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Cialis (Tadalafil) Buyer and Patient Handbook in South Africa

Cialis (Tadalafil) is a tablet-form medication belonging to the phosphodiesterase-5 inhibitor class, used to treat Erectile Dysfunction in adult men. It is approved by the South African Health Products Regulatory Authority (SAHPRA) and is available in several strengths.

What is Cialis?

Cialis contains the active ingredient tadalafil, which belongs to the phosphodiesterase-5 inhibitor class. It is indicated for the treatment of erectile dysfunction and, in some formulations, for Benign Prostatic Hyperplasia. The tablets are supplied in 10 mg, 20 mg, 40 mg, 60 mg and 80 mg strengths.

Who Should Use Cialis?

• Adult men diagnosed with erectile dysfunction
• Men whose condition is not resolved by lifestyle changes alone
• Individuals without severe cardiovascular disease or uncontrolled hypertension
• Patients who are not taking nitrates or certain alpha-blockers

How Does It Work?

Tadalafil blocks the enzyme phosphodiesterase-5, which allows nitric oxide-mediated blood vessel relaxation in the penis. This increased blood flow enables an erection in response to sexual stimulation. The effect can last up to 36 hours, giving flexibility for spontaneous activity.

Why Choose Cialis?

• Long duration compared with many alternatives, reducing the need for timing doses precisely.
• Available in multiple strengths, allowing personalized dosing.
• Generic versions (tadalafil) offer the same efficacy at lower cost.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

• Starting dose: 10 mg taken prior to anticipated sexual activity.
• Adjust to 20 mg or 40 mg based on effectiveness and tolerability.
• Daily low-dose regimen (e.g., 2.5 mg-5 mg) is also an option for some patients, though not listed among the tablet strengths above.

How to Take

• Swallow the tablet whole with a glass of water.
• Can be taken with or without food; a high-fat meal may delay onset by up to 2 hours.

Missed Dose

• If you forget a dose and you are using the on-demand schedule, simply take it when you remember, provided it is at least 24 hours after the previous dose.
• Do not take two tablets together to “make up” for a missed dose.

Overdose

• If you think you have taken more than the prescribed amount, seek emergency medical help immediately.

Special Populations

• Elderly (≥65 years): Start with the lowest dose (10 mg) and increase cautiously.
• Renal or hepatic impairment: Dose may need reduction; consult a healthcare professional.
• Children and adolescents: Not indicated; safety and efficacy not established.

Lifestyle & Diet

• Avoid taking Cialis with nitrate-containing medications (e.g., nitroglycerin).
• Grapefruit juice can increase tadalafil levels; limit consumption.
• Moderate alcohol intake does not affect effectiveness but excessive drinking may impair erection.

Precautions and Warnings

• Do not use if you have had a recent Heart Attack, stroke, or uncontrolled high/low blood pressure.
• Inform your healthcare provider of any history of eye disorders, such as non-arteritic anterior ischemic optic neuropathy.
• Use with caution if you have severe liver disease, severe renal impairment, or a bleeding disorder.

Drug Interactions

Potential Side Effects

Common Side Effects

• Headache
• Flushing
• Indigestion
• Nasal congestion

Less Common Side Effects

• Back Pain
• Muscle aches
• Vision changes (blurred or blue-tinted vision)

Serious Side Effects

• Sudden loss of vision or hearing
• Chest pain or irregular heartbeat
• Priapism (painful erection lasting >4 hours) - seek urgent medical attention

Who Should Avoid This Medication?

• Anyone taking nitrates or nitric-oxide donors
• Men with severe uncontrolled hypertension or hypotension
• Patients with a known allergy to tadalafil or any tablet excipients
• Individuals with recent myocardial infarction or severe Heart Failure

Storage Instructions

• Store at 20-25 °C (68-77 °F) in a dry place.
• Keep the bottle tightly closed and away from moisture and direct sunlight.
• Keep out of reach of children and pets.

Cialis Alternatives

Frequently Asked Questions

How soon after taking Cialis can I expect an effect?

Typically within 30 minutes, but it may take up to 2 hours if taken with a heavy or fatty meal.

Can I take Cialis daily?

A low-dose daily regimen (2.5 mg - 5 mg) is an option for some men; discuss it with a qualified health professional.

Is it safe to drink alcohol while using Cialis?

Moderate alcohol consumption does not usually affect the drug’s action, but excessive drinking can hinder an erection.

Will Cialis work for everyone with erectile dysfunction?

It is effective for many men, but success depends on underlying health conditions and the cause of the dysfunction.

Does Cialis treat premature ejaculation?

No, its indication is limited to erectile dysfunction and, in some formulations, benign prostatic hyperplasia.

Can I take Cialis with my blood pressure medication?

Most antihypertensives are compatible, but avoid nitrates and consult a health professional if you use alpha-blockers.

What should I do if I experience a painful erection lasting more than 4 hours?

Seek emergency medical care immediately to prevent permanent damage.

Does Cialis interact with herbal supplements?

Certain herbs that affect CYP3A4 (e.g., St. John’s wort) may reduce effectiveness; discuss any supplements with a health professional.

Glossary

• Phosphodiesterase-5 (PDE-5) inhibitor: A drug class that relaxes smooth muscle in the penis, enhancing blood flow.
• Nitroglycerin: A medication used for Angina that releases nitric oxide and can cause dangerous blood pressure drops when combined with PDE-5 inhibitors.
• Priapism: A prolonged, often painful erection lasting longer than four hours, requiring urgent treatment.

Disclaimer

The information provided here is for general educational purposes only and does not replace professional medical advice. Off-label uses are not discussed; any such consideration should involve a qualified health professional. Our service offers convenient access to approved medicines; users remain responsible for verifying suitability and for following local regulations. Always consult a qualified healthcare provider before starting or changing any medication regimen.