If you have an erection for more than 4 hours or a painful erection after taking tadalafil (Cialis), go to the emergency room right away. It it's left untreated, it could lead to damage to the penis.
Review by Jim on Jul 26, 2019The staff are very friendly and efficient. Dr. S. is terrific diagnostician, answers your questions quickly tries to assess how you are doing and focus on the purpose(s) of our visit Treatment alternatives are discussed . The longer you are a patient, the better the experience is.
3P Removal by Karl Henry on Jul 24, 2019Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result. Recommendation by JOHN on Jul 18, 2019Therefore I would like to recommend you to anyone who need your services. Urology Visit by Oliver on Jul 18, 2019Staff were all very welcoming. Dr.
Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him. Outstanding by Allan B. on Jul 09, 2019Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. Be sure to practice safe sex and use a condom.
| Condition | Caution Level | Explanation |
|---|---|---|
| Nitrate use | Absolute | Risk of severe hypotension |
| Heart conditions | Moderate | Should consult doctor before use |
| Severe liver or kidney disease | High | May affect drug metabolism and clearance |
| Retinitis Pigmentosa | Caution | Potential risk of vision problems |
Tadalafil (Cialis) doesn't stop the spread of sexually transmitted infections (STIs).
| Parameter | Value | Details |
|---|---|---|
| Half-life | ~17.5 hours | Time to eliminate half the drug |
| Absorption | Rapid, peaks in 2 hours | Taken with or without food |
| Metabolism | Liver (CYP3A4 enzyme) | May interact with other drugs metabolized here |
| Excretion | Feces (~61%), Urine (~36%) | Primary pathways of elimination |
Tadalafil (Cialis) can cause some serious health issues. This risk may be even higher for certain groups.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Black | 80mg | 30 + 2 Pills | 89.11€ 84.87€ | |
| Cialis Soft Tabs | 20mg | 60 + 4 Pills | 159.37€ 151.78€ | |
| Cialis Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Cialis Professional | 20mg | 180 + 4 Pills | 423.11€ 402.96€ | |
| Cialis Original | 20mg | 4 Pills | 41.99€ 39.99€ | |
| Cialis Soft Tabs | 20mg | 10 Pills | 39.03€ 37.17€ | |
| Cialis Black | 80mg | 90 + 6 Pills | 207.88€ 197.98€ | |
| Cialis Generic | 40mg | 270 + 10 Pills | 382.19€ 363.99€ | |
| Cialis Original | 20mg | 120 + 8 Pills | 497.29€ 473.61€ | |
| Cialis Generic | 5mg | 90 + 6 Pills | 115.91€ 110.39€ | |
| Cialis Generic | 10mg | 60 + 6 Pills | 105.81€ 100.77€ | |
| Cialis Professional | 20mg | 360 + 6 Pills | 807.03€ 768.60€ | |
| Cialis Generic | 5mg | 10 Pills | 29.39€ 27.99€ | |
| Cialis Original | 20mg | 14 + 2 Pills | 95.75€ 91.19€ | |
| Cialis Generic | 20mg | 180 + 10 Pills | 254.09€ 241.99€ |
If this worries you, talk to your doctor or pharmacist about other options. Risk factors: History of a heart condition Heart attack in the past 3 months Stroke in the past 6 months Heart failure in the past 6 months Uncontrolled heart rhythm problems (arrhythmia) Uncontrolled high blood pressure Low blood pressure Have chest pain during sex Before taking tadalafil (Cialis), tell your prescriber if you have any heart problems.
| Situation | Recommended Dose | Frequency | Notes |
|---|---|---|---|
| As needed for ED | 10-20 mg | 24 hours | Take before sexual activity |
| Daily use for ED | 2.5-5 mg | Daily | Consistent daily dose |
| BPH symptom management | 5 mg | Once daily | Adjust dose based on response |
| Pulmonary Hypertension | 40 mg | Once daily | Under medical supervision |
Some heart problems can make people more sensitive to the effects of the medication.
If you're taking tadalafil (Cialis) once daily either for ED, BPH, or both: Take the medication at the same time every day. This can help make it part of your daily routine so you remember to take your medication. For ED, this can give you more freedom (no need to worry about timing when to take the medication before sex). Don't take tadalafil (Cialis) more than once per day unless your prescriber told you to. This could lead to worse side effects like low blood pressure, dizziness, and vision problems. And, having sex can be risky for people with certain heart conditions.
Priapism: painful erection lasting for more than 4 hours Eye problems: vision loss, can't see as clearly, bloodshot eyes, burning feeling in the eye, eye swelling or pressure Dangerously low blood pressure: feeling faint, weak, or dizzy; blurry vision; racing heart; feeling confused Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: faintness or lightheadedness when getting up suddenly from a lying or sitting position pain or discomfort in the arms, jaw, back, or neck Painful or prolonged erection of the penis blistering, peeling, or loosening of the skin fast, irregular, pounding, or racing heartbeat or pulse inability to move the arms, legs, or facial muscles numbness or tingling of the face, hands, or feet red skin lesions, often with a purple center sores, ulcers, or white spots in the mouth or on the lips swelling of the feet or lower legs Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings burning feeling in the chest or stomach feeling of constant movement of self or surroundings feeling of warmth, redness of the face, neck, arms and occasionally, upper chest redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid swelling or puffiness of the eyes or face Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. For ED only, can take either as needed or once daily Can treat ED and BPH at the same time Can take up to 2 hours to get its full effect for ED Can cause side effects like headache, stomach upset, and back pain Not recommended if you've had a heart attack in the past 3 months, or a stroke or heart failure in the past 6 months Can't take if you've recently taken nitrates like isosorbide mononitrate (Monoket) or nitroglycerin (Nitrostat) You can take tadalafil (Cialis) with or without food.
Food doesn't affect how well the medication works. If you have trouble swallowing pills whole, talk to your prescriber about your options. If you're taking tadalafil (Cialis) for ED as needed before sex: It's best to take the medication at least 30 minutes before you have sex. This gives the medication enough time to kick in. If this isn't convenient, ask your prescriber about your options. Tadalafil (Cialis) is sometimes used for having sex.
Also share a list of your other medications with them. Tadalafil (Cialis) can interact with a lot of medications. Some include blood pressure medications and other BPH medications. It can make your blood pressure drop too low. Your care team can make sure your medications are safe to take together. Because of this, it might not be the best choice for people whose prescriber has told them not to have sex to be safe.
Tadalafil (Cialis) hasn't been studied in people who've had a recent heart attack, stroke, or heart failure.
It also hasn't been studied in people with certain types of chest pain. If you have a heart problem, talk to your prescriber to find out if this medication is safe for you. Risk factors: Medical conditions that make you more sensitive to blood pressure changes Taking alpha blockers Taking blood pressure medications Taking medications for chest pain (angina) Taking ritonavir (Norvir) Drinking alcohol Tadalafil (Cialis) can cause temporary low blood pressure.
Tadalafil (Cialis) is used for erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) in adults. It belongs to the drug class called phosphodiesterase 5 (PDE-5) inhibitors. For ED, you can take a dose either just before sex or once every day. Tadalafil (Cialis) can interact with many medications, including blood pressure medications. Some drug interactions can lead to very low blood pressure and dizziness.
Tadalafil (Cialis) is available as a brand-name and generic version. It works by blocking a protein in the body called PDE-5. For ED, blocking PDE-5 causes the muscles in the penis to relax. This allows the penis to fill with blood when you're sexually aroused. It helps you have an erection and maintain an erection.
For BPH, it's not fully cialis 5mg generique clear how the medication works to help treat symptoms. But researchers think it helps relax the muscles in the prostate (a small gland in the groin). The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time. Contact your healthcare provider immediately if you experience any of the following. But it can for people with health conditions that are sensitive to changes in blood pressure.
Some people might feel muscle or back pain while taking tadalafil (Cialis). If this happens, it should get better within about 2 days. In the meantime, try placing a hot or cold compress where it hurts for some short-term relief. Reach out to your care team if the pain doesn't get better or go away. Tell your prescribers and pharmacist that you're taking tadalafil (Cialis). Your blood pressure can also get too low if you take tadalafil (Cialis) with some medications.
Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Shang Ring circumcision by via HealthGrades.com on Oct 29, 2019Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful.
He performed a Shang Ring circumcision for me and the procedure went well. I’m pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I’d recommend him. The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months. Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions by via HealthGrades.com on Aug 14, 2019Great doctor, good bedside manner and always felt comfortable talking to him and the staff.
Appointment scheduling Office environment Staff friendliness Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions Office very convenient location by via HealthGrades.com on Aug 13, 2019Office very convenient location Don’t have to wait for long Staff very friendly Dr shteynshyuer very experienced I had my serviced done in 3 visits now I feel good now Than you Dr. shteynhlyuger positive experience by via HealthGrades.com on Aug 09, 2019Dr. I had a positive experience with him. Peronis Disease by Robert Clarke on Aug 04, 2019Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.