Cialis 10mg
Like all medicines, tadalafil can cause side effects, but not everyone gets them. Often side effects improve as your body gets used to the new medicine.
Tadalafil
Tadalafil is used to treat erection problems. Find out how to take it safely and the possible side effects. Tadalafil is also called Cialis.
What is tadalafil?
Tadalafil is used for men with erection problems (erectile dysfunction). It works by increasing blood flow to the penis, to help achieve an erection. It will only work if you are sexually excited. Read more about erectile dysfunction.
Dose
- In Aotearoa New Zealand tadalafil is available as tablets (5 mg, 10 mg and 20 mg).
- Tadalafil can be taken either on-demand (before sex) or every day. Your doctor can advise if everyday treatment is best for you.
- Always take your tadalafil exactly as your doctor has told you. The pharmacy label on your medicine will tell you how much tadalafil to take, how often to take it and any special instructions.
How to take tadalafil
- For the ‘on-demand’ dose, 10 mg or 20 mg should be taken at least 30 minutes before you plan to have sex (it may still work 36 hours later). Do not take more than one dose in 24 hours.
- The everyday dose is 5 mg or 2.5 mg once a day. The once-daily dosing is for people who have sex more than twice weekly. It will cause an erection whenever sexually stimulated. Tadalafil must be taken everyday and for up to 1 week for a full effect.
- Swallow the tablet whole with a full glass of water. Do not take with grapefruit or orange juice.
- You can take it with or without food.
- Alcohol: Avoid excessive alcohol as it can lessen the sexual response.
- Effectiveness: PDE5 inhibitors do not work for everyone – about a third of men don’t see an improvement. Many men need to try the medication a few (6–8) times before it works. If you don’t have any improvement, do not increase your dose. Instead talk to your doctor as there may be other treatment options.
How do I get tadalafil?
Tadalafil is available on prescription from your doctor. It is not funded in Aotearoa New Zealand. None of the PDE5 inhibitor medications are funded in New Zealand for general erectile dysfunction. You cannot buy tadalafil from a Pharmacy.
Precautions before taking tadalafil
- Have you ever had a stroke?
- Do you have any heart or blood pressure problems?
- Do you have an eye problem called optic neuropathy?
- Do you have leukaemia (cancer of the blood cells) or multiple myeloma (a cancer of the bone marrow)?
- Do you have sickle cell disease?
- Do you have any disease or deformity of your penis?
- Do you have kidney or liver problems?
- Are you taking any other medicines including alpha blocker medicine (such as doxazosin, terazosin, prazosin)?
- Are you taking any over-the-counter and complementary medicines, eg, vitamins, minerals, herbal or naturopathic medicines?
If you have answered yes to any of these questions, it’s important that you tell your doctor or pharmacist before you take tadalafil. Sometimes a medicine isn’t suitable for a person with certain conditions, or it can only be used with extra care.
Nitrates and tadalafil should NOT be taken together, as both medicines together can cause a dangerous drop in blood pressure and collapse. Nitrates come in a variety of forms. Examples of nitrates are:
What are the side effects of tadalafil?
Like all medicines, tadalafil can cause side effects, but not everyone gets them. Often side effects improve as your body gets used to the new medicine.
- Blocked nose
- A sensation of redness and warmth or burning of the face (called facial flushing)
- These will pass quite quickly.
- Headache, muscle aches and pains
- Dizziness
- Tell your doctor if they bother you.
- If dizzy, do not drive or operate heavy machinery.
- Indigestion
- Tell your doctor if they bother you.
- An erection that lasts longer than 4 hours
- Painful erection
- Chest pain
- Rash or swelling of the face
- Sudden problems with your eyesight such as loss of vision, in one or both eyes
- Sudden loss of hearing
- Tell your doctor immediately or ring Healthline 0800 611 116.
Learn more
References
Resources
Te reo resources
The Māori Pharmacists’ Association Ngā Kaitiaki o Te Puna Rongoā has a free phone line to answer questions whānau have about their medicines. Call 0800 664 688.
Note: This is a non-urgent service and they will get back to you within 24 hours.
For urgent health advice freephone Healthline 0800 611 116.
5 questions to ask about your medications
Health Quality and Safety Commission, NZ, 2019
Cialis 10mg
Prescription order will be dispatched once we have received the original prescription from the patient.
Description
Please note: THIS IS A PRESCRIPTION MEDICINE (see Prescription Medicine Tab above for ordering and fulfillment process).
Description
Sex has always been a very important part of man, and it always will. There is nothing more pleasurable than that of a satisfying and healthy sex. But desire is only a part of it. Not any man can engage in the actual act to satisfy his sexual desires. Many guys have got physical limitations. Probably the most common issue in men is erection. The condition is called erectile dysfunction. Thanks to Cialis, it’s not incurable.
Cialis is a medical cure to treat erectile dysfunction. A victim of this medical condition cannot have an effective erection, and neither can he sustain it long enough. Men with this rather unfortunate condition can take the drug to be able to have effective erections. Cialis is an approved medicine for the treatment of erection problems in men. The drug is medically known as Tadalafil. It works by two mechanisms. The first one is increasing blood flow into the penis. Second, it relaxes the muscles of the male reproductive organ. The combined result is an effective erection. In addition to that, Cialis also helps to sustain the erection. That is why men using this drug recommend it to all other guys who share similar issues.
Cialis can be used in two ways, and it is the doctor’s prescription that matters. This is because Cialis is a prescription drug. First, it can be used on a daily basis. Everyday, the oral medication can be taken only once. Second, Cialis can also be used on as needed basis. Here the oral tablet can be taken half an hour before engaging in sex. Whichever way a man is to consider taking Cialis, it should never be started without the consent of a medical professional. There are a few known issues of the drug that a physician can easily prevent. Particularly, Cialis should not be taken by men who are also taking nitrate drugs. Problems have been reported with these medicines that are usually prescribed for chest pain. Other men who are equally susceptible to such problems include heart attack patients. These men should tell their doctors about their past medical history. There is a very important point to remember. The blood pressure of those men may fall sharply and put their lives at risk. Also, it is not advised to take too much alcohol while using Cialis. Just one or two glasses of drink does not cause problems.
Possible side effects
All drugs are not without side effects. Cialis is not an exception. Common side effects include headaches, indigestion, warmth in the face, and chest pain.
General Safety Information
- Always read the label. Use only as directed.
- Nutritional supplements may only be of assistance if the dietary intake is inadequate.
- Supplements should not be used to replace a healthy balanced diet and adequate physical exercise.
- Keep all medications and supplements out of reach of children.
- If symptoms persist see your healthcare professional.
Prescription Medicine
Please Note: If the Item you are viewing IS a Prescription Medicine the NZ regulations require that we need the original prescription before we can dispense any prescription medication. The prescription must be written by a New Zealand doctor registered with the New Zealand Medical Council.
How do you know if this product is a Prescription Medicine?
The first line of the product description will identify ‘THIS IS A PRESCRIPTION MEDICINE’ If the product does not have this identifier then it is not a prescription medicine and can be purchased without a prescription. A list of prescription medicines can also be found lower down on this page.
Prescription orders will be cancelled automatically if no prescription is received from the purchaser within 7 days.
TO FULFILL YOUR PRESCRIPTION FOLLOW THE PROCEDURE BELOW:
- Step 1: purchase your Prescription Medicine via this Netpharmacy Shop. (See Below for our list of Prescription Medicine).
- Step 2: to complete the checkout process you will be required to complete the prescription form (found on the checkout page) including uploading a photo of your prescription.
- Step 3: once the prescription form is complete you will be able to check out and pay for your medicine.
- Step 4: on the original prescription, write order number and phone number and mail the original to Netpharmacy – 109 Parnell Road, Parnell, Auckland 1052 (by law the original is required prior to us sending the order).
There is NZD$5.95 postage and handling fee on top of the prescription fee. Prescriptions are exempt from our freight free policy.
Once we have received your original prescription, we will contact you to confirm the receipt. Please make sure you provide your day contact number. It generally takes about 5 working days for the time it takes for your prescription to arrive in the mail and for us to dispense it and courier it to you. Any urgent request must be communicated beforehand.
FAQ:
- What if I have repeat prescriptions?
Simply place a prescription order and email us on [email protected] with your order number and your full name. E-mail title should be “Repeat prescription”. If you do not remember what to repeat, call our pharmacist on (09) 373 4485. - What do I need to know about prescription medicines?
New Zealand law requires us to receive an original prescription from a New Zealand registered Medical Practitioner before we can dispense prescription medicines. New Zealand pharmacies are prohibited from supplying prescription medicines to overseas. - Can I return prescription medicine for a refund?
No. Due to New Zealand Health regulation, medicines cannot be returned for credit. This is because once the product has left the pharmacy, the storage conditions of the product cannot be guaranteed and also it is possible the product could be tampered with.
If you have any questions, please fill the form on the contact us page and our customer service team will contact you immediately. The pricings are available below.
BELOW IS OUR PRESCRIPTION MEDICINE LIST:
- Viagra 100mg 12 Tablets
- Caverject Impulse 10 micrograms
- Caverject Impulse 20 micrograms
- Cialis 5mg 28 Tablets
- Cialis 10mg 4 Tablets
- Cialis 20mg 4 Tablets
- Cialis 20mg 8 Tablets
- Finasteride 5mg 10 Tablets
- Finasteride 5mg 30 Tablets
- Melorex 7.5g 30 Tablets
- Melorex 15mg 30 Tablets
- Modavigil 100mg 30 Tablets
- Modavigil 100mg 60 Tablets
- Propecia 1mg 28 Tablets
- Yasmin 84 Tablets
- Yaz 84 Tablets
- Silvasta 100mg 4 Tablets
If your prescription product is not listed here, please contact us and our customer service team will be able to assist your further with your request.
ECP (Emergency Contraceptive)
If you have had unprotected sex or think that your contraception may have failed, taking emergency contraception will usually prevent a pregnancy.
The ECP is sometimes known as the “morning after pill” however can be used up to 72 hours after unprotected sex. It efficacy rate does decrease however for each 24 hour delay. Thus the sooner it is taken after unprotected sex the more effective it will be.
HOW DOES THE PILL WORK?
The ECP a progesterone only pill prevents pregnancy in two ways:
- Preventing the passage of sperm through a woman’s genital system
- Delaying the release of an egg from the ovary until sperm are no longer active
Our trained pharmacists are available in store only for consultation for the ECP.
Trimethoprim for Cystitis/Urinary tract infections
Cystitis is an infection of the bladder and passage that carries the urine from the body. Cystitis will usually cause two or more of these symptoms:
- Pain or burning when passing urine
- Needing to urinate often
- Needing to urinate urgently (without much warning)
- Discomfort just above the pubic area
If you have any of the following symptoms, see your doctor:
- Fever or a hot/cold feeling
- Vomiting or feeling like you are going to vomit
- Pain on the sides of the lower back (over the kidney area)
- Feeling particularly unwell
These are symptoms of a kidney infection and need treatment from a doctor.
If you have vaginal symptoms such as itch or discharge, talk to your pharmacist or doctor, as you may not have cystitis. Vaginal itching / irritation or vaginal discharge may be a sign of a fungal infection or a sexually transmitted infection. If you think you are at risk of a sexually transmitted infection e.g. chlamydia or genital herpes, see your doctor to get the right treatment promptly.
If you have cystitis and any of the following apply, you need to see a doctor:
- You are a male
- You are under 16 years old or over 65 years old
- You are pregnant or might be pregnant
- You have had more than three cases of cystitis in the last year (12 months)
- You have had cystitis in the last 2 weeks (apart from this instance)
- You have kidney problems, including kidney stones
- Your urinary tract (passageway for urine) is not normal or you have a catheter
- You have a spinal cord injury
- You have diabetes
- Your immune system doesn’t work properly
TREATMENT OF CYSTITIS
Cystitis can often come right on its own, but antibiotics will help this happen faster. If you have mild symptoms you may be able to drink plenty of water and avoid the need for antibiotics. Discuss the best option for you with your pharmacist or doctor.
Your pharmacist or doctor can also recommend sachets that you mix into water and drink to make your urine less acidic, which means less pain when you urinate (pass urine).
Anyone with symptoms of cystitis should drink plenty of water.
Our trained pharmacists are available in store only for consultation for the UTI.
Publications
Update: Erectile dysfunction medicines being imported into New Zealand
Prescriber Update 32(4): 35-36
December 2011
Healthcare professionals are advised that consumers continue to purchase and import erectile dysfunction products that have been contaminated with undisclosed prescription medicines or are counterfeit.
Products sold in New Zealand
In October this year the Director-General of Health advised consumers to immediately stop taking two products for erectile dysfunction as they were found to contain undeclared prescription medicines. These particular products were sold as herbal remedies and were marketed as “Get Stiff” and “Maxi Mize”.
The October alert is the latest of a series of alerts that have been required in New Zealand in recent years. In the last year over 60 remedies, mostly purporting to be herbal, have been seized at the border, tested by Medsafe, and found to contain undeclared prescription medicines. These medicines are predominantly sildenafil, vardenafil, and tadalafil, or a combination of these active ingredients.
The adulterated products recalled in New Zealand have been sold in adult sex shops, herbal stores, and pharmacies. Consumers or healthcare professionals who suspect that a product may contain a prescription medicine should contact Medsafe’s Compliance team for advice.
Imported packages
Since 2007 packages containing prescription medicines for the treatment of erectile dysfunction have been consistently the largest type of medicine referred to Medsafe by New Zealand Customs at the border.
Products generally contain either sildenafil, tadalafil, or vardenafil and generally fall within the following categories:
- They are genuine products imported such as Viagra (sildenafil), Cialis (tadalafil), or Levitra (vardenafil).
- They are generic brands that openly declare the ingredients.
- They are counterfeit Viagra, Cialis or Levitra.
- They are products purporting to be herbal remedies that are adulterated with hidden or undeclared medicines.
Counterfeit and adulterated products are destroyed immediately, while genuine medicines are able to be released to consumers once a valid prescription is provided to Medsafe. If a prescription is not produced, these packages are also destroyed. Further information about the importation of medicines is available on the Medsafe website at: www.medsafe.govt.nz/Consumers/MIET/ImportMedicines.asp
During 2010 a total of 11,930 parcels, originating from 114 different countries, were stopped by Customs and provided to Medsafe for inspection. Of these parcels Medsafe detained over 9000 prescription medicines, and gave the importer the opportunity to provide a prescription so the package could be released.
Of particular concern is that of 2623 medicines detained for the treatment of erectile dysfunction, only 894 were able to be released. This indiciates that most products were purchased without a prescription or without the knowledge that they contained prescription medicines.
Health care professionals are advised to warn patients about the dangers of obtaining medicines over the internet, and to consider this possibility when patients present with unexplained symptoms that may actually be adverse effects.
Erectile Dysfunction (Sildenafil) Consultation
Many men at some time of their life will have problems getting an erection or keeping an erection. This problem is more common with increasing age and has many possible causes from being overweight, having diabetes or being a smoker to stress, depression or performance anxiety.
The good news is that sildenafil also known as Silvasta, Viagra or Avigra can be purchased without a prescription at your local Unichem Pharmacy following a discreet, confidential consultation with a trained pharmacist to determine eligibility for supply.
Consultation with the pharmacist will take about 20 minutes the first time and will include a short health check including taking your blood pressure. Repeat supplies will only take a few minutes to supply, provided your health hasn’t changed since.
Some men should not take erectile dysfunction (ED) medicines. For example, men on certain medications or men who have had a recent heart attack or stroke. Your Pharmacist or Doctor will need to ask you some general health questions to ensure that sildenafil is appropriate for you.
Criteria for supply of Sildenafil include:
Suffer from erection problems/erectile dysfunction
Have not recently had a heart attack or stroke or taking certain medications including nitrates. You MUST NOT take sildenfil if you are taking nitrate medicines which are prescribed for angina (chest pain) or heart problems, or guanylate cyclase stimulators like adempas (Riociguat) for pulmonary hypertension. It may cause a severe drop in your blood pressure which may be difficult to treat. Talk to your doctor or pharmacist if you are currently being, or have been, treated for angina or heart conditions.
Book A Service Now
Erectile Dysfunction (Sildenafil) Consultation
Many men at some time of their life will have problems getting an erection or keeping an erection. This problem is more common with increasing age and has many possible causes from being overweight, having diabetes or being a smoker to stress, depression or performance anxiety.
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