Cialis is a drug used for treating erectile dysfunction in men. It effectiveness is enhanced by its ability to assist more flow of blood into the penis after sexual stimulation occurs. It helps a person be in a position to attain and maintain hard erection until the end of the sexual intercourse. The medication makes the muscles to relax and boost the flow of blood to certain parts of the body.
How Cialis works
It acts as an inhibitor of phosphodiesterase type 5 leading to better relaxation of arterial smooth muscles making it possible for blood to flow effectively to penis tissues causing better erection to occur. However, you need to know that you do not get any positive results after taking the medication if there is no sexual stimulation. The drug helps you have an improved erection and allow attainment of a highly satisfactory sexual intercourse. Its effects can remain in the body for more than thirty six hours and it will start working within sixteen minutes after taking it.
Direction to take it
The right dosage to take is twenty milligrams and it should be taken about twenty minutes before engaging in sexual activity. The effects will last for thirty six hours or more depending on your personal characteristics. You should take it once and you are not supposed to exceed or reduce the dose recommended to you by your doctor.
Precautions to take
If you are a fan of grapefruit juice, tobacco, alcoholic beverages you should avoid them when you start taking this medication. Interaction of tobacco and Cialis can lead to a problem known as NAION a problem that is related to loss of vision. Make sure that you inform your doctor before you take it in case you have an abnormal penis such as curved penis or other defects of the penis. In addition, you need to consult with your doctor if you have had instance of heart failure, heart attack, stomach ulcers, sickle cell anemia, kidney or liver failure.
Contraindications
The medication is contraindicated who are under any form of organic nitrate either intermittently or regularly. This is because it has the ability to potentiate the effects of the nitrates.
Possible adverse effects
Some of the common adverse effects of Cialis include diarrhea, stomach upset, headaches and nausea. Some rare side effects that you might get include low blood pressure, abnormal ejaculation, changes in color vision, blurred vision. In case erection lasts for more than four hours, you need to seek medical assistance fast because this might damage your penis.

I am General practitioner (GP) in Melbourne since 2006.