Sexual dysfunction can occur in any individual. It may be men or women and ultimately they both suffer. It is a disorder that hampers the sexual life of the couple leaving them completely dissatisfied. They cannot experience a blissful sex life. Men come across several sexual dysfunctions in their body such as erectile dysfunction impotence less sperm count or may be some serious disorders which are not listed above.

Sexual problem arises more at the growing age of the men mainly from 40-70 years of age. They can be victim of physical or psychological sexual problems. If they are suffering through some critical illnesses such as heart strokes hormonal imbalance or any other organ disorder they loose their potential. They may also get affected by their past sex failures depression anxiety guilt distress etc. which makes feel like a looser.

Studying the fact science has discovered a vital medicine which treats all these problems occurring in men effectively. The boon medicine is named as ‘Tadalafil’. Understanding all the sexual problems of the men a unique medicine is designed which not only cures the problem but also fills the life with great happiness and contentment of the sufferers. Tadalafil was approved by the FDA in November 2003.

Tadalafil is an oral medicine that has the ability to treat impotence. It is included in the class of drugs called Phosphodiesterase inhibitors. Penis gets erected if it gets filled with the blood and stimulates sexual feelings. The Nitric oxide is released due to the stimulation. The nitric oxide causes an enzyme guanylate cyclase to produce cyclic guanosine monophosphate cGMP. It is the cGMP that is primarily responsible for increasing and decreasing the size of the blood vessels carrying blood to and from the penis respectively and causing the erection. When the cGMP is destroyed by another enzyme phosphodiesterase-5 the blood vessels return to their normal size blood leaves the penis and the erection ends. Tadalafil prevents phosphodiesterase-5 from destroying cGMP so that cGMP stays around longer. The persistence of cGMP leads to a more prolonged engorgement of the penis with blood.

For most individuals the recommended starting dose of tadalafil is 10 mg per day taken before sexual activity. Depending on the adequacy of the response or side effects the dose may be increased to 20 mg or decreased to 5 mg a day. The effect of tadalafil may last up to 36 hours. Individuals who are taking medications that increase the blood levels of tadalafil should not exceed a total dose of 10 mg in 72 hours See drug interactions. Tadalafil may be taken with or without food since food does not affect its absorption from the intestine.

The most common side effects of Tadalafil are nausea facial flushing reddening headaches stomach upset diarrhea flu-like symptoms. Tadalafil also may cause low blood pressure blurred vision and changes in color vision and abnormal ejaculation. Tadalafil has been associated with prolonged erections or priapism painful erections lasting more than 6 hours.

Patients should seek immediate medical help if they experience an erection lasting more than 4 hours. Use of Tadalafil most often in patients with pre-existing heart disease has been associated with chest pain heart attacks death strokes palpitations and increased heart rate. Although it is not clear that - whether these side effects are due to Tadalafil concurrent use of nitrates or the sexual activity itself.

The breakdown and elimination of Tadalafil from the body may be decreased by erythromycin ketoconazole Nizoral itraconazole Sporanox indinavir Crixivan and ritonavir Norvir. Therefore these drugs may increase the levels of Tadalafil in the blood. If these drugs are being used at the same time as Tadalafil the dose of Tadalafil should be reduced in order to avoid side effects from high levels of Tadalafil.

Tadalafil exaggerates the increases in heart rate and lowering of blood pressure caused by nitrates e.g. nitroglycerin isosorbide dinitrate Isordil isosorbide mononitrate Imdur Ismo Monoket nitroglycerin Nitro-Dur Transderm-Nitro that are used primarily for treating heart pain angina. In patients who take nitrates for angina tadalafil could cause heart pain or possibly even a heart attack by exaggerating the increase in heart rate and the lowering of blood pressure. Therefore Tadalafil should not be used with nitrates.

Tadalafil also exaggerates the blood pressure lowering effects of some alpha-blocking drugs e.g. terazosin Hytrin that primarily are used for treating high blood pressure or enlargement of the prostate. Individuals who take these alpha-blockers should be on a stable dose of the alpha-blocker before Tadalafil is started. In such situations Tadalafil should be started at the lowest dose. If the patient is already taking Tadalafil the alpha-blocker should be started at the lowest dose. Tadalafil and alcohol both lower blood pressure. Therefore combining Tadalafil with alcohol may cause excessive drops in blood pressure and cause dizziness headaches and increased heart rate.

In case of overdose call your local poison control center at 1-800-222-1222.
If the victim has collapsed or is not breathing call local emergency services at 911.

Never allow your friends or family to use your drugs without taking the doctor’s permission themselves even though if they are suffering through same disorder.

The drug is not advised for women.

Try to follow your dosing schedule strictly. In case if you miss any dose and if it is nearly the time of next dose skip the missed dose and take the next dose on time. Never double your dose which is very harmful.

Tadalafil is used for the treatment of impotence effectively in males.

Generic Tadalafil is used for treating impotence the inability to attain or maintain a penile erection.

Please consult your doctor for the other uses of Tadalafil medication.

Tadalafil should be kept in cool places where the temperature is between 59-86°F and between 15-30°C. Protect the medicine from the direct light moisture and heat. Storing the medicine in the bathroom is not consider as the good practice.

Following precautions must be taken during consuming generic Tadalafil:

1. Inform your doctor if you are suffering from some kind of severe diseases. It may be – liver disease or liver failure heart diseases like irregular heartbeats angina congestive heart failure Kidney failure bleeding problems ulcers heart attack etc. or any other problem.

2. Let the doctor also know if you are in-taking any prescribed or non prescribed medicines health supplements etc. for any other condition.

3. Take the medicine in the recommended dose only. Do not take it in larger amounts or for longer time. Avoid alcohol while taking the medicine.

4. If you are in-taking nitrate for angina do not consume Tadalafil. It can result in some life threading effects.

5. If you are allergic to Tadalafil tell your doctor about the allergy.

6. Also problems with the heart brain and blood vessels can occur in some people taking Tadalafil.

7. Never allow anyone to use your drugs without the doctor’s permission.

8. Keep the medicine out of reach of women children and pets.