Patients should be informed of the need for immediate medical attention in case of an erection lasting 4 hours or more. Late treatment of priapism ingoes to damage to the tissues of the penis, resulting in a long-term loss of potency. Cialis should be used with caution in patients with a predisposition to priapism (for example, with sickle cell anemia, multiple myeloma or leukemia) or in patients with anatomical deformity of the penis (for example, with angular curvature, cavernous fibrosis or Peyronie's disease).
Caution should be exercised when prescribing Cialis to patients taking potent inhibitors of CYP3A4 (ritonavir, saquinavir, ketoconazole, itraconazole and erythromycin), since an increase in the effect of Cialis (AUC) was observed while taking these drugs.
The safety and effectiveness of the combination of Cialis with other PDE5 inhibitors and methods of treating erectile dysfunction have not been studied. Patients should be informed about the inadmissibility of taking Cialis in such combinations.
Patients with rare hereditary problems of galactose intolerance, Lapp-lactase deficiency or glucose-galactose malabsorption should not take Cialis.
Data on the use of the drug in patients over 65 years of age receiving Cialisa in clinical trials for the treatment of erectile dysfunction or the treatment of benign prostatic hyperplasia are limited.
Cialis has a negligible effect on the ability to drive a vehicle or potentially dangerous machinery. Despite the fact that the incidence of dizziness while taking Cialis is similar to that with placebo, during the treatment period, care must be taken when driving vehicles and engaging in other potentially hazardous activities that require increased concentration of attention and speed of psychomotor reactions.
Impotence (also known as erectile dysfunction) is a condition characterized by a disorder of sexual function, as a result of which a man's penis does not reach the proper level of enlargement, straightening and hardening necessary for intercourse.
Also, in this condition, the patient cannot maintain an erection for the period of time that is necessary for the duration of a full-fledged sexual intercourse. Impotence is one of the male sexual dysfunctions. According to the studies of American specialists, a similar disease on a global scale is characteristic of about 150 million men who are already 40 years old.
Name and country of the owner of the marketing authorization.
The designation "impotence" came into use from the Latin term impotentia coeundi, which describes the inability of a man suffering from this disorder to insert the penis during penetrative intercourse and complete intercourse due to insufficient tension of the penis. It is important to consider that such an erectile dysfunction does not directly affect a man's ability to ejaculate.