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What is Cialis?
Cialis has high efficiency which not only improves erection but also helps the patient to restore natural sexual relations. Cialis is reliable, efficient, easy to use and safe it restores the normal sexual life for patients suffering from erectile dysfunction, freeing them from the constant thoughts about treatment.
What is the action of Cialis? Whether it is a sexual stimulant?
NO, Cialis — IT IS NOT A STIMULANT. For a successful outcome if you are sexually aroused. Everything happens naturally. Cialis acts exactly when necessary, and not when it is not needed. Cialis positively affects the following manifestations and consequences of erectile dysfunction:
What is the mechanism of action of Cialis?
Cialis (Cialis) – effective, reversible inhibitor selectively acting on phosphodiesterase 5 (PDE5). a Central role in erection is played by the relaxation of cages of smooth muscles corpus cavernosum of the penis, which is locally initiated by acetylcholine and nitric oxide and other physiological agents. Acetylcholine is produced by neurons the parasympathetic nervous system and nitric oxide stands out negoliations non-adrenergic neurons and endothelial cells. Resulting effect the suppression state of the sympathetic nervous system or alpha stimulation, which causes contraction of smooth muscle cells. Guanosine monophosphate (cGMP) and PDE5 are important for normal erection. cGMP causes vasodilation of arteries, causing blood flow in the cavernous body. the Blood vessels in the cavernous bodies fill with blood what causes a decrease in the outflow of blood from the penis and creating a gradient of blood pressure - there is an erection. Enzyme PDE5 causes decrease in level of cGMP and terminates an erection. Cialis inhibits the action of PDE5, thus delaying the drop in the level of cGMP as a result, the level of cGMP in the cavernous bodies allows a man with erectile dysfunction to have a normal erection.
How effective is Cialis?
Cialis, which take as needed, up to once per day, improves erectile function in most men suffering from erectile dysfunction of any degree.
Is there a Cialis for severe erectile dysfunction?
Yes. In clinical trials 81% of patients taking Cialis tablets of 20 mg, the observed improvement in potency. the study included patients with varying degrees of erectile dysfunction, from mild to severe.
How fast starts and how long Cialis works?
In some men, Cialis starts to operate through 16 minutes. For most patients this time is 30 minutes. But remember, without sexual stimulation effect does not occur. the Effect of Cialis lasts about 36 hours after administration.
I heard what Cialis bad for heart.
Sexual activity represents a certain risk at presence of diseases of the heart, so it is highly recommended to consult a doctor before using the product.
How often can take Cialis?
The recommended dose is 20 mg. Maximum recommended frequency of admission - once a day.
What are the contraindications for receiving Cialis?
The main contraindications:
What specialty Doctor may prescribe Cialis?
Doctor of any specialty, but first and foremost, a urologist, sexologist, andrologist, endocrinologist and cardiologist.