Cialis Prescription, Differences from Viagra, and Insurance Coverage - Surgery

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Issues with the use of Cialis?


Can a prescription for Cialis be issued now? What are the differences between Cialis and Viagra? I have high blood pressure; is it suitable for me? How does health insurance currently cover it? Thank you!

Xiao Qiang, 30~39 year old female. Ask Date: 2012/05/20

Dr. Ke Fangxu reply Surgery


1.
Cialis is a prescription medication.

2.
Viagra has a quick onset of action and a short duration; Cialis has a slower onset and a longer duration of action.

3.
You should consult your hypertension specialist for evaluation.

4.
Currently, it is not covered by health insurance.

Reply Date: 2012/05/20

More Info


Cialis (tadalafil) and Viagra (sildenafil) are both medications used to treat erectile dysfunction (ED), but they have some key differences in their mechanisms, duration of action, and side effects. Understanding these differences can help you make an informed decision about which medication may be right for you, especially considering your health condition, such as high blood pressure.


Cialis vs. Viagra
1. Active Ingredients:
- Cialis contains tadalafil, while Viagra contains sildenafil. Both belong to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors, which work by increasing blood flow to the penis to help achieve and maintain an erection.

2. Duration of Action:
- One of the most significant differences is the duration of action. Cialis can last up to 36 hours, earning it the nickname "the weekend pill." This allows for more spontaneity in sexual activity. In contrast, Viagra typically lasts for about 4 to 6 hours.

3. Onset of Action:
- Viagra usually takes effect within 30 to 60 minutes after ingestion, while Cialis can take about 30 minutes to 2 hours to start working. However, Cialis can also be taken daily in a lower dose, which allows for more flexibility.

4. Side Effects:
- Both medications can cause similar side effects, including headaches, flushing, indigestion, nasal congestion, and dizziness. However, some patients may tolerate one medication better than the other. It’s essential to discuss any side effects you experience with your healthcare provider.

5. Food Interactions:
- Viagra's effectiveness can be reduced if taken after a high-fat meal, while Cialis is less affected by food intake, making it a more convenient option for some individuals.


Considerations for High Blood Pressure
If you have high blood pressure, it’s crucial to consult with your healthcare provider before starting either medication. Both Cialis and Viagra can lower blood pressure, which may be beneficial for some patients but could pose risks for others, especially if you are taking medications for hypertension. Your doctor will evaluate your overall health, current medications, and the severity of your high blood pressure to determine if either medication is safe for you.


Prescription and Insurance Coverage
As for obtaining a prescription for Cialis, yes, it can be prescribed by a healthcare provider. You will need to have a consultation to discuss your symptoms and medical history. Your doctor will determine if Cialis is appropriate for you based on your health status and any underlying conditions.

Regarding insurance coverage, many insurance plans do cover ED medications, but coverage can vary widely. Some plans may require prior authorization or may only cover generic versions of these medications. It’s advisable to check with your insurance provider to understand your specific coverage options for Cialis and Viagra.


Conclusion
In summary, both Cialis and Viagra are effective treatments for erectile dysfunction, but they differ in duration, onset, and side effects. If you have high blood pressure, it’s essential to consult with your healthcare provider to determine which medication is suitable for you. Additionally, check with your insurance provider regarding coverage for these medications. Always prioritize open communication with your healthcare team to ensure the best treatment plan tailored to your needs.

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