Also known as: Adcirca, Cialis The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care."I was taking the daily 5 mg dose, initially to see if it helped with my BPH symptoms and ED. During that same timeframe, I started experiencing brutal lower back pain during the night, causing sleep loss, and getting out of bed and standing in the morning became almost excruciating. We found it did virtually nothing to improve my BPH symptoms, but also that it was the only dose my insurance would cover and only if it was prescribed for BPH and NOT for ED! At 68 y/o, I thought it was just age catching up with me. A consultant confirmed this and tried me on Tamulosin (cheap!! My body couldn't get on with Tamulosin (dizzy, reduced semen volume, retro-ejaculation). After three days, had indigestion/heartburn and lower back/upper leg ache. Now been taking for 3weeks - very little indigestion, no back pain. Well, when I recently ran out, I decided to take a break, partly for financial reasons and partly because I wasn't experiencing enough benefits in the ED to justify the pricey copays. Stopped taking on the 4th day and by 5th day, I was ok again. I don't have urgency to pee and often don't need to get up at night. MUCH TO MY SURPRISE and delight, my severe back pain disappeared completely in only a few days! Decided to take Tadalafil for two days then stop for third day, etc. Not sure how long it takes for the drug to have optimum effect but ok after 3 weeks!! Still have reduced semen volume (from the Tamulosin) and numerous nocturnal erections! I pay 8.80GBP (standard National Health charge) per month for a month's supply.""I like to give some assessment Buy a 20 mg, split into two halves, take half with or without food at around 7 PM, don’t know it works after half an hour or two hour but you can perform well during prescribed time, sleep and relax, you'll notice an amazing thing at 3-4 AM, harder manhood with increased girth Thumbs UP - Harder erection - Increased girth - Longer drive - Regain erection again after 4-5 hours with same energy, so time for longer driver increased again - And finally full confidence (similarly understand like this a small hydraulic jack is extreme enough to lifts up a heavier vehicle) - Take 10 mg one time, prescription says it lasts 36 hours but it actually last 3-4 days actually Thumbs down - Extremely bad back pain, waist pain, thigh and leg pain especially when you are lying on bed, or trying to sleep. - The Cons last as longer as pros (pains as longer as pill affects last ) - Pain killer relieves for short time""Wow! Tadalafil relaxes muscles of the blood vessels and increases blood flow to particular areas of the body. Tadalafil under the name of Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Some medicines can cause unwanted or dangerous effects when used with tadalafil. Tell your doctor about all your current medicines, especially riociguat (Adempas). 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Erectile dysfunction is a condition very prevalent in elderly males, whereby they are unable to perform sexually due to inability to maintain a sufficient penile erection. The advent of Sildenafil and its counterpart Tadalafil revolutionized the treatment of ED. Tadalafil blocks the enzyme phosphodiesterase type 5 (PDE5) in the corpus cavernosum of the penis. This is the erectile tissue of the penis, whereby blood flow increases by vasodilatation due to the nitric oxide/c GMP mechanism. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. Another way to prevent getting this page in the future is to use Privacy Pass. Check out the browser extension in the Firefox Add-ons Store. 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