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The Food and Drug Administration (FDA) has approved Cialis for use in adults to treat ED, BPH, and ED and BPH symptoms together. Tell your healthcare provider if you have any of the following. Your pharmacist can tell you all of the ingredients in the specific tadalafil products they stock. People who are allergic to any of the following should not take tadalafil. Tadalafil has not been properly tested with recreational drugs.
So if you drink alcohol while taking this medication, it’s recommended that you don’t drink too much. This may help prevent your blood pressure from becoming too low. For more information, see the "Cialis and alcohol" section above. Before you start Cialis treatment, tell your doctor if you’re taking any blood pressure drugs. They may give you a lower dose of Cialis or monitor you more often. Finasteride can help also ease symptoms of BPH, such as having to urinate suddenly and more often than usual.
What should I do if I accidentally use too much tadalafil?
In clinical trials, Cialis helped with ED symptoms for up to 36 hours after their dose. So if you’re taking the medication only as needed, you shouldn’t have to take it every day. Cialis was an effective medication in clinical trials for people with both ED and BPH. The studies used two different questionnaires, one for ED symptoms and one for BPH symptoms, to determine how well the medication worked. The studies looked at people with BPH who took Cialis or a placebo (treatment with no active drug). Researchers found that people who took Cialis had more of a decrease in their IPSS score than people who took a placebo.
Overdose symptoms are similar to the typical side effects of Cialis. For more about side effects, see the "Cialis side effects" section above. If you drink alcohol, talk with your doctor about what amount is safe to drink while you’re taking Cialis. BPH is a condition in which the prostate gland gets larger but isn’t cancerous. BPH may cause problems with urination such as the need to urinate frequently or having to urinate more often at night.
If you do not want to or cannot visit your doctor in person, you may be able to get a prescription for Cialis online. There are a few telehealth services that offer easy and discreet options. Cialis and generic tadalafil are available with a prescription only. There is no OTC version, though there have been efforts in recent years to develop a nonprescription version of tadalafil.
Related Conditions
They may start you on a smaller dose and buy xanax without prescrition gradually increase it if you’re not seeing results. Before taking Cialis, talk with your doctor about any medications you’re using for pulmonary hypertension. If you’re taking riociguat, they’ll likely recommend a different medication to treat your ED, BPH symptoms, or both. Cialis is broken down in your body by an enzyme in your liver called CYP3A4. (An enzyme is a protein that aids chemical changes in your body.) Certain drugs can inhibit (block) this enzyme from working. So if the enzyme is unable to break down Cialis, the level of Cialis in your body may get too high.

Therefore, these medications can cause very similar side effects, but some different ones as well. While taking Cialis, if you have back pain that’s bothersome to you or doesn’t go away, talk with your doctor. They may be able to recommend ways to help ease this side effect.
If it seems like you need a higher dosage, ask your doctor whether a dosage increase is right for you. Do not increase your dosage unless your doctor recommends doing so. To help make sure you don’t miss a dose, try using a medication reminder. This can include setting an alarm or putting a note where you’ll see it, such as on your bathroom mirror or bedside table. If you miss a dose of tadalafil, take it as soon as you remember.
To measure the improvement of ED symptoms, researchers used part of a survey called the International Index of Erectile Function (IIEF). People with both ED and BPH took the survey after 4 weeks. To measure improvement of BPH, researchers used a scale called the International Prostate Symptom Score (IPSS). IPSS is a questionnaire that was given to people to determine whether their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.
Tadalafil is a medication prescribed for the treatment of impotence (erectile dysfunction, ED) in men. Review side effects, drug interactions, warnings and precautions, and patient safety information prior to taking any medication. If you’re taking tadalafil as needed for erectile dysfunction, talk with your doctor about the timing of your dose. You may be able to have sexual activity after 30 minutes and up to 36 hours after taking your tadalafil dose. In this case, the recommended starting dose of tadalafil is 40 mg. You’ll likely take two 20-mg tablets at once for your daily dose of 40 mg.