A Background On Generic Cialis Tadalafil

Tadalafil is actually a chemical drug that inhibits PDE5 (phosphodiesterase type 5). It is currently available in the form of pills and is used to treat male patients with erectile dysfunction, or ED. The pills are marketed through the brand Cialis. Aside from being known to treat erectile dysfunction, generic Cialis has also been used to relieve other conditions such as pulmonary arterial hypertension. Generic Cialis was initially developed by ICOS, an American biotechnology firm based in Washington state, in partnership with Glaxo Wellcome (now GlaxoSmithKline), starting in mid 1991. ICOS, in 1993, studied the IC351 compound which stops the growth of the PDE5 enzyme. It was found out that when the PDE5 enzyme is inhibited, penile erection in men is encouraged. However, during that time, ICOS scientists were still not aware of that benefit. Then, in 1994, another compound, sildenafil citrate was found out to also inhibit PDE5, and this was proven by drug company Pfizer to encourage penile erection. Thus, Pfizer was the first drug company to produce a PDE5 inhibitor, Viagra. When it was finally launched worldwide, the world's first Tadalafil product was produced and made available by a joint venture firm between its initial developer ICOS, and Eli Lilly and Company, becoming Lilly ICOS. Cialis is available in three dosages - 5 mg, 10 mg, and 20 mg. They are yellow in color and their shape resembles the almond nut. Tadalafil tablets also have a film coating. Meanwhile, a Tadalafil tablet that shall address pulmonary arterial hypertension is currently being developed and will be available in 40 mg doses. Tadalafil tablets for pulmonary arterial hypertension will be known through the brand name Adcirca.

Generic Cialis Tadalafil has been made available in the United States starting December 2003. The United States FDA, or Food and Drug Administration, approved the Sale of Cialis, with it being only the third erectile dysfunction drug pill for prescription after approving sildenafil (branded as Viagra) in 1998 and vardenafil (branded as Levitra) only months before Cialis' approval. Cialis has also earned another nickname "The Weekend Pill," due to its ability to be effective for 36 hours. As with Viagra and Levitra, Cialis is prescribed by doctors as a medication that should be used only "as needed". However, among the three available cures for erectile dysfunction, only generic Cialis is also recommended as a medication that can be taken once a day because it has been available of low dosages of 2.5 and 5 mg.

After more than five years, Tadalafil was also approved as a drug for the treatment of pulmonary arterial hypertension in the United States in May 2009. This US FDA approval has also made other parts of the world do regulatory reviews for the effectiveness of Tadalafil for pulmonary arterial hypertension. They are expected to follow suit in approving the drug for this use. United Therapeutics, an American drug firm was given by Eli Lilly in November of 2008 the exclusive rights to make the drug available to the United States market for pulmonary arterial hypertension treatment. It has been documented that Eli Lilly paid United Therapeutics $150 million upfront for this deal.

Viagra, Levitra and Cialis: Which Erection Drug To Choose

VIAGRA (1998) Viagra, the now-legendary blue pill, was approved by the FDA in 1998. Since then, two similar erection-enhancing drugs, Levitra and Cialis, have been approved, offering men a choice.

If these revolutionary erection drugs ultimately change the health habits of men by making them aware that they have an underlying health problem and spurring them to make changes in their lifestyle, they will be considered the most important medications of our generation. However, if the drugs are simply used to improve the hardness of an erection-a Band-Aid to mask symptoms of serious medical problems-only a portion of their potential will be realized. Men need to understand that a hard erection in the absence of improved physical and mental health is not likely to alter their quality of life or result in more sex.

SEXUAL MEDICINE IS MEDICINE There are some common misconceptions about these hardness drugs. They are not libido enhancers, nor do they cause instant erections after taking them. These drugs will not kill you-unless you happen to take a nitrate-based medication (such as a heart medication containing nitroglycerine) with them. It should also be noted, however, that if your cardiac health status is precatious, the physical activity of sex itself-and not the medication-may contribute to a cardiac event. That said, these highly effective drugs can play a very important role in the restoration of erections for men with chronic mild to severe hardness issues. There is already data that increasingly indicates these drugs are actually good for your heart and blood vessels and will commonly be used in the near future as heart remedies.

Still, some men may find that, try as they might, these erection drugs do not produce a satisfying erection. Granted, some men do have advanced disease that thwarts, the effects of the drug, but in many cases, it turns out that the men just don't know how to use the drugs. viagra-the beginning

Researchers have found that many of the men who tried Viagra and said that it didn't work (so-called "Viagra failures") were actually using the drug improperly. Some had taken Viagra after eating a heavy meal, which interferes with the absorption of the medication. Others took a sub-optimal dose (many were taking 50 mg instead of 100 mg, the highest dose), or they expected results too soon after taking the pill. Viagra can take 30 minutes or longer to kick in. Still others completely overlooked the role of sexual stimulation (having the partner more involved in the lovemaking process is important) in providing an erection. Then, too, some men gave up on the drug after trying it just once. Some of the men who had not been having sexual relations for some time were not able to interest their partner in resuming a sex life after the drug restored their erections. Men need to understand that these drugs are not going to improve a flawed relationship, and that introducing one of these erection medications into a formerly sexless partnership could actually prove to be a powerful destabilizing force. In addition, when your partner's physical and sexual health is impaired, it is going to affect the quality of sex. Therefore, unless your partner's medical issues are addressed, the potential of the drugs will not be realized. Mistakes such as these may explain in part why many men who have tried Viagra have not renewed their prescriptions. Viagra should be taken on an empty stomach, allowing an hour for it to reach maximum strength in the bloodstream. Sexual stimulation will then typically trigger an erection. Many men will find that the drug may work within a half hour or less, but I have found it to be most effective at the one-hour mark.

Try Viagra at least five times and see how you react before deeming it a failure. Actually, before you ever use it for sex with your partner, take it for a "test drive" on your own. Through self-stimulation with the drug on board, you will get comfortable with it and better understand how it works for you and what the possible side effects might be. Once you have built this comfort level, you will be confident in your abilities and ready to involve your partner-but hey, no rush. As Woody Allen remarked in Annie Hall, "Hey, don't knock masturbation. It's sex with someone I love."

Guys Need to Know:

* Viagra is an extremely effective agent. The drug that revolutionized the field of sexual medicine is backed by a tremendous amount of clinical research from studies conducted around the world with thousands of men. It's effective when used according to doctor's orders: Take on an empty stomach; sexual stimulation is needed.

* Maximum power of the drug is reached in one hour or less. Viagra comes in 25 mg, 50 mg, and 100 mg formulations, making it convenient to break the 100 mg pill into two 50 mg pills. I find that 50 mg is extremely effective for the majority of my patients.

* Men with more severe disease will probably need to take 100 mg.

* Viagra may not work if your testosterone levels are too low.

* The drug may cause a stuffy nose and impart a bluish tint to vision when 100 mg dosages are taken.

* Use with caution if also taking alpha-blocking drugs for BPH or hypertension. Alert your physician. Start with the lowest possible dose of ED medication.

* DO NOT USE if taking a nitrate-based medication.

LEVITRA (2003) Levitra works as a very potent agent and has been shown in laboratory and clinical trials to be a powerful medication that effectively blocks the erection-deflating action of the enzyme PDE5. This explains why it often works the first time for most men when they try the drug and why 80 percent of the men who have used it have had successful intercourse.

Levitra works within 10 minutes of taking the pill and lasts up to 12 hours. In addition to having a quick onset of action, potency is not adversely affected by being taken with food. The drug is available in 10 mg and 20 mg formulations.

In addition, once the man started worrying about his erections, it snowballed, leading to less-than-satisfactory erections in his next encounters. All it takes for a man is one failure with a partner, one mind-body disconnect, and anxiety will set in. If allowed to continue without any intervention, relationships can quickly become strained.

WHAT IS YOUR HARDNESS RISK? Understanding that there is a very strong link between hardness and heart health, I want you to figure out your current risk for developing heart disease and hardness problems over the next decade. You will first need to know your full lipid profile and systolic blood pressure (the first number). Yes, you will need to pick up the phone-call your doctor and make an appointment. A simple blood test and blood pressure exam given by your doctor will supply you with these numbers. The blood test will measure the following:

Total cholesterol, the combination of LDL-C and HDL-C

Low-density lipoprotein (LDL or "bad") cholesterol High-density lipoprotein (HDL or "good") cholesterol

The National Cholesterol Education Program has developed a point and percentage system that I have adapted to help you determine your risk of hardness problems and potential heart attack. There are five categories to assess-so let's get started.

Guys Need to Know: * Levitra is an extremely effective agent. The drug is backed by a tremendous amount of clinical research from studies conducted around the world with thousands of men. Research reported significant improvement in erection hardness and quality.

* It's effective when used according to doctor's orders: Sexual stimulation is needed.

* Rapid onset of the medication is noted in most men in less than 1 5 minutes. This is especially a plus for men with psychological problems related to their weak erections-they now have an agent that will work quickly, giving them the confidence to proceed.

* Levitra can be taken with food without significant impact on onset of action.

* Levitra comes in 10 mg and 20 mg formulations. I find that 10 mg is extremely effective for the majority of my patients.

* Men with more severe disease will probably need to take 20 mg.

* Levitra may not work if your testosterone levels are too low.

* Use with caution if also taking alpha-blocking drugs for BPH or hypertension. Alert your physician. Start with the lowest possible dose of ED medication.

* DO NOT USE if taking a nitrate-based medication.

CIALIS (2003) Cialis (pronounced See-Alice) is less affected by food consumption and stays in the system for up to 36 hours. The longer duration certainly offers more opportunity for spontaneous lovemaking with no time pressures, which is certainly viewed as a plus by many couples. Take the pill on a Friday night, for example, and you are "good to go" for the weekend-hence the nickame: "Le weekend." Cialis comes in 10 mg and 20 mg dosages, but most men will need the 20 mg dose.

Guys Need to Know: * Cialis is an extremely effective agent. The drug is backed by a tremendous amount of clinical research from studies conducted around the world with thousands of men.

* It's effective for up to 36 hours when used according to doctor's orders: Sexual stimulation is needed.

* Onset of the medication is noted in many men in less than 30 minutes, but it is best when taken one to two hours before a sexual encounter.

* Cialis can be taken with food without significant impact on onset of action.

* Many men take advantage of Cialis's multiple-day duration of action so they don't have to plan, rush, or worry about time.

* Cialis comes in 5, 10, and 20 mg formulations. I prefer the 20 mg formulation for most of my patients.

* Men with severe liver or kidney disease will probably need to take a lower 5 to 10 mg dose due to differences in drug metabolism.

* Cialis may not work if your testosterone levels are too low. Use with caution if also taking alpha-blocking drugs for F3PH or hypertension. Alert your physician. Start with the lowest possible dose of ED medication.

* DO NOT USE if taking a nitrate-based medication.

ERECTION DRUG SIDE EFFECTS Cialis, Levitra, and Viagra are well tolerated by most men. Headache, flushing, mild stomach problems, backache (Cialis), and mild visual changes (Viagra) are more of a nuisance than a serious problem for some men and the side effects dissipate the more the drug is used. Note: Each of these erection drugs can be lethal if taken at the same time with any nitrate-based medication and in those men with significant underlying heart disease that prevents them from undertaking physical exertion.

WHICH ERECTION DRUG TO CHOOSE What has become very clear to me is that each of the erection drugs is very effective. When it comes to choosing an erection drug, I tell my patients to try all three and then see which works best for them and suits their particular needs. While men come to develop favorites, a recent international study of the three drugs found that one-third of the men preferred Viagra, one-third liked Levitra, and one-third found Cialis to be their favorite. Every man has a distinct perception of what sex is and what feels the most natural with his penis and his partner.

Each drug works very well for mild to moderate ED. More severe dysfunction will require a higher dose of a particular drug. Great erections should not be confused with great sexual relationships. Ultimately, the real success of these drugs depends on sexual intimacy and a strong relationship with your partner.

BUYING ERECTION DRUGS ON THE INTERNET In the marketplace, it is always caveat emptor-buyer beware-and it's no different when buying anything on the Internet, where there are more than 1,400 pharmacy sites. Studies have reported that a significant number of prescription drugs sold online are counterfeit and do not contain the proper dosages, or any of the actual ingredients of the purported medication being sold. Many of these unscrupulous websites work out of third-world countries and ate far from the reach of the FDA and most law enforcement agencies from other countries.

OTHER ERECTILE DYSFUNCTION TREATMENT OPTIONS When advanced erectile dysfunction causes even the three oral medications to fail, it is time to contact a urologist. Urologists ate medical experts who specialize in the prevention and treatment of male urological problems, which include sexual health medication issues. And just as women seek the help of gynecological specialists for their sexual health medication problems, men need to avail themselves of expert urological advice when it comes to advanced hardness problems. When the erection drugs no longer work, there are several hardness options to consider with your urologist. Let's review each of them:

Penile Injection. A very effective therapy, even for men with ED caused by prostate surgery. Special erection-inducing drugs are injected into the side of the penis 5 to 20 minutes before sexual intercourse.

Vacuum Erection Device. Very effective therapy for all types of ED. Simply place the penis in the plastic tube and pump the device to create an erection.

Penile Implant Surgery. The most effective therapy for men with advanced ED. Produces hard erections instantly for everyone.

Have weekend with satisfaction sexually Cialis

Norman and his wife Sara had a difficult relationship for many years. Norman, 50, is a good businessman, two homes in west London, a campaign in Essex and money. It is always occupied in the whole week, only weekends with his family.

Sara, 35, mother of 2 children, it is primarily a very busy life, as she was pregnant within a year married. The first year was busy and full of diapers, baby bottles and many sleepless nights. But as the children grew, and finally to lead the company to “live-in schools, she found more and more alone, and with nothing to do. She never had a soft spot for shows Beauty or strictly aerobic classes. All that Sara knew, they said, liked Norman. But their love was tested too.

She always had a great sex life. Norman has always had a strong erection, at least for a good 2 to 3 hours of sex. This ensures that Sara always multiple orgasms and enjoyed sex with him. You normally elongated Sex meeting, on weekends, when Norman was relaxed and rested.

But as Norman turned 40, Sara then, that sex with him was no longer the same. Its creation was not as strong. Its construction lasted only a few minutes. All this, she very concerned. Norman, on the other hand, was very reluctant to view as a problem.

First, it only brushed him a little problem. He apologized, he too tired or stressed, even on weekends. Finally, he and Sara is that they are not attractive enough. It was the last straw, Sara stormed the house and spent six months with her mother at the age of Scotland. Finally, an apologetic Norman asked, and promised to return to see a doctor for his condition.

He made an appointment with a famous specialist in healthy male, asked him a lot of embarrassing personal questions and sent him a series of tests. , Revealed the inevitable. Norman was diagnosed with erectile dysfunction. Norman was not clear that what was of erectile dysfunction.

The doctor said that impotence is often misunderstood as Erectile dysfunction. But he said there is a difference. Impotence is the Tern, only 2 different problems. The first is the impotence of psychological problems like stress, depression, schizophrenia, etc, and the second is the physical called impotence, erectile dysfunction by poor circulation of the blood vessels of the penis. The entire basis for the work is the establishment of an enhanced blood flow to the penis with dilation of the smooth muscle of the penis. Finally, with the penis and fills with blood causes an erection by hydraulic pressure.

If it is a physical problem, the normal mechanisms of erection, when a person suffers from erectile dysfunction. Norman concerned that the treatment options, as he had heard a lot of painful injection in the penis, penile implants and the pump.

The doctor, based on the return of Norman, he preferred the weekend Sex Cialis mandatory. Norman immediately ran to the pharmacy in the vicinity and gave the order to the pharmacy assistant. He was asking if zwinkerte assistant and smiling, while the tablets. He thought it was a more private way to Buy Cialis.

Norman and Sara have loved if Cialis works so well. Within 30 minutes Norman had a big strong erection, and was satisfactory sex for more than 2 hours. For Sara, it was the greatest gift ever. Sex-you, both times during the 36 hours, the effect of Cialis esteem.

Today Norman and Sara great sexually satisfactory because of the weekend Cialis. You said that all his friends about them. For those who do not know about Cialis. Cialis contains Tadalafil drug that stimulates vasodilation of blood vessels that supply blood to the penis and also relaxed and develops the muscles of the penis. It is therefore more blood flow to the penis and the penis extended for more blood. For a large hard drive and large mounting Sex.

Today, Norman posed for over the chemist. It just goes on Cialis Online in the website and buy Cialis exists. He is able, at prices much cheaper Cialis exists.

Truly, Cialis has the weekend in Norman and Sara. It may also be the same for you. Do not wait until your weekends Cialis.

Cialis - 36 hours after the romance and joy

Have you ever fallen in love? So, since the question seems strange. Since falling in love is a beautiful feeling that most people have in their lives.

To the strengthening of the binding of a relationship, love is the obvious choice. But have you felt recently surrendered love man, if you are on the moment of love. They may be wrong, if you think he loves you more that could be a sign of a greater crisis that your partner is suffering and is silent. It could be a victim of male impotence, like millions of other men, who in the world. Talk to him for compassion, so that he can confide to him the embarrassment and concern inherent rejection.

Sexual health of a person is as important as its overall health. Besides the fact that for a fulfilling relationship, they say, the physical, emotional, mental and social, as regards sexuality. Men’s talked about health and sexuality physical issues (prostate health, chronic diseases), sexuality and reproductive functioning issues (infertility, erectile dysfunction) on the external effects on Male Sexual Health (medications, aging) and pleasure. Impotence or erectile dysfunction in men, in recent times to a kind of sexual epidemic with 35% of men are affected worldwide.

It is a medical condition, if a man is unable to achieve or maintain an erection, to the satisfaction of his sexual needs or its partners. Such a condition could be due to causes, the physical, mental, factors of life, if a man is not able to get an erection because of restrictions on movement of blood to the penis, mainly because of increased arteries. But erectile dysfunction is not an incurable disease, most prefer drug treatment. Many ED drugs available in the market,Buy Cialis is a place of trust in the heart of consumers.