Does Cialis Shrink An Enlarged Prostate

How Flomax Works For Bph

Tamsulosin was one of the first drugs available to treat the urinary symptoms of BPH. Its been around since the late 1990s.

Flomax is part of a drug class called alpha-blockers. These drugs work by relaxing smooth muscles in the prostate and bladder neck to let urine flow more freely.

Flomax, or another alpha-blocker, is usually the first drug prescribed for men with mild to moderate urinary symptoms from BPH.

Because Flomax also affects blood pressure, you shouldnt use it if you already have low blood pressure. Since its effects on blood pressure are brief and somewhat unpredictable, its not a good choice to treat high blood pressure.

Side effects from Flomax are usually mild. These can include:

• an infection

• a heart attack
• an allergic reaction

Talk to your doctor before taking Flomax if youve had a severe allergic reaction to sulfa drugs. You may be at an increased risk for an allergic reaction to Flomax.

This drug can also affect your eyes, and it may interfere with cataract or glaucoma surgery. If youre planning to have eye surgery, you should tell your doctor before starting Flomax.

Talk to your doctor before taking Flomax if you also take an ED drug or blood pressure medication. When combined with Flomax, these can lower your blood pressure too much and increase symptoms like lightheadedness or fainting.

Like Cialis, Flomax is available in generic form, which can cost less than the brand name version.

Cialis Use With Other Drugs

If youre taking Cialis, you usually wont have to use other medications with it.

But if you have a prostate condition called benign prostatic hyperplasia , your doctor may first prescribe a drug called finasteride .

Finasteride is a first-line treatment when medications are recommended for BPH. This is because the drug shrinks the prostate by blocking the growth of prostate cells. Cialis treats the symptoms of BPH by reducing the prostate gland muscle tone, but it doesnt block the growth of the cells.

Finasteride can help also ease symptoms of BPH, such as having to urinate suddenly and more often. However, this medication can cause negative sexual side effects such as and erectile dysfunction. To help ease these side effects, your doctor may have you also take Cialis.

If you have questions about using Cialis and finasteride, talk with your doctor.

How To Avoid Cialis Side Effects

The best way to take Cialis is to use it exactly as your doctor directs, either once a day at the same time each day or only as needed. You shouldnt take any other medications to treat erectile dysfunction while youre using Cialis, unless your doctor says that its OK. And you should never take Cialis more than once a day.

Its also important to avoid drinking too much alcohol while youre using Cialis.

In addition, be sure to talk with your doctor or pharmacist about any other medications that youre taking. Theyll be able to determine if the drugs may interact with Cialis and if that may lead to an increased risk of side effects. If you have any questions about the best way to avoid specific side effects from Cialis, talk with your doctor.

You may wonder how Cialis compares with other medications that are prescribed for similar uses. Here we look at how Cialis and Viagra are alike and different.

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What Interacts With Cialis

Grapefruit

Food does not affect the bodys absorption of Cialis, so feel free to take the medicine with or without food. Grapefruit, however, should be avoided. Grapefruit and grapefruit juice have substances that slow down the bodys metabolism of tadalafil. As a result, eating grapefruit and taking Cialis results in more tadalafil in the bloodstream and it stays in the blood for a longer time, raising the risk of side effects.

Alcohol

Drinking too much alcohol is also a bad idea. Both alcohol and Cialis lower blood pressure. Too much to drink combined with Cialis could cause a serious and health-threatening drop in blood pressure.

Other ED pills

For the same reason, tadalafil doesnt mix well with other medications that lower blood pressure. In particular, tadalafil can cause dangerously low blood pressure when taken with other erectile dysfunction medications such as Viagra or Levitra . Many ED medications are also prescribed for pulmonary arterial hypertension, which is high pressure in the arteries that send blood to the lungs. For instance, Cialis is prescribed under the brand name Adcirca when used for pulmonary arterial hypertension, and Viagra used for pulmonary hypertension is called Revatio.;

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Other medications that affect blood pressure

These CYP3A4 inhibitor drugs could increase the risk of interactions with Cialis:

The Effects Of Viagra On Prostate Gland

During their 40s, men tend to have an increase of cellular growth in the prostate , which in turn constricts the urethra and restricts urine flow. The difficulty in urination caused by the enlarged prostate is called benign prostatic hyperplasia . The medication sildenafil citrate is most often prescribed for erectile dysfunction , but because there is also a positive effect on BPH, it may be prescribed for BPH when ED is not a factor, according to the Centers for Disease Control and Prevention 2.

If you are experiencing serious medical symptoms, seek emergency treatment immediately.

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Does Cialis Work And Is It Safe

Yes, the Food and Drug Administration has approved Cialis. And before the FDA approves a medication, it must test the drug for safety and effectiveness. Clinical trials show that Cialis is a safe and effective drug to treat erectile dysfunction , benign prostatic hyperplasia , or both.

However, for some people, Cialis may not be a safe option. This can include people with heart conditions such as an irregular heart rhythm and people who take other medications such as nitrates.

Before you start using Cialis, be sure to tell your doctor about any medical conditions you have and any medications youre taking. Theyll be able to decide if Cialis is a safe choice for you. And talk with your doctor if you have any concerns.

How Do I Stop Taking Cialis

You can stop Cialis at any time without tapering the dose but always talk to a healthcare provider before stopping Cialis. The good news is that Cialis does not cause physical dependence or withdrawal when used as directed. A significant fraction of men taking Cialis will notice an improvement in sexual function in the weeks after stopping Cialis.

Stop using Cialis and get emergency medical care if experiencing any of the following while taking the drug:

• Sudden loss of vision in one or both eyes

• Sudden hearing loss, sometimes accompanied by ringing in the ears and dizziness

• Signs of an allergic reaction such as rash, hives, swelling, or difficulty breathing

• Priapism, which is an erection that lasts more than four hours

• Chest pain, nausea, or dizziness during sex

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Fda Approves Cialis To Treat Enlarged Prostate

Erectile Dysfunction Drug May Be Used for Patients With BPH

Oct. 6, 2011 — Cialis has been approved by the FDA for the treatment of enlarged prostate. It may also be used to treat men who have both enlarged prostate and erectile dysfunction at the same time.

Cialis is the first ED drug to be approved for treating benign prostatic hyperplasia . Commonly known as enlarged prostate, symptoms include difficulty starting to urinate, a weak urine stream, sudden urge to urinate, and frequent urination at night.

Eli Lilly’s Cialis was approved as an ED treatment in 2003. The new approval is based on clinical trials showing that 5 milligrams of Cialis once a day improve BPH symptoms.

“BPH can have a big impact on a patient’s quality of life,” Scott Monroe, director of the FDA’s division of reproductive and urologic products, says in a news release. “A large number of older men have symptoms of BPH. Cialis offers these men another treatment option, particularly those who also have ED, which is also common in older men.”

Men taking nitrate-based drugs, such as nitroglycerin, should not take Cialis as it can lead to dangerous drops in blood pressure.

The FDA also warns men already taking alpha-blockers for BPH not to add Cialis to their treatment regimen. The two types of drug have not been tested together and theoretically could lead to a drop in blood pressure.

Will Cialis Help Me Keep An Erection After Ejaculating

No. After ejaculation, youll likely lose your erection even if youre taking Cialis.

After ejaculation occurs, your sexual excitement usually decreases. This means that youll likely lose your erection after ejaculation. And whether or not youre using Cialis, you still need sexual stimulation to have an erection.

However, Cialis can still work up to 36 hours after you take your dose. So the drug may help you get another erection.

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What Can I Take To Enhance Cialis

You shouldnt take anything in addition to Cialis to enhance the drug, unless your doctor tells you to.

When you get Cialis from the pharmacy, the pharmacist will add an expiration date to the label on the package or bottle. This date is typically 1 year from the date they dispensed the medication.

The expiration date helps guarantee that the medication is effective during this time. The of the Food and Drug Administration is to avoid using expired medications. If you have unused medication that has gone past the expiration date, talk with your pharmacist about whether you might still be able to use it.

Daily Dosage For Erectile Dysfunction

Cialis is approved for daily use to treat erectile dysfunction.

• Adult males : 2.5-5 mg taken once per day

• Renally impaired patients :;

• Creatinine clearance less than 30 ml/min: Not recommended

• Hemodialysis: Not recommended

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Side Effects And Risks

Cialis and Viagra both contain medications to treat ED. Therefore, these medications can cause very similar side effects, but some different ones as well. Below are examples of these side effects.

Mild side effects

These lists contain up to 10 of the most common mild side effects that can occur with Cialis, with Viagra, or with both drugs .

• Can occur with Cialis:
• pain in your arms or legs

Is There Still A Role For Combination Therapy

Since the coadministration of tadalafil and -adrenergic antagonists is safe when following the proper instructions, another question that arises is the possible role of combination treatment in patients with BPH-associated LUTS, especially using the new more uroselective -adrenergic antagonists.

Recently, data on the combination of tadalafil with finasteride have been published . This study was an international, randomized, double-blind, parallel study including men with prostate volumes 30 ml or greater. The combination of tadalafil 5 mg and finasteride 5 mg improved IPSS significantly compared with finasteride monotherapy at all time points . IPSS improved by 1.7, 1.4 and 1 more in the combination group compared with the finasteride-only group at the above time points, respectively. As expected, IIEF improved significantly in the combination group . Combination therapy was well tolerated and most adverse events were mild/moderate. Interestingly, almost no sexual adverse event has been reported in the combination group.

While these preliminary data show that combination therapy may provide additional efficacy benefits, it is questionable whether these benefits are of clinical importance. In addition to significantly increasing the treatment cost, new data are required and combination therapy currently should be considered only in clinical trials.

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Epidemiological Data On The Association Of Ed And Luts

Several epidemiological studies have reported a strong correlation between ED and LUTS. The National Health and Social Life Survey demonstrated an increasing prevalence of ED in men with age, ranging from 7% to 18%. In the Cologne Male Survey the overall prevalence of ED was 19.2%. The EDEM study reported an ED prevalence rate of 12.1%. The Krimpen study showed that the overall prevalence of significant ED was 11%. The UrEpik study reported that the overall prevalence of ED was 21%. The Cross National Study on the Epidemiology of ED and its Correlates reported an overall prevalence of moderate or complete ED of 16%. The Multinational Survey of the Aging Male reported an overall prevalence of ED of 48.7% with 10% of men reporting complete absence of erections. In a population-based study in Denmark, the prevalence of ED was 28.8% while the prevalence of LUTS was 39.1% . Finally, in the Boston Area Community Health study the overall prevalence of ED was 47% while the overall prevalence of LUTS was 81% . In all of these studies LUTS were a significant risk factor for ED, but in the majority of them, LUTS were also an independent risk factor

How Long Does Cialis Last

Cialis can work for up to 36 hours in your body.

To treat erectile dysfunction , your doctor may have you take Cialis only as needed before sexual activity. 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 or ED, youll always have medication in your system. Therefore, it will continue to work throughout the day.

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Surgery Surgery Is Used To Treat Bph When Drug Therapy Stops Workingor To Treat Those Who Can’t Urinate At All It Can Also Be Used To Relievesevere Symptoms

Transurethral resection of the prostate

Transurethral resection of the prostate removesprostate tissue through the urethra. It is the surgery most commonly used totreat BPH. While TURP relieves urinary symptoms in most men, urinary problemscan come back over time if the prostate starts to grow again. This is why youngermen may need to have this surgery more than once.

This surgery is done in an operating room. The doctor passes a resectoscope through the urethra to reach the prostate. A resectoscope is a type of endoscope . It has a thin wire that carries an electric current. The doctor uses the electric current to cut away prostate tissue around the urethra. The doctor then removes this tissue through the resectoscope.

The most common side effects of TURP include:

• bleeding
• infection
• semen flowing into the bladder instead of out the end of the penis

In rare cases, you may develop erectile dysfunction orincontinence after TURP. But this surgery has a lower risk of these sideeffects than surgery to remove the prostate .

Getting The Most From Your Treatment

• It is recommended that you do not drink grapefruit juice with tadalafil. This is because there is a chemical in grapefruit juice which can increase the amount of tadalafil in your bloodstream. This could make side-effects more likely.
• Keep your regular appointments with your doctor so your progress can be monitored.

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Cialis For Erectile Dysfunction

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
• 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.

Effectiveness

Cialis was shown in clinical trials to be an effective medication to treat ED. The drug was studied using part of a survey called the Index of Erectile Function . A higher score on the IIEF meant that erectile function was better, so ED symptoms improved. The people in the study took the survey after 4 weeks.

One trial looked at people who took 20 mg of Cialis or a placebo only when needed to treat their ED.

• People who took Cialis had their IIEF scores improve by 6.9 to 9.3 points. This means that their ED symptoms eased while they were taking Cialis.
• People who took a placebo either lost points or improved by a maximum of only 0.3 points. Losing points on the scale means that their ED symptoms worsened.

In another trial, people took 2.5 mg or 5 mg of Cialis, or a placebo on an everyday basis to treat their ED.

What Are The Signs And Symptoms Of Bph

Normally, the prostate adds fluid to semen. As you age, the gland can start to grow, which may cause problems.

The urethra, which is the tube urine travels through on its way out of the bladder, runs right through the prostate. Over time, the prostate can grow large enough to press down on and squeeze the urethra. This pressure narrows the exit.

This can make it more difficult for the bladder to release urine. Eventually, the bladder may become so weak that it cant release urine normally.

This can lead to symptoms such as:

• a constant need to urinate
• an urgent need to urinate
• a weak urine stream
• dribbling after urination

You can treat these symptoms with:

• lifestyle changes, such as training the bladder to reduce bathroom trips or drinking fewer alcoholic and caffeinated beverages to reduce the urge to go
• medicines that relax the muscles of the prostate and bladder
• procedures to remove excess prostate tissue

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