Even the best of medicines can sometimes falter or not work as well as they used to for treating symptoms of erectile dysfunction (ED). That includes first-line treatments for ED like tadalafil (Cialis).
Not to worry, though – we’ve got you covered with some tips to troubleshoot your tadalafil troubles as follows:
- Give it some time to work. Wait at least 30 minutes to an hour after taking tadalafil before trying to produce an erection.
- Avoid eating a heavy, high-fat meals. Other PDE5 inhibitors similar to tadalafil, such as sildenafil, have shown that food may affect their absorption, and thus their effects. You might want to try taking tadalafil on a lighter stomach.
- Check your new medicines. Taking certain types of medicine may interfere with how well tadalafil works. Consult your healthcare provider if you’ve made any recent changes to your medicines.
If tadalafil doesn’t work as well as it used to, your healthcare provider may prescribe a higher dose. Tadalafil doses range from 2.5 mg to 20 mg and your dosage will depend on how frequently you need it – either on a daily or an as-needed basis – and how well your body responds to your current dosage. Do not arbitrarily change doses without speaking to your healthcare provider about it. However, all it might take for you to start feeling the effects of tadalafil again as you should is a simple adjustment to your dosage.
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Other ED treatments to consider other than tadalafil
If PDE5 inhibitors like tadalafil, sildenafil, avanafil or vardenafil still don’t cut it for you, your healthcare provider might consider another course of treatment for ED such as the following:
- Testosterone therapy
- Injectable ED medications (such as alprostadil)
- Penis pumps or similar vacuum restriction devices
- Transurethral agents (ED medications inserted into the urethra)
- Surgically-placed penile implants
- Penile surgery
- Implementing lifestyle changes such as reducing stress, quitting smoking, refraining from alcohol and recreational drug use, getting regular exercise, and eating a balanced diet
- Supplements like ginseng, yohimbe, and L-carnitine
It must be mentioned that emotional stress can worsen ED. These include relationship problems, depression, anxiety, and stress – which tend to compound and cause a chain reaction that can exacerbate ED and cause performance anxiety. In these cases, getting help from a mental health professional can be a crucial part of beating erectile dysfunction.
Moreover, erectile dysfunction is oftentimes an indicator of cardiovascular disease, hypertension, or diabetes, so consult your doctor as soon as you detect symptoms of ED.
How does tadalafil (Cialis) work?
Tadalafil, more commonly known by its brand name Cialis, belongs to the PDE5 inhibitor class of drugs that work by dilating the blood vessels to allow for greater blood flow into the penis.
When you’re sexually aroused, the enhanced blood circulation flowing into your genitals is what enables you to produce and keep an erection. Sexual stimulation or arousal is necessary for tadalafil to work, as taking tadalafil alone will not produce an erection.
Tadalafil can be taken on an as-needed basis (usually 30 minutes to one hour before having sex) or as a daily medicine at lower doses. This will depend on your doctor’s advice and how frequently you have sex. Tadalafil works for as long as 36 hours after first ingesting it.
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What are the side effects of tadalafil?
Tadalafil and its PDE5 inhibitor relatives such as sildenafil (Viagra) and vardenafil (Levitra) may interact with other medicines you might be taking and cause side effects. It’s important to disclose your medical conditions, concerns, and any maintenance medicines you might be taking to your healthcare provider.
The most common side effects associated with tadalafil use include:
- Flushed skin
- Nausea
- Gastrointestinal discomfort
- Headaches
- Body aches
- Nasal congestion
You should refrain from taking tadalafil if you’re taking nitrates or if you are undergoing dialysis. The same is true if you have liver disease.
ED is a very common condition affecting millions of men in the United States and worldwide – and the good thing is that there are plenty of treatment options out there. Don’t give up when you feel that tadalafil or other ED drugs aren’t working for you. There’s a good chance that a slight dosage adjustment, a switch to another ED drug, lifestyle changes, or another treatment option might be all you need.
