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Cialis sales in India: What are the trends and the rules?

Cialis sales have been steadily increasing since its introduction in 1998. Since its introduction, Cialis has been gaining popularity and popularity worldwide. It is a brand-name version of the popular generic tadalafil. It is a drug designed to treat erectile dysfunction (ED), which is the inability to achieve or maintain an erection sufficient for sexual intercourse. Cialis is available in various dosages, including 25mg, 50mg, 100mg, and 200mg. The average daily dosage of Cialis is approximately 20mg, which is significantly lower than that of Viagra (25mg). However, it is worth noting that the daily dosage of Cialis is still lower than that of Viagra and other erectile dysfunction drugs, which is why it is still considered the most effective medicine for ED. In addition, it has a longer half-life of 36 hours compared to other erectile dysfunction medications. This may increase the risk of side effects and ensure that Cialis is safe and effective. Another important factor that may influence the overall Cialis sales is the fact that it is available in multiple dosages, such as 25mg, 50mg, and 100mg. However, it is crucial to note that the daily dosage of Cialis is still much higher than the recommended dosages. Therefore, the overall Cialis sales in India are likely to be significantly higher than those in other countries.

VIDEO

According to the National Association of Boards of Pharmacy (NABP), Cialis sales are increasing in India by nearly 20% during the forecast period. This is due to the increasing prevalence of erectile dysfunction (ED). According to a study conducted by the Indian Pharmaceutical Research Institute (IPRI), the average daily dosage of Cialis for males aged 20 to 65 years is around 20mg. This means that approximately 1/5 of the adult males are affected by ED.

However, the figures for the Indian population are not high. According to the World Health Organization (WHO), the global prevalence of ED is estimated at about 2.4% according to the WHO. This high incidence is mainly due to the presence of many health conditions such as diabetes, hypertension, and obesity. However, it is essential to note that the prevalence of ED also increases with age. The highest prevalence among males aged 40-70 years is found in the age group of 40 to 60 years. According to the World Health Organization (WHO), the global prevalence of ED is estimated to be 2.3% in males aged 20 to 64 years, which is higher than other regions like India. The higher prevalence of ED in the younger age groups can be due to the fact that the majority of the ED cases in India are from the males aged between 40 and 70 years.

Cialis sales are also increasing in the US. According to the American Diabetes Association, the annual sales of Cialis are estimated to be approximately $5.1 billion in the US, with annual growth of approximately $3.8 billion. According to the World Health Organization, the global prevalence of ED is estimated to be around 1.9% in males aged 40 to 70 years. This high prevalence can be attributed to the high prevalence of erectile dysfunction in this population. Furthermore, the fact that the US is the only country that is currently experiencing a significant increase in Cialis sales indicates that the drug is still being marketed and approved by the FDA. The market in the US is also growing, and the presence of various drugs such as Cialis has contributed to the growth of the market.

Factors affecting Cialis sales

The overall Cialis sales in India are estimated to be up to around 40% over the forecast period. According to the WHO, the global prevalence of ED is estimated at about 3.5% in males aged 40-70 years. This high prevalence can be attributed to the fact that the majority of the ED cases in India are from the males aged between 40 and 70 years. Furthermore, the fact that the US is the only region that is experiencing a significant increase in Cialis sales indicates that the drug is still being marketed and approved by the FDA. The global prevalence of ED is estimated to be 2.4% in males aged 20 to 64 years. This high prevalence can be due to the presence of various health conditions such as diabetes, hypertension, and obesity. The US is the leading market for Cialis. According to the World Health Organization, the global prevalence of ED is estimated to be around 1.7% in males aged 40 to 70 years.

Last updated 4 June 2024

Cautions

Do not take Cialis if you are taking nitrates for chest pain, have taken a nitrate for angina, or have taken riociguat.

Do not take Cialis if you are taking riociguat or nitrates for angina. Do not take riociguat or nitrates within 14 days of each other. Do not take medicines called alpha blockers (used to treat high blood pressure) or angiotensin II receptor blockers (used to treat angina, high blood pressure, or heart failure).

If you are taking medicines called alpha blockers (used to treat high blood pressure), talk to your doctor before taking this combination.

Before taking Cialis, tell your doctor if you have taken any of the following:

  • liver or kidney disease;
  • heart failure or other heart disease;
  • some type of high blood pressure;
  • some types of high cholesterol; or
  • some types of prostate cancer. Your doctor will check your blood pressure and kidney function before and during treatment.

Tell your doctor if you have not taken a medicine for high blood pressure within the past 14 days.

Talk to your doctor about the best way to treat your high blood pressure, including the use of Cialis.

Your doctor will tell you how much of this combination to take, and your body will be able to process the information.

Cialis may cause dizziness - see

If you have been told by your doctor that you have or have a medical condition that is making you dizzy, get medical help right away. This is not a complete list of possible side effects. Be careful, and call your doctor if your symptoms get worse while you are taking Cialis.

Cialis and blood pressure

Cialis and blood pressure are both medicines used to treat high blood pressure. It works in the same way as nitrates by relaxing the muscles in the arteries that carry blood to the heart. It helps the blood vessels that supply blood to the penis to relax. Cialis and blood pressure are used to treat angina and heart failure. If you have heart problems, angina is the narrowing of the arteries that carry blood to the heart. High blood pressure is the combination of both conditions. High blood pressure is caused by an individual's body's response to certain natural substances (proteins) in the blood, and is usually not due to something more serious.

Cialis is a non-prescription drug that works by relaxing the muscles in your blood vessels. High blood pressure is usually caused by a specific cause. Most people who have high blood pressure can use Cialis in combination with other blood pressure treatments. Your doctor will check your blood pressure and other symptoms before and during treatment.

Cialis may be taken with or without food.

The maximum dose of Cialis for blood pressure is 100mg per day, taken for people with high blood pressure. It is available only by prescription.

Cialis may cause side effects such as dizziness, lightheadedness, fainting, stomach upset, and headache. These side effects are usually mild and temporary. If you experience a side effect, stop taking Cialis and seek medical attention right away.

Cialis and blood pressure medicines may interact with each other and cause unwanted side effects. Be sure to tell your doctor and pharmacist about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Do not take Cialis or blood pressure medicines more often than every 4 hours or your doctor may need to adjust your dose.

Cialis and blood pressure medicines may be used to treat other medical conditions and to lower high blood pressure. Some medicines may affect how Cialis works or increase the risk of side effects. Check your blood pressure regularly and talk to your doctor about the risks and benefits if you take any medicines called nitrates (medicines used to treat angina).

Cialis and blood pressure medicines may be used to treat HIV infection, the virus that causes AIDS. If you have HIV and have high blood pressure, you may be prescribed Cialis to treat the condition.

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.
A final combination will usually not lower blood pressure to the recommended range but may reduce or delay fatal side effects. Always consult your healthcare provider before starting or stopping any blood pressure medication or complementary products.

C.

Cialis (tadalafil) can interact with certain foods and beverages, soijuana. While not a direct interaction, taking grapefruit juice with these foods may worsen side effects like headaches or increase heart rate in sensitive individuals. If you find that this interaction isn't having you seek medical help, consult your healthcare provider.

5.Caffeine, Man-made Substance: Cialis can increase the levels of Cialis in your blood by interfering with its metabolism. Though this may be less potent in man-made compared to inactive states, the medication's blood-pressure-lowering effects can still be cause for concern. Avoid consuming high-fibers of Cialis.

6.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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