Ciafil Tablet 20 mg Introduction
Ciafil Tablet 20 mg is a drug used to treat male erectile dysfunction (ED) and benign prostatic hyperplasia (also known as benign enlargement of the prostate gland). It can also be used for pulmonary arterial hypertension (PAH). It is sold by many name brands including Adcirca, Cialis, and many others. It is an effective drug that can be taken as needed or daily, with the duration of effects lasting for up to 36 hours.
Uses for Ciafil Tablet 20 mg
Ciafil Tablet 20 mg is most commonly used to treat ED (erectile dysfunction), but it can also be used to treat the following conditions: benign enlargement of the prostate gland (benign prostatic hyperplasia), pulmonary arterial hypertension, and signs and symptoms of both benign prostatic hyperplasia and pulmonary arterial hypertension. In some cases, it can also be used to reduce high blood pressure.
Mechanism of Action
Ciafil Tablet 20 mg works by increasing blood flow to the penis and relaxing the smooth muscle of the corpus cavernosum, allowing the penis to become engorged with blood. This increased blood flow allows men to achieve and maintain an erection. In addition, tadalafil has been found to help reduce symptoms of benign prostatic hyperplasia and pulmonary arterial hypertension by blocking the enzyme phosphodiesterase (PDE5) and increasing levels of certain hormones, such as nitric oxide.
How Long Does It Take to Work?
Ciafil Tablet 20 mg typically takes between 30 and 60 minutes to begin working, although it can sometimes take up to 120 minutes.
Absorption
Ciafil Tablet 20 mg is rapidly and completely absorbed in the gastrointestinal tract.
Route of Elimination
Ciafil Tablet 20 mg is mainly eliminated through the kidneys and through the liver. The majority of an administered dose is eliminated as metabolites mainly in the feces, with only a small amount eliminated unchanged in the urine.
Dosage
The recommended starting dose for tadalafil is 10 mg, taken as needed before sexual activity. The maximum recommended dose is 20 mg. For the treatment of symptoms of benign prostatic hyperplasia and pulmonary arterial hypertension, the recommended dose is 40 mg daily. For most other conditions, the recommended dose is 10 mg as needed.
Administration
Ciafil Tablet 20 mg can be taken with or without food and is usually taken 30 minutes to 1 hour before sexual activity. It is important to note that tadalafil should not be taken more than once per day.
Side Effects
Common side effects of tadalafil include headache, dizziness, blurred vision, flushing, nausea, muscle pain, back pain, indigestion, and rash. In rare cases, more serious side effects such as vision loss, hearing loss, or an erection lasting more than 4 hours may occur.
Toxicity
Ciafil Tablet 20 mg has a low risk of toxicity. The most serious side effects, such as vision loss, are rare and usually occur at much higher doses than those typically used to treat ED.
Precaution
Patients taking tadalafil should use caution when operating machinery or driving a vehicle. It may cause drowsiness, dizziness, blurred vision, or other vision changes. Patients should also avoid drinking alcohol while taking tadalafil, as drinking alcohol can exacerbate these side effects.
Interaction
Ciafil Tablet 20 mg may interact with certain medications, including but not limited to nitrates, certain antibiotics, alpha-blockers, and antifungals. Patients should discuss any medications they are taking with their doctor before taking tadalafil.
Disease Interaction
Patients with certain medical conditions should not take tadalafil. These conditions include active peptic ulcer, low blood pressure, heart failure, stroke, or inherited retinal disorders.
Drug Interaction
Ciafil Tablet 20 mg can interact with certain drugs. Patients should discuss any medications they are taking with their doctor before taking tadalafil.
Food Interactions
Ciafil Tablet 20 mg may interact with certain foods and beverages. Patients should avoid grapefruit and grapefruit juice while taking tadalafil, as these may increase the side effects of the drug.
Pregnancy Use
Ciafil Tablet 20 mg is not recommended for use during pregnancy or during lactation. Ciafil Tablet 20 mg can cross the placenta and may harm a developing fetus.
Lactation Use
Ciafil Tablet 20 mg is not recommended for use during lactation. Ciafil Tablet 20 mg can be excreted into breast milk and may harm a nursing infant.
Acute Overdose
Symptoms of an overdose may include dizziness, nausea, chest pain, and difficulty breathing. Treatment is typically supportive and may involve activated charcoal, fluids, and other medications.
Contraindications
Patients with certain medical conditions should not take tadalafil. These conditions include active peptic ulcer, low blood pressure, heart failure, stroke, or inherited retinal disorders.
Use Direction
Patients should take tadalafil as directed by their doctor. It is important to note that tadalafil should not be taken more than once per day.
Storage Conditions
Ciafil Tablet 20 mg should be stored at room temperature in a dry and dark place. It should not be exposed to moisture or extreme changes in temperature.
Volume of Distribution
After oral administration, tadalafil is widely distributed in tissues in the body. It's volume of distribution is approximately 63 L.
Half Life
The elimination half-life of tadalafil is approximately 17.5 hours.
Clearance
The clearance of tadalafil is approximately 4.7 L/hr.
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Some Frequently Asked Questions About Ciafil Tablet 20 mg
1. What is Ciafil Tablet 20 mg?
Ciafil Tablet 20 mg is a medication used to treat erectile dysfunction (ED), benign prostatic hyperplasia (BPH), and pulmonary arterial hypertension (PAH). It is a phosphodiesterase type 5 (PDE5) inhibitor.
2. How does Ciafil Tablet 20 mg work?
It relaxes blood vessels and increases blood flow to specific areas, such as the penis for ED, the prostate and bladder for BPH, or the lungs for PAH.
3. What is Ciafil Tablet 20 mg commonly known as?
It is most commonly known by its brand name, Cialis, though generic versions are widely available.
4. What conditions does Ciafil Tablet 20 mg treat?
Ciafil Tablet 20 mg is used for:
- Erectile dysfunction (ED)
- Benign prostatic hyperplasia (BPH)
- Pulmonary arterial hypertension (PAH, under the brand Adcirca)
5. Is Ciafil Tablet 20 mg safe for everyone?
No, it’s not safe for people with certain conditions (e.g., severe heart disease) or those on nitrates. A doctor’s evaluation is necessary.
6. How long does Ciafil Tablet 20 mg take to work?
For ED, it typically takes 30 minutes to 2 hours to start working, depending on the individual and food intake.
7. How long does Ciafil Tablet 20 mg last?
Its effects can last up to 36 hours, earning it the nickname “the weekend pill.”
8. Can women take Ciafil Tablet 20 mg?
It’s not approved for women with sexual dysfunction but may be used off-label for PAH. Women should consult a doctor.
9. What is the typical dosage for ED?
The typical dose is 10 mg taken as needed before sexual activity, adjustable to 5 mg or 20 mg based on response.
10. Can I take Ciafil Tablet 20 mg every day?
Yes, a lower dose (2.5 mg or 5 mg) can be taken daily for ED or BPH, unlike the as-needed higher doses.
11. Does food affect Ciafil Tablet 20 mg?
Unlike Sildenafil, Ciafil Tablet 20 mg’s effectiveness is not significantly affected by food, including high-fat meals.
12. Can I drink alcohol with Ciafil Tablet 20 mg?
Moderate alcohol is usually fine, but excessive drinking may reduce its effectiveness or worsen ED.
13. What are common side effects of Ciafil Tablet 20 mg?
Common side effects include:
- Headache
- Back pain
- Muscle aches
- Flushing
- Indigestion
14. Are there serious side effects?
Rare but serious side effects include:
- Prolonged erection (priapism)
- Sudden vision loss
- Sudden hearing loss
- Chest pain
15. What is priapism?
Priapism is an erection lasting over 4 hours, which can cause permanent damage if untreated. It’s a medical emergency.
16. Can Ciafil Tablet 20 mg cause vision changes?
Yes, some experience temporary blurred vision or color changes, though sudden vision loss is rare.
17. Is Ciafil Tablet 20 mg addictive?
No, it’s not physically addictive, though psychological dependence for confidence may develop.
18. Can I buy Ciafil Tablet 20 mg without a prescription?
In most countries, it requires a prescription. Over-the-counter options are not widely available.
19. Is generic Ciafil Tablet 20 mg as effective as Cialis?
Yes, generic Ciafil Tablet 20 mg is equally effective as Cialis when produced by reputable manufacturers.
20. How should I store Ciafil Tablet 20 mg?
Store it at room temperature (15-30°C or 59-86°F), away from moisture and heat.
21. Can I split Ciafil Tablet 20 mg tablets?
Only if advised by a doctor and the tablet isn’t film-coated or scored. Consult a pharmacist.
22. What happens if I overdose on Ciafil Tablet 20 mg?
An overdose may cause severe side effects like low blood pressure or priapism. Seek emergency care.
23. Can I take Ciafil Tablet 20 mg with nitrates?
No, combining Ciafil Tablet 20 mg with nitrates (e.g., nitroglycerin) can cause a dangerous drop in blood pressure.
24. Does Ciafil Tablet 20 mg increase sexual desire?
No, it doesn’t boost libido. It only aids erections with sexual stimulation.
25. Who should not take Ciafil Tablet 20 mg?
People who should avoid it include:
- Those on nitrates
- Those with severe heart or liver disease
- Those with certain eye conditions (e.g., retinitis pigmentosa)
26. Can Ciafil Tablet 20 mg treat premature ejaculation?
It’s not designed for this, but it may indirectly help by improving erection duration and confidence.
27. Is Ciafil Tablet 20 mg safe for older adults?
Yes, but older adults may need a lower dose due to slower metabolism. A doctor’s guidance is key.
28. Can I take Ciafil Tablet 20 mg with other ED drugs?
No, combining it with other PDE5 inhibitors (e.g., Sildenafil, Vardenafil) is unsafe.
29. Does Ciafil Tablet 20 mg affect fertility?
No evidence shows it impacts sperm count or fertility.
30. Can I take Ciafil Tablet 20 mg if I have diabetes?
Yes, it’s often safe for diabetics with ED, but consult a doctor to assess your condition.
31. What’s the difference between Ciafil Tablet 20 mg and Sildenafil?
Ciafil Tablet 20 mg lasts up to 36 hours, while Sildenafil lasts 4-6 hours. Ciafil Tablet 20 mg can also be taken daily.
32. Can Ciafil Tablet 20 mg cause heart problems?
It’s safe for healthy hearts but may strain the heart during sex if you have pre-existing heart issues.
33. How was Ciafil Tablet 20 mg discovered?
It was developed by Eli Lilly and ICOS as a longer-lasting alternative to Sildenafil for ED.
34. Is Ciafil Tablet 20 mg approved by the FDA?
Yes, it was approved by the FDA in 2003 for ED and later for BPH and PAH (as Adcirca).
35. What’s Adcirca?
Adcirca is a brand of Ciafil Tablet 20 mg used to treat PAH, typically in a 40 mg daily dose.
36. Can Ciafil Tablet 20 mg be used recreationally?
It’s not advised for those without ED, as it won’t enhance normal function and carries risks.
37. Does Ciafil Tablet 20 mg expire?
Yes, check the expiration date. Expired Ciafil Tablet 20 mg may lose potency or safety.
38. Can I take Ciafil Tablet 20 mg with blood pressure medication?
Some are safe, but avoid it with alpha-blockers or nitrates unless a doctor approves.
39. Does Ciafil Tablet 20 mg affect sleep?
It doesn’t directly affect sleep, though side effects like back pain might interfere.
40. Can Ciafil Tablet 20 mg be taken long-term?
Yes, it’s safe for long-term use (daily or as needed) if prescribed and monitored.
41. What’s the maximum dose of Ciafil Tablet 20 mg?
For ED, the maximum is 20 mg as needed. For daily use, it’s 5 mg. Higher doses increase risks.
42. Can Ciafil Tablet 20 mg cause allergic reactions?
Rarely, it may cause rash, itching, or swelling. Seek help if this happens.
43. Is Ciafil Tablet 20 mg safe during pregnancy?
It’s not typically used in pregnant women unless for PAH, and only under medical supervision.
44. Can I drive after taking Ciafil Tablet 20 mg?
Yes, unless you feel dizzy or experience vision changes, in which case avoid driving.
45. Does Ciafil Tablet 20 mg interact with grapefruit?
Yes, grapefruit may increase Ciafil Tablet 20 mg levels, potentially raising side effect risks.
46. Can teenagers take Ciafil Tablet 20 mg?
It’s not approved for those under 18 unless for PAH in rare cases.
47. What’s the cost of Ciafil Tablet 20 mg?
Generic Ciafil Tablet 20 mg ranges from $1 to $15 per pill, depending on dose and location, cheaper than Cialis.
48. Can Ciafil Tablet 20 mg be crushed?
It’s not recommended unless your doctor or pharmacist confirms it’s safe for your tablet.
49. Does Ciafil Tablet 20 mg work without stimulation?
No, sexual arousal is required—it doesn’t cause spontaneous erections.
