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**What is Tadalafil and How Does it Work?** Tadalafil is a medication primarily used to treat **erectile dysfunction (ED)**, also known as impotence, in men. It belongs to a class of drugs called **phosphodiesterase type 5 (PDE5) inhibitors**. Tadalafil works by increasing blood flow to the penis during sexual stimulation. It achieves this by relaxing the blood vessels in the penis, allowing for increased blood flow necessary to achieve and maintain an erection. Importantly, Tadalafil requires sexual stimulation to be effective; it doesn’t automatically cause an erection on its own. Besides ED, Tadalafil is also used to treat the symptoms of **benign prostatic hyperplasia (BPH)**, also known as an enlarged prostate, as well as **pulmonary arterial hypertension (PAH)**, a type of high blood pressure in the arteries of the lungs. **How Should Tadalafil Be Taken?** Tadalafil is typically taken orally, as a tablet. For **erectile dysfunction**, it can be taken in one of two ways: * **On-demand:** A dose is taken as needed, usually 30 minutes to an hour before sexual activity. * **Daily:** A smaller dose is taken at approximately the same time each day, allowing for spontaneity in sexual activity. The recommended starting dose for ED is usually 10mg, but this can be adjusted by a doctor based on individual response and tolerability. For **BPH**, it is typically taken once daily, at the same time each day, and the dose is usually 5 mg. For **PAH**, tadalafil is taken once daily, typically 40 mg. It's crucial to follow your doctor's specific instructions and not exceed the recommended dosage. Tadalafil can be taken with or without food. Avoid consuming excessive alcohol, as this could increase the risk of side effects. **What Are the Common Side Effects of Tadalafil?** Like all medications, Tadalafil can cause side effects. The most commonly reported side effects include: * **Headache**: This is the most frequent side effect. * **Indigestion/Heartburn**: This is often mild and temporary. * **Nasal Congestion**: Some individuals might experience a stuffy nose. * **Muscle Aches or Back Pain**: These side effects usually subside on their own. * **Flushing**: The face or skin might become red and warm. While these side effects are generally mild and often temporary, it's important to be aware of them. If side effects are persistent or bothersome, consult your doctor. More rarely, serious side effects may occur, including: * **Sudden Vision Loss**: Especially in one eye (non-arteritic anterior ischemic optic neuropathy, NAION). * **Hearing Loss or Ringing in the Ears**. * **Priapism**: A prolonged, painful erection lasting more than 4 hours, which requires immediate medical attention. * **Allergic Reactions**: Rash, itching, swelling (face, tongue, throat), or difficulty breathing. **Who Should Avoid Taking Tadalafil?** Tadalafil is not suitable for everyone. People with the following conditions should generally avoid using Tadalafil or use it with extreme caution: * **Heart Conditions**: Those with a history of heart attack, stroke, irregular heart rhythm, angina, or heart failure should consult with a doctor before using tadalafil. The medication may put stress on the heart during sexual activity. * **Severe Liver or Kidney Disease**: Those with serious liver or kidney conditions may not be able to metabolize Tadalafil effectively. * **Low Blood Pressure** (hypotension): Tadalafil may lower blood pressure further. * **Retinitis Pigmentosa**: A hereditary eye disease. * **Allergy to Tadalafil** or any of the other ingredients in the medication. * **Current use of Nitrates**: Tadalafil should not be used if you are taking nitrates, typically prescribed for chest pain, as it can cause a dangerous drop in blood pressure. * **Certain medications**: Tadalafil may interact with other medications and cause serious side effects. Inform your doctor about all medications, supplements, and herbal products you are taking. **Can Tadalafil Be Used by Women?** Tadalafil is primarily prescribed for men to treat ED, BPH, and PAH. While it is sometimes used off-label in women to treat pulmonary hypertension, its use in other contexts in women is not typically recommended or well-studied. In some studies, Tadalafil is used to treat female sexual dysfunction, such as sexual arousal disorder or orgasmic disorder, but the research is limited and there's no FDA approval for these uses. It's essential for women to consult a healthcare provider to discuss any potential treatments for sexual dysfunction or other conditions, as the effectiveness and safety of Tadalafil in women needs more thorough study. **What Should I Discuss With My Doctor Before Taking Tadalafil?** It's vital to have a thorough discussion with your doctor before starting Tadalafil. Ensure they are aware of the following: * **Complete medical history**: including any past or current health problems, especially heart conditions, liver disease, kidney disease, eye problems, low or high blood pressure. * **Current Medications**: Provide a list of all medications you are taking, both prescribed and over-the-counter, including herbal supplements and vitamins. This will help avoid dangerous drug interactions. * **Allergies**: Mention any allergies you have. * **Family history**: Particularly if there is any family history of eye problems like NAION. * **Lifestyle habits**: Alcohol and drug use may affect Tadalafil's effectiveness or safety. * **Specific concerns**: Address any questions or concerns you may have regarding Tadalafil. **Can Tadalafil Be Used with Alcohol?** Consuming moderate amounts of alcohol while taking Tadalafil is generally considered safe for many individuals. However, excessive alcohol consumption may increase the risk of certain side effects. Both alcohol and Tadalafil can lower blood pressure, so combining them in excess can lead to dizziness, lightheadedness, or fainting. Additionally, alcohol may impair the ability to achieve an erection, which can counteract Tadalafil's effectiveness. If you plan to drink alcohol while taking Tadalafil, do so in moderation and be mindful of how you feel. It’s best to discuss this with your doctor for tailored advice. **How Long Does Tadalafil Last?** One of the distinguishing features of Tadalafil compared to other ED medications is its long duration of action. Tadalafil can be effective for up to 36 hours after being taken. This extended window is why Tadalafil is sometimes called the "weekend pill." The duration may vary based on factors like the individual’s metabolism, dosage, and individual characteristics. However, it’s essential to remember that Tadalafil still requires sexual stimulation to achieve an erection; it doesn’t work on its own automatically. **What if Tadalafil Doesn't Work for Me?** If you find that Tadalafil isn't working effectively for you, do not increase the dosage on your own. Consult your doctor. There may be several reasons for this, such as: * **Incorrect Dosage**: You may need to have your dosage adjusted. * **Incorrect Use**: Ensure you are taking it as prescribed. * **Underlying Medical Conditions**: Certain conditions may affect the efficacy of Tadalafil. * **Psychological Factors**: Stress, anxiety, or performance-related issues can affect response to ED medications. * **Lifestyle Factors**: Factors such as poor diet, excessive alcohol consumption, or smoking may affect treatment outcomes. If Tadalafil is not effective, alternative options may include other PDE5 inhibitors (sildenafil or vardenafil), injections, or vacuum devices. It is important to work with your doctor to find a solution tailored to your needs. **How Should I Store Tadalafil?** Proper storage of Tadalafil is important to maintain its potency. Store Tadalafil tablets in their original packaging in a cool, dry place, away from moisture and direct sunlight. Avoid storing it in the bathroom, where humidity can affect the medicine. Keep the medication out of reach of children and pets. Follow the expiration date on the packaging and discard expired tablets according to your pharmacy's guidelines for medication disposal. does viagra help sperm count how long does viagra usually last I created this video with the YouTube Slideshow Creator ( melhores viagras masculino