Tadalafil – Cialis
Tadalafil is a renowned medication belonging to the class of phosphodiesterase type 5 (PDE5) inhibitors. It’s marketed under the trade name Cialis for erectile dysfunction and Adcirca for addressing pulmonary arterial hypertension.
Mechanism of Action
- Tadalafil inhibits the enzyme PDE5, which regulates the breakdown of cyclic guanosine monophosphate (cGMP).
- In response to sexual stimulation, nitric oxide (NO) released in penile tissue elevates cGMP levels.
- This leads to the relaxation of smooth muscle in blood vessels, promoting increased blood flow to facilitate and sustain an erection.
Indications
- Primarily, Tadalafil is prescribed for erectile dysfunction in men.
- Additionally, it manages benign prostatic hyperplasia (BPH) and treats pulmonary arterial hypertension as Adcirca.
Onset of Action
- Typically, Tadalafil shows a quick onset, usually within 30 minutes to an hour post-consumption.
Duration of Action
- Its effects can last up to 36 hours, leading to its nickname as the “weekend pill.”
- This allows men to achieve and maintain an erection during this period with sufficient sexual stimulation.
Dosage
- The standard dose for erectile dysfunction ranges from 10 mg to 20 mg, ideally taken about 30 minutes before anticipated sexual activity.
- A common dosage for BPH treatment is 5 mg daily.
Side Effects
- Frequent side effects may include headaches, flushing, dyspepsia (such as nausea, diarrhea), dizziness, muscle discomfort, and back pain.
- In rare cases, severe side effects like sudden vision or hearing loss may occur.
Dapoxetine
Dapoxetine is a treatment specifically formulated for premature ejaculation in men, marketed under the brand name Priligy.
Mechanism of Action
- As a selective serotonin reuptake inhibitor (SSRI), Dapoxetine helps by delaying the reuptake of serotonin, enhancing its brain availability.
- This increased serotonin enhances control over ejaculation, lengthening the time to reach ejaculation.
Indications
- Dapoxetine is primarily for managing premature ejaculation in men.
- It is suitable for men aged 18 to 64 who experience rapid ejaculation.
Onset of Action
- Expect a rapid response from Dapoxetine, typically occurring within 1 to 2 hours after ingestion.
Duration of Action
- Effects generally last between 4 to 24 hours, subject to the dosage and individual reaction.
Dosage
- The usual dosage ranges from 30 mg to 60 mg, taken as needed.
- Typically starting at 30 mg, physicians may adjust based on patient response.
Side Effects
- Common side effects include dizziness, headaches, nausea, drowsiness, fatigue, and dry mouth.
- Infrequent side effects can involve hot flashes, increased anxiety, behavioral changes, or alterations in sexual function.
Contraindications
- Dapoxetine is contraindicated for individuals with severe liver or kidney concerns, significant heart issues, epilepsy, bipolar disorder, or those on MAO inhibitors.
- Combining Dapoxetine with alcohol should be avoided to minimize potential side effects.
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