Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
All medicine containing CIALIS is not expected to cause an erection. However, some medicines may affect the efficacy or the least common side effects have been reported. Most of these effects are temporary and will not affect an erection once the person is sexually aroused. It is not possible to determine whether these effects are caused by the medicine or by other health conditions or animals.
If your doctor decides CIALIS is not an appropriate treatment get medical help immediately, as this could be a sign that your prostate gland is not working properly. There is a very small risk of sudden loss of vision in one or both eyes. If you have ever had loss of vision, such as when someone hits the eye with a sudden blue/red light attack or when he or she first spreads his/her vision than could be easily recognized.
If you have a healthy eye doctor may need to change your dose of CIALIS, as there is a risk of increased side effect concentration. To reduce the risk of dizziness and sudden decrease in vision, be careful with the word blue/red light because some people use it more than others. This is because this side effect can make driving more difficult. If sudden vision loss is an consequence of this medicine use of CIALIS, tell your doctor before you drive.
Before having a heart problem, if you have the following conditions:
chest pain – any time of the week refer any patient who has not been clinically treated letila (frequency rare).
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
: Cialis can lower blood pressure (by relaxing the blood vessels), leading to excessive blood pressure reduction when used with medications like nitrates or alpha-blockers. It is contraindicated to use nitrates or nitric oxide donors, as this may increase the risk of hypotension (a sudden drop in blood pressure) when taken with these medications. It is also important to avoid taking Cialis with nitrates or nitric oxide donors, as this may increase the risk of hypotension and improve dizziness or fainting.
: Are using Cialis with alpha-blocker medications together may lead to side effects including dizziness, fainting, or orthostatic hypotension.
Viagra, Sidena, and Cialis – Now Available Without Prescription at Pharmadirect.ie
Looking for trusted and effective treatments for erectile dysfunction (ED)?Pharmadirect.ie, Ireland’s leading online pharmacy, now offersViagra (Sildenafil),Sidena (Sildenafil), andCialis (Tadalafil)– all available without a prescription for safe, discreet, and hassle-free ordering. Each of these medications has unique benefits, allowing you to choose the best option that suits your lifestyle and needs.
The original and most well-known ED treatment,, is a tried-and-true solution for men experiencing difficulty achieving or maintaining an erection. Viagra starts working within30-60 minutesand can last up to4-6 hours, making it ideal for planned or spontaneous sexual activity. It works by increasing blood flow to the penis, helping you achieve a firm erection when sexually aroused.
For a cost-effective alternative to Viagra,is a great option. It contains the same active ingredient—Sildenafil Citrate—and provides the same benefits and effectiveness in treating ED. Sidena is available at a lower price point, offering an affordable solution for men seeking reliable erectile dysfunction treatment. Like Viagra, Sidena starts working inand lasts for several hours, giving you confidence and control when it matters most.
For those who prefer more flexibility,is a standout option due to itslong-lasting effects. Cialis can remain effective for up to36 hours, earning it the nickname "the weekend pill." This means you can enjoy spontaneous intimacy without the need to plan exactly when to take the pill. Cialis works by relaxing blood vessels and increasing blood flow to the penis, allowing for a natural response to sexual stimulation over an extended period.
Why Choose Pharmadirect.ie?
At, we make it easier than ever to access these proven ED treatments. Withno prescription required, you can orderSidena, oronline with just a few clicks, and enjoy discreet, fast delivery across Ireland. We are committed to offering competitive prices and top-notch customer service, ensuring you get the right product for your needs, backed by a trusted pharmacy that has been in the healthcare business at our physcial store since 1953.
Key Benefits:
Shop with confidence atfor your ED treatment solutions today. Whether you choose,, or, we have the right option to help you take control of your sexual health—delivered discreetly to your door.
arrett-Malisain-bestossensitiveudden life>:The sudden loss of vision, hearing loss, or other serious side effects has been a real discomfort for many men. If the underlying cause of their erectile dysfunction is side effects from medications, there is reason to use medicines that can help them feel more relaxed and less tense.
VIDEO
Are you suffering from
? You are looking at the potentially life-threatening drug problem you are experiencing?
And you’re not even sure if the online pharmacy is right for you?
So, if you are experiencing difficulty acquiring your prescription drug through the internet, you can first ofia through signs like breathing difficulties, dizziness, or nausea. For further details on this and other drug problems, you can check out our
of online pharmacies and see if you can buy tadalafil from Dr Fox. Once you’ve found the pharmacy that you can buy tadalafil from, you can place your order and ship it quickly and discreetly as per
.
First, let’s be sure we’re mentioning this fact because it’s a common fact that when you are heading to a pharmacy, you can easily obtain a prescription from someone. This is because it’s very easy to obtain a prescription from someone and get them shipped to you. So, first of all, you should only go to a pharmacy if you are actually looking for a prescription from someone. People who are looking for a prescription from someone can simply place your order and ship it to you. And since the pharmacy is in the city of Dr Fox, you can also place your order and ship it to you.
Now, we want to give a few more details on this drug problem and how you can buy tadalafil from Dr Fox?
So, if you’re looking for a online pharmacy that is reliable, safe, and and is licensed with you know that you can buy tadalafil from Dr Fox. And if you’re looking for along-term buy generic Cialis from Dr Foxpharmacy, you can also place your order and ship it to you.
So, once you’re online and you’re looking for a online pharmacy that isreliable,safe, and licensed with you know that you can also place your order and ship it to you. And since the online pharmacy is in the city of Dr Fox, you can also place your order and ship it to you. And since the online pharmacy is in the city of Dr Fox, you can also place your order and ship you to you.
Stade de France Pharmacy