Disorders of sexual function occur in men of any age. This condition is characterized by an absent or weakened erection, as well as premature ejaculation. Various drugs are used to treat such disorders, and Viagra remains one of the most popular today. But this medication is not suitable for all patients, and in this case the question arises of selecting an analogue. This section will talk about the drug Cialis.

Release form, composition and packaging

The active ingredient in Cialis generic is the tadalafil compound. As auxiliary substances, Na lauryl sulfate, lactose monohydrate, Mg stearate, titanium dioxide and cellulose microcrystals are added to the drug. And also in the composition there is a dye.

The medication is available in the form of elongated yellow-beige tablets. On the surface of the drug there is an engraving indicating the volume of the active substance in the drug. Dosage may be 2.5, 5 and 20 mg.

Cialis tablets are placed in blisters that are packed in cardboard boxes. Very rarely, a generic is found in the form of a gel, where 20 mg of the active substance is present. According to the manufacturer, the product in such a dosage form is better absorbed by the body, which provides an early result.

The medicinal composition is suitable for use within 36 months from the date of release.It must be stored at a temperature not exceeding 25 ° C in a dark place with normal humidity. Sale of generics in pharmacies is made without a prescription.

Pharmacological action, pharmacodynamics and pharmacokinetics

The drug affects the sex hormones in the blood. Due to this, as a result of taking the generic, the muscles in the pelvic area relax, the capillaries expand and blood circulation improves, which contributes to an erection.

Such an effect is observed only in the presence of an irritant, namely: in the process of sexual arousal, when nitrogen is released. Therefore, one should not be afraid that as a result of taking the medication an erection will become uncontrollable.

The drug begins to act approximately 20 minutes after administration (depending on the individual characteristics of the man), and the effect is maintained for 36 hours. In other words, one Cialis tablet will be enough to improve the quality of sexual intercourse for two days.

Tadalafil reaches its maximum concentration 2 hours after it enters the bloodstream, and binds to protein compounds by more than 90%. The active substance is metabolized by the liver, and the elimination half-life is 16-18 hours.

The drug is excreted for the most part with feces, and approximately 30% comes out during urination.

Attention! Cialis does not affect the quality of sperm and does not lead to changes in hormonal levels.

In what cases is Cialis prescribed

The main indications for the use of Cialis are considered to be absent or insufficient erection, as well as premature ejaculation. But the ability of a drug to relax inguinal muscles and improve blood circulation is sometimes used in the treatment of other male problems, namely:

  • adenomas and other inflammation of the prostate;
  • circulatory disorders in the genital area;
  • muscle spasms in the groin.

And also generic can be prescribed to patients with reduced levels of testosterone in the blood.

Instructions for use and dosage

In order to achieve the desired effect and not harm your health, it is important to understand how to take Cialis correctly.

The minimum single dose is 10 mg, and the maximum is 20 mg. In some cases, when the patient did not feel the effect within an hour, it is permissible to take another 2.5 mg.

You can drink Cialis no more than once every two days, since the duration of its exposure is more than one and a half days. It is important to realize that if the patient is constantly under the influence of the drug in large doses, this will lead to cardiovascular problems.

There is an alternative regimen for taking Cialis. It is suitable for men who have regular sex. In this case, it is permissible to take the drug daily, in a dosage of 2.5 to 5 mg. This volume will provide a consistently high level of potency without risk of harm to health.

Whatever the patient's intake schedule, some limitations must be taken into account.

In accordance with the instructions, it is prohibited:

  • exceed the maximum dosage;
  • combine the drug with alcohol;
  • consume fatty foods in large quantities during therapy.

It is better if the optimal amount of medicine for the patient is calculated by a specialist. This will reduce the risk of overdose and the occurrence of side symptoms.

Drug interaction

When prescribing a generic, it is important to consider what other medications the patient is taking, since tadalafil is not combined with all medicinal substances.

When interacting with ketoconazole, erythromycin, itraconazole and ritonavir, the activity of the active substance of Cialis is enhanced. And when you combine it with Rifampicin, the concentration of tadalafil significantly decreases.

If the medicine is taken together with antacids, the active component of Cialis will be absorbed more slowly.But at the same time, drugs designed to increase the acidity of the stomach do not have any effect on tadalafil.

When a generic is combined with doxazosin, the patient's pressure may drop sharply, it is possible that there will be a swoon.

Separately, it is worthwhile to dwell on the interaction of tadalafil with alcohol and other alcohol-containing compounds. Ethanol has the ability to significantly delay the influence of the active component of the drug on the body and block the transmission of impulses. If you drink Cialis together with strong drinks, the effect of the medication will slow down, and the desired effect will appear only after sobering. Most often this happens the next day.

Contraindications, side effects and overdose

It is forbidden to drink Cialis and other tadalafil-based products in the presence of the following conditions:

  • cirrhosis and hepatitis;
  • heart attacks and strokes in the past;
  • disturbances in the work of the heart;
  • liver and kidney diseases;
  • propensity to priapism (involuntary erections not related to sexual arousal);
  • traumatic injuries of the penis and inflammatory diseases of the reproductive system;
  • increased susceptibility to the components of the drug.

And also Cialis is forbidden to use for adolescents under the age of 18 years and women.

As a result of taking the drug, a man may notice such negative manifestations:

  • angina pectoris and tachycardia;
  • jumps in blood pressure;
  • nosebleeds;
  • temple pain and dizziness;
  • cramps and pains in the stomach and intestines;
  • Blurring of vision;
  • fainting and confusion;
  • skin rashes;
  • genital hypersensitivity.

An overdose of a generic leads to an increase in side effects. This is observed when the patient doubles the maximum dose and takes 40 mg or more at a time. In such a situation, a man urgently needs medical attention, specialists will take the necessary measures, and, if necessary, will prescribe symptomatic treatment.

Analogs of the drug to increase potency

Drinking Cialis analogues is recommended in the case when this man for one reason or another cannot be taken by a man. The following medicines are considered the most popular medicines of this kind:

  1. Zidena. The composition of this medicine includes Udenafil, which has a beneficial effect on sexual function. As a result of the reception, the effect persists for a day.
  2. Tadajoy. This medication is effective for violations of sexual function of a different nature and provides a positive effect in almost 90% of cases. It contributes to the expansion of blood vessels, due to which the blood flow to the intimate areas improves, which provides an erection.
  3. Tadacip. This tool is able to replace Cialis in basic functions, and can also be used in the treatment of impotence of various origins.
  4. Such a medicine also contains tadalafil, like Cialis, so the principle of their action is the same. The effect is noticeable within half an hour after taking the pill and lasts for a day and a half.
  5. This medicine is based on the same active ingredient as Cialis and is sold in capsules. The principle and duration of action are similar.
  6. Levitra. This is one of the most popular analogues of Cialis. But the difference lies in the fact that the drug is combined with fatty foods and can be taken in conjunction with alcoholic beverages, without abusing their quantity.
  7. This drug is suitable for patients of different ages. After taking the minimum dose of 20 mg, there is a persistent erection and an improvement in sensitivity in intimate areas.

All of these drugs have been tested for safety and have earned a huge amount of positive reviews in men.

Viagra or Cialis, which is better?

Cialis is one of the most popular drugs on the market after Viagra.Its advantage is that it begins to act faster than its counterparts, and its effect is longer.

Which is better, Viagra or Cialis? Their main difference is in the active substance. If the first tool is based on tadalafil, then in the second the main component is sildenafil. It begins to act approximately an hour after administration, but the effect is short-lived. As a rule, it persists for 4 hours, and in this Viagra is inferior to Cialis.

In addition, drugs with tadalafil can be drunk immediately before sexual intercourse, while after taking Viagra you need to wait about an hour.

Another important point - drinking Cialis is allowed regardless of food intake, and Viagra should be consumed only on an empty stomach.

The final choice of drug to improve potency remains with the man. It depends on how quickly he wants to get the expected result and for how long the effect should be maintained.