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New Articles About Cialis 20mg 20tabs, Cialis is a brand-name prescription medication. It’s FDA-approved to treat the following in men:
erectile dysfunction (ED), a condition in which you can’t get or keep an erection
symptoms of benign prostatic hyperplasia (BPH), a prostate condition that may cause problems with urination
ED and symptoms of BPH together
Cialis comes as a tablet that you swallow. It’s available in four strengths: 2.5 mg, 5 mg, 10 mg, 20 mg. Depending on your situation and what condition Cialis is treating, you’ll take the drug either before sexual activity or once a day.
Cialis contains the active drug ingredient tadalafil and belongs to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. For ED, Cialis relaxes the blood vessels leading to the penis so that more blood can flow into it. For BPH symptoms, Cialis relaxes muscles in your bladder, allowing you to urinate more easily.
Cialis is available only by prescription. It’s not available over the counter.
Effectiveness
For information on the effectiveness of Cialis in treating these conditions, please see the “Cialis uses” section below.
How long does Cialis last?
Cialis can work for up to 36 hours in your body.
To treat erectile dysfunction (ED), your doctor may have you take Cialis only as needed before sexual activity. (See the “Cialis dosage” section above to learn more.) In this case, Cialis may keep working for up to 36 hours in helping you have and maintain erections during that time.
However, if you take Cialis each day for either benign prostatic hyperplasia (BPH) or ED, you’ll always have medication in your system. Therefore, it will continue to work throughout the day.
Cialis uses
The Food and Drug Administration (FDA) approves prescription drugs such as Cialis to treat certain conditions. Cialis may also be used off-label for other conditions. Off-label use is when a drug that’s approved to treat one condition is used to treat a different condition.
Cialis for benign prostatic hyperplasia (BPH)
Cialis is approved by the FDA to treat the symptoms of benign prostatic hyperplasia.
BPH is a condition that occurs in men as they age. It happens when the prostate gland slowly increases in size but isn’t cancerous. As the prostate gland gets bigger, it begins to push on your bladder. So eventually you may experience symptoms of BPH, including:
needing to urinate often, especially at night
straining to urinate
producing a weak stream of urine
being unable to urinate
feeling that your bladder didn’t empty after urinating
Effectiveness
Cialis was an effective medication to treat symptoms of BPH in clinical trials.
Researchers used a scale called the International Prostate Symptom Score (IPSS). IPSS is a questionnaire that was given to people to determine if their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.
A higher score meant that symptoms of BPH were worse. The goal was to have a lower score, which indicates that people have had fewer and less severe symptoms of BPH.
The studies looked at people with BPH who took Cialis or a placebo (treatment with no active drug). Researchers found that people who took:
Cialis had a decrease in their IPSS score of 4.8 to 5.6 points
a placebo had a decrease in their IPSS score of 2.2 to 3.6 points
This means that the Cialis group noticed a larger decrease in the number and severity of BPH symptoms than the placebo group.
Cialis for erectile dysfunction (ED)
Cialis is FDA-approved to treat erectile dysfunction.
ED is a condition in which a man may have trouble having or maintaining an erection so they can have sex. There are many different causes of ED, including:
illness
conditions that can affect the nerves or blood, such as diabetes or high cholesterol
emotional factors, such as stress, depression, or anxiety
Sometimes ED can be helped by simply addressing the cause, such as treating an illness or anxiety. In other cases, you may need medication such as Cialis to treat your ED.
Cialis for ED and BPH
Cialis is FDA-approved to treat both ED and the symptoms of BPH together. These are two different conditions and aren’t usually caused by the same issues. For details on ED and BPH, see the “Cialis for benign prostatic hyperplasia (BPH)” and “Cialis for erectile dysfunction (ED)” sections above.
In some cases, medications for BPH, such as dutasteride (Avodart), may cause a lower libido (sex drive) and result in ED. However, ED and BPH are common in aging males, and aren’t necessarily related.
Measuring results for BPH symptoms
To measure improvement of BPH, researchers used a scale called the International Prostate Symptom Score (IPSS). IPSS is a questionnaire that was given to people to determine if their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.
A higher score meant that symptoms of BPH were worse. The goal was to have a lower score, which indicates that people have had fewer and less severe symptoms of BPH.
Researchers found the following:
People with both ED and BPH who took Cialis had a decrease in their IPSS scores of 6.1 points.
In comparison, people who took a placebo had a decrease in their score of about 3.8 points.
This means that, on average, people who took Cialis noticed a larger decrease in their BPH symptoms than people who took a placebo.
Measuring results for ED
To measure the improvement of ED symptoms, researchers used part of a survey called the International Index of Erectile Function (IIEF). People with both ED and BPH took the survey after 4 weeks. A higher score on the IIEF meant that erectile function was better, so ED symptoms improved.
Researchers found the following:
People who took Cialis had an increase in their IIEF scores of about 6.5 points.
In comparison, people who took a placebo had an increase of only 1.9 points.
This means that people who took Cialis usually had greater erectile function than people who took a placebo.
Off-label use for Cialis
In addition to the uses listed above, Cialis may be used off-label for other purposes. Off-label drug use is when a drug that’s approved for one use is used for a different one that’s not approved. Below is an example of an off-label use for Cialis.
Cialis for ureteral stones
Cialis isn’t FDA-approved to treat ureteral stones. However, it may be used off-label for this purpose. A clinical trialTrusted Source compared Cialis with tamsulosin (Flomax), a drug that’s often used to treat ureteral stones. The study showed that more people who took Cialis were able to pass their stones than people who took tamsulosin.
Ureteral stones usually start out as kidney stones and then move into the ureter (the tube that urine travels in from the kidney to the bladder). Kidney stones are minerals that form a stone inside a kidney.
Cialis may work to treat ureteral stones by relaxing the ureter muscles. This makes the ureter wider, which can help you pass the stones more easily.
If you have questions about taking Cialis for ureteral stones, talk with your doctor.