Cialis- Another PDE5 inhibitor beside Viagra ( sildenafil sitrat ) and levitra.
- Cialis inhibits specific phosphodiesterase type 5 (PDE5), an enzyme. The inhibition of PDE5 increasing cGMP. Cyclic GMP causes smooth muscle relaxation and increased blood flow into the corpus cavernosum and make penis erection.
- Indicated to erectile dysfunction. Some study said cialis safer than others.
- Taken by mouth at least 30 minutes before sexual activity. . Cialis may be taken with or without food.
- Begin with 10 mg, evaluate, increasing the doses if necessary.
- Available in 5, 10 and 20 mg tablet.
- The maximum recommended dosing frequency is once per day in most patients.
- Don’t be given to patient who have heart disease and take nitrate including nitroglyserin everyday, patient who are allergic to CIALIS or any of its ingredients and patient who should not do sexual activity.
- Patient with severe renal inssufiency and hepatic impairment shoul not be given more than 10 mg a day.
- Headache, stomach upset, back pain, muscle pain, nasal stuffiness, flushing, pain in arms or legs, dizziness, or vision changes may occur.
- Drug interaction :
· nitrate
· alpha blocker ( usually use in hipertensi and prostate problem. Your blood pressure can suddenly drop )
· ketoconazole or itraconazole
· erythromycin
1 comments:
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