If you see a promotion over the internet claiming to sell prescription drugs, think twice before buying them. Any legitimate medical professional would never prescribe you a drug without even evaluating your symptoms in person. It is best to consult your doctor before you start using any prescription medications, including those for erectile dysfunction.
Say NO to Cialis®
Cialis is a popular prescription tablet that is used in treating Erectile Dysfunction in men. The ‘36-hour CIALIS’ is said to work in some men as fast as 30 minutes. All of this makes for some striking literature, but what’s more important is to read the fine print. And unfortunately for Cialis, IT’S ALL IN THE FINE PRINT...
- Cialis is not to be taken in conjunction with medicines like Nitrates (Nitrates are mostly prescribed for chest pains and angina. Like most other prescription medicines, Cialis is also infamous for its drug interactions).
- SIDE EFFECTS: The most common side effects observed while taking Cialis are headache and upset stomach. Backache and muscle ache have also been reported, sometimes with delayed onset. Priapism, an erection that lasts more than four hours, is a potential side effect, as is a sudden decrease or loss of vision (TREAT one dysfunction and ACQUIRE another one or more! Not an incredibly attractive Buy one, get one free offer).
- Cialis has not been studied for multiple sexual attempts per dose (If a playful moment turns into the right moment, you can be ready, but just ONCE).
Cialis® must not be taken under the following circumstances:
Medicines called Nitrates are commonly used to treat angina, a symptom of heart disease, which causes pain in the chest, jaw, or arm. Nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbidedinitrate or isosorbide mononitrate. Some recreational drugs also contain nitrates, such as amyl nitrite and butyl nitrite. Cialis® must not be taken if you are using these drugs.
Cialis® must not be taken if the patient is allergic to Tadalafil (the active ingredient in Cialis®) or any of its other ingredients.
Taking Cialis might prove risky if the patient exhibits any of the following:
- Heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack.
- Uncontrolled low blood pressure or high blood pressure
- Have had a stroke
- Have liver problems
- Have kidney problems or require dialysis
- Have retinitis pigmentosa
- Have ever had severe vision loss, including NAION
- Have stomach ulcers
- Have a bleeding problem
- Have a deformed penis shape or Peyronie's disease
- Have had an erection that lasted more than 4 hours
- Have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia
- Medicines called Nitrates
- Medicines called alpha blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl) or Uroxatral® (alfuzosin HCl). Alpha blockers are sometimes prescribed for prostate problems or high blood pressure. If Cialis® is taken with certain alpha blockers, the blood pressure could suddenly drop, making the patient dizzy or faint.
- Ritonavir (Norvir®) or Indinavir (Crixivan®)
- Ketoconazole or Itraconazole (such as Nizoral® or Sporanox®)
- Other medicines or treatments for ED
Possible side effects with Cialis®
The most COMMON side effects with Cialis® are headache, indigestion, back pain, muscle aches, flushing, and stuffy/ runny nose. Patients who get back and muscle aches usually get them about 12 to 24 hours after taking Cialis®.
Cialis® may cause an erection that lasts longer than natural (Priapism). Priapism must be treated as soon as possible or else lasting damage can happen to the penis including the absolute inability to have erections.
Cialis® may cause vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green.
There have been instances where patients taking PDE5 inhibitors (oral erectile dysfunction medicines, including Cialis®) have reported a sudden decrease or loss of vision in one or both eyes.
Say NO to Viagra®
Prescription treatments, such as Viagra®, for erectile dysfunction should generally not be used in men for whom sexual activity is not advisable because of their weak cardiovascular conditions. There is potential for cardiac risk in such patients with preexisting cardiovascular disease. Viagra® has systemic vasodilatory properties that resulted in transient decreases in supine blood pressure in healthy volunteers during trials. In some patients, concomitant use of PDE5 inhibitors (like Viagra®) co-administered with alpha-blockers, may lower blood pressure significantly leading to symptomatic hypotension (e.g. dizziness, lightheadedness, fainting).
There is no controlled clinical data on the safety or efficacy of Viagra® in the following groups of patients with:
- Occurrence of a heart attack, stroke/ life-threatening arrhythmia within the last 6 months
- Resting hypotension or hypertension
- Cardiac failure or coronary artery disease causing unstable angina
- Retinitis pigmentosa
If Viagra® has been prescribed to patients with the above conditions; this should be done with caution.
The safety and efficacy of combinations of Viagra® with other treatments for erectile dysfunction have not been studied. Therefore, the use of such combinations is not recommended.
The safety of Viagra® is unknown in patients with bleeding disorders and patients with active peptic ulceration.
Possible side effects with Viagra®
Prolonged erections for greater than 4 hours and Priapism (painful erections greater than 6 hours in duration) have been reported since market approval of Viagra®. These could cause extreme damage to the penis and permanent loss of potency. In the event of an erection that persists longer than 4 hours, the patient must seek immediate medical assistance.
Viagra® should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie’s disease), or in patients who have conditions which may predispose them to Priapism (such as sickle cell anemia, multiple myeloma, or leukemia).
Non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision which may include permanent loss of vision, has been reported post-marketing in temporal association with the use of all PDE5 inhibitors.
If Viagra® is prescribed to patients using Ritonavir (protease inhibitor), caution should be taken because Ritonavir substantially increases serum concentrations of sildenafil. Visual disturbances occur more commonly at higher levels of sildenafil exposure. Decreased blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg).