Tadalafil takes care of erectile dysfunction by dilating the blood vessels and allowing blood flow to the penis freely. This drug works by blocking phosphodiesterase type 5 (PD5) which usually stops the production of cyclic guanosine monophosphate (cGMP) during an erection (cGMP enables the blood vessels in the penis dilate, to allow blood flow, after which it contracts to trap said blood in the penis). Tadalafil can also be used to treat enlarged prostate glands by relaxing the bladder and prostrate muscles making it easier for an individual to urinate. Tadalafil under the brand name adcirca is used to treat pulmonary arterial hypertension which is simply high blood pressure in the lungs. These three treatments have different dosages, which have to be taken judiciously to ensure they work properly. Tadalafil (Cialis) pills should not be spilt for any reason, firstly because it doesn't have a demarcation in the middle which means it can't be split equally and secondly because the drug might not work if not taken in the required dosage.
The best place to get tadalafil is from a medical practitioner or a reputable online store. This is because there are a lot of counterfeits which could do more harm than good.
The first dose is always 10mg, to monitor how it works in the body. The doctor may decide to up the dosage to 20mg depending on certain factors. The pills should only be taken once in 24 hours, but not daily because the drug can still be in the system at the time
The daily pills are available for sexually active people who want to have sex on a regular basis. This is the 5mg pill which could be stepped down to the 2.5mg pill depending on how the body system interacts with it. These pills are to be taken once a day, at the same time each day. It is possible to try and meet up with a dose, if missed but only if the time lapse is not too much. If there is an overdose situation, a medical practitioner should be reached out to immediately.
The side effects include but are not limited to nasal congestion, headaches, muscle pain, back pain and stomach upset. These symptoms usually pass with time, and in the case of body pains can be treated with painkillers. Some effects however need to be met with medical assistance, some of which are dizziness, nausea and tingling of arm or shoulders; a medical practitioner should be called if they happen during sex. Erections that last for more than four hours as well as loss of vision should be met with a visit to the emergency room.
Some drugs should not be taken with tadalafil, one of which is nitrates. This causes a blood pressure drop or hypertension and should not be used by people who take it for heart problems. People with certain conditions have to be Okayed by the doctor before they can take tadalafil, one of which is anemia.