Who should take Cialis with caution

Cialis is taken as oral treatment for patients with ED problem. Though the medication proved to be very effective, it may happen to be not so harmless, as it seems. Correct intake of PDE5 drugs is very important for success of your treatment. You should be aware of its contraindications not to make mistakes as you try to get rid of ED and return your male power.

Contraindications include:

  • Use the drugs containing any organic nitrates during the treatment;
  • The presence of contraindications to sexual activity in patients with heart diseases. If cardiovascular system was subjected to severe medical problem within the last 90 days, you should pay special attention to the problem. For instance, myocardial infarction should make male patients very cautious. Chronic heart failure is one of the conditions that requires caution when Cialis is chosen as ED drug, along with uncontrolled arrhythmias, hypotension, uncontrolled hypertension, ischemic stroke within the last 6 months;
  • Loss of vision due to nearterialnoy anterior ischemic optic neuropathy (regardless of connection with taking PDE5 inhibitors);
  • Simultaneous reception of doxazosin, and drugs for the treatment of erectile dysfunction;
  • Frequent (more than 2 times a week) use in patients with chronic renal insufficiency (creatinine clearance less than 30 ml / min);
  • Lactase deficiency, lactose intolerance, glucose-galactose malabsorption;
  • The use in children and teenagers up to 18 years;
  • Hypersensitivity to the medications.

Take it also with caution if you apply alpha-blockers, because simultaneous intake of two remedies can lead to symptomatic hypotension.

Patients with predisposition to priapism should avoid Cialis. It is also contraindicated in patients with anatomical deformation of the penis.

One should not combine Cialis with potent inhibitor of CYP3A4 (examples: erythromycin, ritonavir, ketoconazole) and with antihypertensives.

When the doctor diagnoses the condition, he should also determine the potential underlying cause. Appropriate medical examination is performed for that. It is also necessary to choose the right treatment and avoid possible contraindications.

There are reports on occurrence of priapism among the patients who take PDE5 inhibitors, including tadalafil. Patients should be informed of the need for immediate medical assistance in case the erection lasts for 4 hours at least. If you do not apply to the doctor with priapism problem in time, it leads to damage of penile tissue that causes irreversible impotence.