According to the statistics 35%-75% of men suffering from diabetes will face at least some degree of impotence or ED in their days.
Diabetics are inclined to grow erectile dysfunction about 5- 15 years earlier than men without diabetes. As diabetics grow old potency problems become more often. Approximately at the age of 50 the possibility of having erection problems happens to about 50%-60% of men with diabetes. For diabetics in the age of 70, there is about a 95% possibility of obtaining potency dysfunction.
The afflictions of erectile dysfunction in men with diabetes are complicated and involve nerve damage, corruption of blood vessel, and muscle dysfunction.
A normal process of erection requires healthy blood vessels, nerves, male hormones, and a sexual arousal. Diabetes damages the blood vessels and nerves that are responsible for penile erection. Diabetics usually have no problems with sexual desire and have normal hormonal balance still they are not able to achieve a firm erection.
Diabetics having potency problems are usually administered oral therapies for ED treatment. Besides leading a healthy life is necessary to keep the blood sugar under control.
Diabetics are inclined to have heart problems so only a medical professional can evaluate the severity of ED, prescribe oral ED medications and adjust the right dose.
Choosing the best treatment method depends on many factors including a man’s health and individual tolerance to the treatment. Your doctor will help you to fight the diabetes disease and avoid side effects such as impotence. Visit your doctor regularly, follow all his recommendations and keep your blood sugar under control.
Taking any medication may affect different systems of the human body and Cialis is not an exception. It has an influence on body systems but minor and causing practically no harm. Side effects of this drug occur rare and mostly in those who are predisposed due to certain health conditions.
Cialis causes no or minor dermatologic side effects which may include pruritus, rash, and sweating.
Cialis may be taken with or without food that is why it causes gastrointestinal side effects very infrequently. They usually include: dyspepsia, diarrhea, dry mouth, dysphagia, esophagitis, gastroesophageal reflux, gastritis, loose stools, nausea, upper abdominal pain, and vomiting.
Sexual activity by itself influences the work of the heart greatly. Sexual activity for men in the age over 60-65 years with heart diseases may cause serious conditions. Cialis cardiovascular side effects may be: angina pectoris, chest pain, hypotension, hypertension, myocardial infarction, postural hypotension, palpitations, syncope, and tachycardia.
Side effects from the genitourinary system include: increased erection and spontaneous penile erection.
From respiratory system the following side effects associated with Cialis intake are noticed: nasal congestion, dyspnea, epistaxis, pharyngitis, nasopharyngitis, upper respiratory tract infection, and bronchitis.
Nervous system adverse reactions of Cialis usually are: headaches, dizziness, hypesthesia, insomnia, paresthesia, somnolence, migraine and vertigo.
Ocular side effects of Cialis are very rare but should be reported to your doctor. They may be: blurred vision, changes in color vision, conjunctivitis (including conjunctival hyperemia), eye pain, increased lacrimation, and swelling of the eyelids.
For those men who are hypersensitive to the effect of Cialis the following side effects may occur: Stevens-Johnson syndrome and dermatitis.
Remember that if you experience any other unusual or serious side effects of Cialis from any of the body systems it is necessary to consult with your doctor.
Erectile dysfunction is a male’s inability to get a normal erection for sexual intercourse also known as impotence.
Erectile dysfunction problem can appear in men regardless of the age, still aging is one of the factors causing this disorder. Other afflictions of this disease are:
Physical disorders (atherosclerosis, diabetes, heart diseases, nerve disorders, deformity of the penis);
Psychological disorders (constant stress, depression, and anxiety).
Chronic illnesses such as kidney or liver diseases, serious heart problems may contribute to the development of impotence. Such serious diseases require medical treatment. Certain medications can also cause erectile dysfunction.
If you experience problems with erections, visit your doctor to determine the underlying disorder which may cause your ED. Your doctor will make a diagnosis after you undergo special tests and tell your doctor about your symptoms and concerns. Sometimes the help and consultation of other doctors is needed (you may need to visit urologist endocrinologist, psychotherapist).
In animal studies mice, rats and dogs were involved. They were treated with tadalafil to estimate the toxicology of the drug.
Animal studies demonstrated vascular inflammation in animals. In mice and rats lymphoid necrosis and hemorrhage were seen in the spleen. In dogs the increased risk of disseminated arthritis was seen in 6 month studies. In a 12- month dog study, two dogs got marked decreases in white blood cells (neutrophils) and moderate decreases in platelets with inflammatory signs. Still these abnormalities disappeared after 2 weeks of removal of the drug.
Reproductions studies have shown no evidence of impaired fertility in mice and rats treated with tadalafil.
Teratogenicity, embryotoxicity and fetotoxicity have demonstrated no signs also: tadalafil was given to pregnant rats and mice.
Tadalafil and its metabolites were observed to cross the placenta, resulting in fetal exposure in rats. Tadalafil and its metabolites were found in the milk of lactating rats in higher concentrations than in plasma.
If you experience any unusual or strange side effects of Cialis, stop using it and call your doctor immediately. Uncommon side effects are rare reported adverse reactions which patients have after Cialis has been administered.
Uncommon side effects are:
Color vision changes are very rare and may include difficulty in telling the difference between blue and green colors, seeing blue shade to objects and other color vision altering.
Priapism is a prolonged and painful erection, which happen in very small number of people, but is a very dangerous condition. If this serious condition is not treated properly and in time, it can lead to complete penis damage. So this condition should be treated as soon as possible. If you experience unusual prolonged erection, do not wait, call your doctor.
In rare cases, men taking PDE5 inhibitors, including tadalafil, reported a sudden loss of vision in one or both eyes. If you have such a condition, get emergency medical help right away. Still it is not proved if Cialis taking is associated with this vision loss.
A very small group of people taking Cialis reported unusual side effects which can be characterized like decrease of hearing. Some of them experienced ringing in the ears and dizziness. This side effect is also can be directly related to the usage of Cialis. If you have sudden decrease of hearing or hearing loss, call your doctor right away.
To answer this question you should first of all talk to your doctor about alcohol consumption and Cialis. Your doctor will determine your current state of health and give the best decision for your situation.
The best decision about your intake of alcohol while on this drug can make only your doctor because only he can estimate all the risks to your health that this combination may cause. The results of the studies involving men taking alcohol with Cialis show that those who consumed no or small amount of alcohol had practically no risk for health. Those who took large amounts of alcohol while using Cialis had more severe and frequent side effects, including:
- Dizziness;
- A rapid heart rate (tachycardia) or irregular heart rate;
- Low blood pressure;
- Fainting;
- General ill feeling.
Alcohol and Cialis have the similar effect on blood vessels, causing them to dilate. The dilation of blood vessels can cause different dangerous conditions for your health. So before taking this drug with alcohol, consult your doctor to know if you can drink alcohol and what amount of alcohol you can drink not to make harm for yourself.
The Cialis postmarketing reports of consumers contain the most common side effects which were chosen due to their seriousness, frequency, lack of clear alternative causation. The volunteers taking part in postmarketing experience were of different age and can be grouped as almost healthy and having certain medical health conditions. The postmarketing reports on side effects are not the same as reported from the clinical trials. Postmarketing experience does not allow reliably estimating the frequency of side effects and relating them to the drug consuming.
Serious cardiovascular events such as myocardial infarction, cardiac death of sudden character, stroke, chest pain, and tachycardia were reported in relation with the use of Cialis. Lots of these events happened during or after sexual activity.
Migraines, seizures and seizure recurrence were the most common answers from the nervous system.
Visual defects, retinal occlusion were the ophthalmologic side effects, reported mostly by those who have been suffering from certain eye diseases before taking the drug.
Sudden decrease of hearing loss has been reported postmarketing in temporal relation with the use of Cialis. The experts however say that it is not possible to determine if this reported side effect is related directly to the use of Cialis or to the patient’s underlying risk factor for loss of hearing.
Here is a list of drugs having potentially dangerous interactions with Cialis, the list is not full, that is why we recommend before using Cialis to consult a doctor and ask him all the questions you have.
Inform your doctor about all other erectile dysfunction therapies; do not use them in combination with Cialis before first consulting your doctor.
Tell your doctor about the following medications:
- Mycobutin, Rifadin, Rimactane, or Priftin;
- any antibiotics especially Biaxin, Synercid, erythromycin, Ery-Tab, Erythrocin, or Ketek;
- Sporanox, Diflucan, Sporanox, Extina, Xolegal, Ketozole, Nizoral, Vfend;
- any antidepressants especially nefazodone;
- barbiturates such as Solfoton;
- drugs to treat high blood pressure or a prostate disorder, such as Uroxatral, Cardura, Minipress, Hytrin, Flomax;
- heart or blood pressure medications such as Cardizem, Dilacor, Tiazac, Cardene, Quinaglute, Quinidex, Quin-Release, Calan, Covera, Isoptin, Verelan;
- HIV or AIDS medications such as Prezista, Sustiva, Intelence, Kaletra, Viramune, Lexiva, Crixivan, Norvir;
- seizure medications such asTegretol, Dilantin.
Your doctor should know about all medications you use including prescription, vitamin, and herbal products.
When you take this drug for the first time and do not know what response you have to the therapy you should be very careful to notice any changes in your health condition.
Cialis side effects may be of less serious and serious character, it depends on the dose and individual tolerance of the patient.
Cialis most common side effects include:
- redness or warmth in your face, neck, or chest;
- cold symptoms such as stuffy nose, sneezing, or sore throat;
- headache;
- diarrhea, upset stomach;
- muscle pain, back pain.
These side effects are not so serious still you may report them to your doctor if they bother you.
Serious side effects of the drug include:
- sudden vision loss;
- sudden hearing loss;
- chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
- irregular heartbeat;
- shortness of breath, swelling in your hands, ankles, or feet;
- seizure (convulsions);
- feeling light-headed, fainting;
- penis erection that is painful or lasts 4 hours or longer.
In case you have any of the mentioned above serious side effects, stop using the drug and get emergency medical help.
Some patients experience allergic reactions to Cialis: hives; difficulty breathing; swelling of a face, lips, tongue, or throat.
Side effects happen rarely, still watch for any conditions appearing especially if you take this drug for the first time. To avoid side effects or eliminate them at all, try to follow all your doctor’s advice and recommendations.
Cialis is a drug indifferent in action to food, so you can eat any food you like while taking this drug. Still Cialis is not recommended to take with alcohol because this combination can enlarge certain adverse events of the drug.
The other product which may interact with Cialis is food containing grapefruit or grapefruit juice. You should try to avoid using of grapefruit products while on Cialis. If you want to include these products in your daily meals consult your doctor how to do it in a right way. Your doctor may determine the amount of grapefruit products in your diet.
You should not use other ED therapies such as: sildenafil (Viagra, Kamagra) or vardenafil (Levitra) while you are taking Cialis.
Avoid using any other drugs (prescribed for you by other doctors) or drugs supplements while being treated with Cialis. You should first inform your doctor about these prescriptions to avoid drug interactions and side effects.