Daily Cialis: Usage, Effects, and Duration for ED and BPH - Urology

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Sildenafil 5 mg daily tablet?


Hello doctor, I have been taking Cialis daily for three months.
During this period, my erectile function has been very good, and I have felt erections throughout the night until morning.
Now that I have stopped taking the medication for a week, I notice that the hardness of my erections has decreased and they are not as firm as when I was on the medication.
So I would like to ask if I need to continue taking the medication, how long I should take it, and whether Cialis can effectively treat erectile dysfunction.
Can Cialis also treat benign prostatic hyperplasia? How long should it be taken, or is long-term use necessary?

A-Rong, 40~49 year old female. Ask Date: 2024/04/11

Dr. Du Shixi reply Urology


Hello: I have been taking Cialis daily for three months, and during this period, my erectile function has been very good; I feel erections throughout the night until morning.
Now that I have stopped taking the medication for a week, I notice a decrease in the hardness of my erections, which is not as firm as when I was on the medication.
Therefore, I would like to ask if I need to continue taking the medication and for how long.

- Can long-term use of Cialis have a positive effect on erectile hardness?
- Can Cialis be used to treat benign prostatic hyperplasia (BPH)?
- How long does it typically take for symptoms to improve?
- Is long-term use necessary, and if so, for how long?
- Wishing you good health.

Reply Date: 2024/04/11

More Info


Cialis, known generically as tadalafil, is a medication commonly prescribed for erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Understanding its usage, effects, and duration is crucial for patients considering or currently using this medication.


Usage
Cialis is typically taken as needed or in a daily low-dose form. For erectile dysfunction, the on-demand dosage is usually 10 mg or 20 mg taken before sexual activity, while the daily dosage is often 2.5 mg or 5 mg taken at the same time each day, regardless of sexual activity. For BPH, the daily dosage is generally 5 mg, which can help alleviate urinary symptoms associated with an enlarged prostate.


Effects
The primary effect of Cialis is to enhance blood flow to the penis, facilitating an erection in response to sexual stimulation. This occurs through the inhibition of phosphodiesterase type 5 (PDE5), an enzyme that regulates blood flow in the penis. By blocking PDE5, Cialis allows for increased levels of cyclic guanosine monophosphate (cGMP), leading to prolonged relaxation of blood vessels and improved erectile function.

In addition to its effects on erectile function, Cialis can also help relieve symptoms of BPH, such as difficulty urinating, frequent urination, and urgency. This dual action makes it a versatile option for men experiencing both ED and BPH.


Duration of Effects
The effects of Cialis can last up to 36 hours, which is significantly longer than other ED medications. This extended duration allows for more spontaneity in sexual activity, as it does not require precise timing. However, it is important to note that sexual stimulation is still necessary for the medication to work.


Post-Usage Considerations
After discontinuing Cialis, it is common for men to notice a decrease in erectile hardness or frequency of erections, as the medication's effects will wear off. This is not unusual and can be attributed to the absence of the drug's active ingredients in the system. If you have been using Cialis daily for three months and have now stopped for a week, it is expected that your body will revert to its baseline erectile function without the medication.


Long-Term Use
The decision to continue or discontinue Cialis should be made in consultation with your healthcare provider. If you find that your erectile function significantly declines after stopping the medication, it may be beneficial to resume treatment. Cialis is generally safe for long-term use, but regular follow-ups with your doctor are essential to monitor any potential side effects or interactions with other medications.


Treatment for BPH
Cialis can indeed be effective in treating symptoms of BPH. The duration of treatment for BPH can vary based on individual response and severity of symptoms. Some men may find relief within a few weeks, while others may require longer treatment periods. It is important to have ongoing discussions with your healthcare provider to determine the best course of action based on your specific symptoms and health status.


Conclusion
In summary, Cialis is an effective treatment for both erectile dysfunction and benign prostatic hyperplasia. Its long duration of action provides flexibility for sexual activity, and it can significantly improve quality of life for men dealing with these conditions. If you are considering continuing or resuming Cialis, or if you have concerns about its effects, it is crucial to consult with your healthcare provider for personalized advice and management.

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