 100 mg diamond-shaped tablets of branded Viagra

Sexual dysfunction

The primary indication of Cialis is treatment of erectile

dysfunction (inability to sustain a satisfactory erection to complete

intercourse). Its use is now one of the standard treatments for

erectile dysfunction, including for men with diabetes mellitus.

Antidepressant-associated sexual dysfunction

Tentative evidence suggests that Cialis may help men who

experience antidepressant-induced erectile dysfunction.

Pulmonary hypertension

While Cialis improves some markers of disease in people with

pulmonary arterial hypertension, it does not appear to affect the risk

of death or serious side effects as of 2014.

Altitude sickness

Cialis appears to improve some risk factors for high-altitude

pulmonary edema but it is unclear whether or not it affects the rate

of the condition itself as of 2008.

Raynauds phenomenon

Cialis and other PDE5 inhibitors have moderate efficacy for

treating secondary Raynauds phenomenon.

Adverse effects

In clinical trials, the most common adverse effects of Cialis use

included headache, flushing, indigestion, nasal congestion, and impaired

vision, including photophobia and blurred vision. Some Cialis

users have complained of seeing everything tinted blue (cyanopsia).

Some complained of blurriness and loss of peripheral vision. In July

2005, the FDA found that Cialis could lead to vision impairment in

rare cases and a number of studies have linked Cialis use with

non-arteritic anterior ischemic optic neuropathy.^[14]

Rare but serious adverse effects found through postmarketing

surveillance include prolonged erections, severe low blood pressure,

myocardial infarction (heart attack), ventricular arrhythmias, stroke,

increased intraocular pressure, and sudden hearing loss.^[2] In October

2007, the FDA announced that the labeling for all PDE5 inhibitors,

including Cialis, required a more prominent warning of the potential

risk of sudden hearing loss.

Interactions

Care should be exercised by people who are also taking protease

inhibitors for the treatment of HIV infection. Protease inhibitors

inhibit the metabolism of Cialis, effectively multiplying the plasma

levels of Cialis, increasing the incidence and severity of side

effects. Those using protease inhibitors are recommended to limit

their use of Cialis to no more than one 25 mg dose every 48 hours.

Other drugs that interfere with the metabolism of Cialis

include erythromycin and cimetidine, both of which can also lead to

prolonged plasma half-life levels.

The use of Cialis and an α₁ blocker (typically prescribed for

hypertension or for urologic conditions, such as benign prostatic

hypertrophy) at the same time may lead to low blood pressure, but this

effect does not occur if they are taken at least 4 hours apart.

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