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First of all please know that erectile dysfunction causes are many and simply
popping a pill isn’t always the best solution. A doctor can diagnose the
underlying cause and solve the core issue. The best approach is to fight the
root cause whilst supplementing it with oral medications like Cialis or Viagra.
Also remember, not all medications work equally for everyone.
Cialis is a prescription drug and it is so with good reason. Cialis is a PDE5
inhibitor and like Viagra is a drug that has a blood pressure lowering affect
and someone with perennial low BP is at risk. It’s also important to understand
the drugs you are currently taking for any other ailments you have. Analyzing
that can help determine if Cialis will adversely affect your well being, or if
it will prove to be ineffective in combination with certain medications. For
instance Cialis is known to be dangerous to patients who are taking nitrates
which is usually prescribed for chest pain. Some patients are also known to
experience rapid heart beat syndrome whilst in few others the side effects like
musle pain, nausea etc are more severe than normal. Only a qualified doctor can
assess your personal condition.
What is Cialis?
Cialis is a PDE or phosphodiesterase inhibitor that is used to assist patients suffering from erectile dysfunction. This medication works by inhibiting PDE enzyme thereby allowing cGMP to stay in the penile arteries longer, all of which allows healthy and accurate blood-flow to the penis, thereby causing good natural erections. However please know that ED medications are not aphrodisiac and will not work if you are not sexually stimulated.
Safety information
Cialis is a very safe drug in general but you must be aware of certain things before taking the medication. Do not take Cialis if you are on a dose of nitrates that are usually prescribed for chest pain. If you suffer from low blood pressure, heart diseases, kidney or liver problems then you should explain your condition to your doctor who could adjust your dose accordingly. Patients who have a the rare genetic condition called retina pigmentosa should not try Cialis and it is also not suggested for patients suffering from peyronie’s disease.
Dosage Instructions
Take Cialis orally and swallow it with a glass of water. Unlike other erectile dysfunction medications, you do not have to wait 2 hours after your meals before you take the medication. However a high fat diet and excessive alcohol can inhibit the effects, so tone down on that. Store at 77F and store away from light and heat. Cialis 20mg should not be consumed more than once per day. Some patients might have to take it a few times before it starts to work. If Cialis does not work contact your doctor who could suggest alternate treatments.
Side Effects of Cialis
Cialis is a clinically proven medication and is considered safe, but as with any medication there could be side effects that one must be aware of. Side effects include muscle aches, back pain, stuffy nose, indigestion, headache etc. Many of the symptoms disappear after a while or with few doses.
Very rare cases of blurred vision has been reported and in such cases you will
need to see a doctor. Extremely rare isolated cases of priapism(erections
lasting 4hours) have been reported(1 in a million) and in such cases you will
need to call your doctor and receive treatment.
Penile Erection Pathophysiology
Penile erection can be triggered in two ways, one is via reflex erection which is basically caused by directly touching the shaft of the penis and the second is psychological stimulation which is achieved by erotic or emotional stimulation due to anticipation or imagination. Reflex erections are caused by the nerves in the lower spinal cord while the latter is controlled by the brain’s limbic system. How the nerves transmit the erection impulses is rather interesting. When the nervous system receives knowledge of stimuli it involuntarily releases nitric oxide that causes relaxation of the corpora cavernosa(penis erectile tissue) and subsequently causes erection. Good Testosterone levels, a healthy nervous system and an intact pituitary gland are essential for a healthy erectile system. Long term somatic disorders and stress can cause a glitch or two in this system.
Erectile Dysfunction Causes
Erectile Dysfunction can be caused by various factors and in most cases it is due to inherent somatic disorder. Often times treating these disorders could improve the erectile function. Lets study some of the causes.
High BP
ED could be the direct result of long term high BP problems. High BP can cause
blood vessel damage in the penis and lead to to erectile dysfunction.
Diabetes
Years of uncontrolled blood sugar levels can cause ED apart from other health
problems, so Diabetic patients should take special care to keep their sugar
levels under control.
High Cholesterol
Long term side effects of cholesterol causes the blood vessels in the penis to
narrow. This will cause e restriction in the blood flow to the penis that will
impact the quality of erections.
Nerve Diseases
Conditions like multiple sclerosis and Parkinson’s disease can impact erectile
function as the penis might not receive nerve messages from the spinal cord or
brain and hence due to the absence of nitric oxide trigger needed for natural
erections, ED can occur.
Low Hormone Levels
Testosterone levels controls a man’s libido and sexual desire and if that is low
there will be insufficient desire and motivation. This will affect sexual
performance.
Lifestyle Factors
Obesity, excessive smoking, alcohol abuse can all cause erectile dysfunction.
Surgery
Injuries or surgery to the pelvic area could also cause ED. Bladder, rectal and
especially prostrate surgery can cause ED.
Additional Factors
Some medicines that are used to treat high BP and allergies might also
temporarily affect penile erections. If you suspect that such medications might
be the culprit consult with your doctor. ED can sometimes be psychological in
nature. Factors like stress, depression or unhappy marriages can also cause ED.
Erectile Dysfunction Diagnosis & Treatment
Erectile dysfunction can result as a side effect of long term somatic disorders or the problem could even be psychological in nature. The best initial approach to treat ED is to treat the root cause while complementing it with PDE5 inhibitors like Cialis or Viagra. Sometimes sexual desires can plunge due to stress and depression or due to hormonal factors. One can also consult a doctor to decide if hormone therapy is a good treatment plan.
