Erectile dysfunction medications like Generic Viagra, Cialis, Levitra and other PDE5 inhibitors can affect the blood pressure and function of the cardiovascular system of the person who takes them. It is important that a man undergo a medical checkup to make sure using these drugs is safe for him. On the other hand, a health checkup is needed to determine whether Cialis will be useful for this person, because ED (erectile dysfunction) is often caused by factors other than vascular diseases, and therefore, PDE5 inhibitors may not be the best choice of treatment.
Cardiovascular health
Before considering taking Generic Cialis, it is important to check if your heart is healthy. If sexual activity is dangerous for you due to a cardiovascular disease, then you shouldn’t use ED drugs.
The possibility of cardiovascular issues should be checked, including:
- A history of myocardial infarction
- A history of angina
- A history of heart failure
- Left ventricular outflow tract obstruction
- Uncontrolled arrhythmia
- Hypotension lower than 90/50 mm Hg
- A history of stroke
If at least one of conditions listed above is true for you, then treatment with Generic Cialis may be dangerous. A doctor will test your heart to confirm that it is healthy.
The risk of priapism
The risk of priapism (prolonged painful erections) is not high, but it has to be considered. People with a deformation of the penis (cavernosal fibrosis, Peyronie’s disease, or angulation) should also avoid taking Cialis. These conditions might predispose patients to priapism. Patients’ blood composition should be checked before taking PDE5 inhibitors. Blood diseases, such as multiple myeloma, sickle cell anemia, and leukemia are among the contraindications for taking Cialis.
The possibility of drug interaction
Although tadalafil from one Generic Cialis pill can stay in the bloodstream for around 24 hours, when you take Cialis in low daily doses, the substance will constantly be present in your blood. That is why the possibility that you may need to take some contraindicated medications while taking Cialis should be evaluated. Such medicines include nitrates, alpha-blockers, potent inhibitors of CYP3A4, antihypertensives, and others. If you constantly or occasionally need to take certain kinds of medications, the doctor will check if these drugs are safe to take together with Cialis.
Checking the health of the liver and kidneys
You can take Generic Cialis if your liver is healthy. In the case of moderate or mild hepatic impairment, the Cialis dose will be corrected by the doctor. Cialis is not recommended for men with severe hepatic impairment. Also, patients with severely decreased kidney function should not take Cialis, Viagra and other PDE5 inhibitors.
Eye and ear problems
The rare condition of NAION (non-arteritic anterior ischemic optic neuropathy), which causes decreased vision, including loss of vision, is one contraindication for taking PDE5 inhibitors. A sudden decrease in hearing is a rare side effect of PDE5 inhibitors. That is why the doctor may check the health of your eyes and hearing before prescribing Cialis.
Medical checkups help find the underlying causes of ED
Sometimes men, when they face problems with erection, decide to try ED drugs without seeking medical advice. They may not want to talk about the problem with the doctor, and instead choose to start taking Cialis or other similar pills. Regardless of whether these medications turn out to be helpful or not, it is better for a person with ED to undergo a medical checkup and try to determine the causes of this condition before resorting to medications.
A medical checkup for diagnosing the underlying conditions for ED may include:
- Physical examination. Careful examination of your testicles and penis, and checking the sensation to examine your nerves.
- Urine tests. Urine tests show the health condition of your kidneys, signs of diabetes and other diseases.
- Blood tests. Your blood tests may show signs of diabetes, heart diseases, and other health conditions. The doctor will check your testosterone levels and measure the presence of other hormones in the blood.
- This test is focused on examining your penile blood vessels.
- Psychological exam. Your doctor will ask you questions to determine the possibility of depression and other psychological conditions which may cause ED.
- Overnight erection test. If you have normal erections during sleep, then the probable cause of your erectile dysfunction probably lies in the psychological field. Men often experience erections during sleep and cannot remember them. Your doctor may give you a device which will measure the number and the strength of night-time erections.
Read also: Comparing Side Effects of Generic Viagra, Levitra and Cialis
If you are currently taking any medications, then the erectile problem you experience may be caused by one of them. If ED is a side effect of the drugs you take, the doctor will help you find other treatment options and minimize the side effects.
If you experience difficulties with achieving and maintaining erections, it is better to talk to the doctor about it. ED usually is a consequence of some physical or psychological problem. If you find yourself in need of Generic Viagra, Cialis or other similar medications, the doctor will check if it is safe for you to use them.
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