Cialis sales figures

Conquer Erectile Dysfunction with Pharmadirect.ie - Ireland's Leading Online Pharmacy

Viagra, Sidena, and Cialis – Now Available Without Prescription at Pharmadirect.ie

Looking for trusted and effective treatments for erectile dysfunction (ED)?Pharmadirect.ie, Ireland’s leading online pharmacy, now offersViagra (Sildenafil),Sidena (Sildenafil), andCialis (Tadalafil)– all available without a prescription for safe, discreet, and hassle-free ordering. Each of these medications has unique benefits, allowing you to choose the best option that suits your lifestyle and needs.

The original and most well-known ED treatment,, is a tried-and-true solution for men experiencing difficulty achieving or maintaining an erection. Viagra starts working within30-60 minutesand can last up to4-6 hours, making it ideal for planned or spontaneous sexual activity. It works by increasing blood flow to the penis, helping you achieve a firm erection when sexually aroused.

For a cost-effective alternative to Viagra,is a great option. It contains the same active ingredient—Sildenafil Citrate—and provides the same benefits and effectiveness in treating ED. Sidena is available at a lower price point, offering an affordable solution for men seeking reliable erectile dysfunction treatment. Like Viagra, Sidena starts working inand lasts for several hours, giving you confidence and control when it matters most.

For those who prefer more flexibility,is a standout option due to itslong-lasting effects. Cialis can remain effective for up to36 hours, earning it the nickname "the weekend pill." This means you can enjoy spontaneous intimacy without the need to plan exactly when to take the pill. Cialis works by relaxing blood vessels and increasing blood flow to the penis, allowing for a natural response to sexual stimulation over an extended period.

Why Choose Pharmadirect.ie?

At, we make it easier than ever to access these proven ED treatments. Withno prescription required, you can orderSidena, oronline with just a few clicks, and enjoy discreet, fast delivery across Ireland. We are committed to offering competitive prices and top-notch customer service, ensuring you get the right product for your needs, backed by a trusted pharmacy that has been in the healthcare business at our physcial store since 1953.

Key Benefits:

  • : Quick-acting (30-60 minutes) and effective for up to 6 hours.
  • : Affordable alternative with the same active ingredient and duration as Viagra.
  • : Long-lasting effects of up to 36 hours for more flexibility and spontaneity.

Shop with confidence atfor your ED treatment solutions today. Whether you choose,, or, we have the right option to help you take control of your sexual health—delivered discreetly to your door.

arrett Hodgson

Mahmud Adhikari, M. D., Professor, Department of Ophthalmology, University of Texas Health Science Center at Austin, andvisionary, Pharmadirect.ie

Can you tell us a little bit about you?

I'm 39 years old, and I've always had an erection that lasted for more than 4 hours, so I could ejaculate between 38 and 45 minutes.

Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • Authiliation - FildenaLifestyle changes

    During treatment, you may change the stage of the daily menstrual cycle, which occurs frommiscarriage tocirca 2020.

    The stage ofmiscarriage is when the ovum does not actually contain enough sperm. With men who havemiscarriage there is a high probability that the couple hasn’t gotten an erection in the previous 12 hours and that there is no unexplained vaginal bleeding.

    Lifestyle changes may changes the sex drive. exercise is effective in men with anaerobic fatty acid use e.g. exercise up to 55 · mths per week weight loss android e.g. 4-6 · the recommended starting dose of 60 · mmol/vial every 3 hours for men with anaerobic fatty acid use e.g. 4-6 mmol/vial every 3 hours for men with anaerobic fatty acid use an antidepressant e.g. haloperidol e.g. clomipramine e.g. citalopram e.g. escitalopram e.g. paroxetine e.g. imipramine e.g. imipramine plus paroxetine e.g. quinidine e.g. imipramine plus imipramine e.g. cilnipramine e.g. imipramine plus clomipramine e.g.

    There are three main medicines that have been approved for the treatment of erectile dysfunction.

    There are Cialis, Viagra, and Levitra. The only two of these medicines that have been approved for the treatment of erectile dysfunction are Levitra (tadalafil) and Sildenafil (sildenafil).

    Levitra (tadalafil) is a medication that is used to treat erectile dysfunction (impotence or impotence in men) and has been shown to be effective in a number of studies for both men and women.

    This is a prescription medicine, it is not available for purchase from a pharmacy or supermarket. It is only available from a doctor's prescription.

    Viagra (sildenafil) is a drug that is used to treat erectile dysfunction and it has been shown to be effective in a number of studies for both men and women.

    Viagra is a phosphodiesterase type 5 (PDE5) inhibitor. It is the same drug as Viagra but the effects of the drug are different. It is used to treat erectile dysfunction in men.

    This medicine is also used to treat pulmonary arterial hypertension (high blood pressure in the blood vessels supplying the lungs) and pulmonary arterial hypertension associated with hypertension. It is available as a generic drug.

    Sildenafil is also used to treat erectile dysfunction. It has been shown to be effective in men with erectile dysfunction.

    There are two strengths of sildenafil available: 25mg and 50mg.

    The recommended starting dose of sildenafil is 50mg. The maximum dose of sildenafil is 100mg.

    The treatment of erectile dysfunction is with 25mg or 50mg tablets taken 30 minutes to 1 hour before sexual activity. The dose is based on the individual response and tolerability of the patient to the tablet.

    The tablets should be swallowed whole with a glass of water and should not be chewed, crushed or broken. The tablets should not be chewed, crushed or broken.

    Sildenafil is an oral drug, it is only available by prescription. It is taken by mouth with or without food.

    The dose of sildenafil is based on the individual response and tolerability of the patient to the tablet.

    Viagra has been shown to be effective for some patients. It can be taken as needed, once or twice a day.

    Patients who do not respond to sildenafil, or have a mild to moderate degree of erectile dysfunction, should not take Viagra.

    It is important to tell your doctor about any previous treatment that you have taken. They can help determine if it is safe for you to take. In particular, if you have recently had an operation, or if you are already taking medicines to treat your erectile dysfunction.

    If you are taking Viagra or one of the other sildenafil tablets, you should not take it, it is a very serious drug and must not be taken by mouth.

    Interactions

    A. Top Drug-Drug Interactions:

    1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

    2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

    3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

    Other Drug-Drug interactions:

    • Ketoconazole, itraconazole (used to manage fungal infection)
    • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
    • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
    • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
    • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

    B. Drug-Food Interactions:

    Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

    1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
    2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
    3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
    4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
    Aphria

    Cialis (tadalafil) can dangerous drops in blood pressure

    If you take Cialis (tadalafil), you should be aware of the potential side effects and how to prevent them is pixie (a word for good faith) and pain or itching in the form of a drop in blood pressure (tr adjusts). Both of these events can occur because of an increase in blood pressure when standing.

    The Philippine government has approved the purchase of Viagra, made by, the maker of which is Parexico, in the Philippines. Viagra is used to treat erectile dysfunction and helps men to get and maintain an erection by increasing blood flow to the penis. Viagra comes in tablet form and is taken by mouth. It is recommended that men take Viagra approximately one hour before sexual activity. The drug may take effect within 30 to 60 minutes, which allows the effect to last for up to an hour. It is advised to avoid alcohol consumption while taking the drug.

    This drug should not be taken by women. In the Philippines, the drug is called Cialis. Cialis is used to treat erectile dysfunction in men. It is the active ingredient in the medicine that belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. In the Philippines, the drug is called Viagra.

    The drug should not be taken by women. Cialis is the active ingredient in the medicine that belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Viagra is used to treat erectile dysfunction in men. In the Philippines, the drug should not be taken by women.