>Cialis VS Viagra Which one is Better For Treatment of ED?
Posted by levitraonlineusa on June 4th Wholesale College Jerseys From China , 2019


Cialis vs. Viagra quick comparison


Cialis (tadalafil) and Viagra (sildenafil) are phosphodiesterase-5 (PDE5) inhibitors used for treating impotence (erectile dysfunction, or ED).
Adcirca is another brand name of tadalafil.



Common side effects of Cialis and Generic Viagra 50mg Pills that are similar include flushing (redness or warmth of the face, neck, or chest), headaches, stomach pain or upset, flu-like symptoms (such as stuffy nose, sneezing Wholesale College Jerseys China , or sore throat), memory problems, muscle or back pain, blurred vision and changes in color vision (such as an inability to differentiate between the colors green and blue), dizziness, diarrhea, nausea, low blood pressure Wholesale College Jerseys , abnormal ejaculation, and prolonged erections (priapism), loss of hearing, and ringing in the ears.



One difference between the drugs is how long they stay in your system. Cialis provides penile hardness (the ability to obtain an erection) over a longer period than Viagra because it lasts up to 18 hours, while Viagra only lasts for about 4 to 6.


What are Cialis and Viagra?



Cialis (tadalafil) and Viagra (sildenafil) are oral drugs that are used for treating impotence (the inability to attain or maintain a penile erection) and benign prostatic hyperplasia (BPH). They are in a class of drugs called phosphodiesterase-5 (PDE5) inhibitors that also includes vardenafil (Levitra, Staxyn ODT), and avanafil (Stendra).



Penile erection is caused by the engorgement of the penis with blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme Wholesale Cheap Jerseys , guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis. Generic Cialis 40 mg tablets and Viagra inhibit an enzyme called phosphodiesterase-5 (PDE5) which destroys the cGMP. Thus, Cialis and Viagra prevent the destruction of cGMP and allows cGMP to accumulate and persist longer. The longer cGMP persists, the more prolonged the engorgement of the penis.


What are the side effects of Cialis and Viagra?

The most common side effects of tadalafil are:


facial flushing (reddening),
headaches,
stomach upset,
diarrhea,
flu-like symptoms Wholesale Jerseys From China , and
nausea.
Tadalafil also may cause low blood pressure,
blurred vision,
changes in color vision, and
abnormal ejaculation.
Viagra
Approximately 15% of persons taking Viagra experience side effects. The most common side effects are:


facial flushing (1 in 10),
headaches (1 in 6),
stomach pain,
nasal congestion,
nausea Wholesale Jerseys China ,
dizziness,
rash,
urinary tract infections (UTIs)
diarrhea, and
an inability to differentiate between the colors green and blue.


What is the dosage of Cialis vs. Viagra?


For most individuals, the recommended starting dose of tadalafil is 10 mg per day taken before sexual activity (tadalafil for use as needed).


Depending on the adequacy of the response or side effects, the dose may be increased to 20 mg or decreased to 5 mg a day. The effect of tadalafil may last up to 36 hours. Individuals who are taking medications that increase the blood levels of tadalafil should not exceed a total dose of 10 mg in 72 hours (See drug interactions). For once daily use without regard to sexual activity the recommended dose is 2.5 to 5 mg daily. Tadalafil should not be taken more than once daily.


The recommended dose for BPH, or BPH and ED is 5 mg daily taken about the same time each day. Tadalafil may be taken with or without food since food does not affect its absorption from the intestine.


The dose of tadalafil may require adjustment for patients with reduced kidney or liver function.


The usual recommended dose is 20 to 100 mg 1 hour before sexual activity.
The maximum dose is 100 mg daily.
The elderly (over 65 years of age) should start at 20 mg before sexual activity.
Sildenafil is rapidly absorbed. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median 60 minutes) of oral dosing in the fasted state. When sildenafil is taken with a high-fat meal, the rate of absorption is reduced Wholesale Jerseys , with an average delay in the time to maximal concentration of 1 hour.


What drugs interact with Cialis and Viagra?

The breakdown and elimination of tadalafil from the body may be decreased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Therefore, these drugs may increase the levels of tadalafil in the blood. If these drugs are being used at the same time as tadalafil, the dose of tadalafil should be reduced to 10 mg every 72 hours when used as needed or 2.5 mg when used daily in order to avoid side effects from high levels of tadalafil.


Rifampin, carbamazepine (Tegretol, Tegretol XR http://wholesaleauthenticjerseyscollege.com/ , Equerto, Carbatrol), phenytoin (Dilantin, Dilantin-125), and phenobarbital may decrease blood levels of tadalafil, possibly reducing the effect of tadalafil.


Tadalafil exaggerates the increases in heart rate and lowering of blood pressure caused by nitrates, for example, nitroglycerin Cheap College Hockey Jerseys , isosorbide dinitrate (Isordil), isosorbide mononitrate (Imdur, Ismo, Monoket), nitroglycerin (Nitro-Dur, Transderm-Nitro) that are used primarily for treating heart pain (angina). In patients who take nitrates for angina, tadalafil could cause heart pain or possibly even a heart attack by exaggerating the increase in heart rate and the lowering of blood pressure. Therefore, tadalafil should not be used with nitrates.


Tadalafil also exaggerates the blood pressure lowering effects of some

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