Online Consultation
Accurate information is required before any physician can write a prescription for any illness or condition. A U.S. licensed physician will review your online consultation and either approve or decline your prescription. If you are declined there will be no charge to you. If you are approved, you will be charged only for the cost of your product and its associated shipping and consultation fee, there are no hidden costs.

 

How to take this medication
Cialis® can be taken with or without food and should not be taken more than once every 24 hours. For most men Cialis® begins working within 30 minutes and can last up to 36 hours. Sexual stimulation is needed to achieve erection.

Side Effects
The most common side effects with Cialis® are headache, upset stomach, back pain, and muscle aches. These side effects usually go away after a few hours. Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis® Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor or other healthcare professional if side effects continue to bother you.

Precautions
Before taking Cialis®, tell your doctor or other healthcare professional about your medical history, including any heart problems (such as angina, heart failure, irregular heart beats), low blood pressure or high blood pressure that is not controlled, history of a stroke, liver problems, kidney problems or require dialysis, retinitis pigmentosa (a rare eye disease that is genetic), stomach ulcers, bleeding problems, history of painful or prolonged erections (Peyronie?s disease or priapism), blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia.

Drug Interactions
Tell your online doctor of all nonprescription and prescription medication you may use, especially any medicines called ?nitrates?. Do not take Cialis® if you use recreational drugs called ?poppers? (like amyl nitrate and butyl nitrate) or take medicines called alpha blockers (other than Flomax® 0.4mg daily.

Missed Dose
If you miss a dose, do not double the next dose. Instead, skip the missed dose and resume your usual dosing schedule.

Storage
Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. All prescription medications must be kept out of reach of children.

Notes
Do not share Cialis® with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea).

Medical and Patient Information

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[Erectile dysfunction]

Erectile dysfunction effects 1 in 10 men at some point in their lives.

Erectile dysfunction varies with age. Some degree of dysfunction is experienced by 40% of men by age 40 and by 70% by age 70.

In most cases of erectile dysfunction the cause will be a combination of psychological and physiological factors.

Of people with sexual problems up to one third of their  partners will also have some form of sexual dysfunction.

20% of men with erectile dysfunction also experience low sexual desire.
 

[Do you Need Help]
 

Erection problems defined:
An erection problem is the inability to get or maintain an erection that is firm enough for a man to have intercourse. You may be unable to get an erection at all, or you may lose the erection during intercourse before you are ready. If the condition persists, the medical term is erectile dysfunction.

 

Impotence
 

An erection problem is the inability to get or maintain an erection that is firm enough for a man to have intercourse. You may be unable to get an erection at all, or you may lose the erection during intercourse before you are ready. If the condition persists, the medical term is erectile dysfunction.

If you have difficulty having or keeping an erection more than 25% of the time, it is considered a problem.

In the past, erection problems were thought to be "all in the man's mind." Men often were given unhelpful advice such as "don't worry" or "just relax and it will take care of itself." Today, doctors believe that when the problem is not temporary or does not go away on its own, physical factors are often the cause.

One way to know if the cause is physical or psychological is to determine if you are having nighttime erections. Normally, men have 3 to 5 erections per night, each lasting up to 30 minutes. Your doctor can explain a test to find out if you are having the normal number of nighttime erections.

In most men, erection difficulties do not affect their sex drive.

Premature ejaculation (when orgasm comes on too quickly) is not the same as impotence. Together with your partner, you should seek counseling for this problem, which is usually due to psychological factors.

Male infertility is also quite different from impotence. A man who is unable to maintain an erection may be very capable of producing sperm that could fertilize an egg. An infertile man is usually able to maintain an erection, but he may be unable to father a child due to problems with sperm count or other factors.
 

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[Causes]

An erection requires the interaction of your brain, nerves, hormones, and blood vessels. Anything that interferes with the normal process can become a problem. Common causes include:

"Vicious cycle" of doubt, failure, or negative communication that reinforces the erection problems
Erection problems tend to become more common as you age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men.
 

[Home Care]

For many men, lifestyle changes can help:

Cut down on smoking, alcohol, and illegal drugs.
Get plenty of rest and take time to relax.
Exercise and eat a healthy diet to maintain good circulation.
Use safe sex practices, which reduces fear of HIV and STDs.
Talk openly to your partner about sex and your relationship.  If you are unable to do this, counseling can help.

Couples who cannot talk to each other are not likely to be able to make love to each other. Men who have trouble communicating their feelings may find it difficult to share with their partner any anxieties about their sexual performance. If you keep worries to yourself, you are more likely to lose erections. Men who cannot express and resolve feelings of anger or frustration towards their partner may hold back their erection as a weapon in the conflict.  In these circumstances, counseling can be very helpful for both you and your partner.
 

[Psychological Causes of Impotence]
 

The psychological aspects of erectile dysfunction are considered to have major significance so have to be addressed when seeking treatment. Psychological issues often stem directly from physical problems but psychological factors could also be the prime reason for erectile dysfunction. The most common psychological problems can generally be related to:

Inhibited sexual desire
Anxiety Disorders
Depression
Mental fatigue
Stress
Guilt
Relationship problems
Lack of interest in sex by partner
 

[We Know Possible Causes But Will That Help Me?]
 

The thing about impotence is that just because we know possible causes it does not follow that they are certain to be the cause. Impotence is so caught up with men's image, socialization as well as psychology and the way our bodies function, or in this case do not function to our satisfaction.

The important thing is if you have a problem achieving and/or maintaining an erection that you get help, treatment for impotence.

If erection problems seem to be caused by a medication you are taking for an unrelated condition, consult your doctor. You may benefit from reducing the dose of the drug or changing to another drug that has the same result but not the same side effects. DO NOT adjust or discontinue medications without consulting your doctor first.

Talk to your health care provider if your erection problems are related to fear of recurring heart problems -- sexual intercourse is usually safe in these circumstances.
 

[Facts about erectile dysfunction and impotence]
 

Despite a general reluctance to seek medical help when men do finally make the effort they are more likely than women to seek help and treatment for sexual problems.  Sometimes quite simple interventions, information, reassurance, talking to someone, contraceptive advice etc, can resolve the problem.

[When to Contact a Medical Professional]
 

Call your doctor if:

Self-care measures do not resolve the problem and you continue having difficulty with erections, effective treatment alternatives are available.
You suspect that a medication is causing the problem.
The problems begin after an injury or prostate surgery.
You have other symptoms like low back pain, abdominal pain, or change in urination.
Call your doctor immediately or go to an emergency room if medication for erection problems give you an unwanted erection that lasts more than 4 hours. Permanent impotence or other lasting damage to your penis may result from this condition.
 

[What to Expect at Your Office Visit]
 

Your doctor will perform a physical examination, which will likely include checking your circulation, a rectal exam, a neurological exam, and an exam of your penis.

 

[Feel Natural with Cialis]

 

There are an estimated thirty million men in the United States who suffer from impotence or erectile dysfunction. There is not a single or primary cause for such issues and everything from prostate surgery to psychological troubles may cause a man to be unable to obtain or maintain an erection and engage in sexual intercourse.

This can be a frustrating situation, and often leads to disruption in a romantic relationship. While there are several prescription drugs that can help a man to successfully achieve and maintain an erection, there are few that allow any kind of ?window? or time span for such an event to occur. Generally with prescription treatment of erectile issues, the man has a specific amount of time after taking the pill in which to engage in sexual activity, but with the prescription drug known as Cialis this typical limitation is eliminated.

Amazingly, a man can take a single dose of Cialis and expect to be able to achieve an erection at any time within the next thirty-six hours. Cialis allows for a far more natural approach to sexual activity, and can create the opportunity for spontaneity and a return to a ?normal? pattern in a couple?s sexual life.

Because erectile dysfunction and impotency do not, generally, reduce a man?s sex drive, but simply prevent him from achieving an erection, Cialis works to overcome the physical issues that prevent this extremely natural event from occurring. It has been proven to be among the safest methods for addressing and overcoming impotency and erectile dysfunction issues.

Of course not all sexual problems can be dealt with through a Cialis prescription or other medication. For example the condition commonly referred to as ?premature ejaculation? is shown to be directly connected to emotional and psychological issues and must be dealt with through professional counseling. It is, for the most part, the erectile issues that have been affectively addressed through prescription medications.

In addition to seeking out a prescription medication, however, a man should also thoroughly scrutinize his personal health and lifestyle. For instance, heavy smoking and drinking are common causes of the conditions that lead to erectile dysfunction and impotency, and should be eliminated. Additionally, a man who introduces more physical activity into his life will also improve circulation and lower stress levels, which might also help in the fight against erectile dysfunction or impotency.

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[Back to Normal with Cialis]

 

Many people are aware of the availability of prescription drugs that can help men to overcome or combat the effects of erectile dysfunction or impotency. Many of these medications work almost instantly and provide a sustainable erection to allow for sexual intercourse. This is not always the most natural approach to sexual activity with a partner and can eliminate any spontaneity from their sex lives.

The prescription medication Cialis however allows a man to take a single dose and provides its effects for the next thirty-six hours. This does not, of course, mean that the patient has an erection for that amount of time, but that the medication allows him to achieve an erection from any sexual stimulation that should occur in that thirty-six hour timeframe. This allows for a level of personal freedom and relaxation that the other prescription medications cannot.

Of course the reasons behind erectile dysfunction and impotency are incredibly numerous and varied, and are the reasons that most medications that address these problems are by prescription only. Some fear that they must be unsafe if they are only available from a doctor, but that is a false assumption. They address physical problems in the body and like so many other medications, such as heart or blood pressure prescriptions, may unsafely interact with other compounds. Cialis has been proven to be extremely safe and effective as well as reliable and convenient.

A majority of doctors also recommend some lifestyle changes to their patients suffering from impotency and erectile dysfunction. These changes are intended to improve the overall health of the patient and are generally very realistic recommendations. They tend to include such things as the elimination of cigarette smoking, a reduction in alcohol consumption, an increase in exercise or physical activity and an honest assessment of the emotional relationship between a man and his partner. All of these factors can affect and improve sexual function and will be helpful to a man choosing to take Cialis.

Deciding to deal with erectile dysfunction or impotency will greatly improve a man?s life and will allow him to regain a sense of personal balance and satisfaction. Those who are ready to confront their impotency or erectile dysfunction should contact one of the licensed physicians at PharmacyNextDay.com. They will do a thorough health review and determine if someone is a good candidate for a Cialis prescription. Once the thorough medical assessment has been completed and approved their licensed pharmacists can prepare and ship a prescription within twenty-four hours.

 

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