“Black” is not a variation of tadalafil.
It is a marketing tool that makes the generic drug appear more desirable to the customer. It also makes one think that an ordinary dosage of Cialis is not sufficient for him. Cialis Black is not an officially released product, and there is no such thing as a high dose from the company that produces the brand-name drug.
Cialis is a standard, and Cialis Black is the collection of illicit products with doses higher than the ones offered by the manufacturer.
This is the only difference; everything else is built upon it.
What the standard Cialis contains
Cialis contains an active ingredient tadalafil, a PDE5 inhibitor used to treat erectile dysfunction. It is crucial to understand that the drug merely helps the natural mechanism that occurs when a man is aroused.
It does not induce an erection and feelings of sexuality, but rather supports the natural process. If the evening is stressful or there was too much alcohol, the drug will not necessarily help.
The standard Cialis is available in 2.5, 5, 10, and 20 mg. The lowest two dosages are designed for daily use, which allows sex at any time. Men with benign prostatic hyperplasia also benefit from 5 mg per day.
For an as-needed basis, a dose of 10 mg is appropriate, although the doctor may suggest 5, 10, or 20 mg, depending on the individual case. Twenty mg is the highest dose allowed for occasional use.
The reason Cialis is so popular among men is that its effect may last up to 36 hours.
It does not mean that the penis will stay erect for two days, but rather that there is a longer period when an erection can be easily induced.
What the dosage of Cialis Black says
Cialis Black is usually claimed to contain 40 or 80 mg of tadalafil per dose, although other strengths can be found since there is no officially released medication, and different manufacturers sell various products under this label.
An 80 mg dosage is tempting, as it is four times higher than the maximum dose of standard Cialis. It is also reasonable to wonder if 20 mg is not enough for some men. However, the truth is that taking more than is necessary seldom brings additional benefits.
While a higher dosage may slightly improve the quality of an erection, it also causes more severe side effects. Headaches, hot flashes, and indigestion are much more prominent, and muscle pain, back pain, nasal congestion, and dizziness can already be considered dangerous at high doses. In addition, tadalafil has an extremely long half-life, and there is no way to get rid of its effects before they subside on their own. If the high dosage of Cialis Black was unsuccessful, the next time it will be even worse. Furthermore, it is unknown if the printed strength is correct, because there is no official Cialis Black.
Unofficial products can contain less, more, or completely different amounts of the active substance.
Why the dose of standard Cialis was not enough
It is vital to remember that one failed attempt does not mean that the drug is ineffective. Perhaps, the dose was taken too late or there was not enough stimulation. Alcohol consumption can also have a negative impact, as well as stress and anxiety. Sometimes, the underlying cause of erectile dysfunction is physical, for example, diabetes, vascular disease, radiation or prostate surgery, or another condition. In such cases, a higher dose of Cialis won’t help.
However, if none of these factors influenced the situation, it is time to consult a doctor and discuss other options, such as increasing the dose or switching to another PDE5 inhibitor. In some cases, the cause of ED may be determined by the doctor, after which Cialis will no longer be necessary.
A high-dose product in this case will only limit the options since the patient will not know for sure what exactly influences his sexual response.
The interaction that should be avoided at all costs
It is essential to know that no matter what kind of drug is used, tadalafil-containing medications must not be combined with nitrates.
Nitroglycerin, isosorbide, and certain recreational drugs such as poppers contain nitrates. Mixing tadalafil and nitrates leads to a significant drop in blood pressure, which can cause fainting, stroke, or a heart attack.
Due to the prolonged effect of tadalafil, sexual activity with nitrate drugs should be avoided for at least two days after taking Cialis. If an erection follows soon after sex and the chest pain begins, it is necessary to stop all activity and call an ambulance. It is critical to inform healthcare providers about the use of tadalafil, since nitroglycerin should not be used with this medication without consulting a doctor. Riociguat is another drug that should not be combined with tadalafil.
Alpha blockers, especially when used with other blood pressure medications, are not recommended due to orthostatic hypotension. Some antifungal drugs, antibiotics, HIV protease inhibitors, and other medications increase the likelihood of side effects by inhibiting the enzyme that breaks down tadalafil. A persistent erection or prolonged intercourse with Cialis requires immediate medical attention, so does sudden vision or hearing loss.
Is Cialis Black worth trying?
It is easy to see why Cialis Black is so desirable. Erectile dysfunction is a stressful condition for many men, and it reassures them to know that an even higher dose is available. However, the truth is that the “Black” series is a marketing trick to sell more medication. The higher number written on the package cannot guarantee that the dose is suitable for the patient and that the preparation is safe. At the same time, standard Cialis and generic tadalafil allow the user to choose an appropriate and reliable dose. If it is not high enough, other medicines can be explored without risking health.
