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Cialis (Tadalafil) for BPH Brand name: Cialis Dose: Typically 5 mg daily FDA-approved for both erectile dysfunction and BPH How it works: Relaxes muscle in the prostate and bladder, improving urine flow Efficacy: Improves International Prostate Symptom Score (IPSS) by ~45 points vs placebo Subjectively improves feeling of obstruction, minimal quantitative improvement objectively Onset may be slower than alpha-blockers but benefits both urinary symptoms and sexual function Side Effects: Headache Back pain Indigestion Rare: visual changes, priapism (prolonged erection) Note: Cialis is often ideal for men with both BPH and ED

Can older adults use it

Supporting Advocacy Efforts Patients who have benefited from these therapies are left searching for alternatives or turning to advocacy efforts to reverse the ban

doi: 10.1016/j.ejps.2024.106879

Instead, they may be evaluated together when designing regenerative peptide protocols that address multiple recovery pathways