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Common use

Cialis is a selective inhibitor of phosphodiesterase type 5 (PDE-5 inhibitor). The active substance of the drug is Tadalafil. When combined with sexual stimulation, Tadalafil increases cGMP levels in the cavernous body of the penis, relaxes arterial smooth muscles and increases the flow of blood to the penis, which results in a strong and stable erection. Cialis is not effective when used without sexual stimulation. The remedy improves the quality of erection and allows having a long sexual intercourse. Tadalafil is active up to 36 hours. With sexual stimulation, the drug starts acting in 15 minutes.

Dosage and direction

The recommended initial dose of Cialis is 20 mg, A tablet should be taken 15 minutes before intimacy. The effect lasts for about 36 hours. Do not take more than 1 tablet per day and do not exceed the recommended dose.

Precautions

Do not combine Cialis with grapefruit juice, alcohol-containing beverages, and tobacco. If you are a heavy smoker, taking the drug can lead to a sudden optic nerve-related vision loss. Take Cialis with caution and only after a doctor’s consultation if you have any penis abnormalities (such as a curved penis), a history of coronary artery disease, angina, heart attack, heart failure, arrhythmia, hypotension or hypertension, stomach ulcers, diabetes, hyperlipidemia, liver or kidney failure, sickle-cell anemia.

Contraindications

Cialis cannot be used by men who are currently treated with organic nitrates.

Side effects

Common side effects include reddening of the face, headaches, vomiting, diarrhea, nausea. Rare adverse reactions include low blood pressure, vision problems (blurred vision, changes in color perception), abnormal ejaculation. In very rare cases, patients reported priapism (painful erections lasting for 4 hours or longer). If your erection lasts more than 4 hours, seek for medical help immediately as it may have negative consequences for your penis. Some patients also reported aggravation of heart problems after taking Cialis (especially patients with a history of heart disease).

Drug interactions

Do not mix Cialis with organic nitrates as this interaction can cause severe hypotension, which can lead to serious consequences. Avoid using Erythrityl Tetranitrate, Isosorbide Dinitrate,  Nitroglycerin, Pentaerythritol Tetranitrate, Isosorbide Mononitrate. Levels and toxicity of Tadalafil can be enhanced by drugs based on erythromycin, ketoconazole, itraconazole, indinavir, and ritonavir. Before taking the tablets, be sure to tell your doctor if you are currently taking Atazanavir, Bunazosin, Indinavir, Clarithromycin, Doxazosin, Erythromycin, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, Urapidil as in these cases, you may need Tadalafil dose adjustment.

Missed dose

Cialis tablets are taken as needed to achieve a strong erection, so the tablets cannot be considered missed.

Overdose

Excessive doses of Tadalafil can intensify side effects. If you have taken a dose of the drug exceeding the recommended one, seek immediate medical help.

Storage

The drug is stored in a closed container at a room temperature, away from children, pets, moisture, and sunlight.

Disclaimer

This instruction contains only basic information about Cialis which does not cover all possible precautions. Do not use this information for self-treatment. Each patient is individual and can start using the tablets for impotence only after consulting a doctor. We disclaim the accuracy of this information. We bear no responsibility for any damage as a result of the use of this information and for consequences of self-diagnosis and self-medication.