Drug name:
 
Brand Cialis (Tadalafil). Manufacturer: Eli Lilly.
 
Usage indications:
 
Cialis is indicated for the treatment of erectile dysfunction (male impotence), and is one of the most widely discussed ED drugs that have appeared on the market in the past 15 years. It is effective, even where erection problems arose many years ago and worsened over time. The drug works well and changes the sex life of men for the better.
 
Advantages of Cialis:
 
Among other ED drugs that are currently available for the treatment of sexual difficulties, Cialis was not the first to appear. However, it stands out against the background of other drugs due to just one and a very important advantage:
 
•    The drug remains active for 36 hours, and sometimes longer.
 
Probably, you already heard something about "The Weekend Pill”? In fact, this is the second name for Cialis. You can take one tablet on Friday, in the late afternoon, and be ready to have sex this evening and at any time throughout the next day and night.
 
If we talk about the effectiveness of treatment, Cialis is no different from other ED drugs, at least for most men. Brand Cialis and its analogues:
 
•    Begin working in 30-60 minutes after the administration;
•    Cause an erection after sexual stimulation;
•    Have a low risk of side effects.
 
Mode of administration:
 
If you want to buy Cialis For the first time, choose the 20 mg pills. This is the most popular dosage for men, who want to improve their erection.
 
•    One 20mg tablet is taken 30-60 minutes before the alleged sex;
•    The tablet should be taken with water so that it does not get stuck in the throat and dissolves faster;
•    Within 24 hours, men should not take more than one dose.
 
Weight and age of men do not provide a significant impact on how the drug works. Start treatment with a dose of 20 mg, and you will see how effective it can be.
 
Everyday intake:
 
You can take one 20 mg tablet per day, if you have the mood for love. Thanks to the long-lasting action of Cialis, you can be spontaneous without having to plan sex in advance.
 
If you are using Cialis every day, make sure that the dosing takes place at a 24-hour or longer interval.
 
Drug class and mechanism of action:
 
People call Cialis "The Weekend Pill", while Viagra is known as "The Little Blue Pill". These drugs belong to the same group of drugs. Their medical name is rather boring - PDE5 inhibitors. Magic in a pill? No, just chemistry.
 
"Inhibition" means that the active substance Tadalafil slows down the action of the PDE5 enzyme. This triggers a complex chain of biochemical reactions, the result of which is an erection.
 
In simple words, when the cause of erection issues is poor blood flow, you need to open the arteries to solve it.
 
Cialis reverses the erectile dysfunction, facilitating blood flow into the cavernous bodies of the penis. This allows the penis to remain firm and erect, until the climax of sex.
 
Missed dose:
 
Cialis is usually used as needed. However, there are men who have sex regularly and use Cialis often.
 
When you use Cialis 20 mg pills on a daily basis, your doses should ideally be evenly distributed throughout the week. You will not feel sick when you miss a dose of your ED drug.
 
There is nothing wrong with taking another pill a few hours after the usual dosing time. As mentioned above, Cialis works for 36 hours.
 
If too much time has passed after the normal dosing time, take Cialis 20 mg as soon as possible. You can expect a hard erection to occur within 30-60 minutes.
 
Storage:
 
No special storage conditions are required. Keep the product in its original packaging out of the reach of children and pets. The recommended storage temperature: 15°C - 30°C (59°F - 86°F).
 
Do not throw away Cialis or any other medicines through wastewater or with household waste, and ask your pharmacist how to get rid of unwanted pills. This can help protect the environment.


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Warnings/precautions:
 
If you are taking other Tadalafil-containing tablets, you should not use Cialis. If you use other medications to improve your erection, such as Viagra, you are not recommended to take Cialis in addition to them.
 
Almost all men with ED can begin pharmacological treatment. In very few of them, the use of Cialis 20 mg tablets should be cautious, contraindicated, or should be delayed.
 
Before starting the treatment, you should consult with your health care provider, if one of the following situations applies to you:
 
•    Leukemia
•    Penile curvature
•    High blood pressure
•    Any heart problems
•    Recent myocardial infarction
•    Recent stroke
•    Stomach ulcer
•    Gastrointestinal bleeding
•    Kidney or liver disease
•    Vision problems
 
Do not start treatment if you are hypersensitive (have an allergic reaction) to:
 
•    Active element of Tadalafil
•    Inert substances, which pills contain
 
To avoid drug interactions, tell the pharmacist about all drugs, vitamins, herbal supplements or natural products you bought at a pharmacy or healthy food store.
 
Never use Cialis in conjunction with:
 
•    Antihypertensive agents - drugs used to lower blood pressure;
•    Nitrates - medications used to treat angina (chest pain) or other heart conditions.
 
Tadalafil enhances the effect of these drugs. Possible interaction effects are poor health and fainting.
 
NOTE. This is not a complete list. Other drugs may also cause interactions. You can get more information about these by reading the appropriate section in the package insert.

Possible side effects:
 
The advantages of brand Cialis outweigh its well-known risks, such as headache, dry mouth, dizziness, tinnitus, feeling of intense heat, muscle weakness and upset stomach.
 
Features:
 
•    Tadalafil causes dyspepsia (indigestion) more often than other PDE5;
•    Tadalafil causes flushing less often than other PDE5 (except Avanafil).
 
Other information:
 
During therapy, be careful with the consumption of alcohol-containing drinks. Brand Cialis does not enhance the hypotensive effect of small doses of alcohol. However, the consumption of alcohol before sex can create difficulties in achieving and maintaining an erection.