Cialis (Tadalafil)

Cialis

Cialis Application:

ED, Erectile Dysfunction, Erection, Impotence

Cialis Generic names:

Tadalafil, generic cialis

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According to My Canadian Pharmacy, almost 150 million men have some problems with erectile and reproductive functions. Nowadays specialists prescribe medications devoted to bringing it into compliance. As a result, one of the best means was developed – Cialis. This is the very ED drug that is able to improve this function. Additionally, this means invention gives the chance to revive sexual life as fast as possible becoming sexually healthier.Cialis for ED with up to 36 Hours Effect

Indications for Use

Cialis is prescribed for erectile dysfunction treatment. There are cases when Cialis has been effective in benign prostatic hyperplasia. In general, this drug main component – Tadalafil has the same principle of action – it improves and magnifies blood flow to penile muscles. As a result, erection is observed sufficient to carry out sexual intercourse as well as to get pleasure from all the process.

Dosing and Administration

Cialis from Canadian pharmacy is admitted for oral administration.

  1. Patients with permanent sexual life: recommended daily dosage is: 5 mg once a day irrespective of meals intake. The daily dose can be decreased up to 2.5 mg if there is some predisposition to hypersensitivity.
  2. Patients with impermanent sexual life: prescribed dose is 20 mg, immense before sexual intercourse in accordance with the instructions given in the annual or doctor. The maximum daily dose is 20 mg.

Overdose

With a single tadalafil dose up to 500 mg, healthy individuals and patients observed no the negative reactions but the same as in the case of Cialis in lower doses. In case of an overdose, standard symptomatic treatment should be carried out. In case of hemodialysis, Tadalafil is practically not excreted.Cialis Online

Side Effects

Adverse events, related to Tadalafil application used for ED treatment, are usually not severe, but transient and disappeared when Cialis is taken in a constant course.

Table: Cialis Side Effects

Organism Systems Very Often (>10%) Often (>1%) Not Often (>0,1) Rare (>0,01) Unknown
Cardiovascular System
  • rapid heartbeat;
  • tachycardia;
  • hypertension;
  • hypotension.
myocardial infarction unstable angina
Nervous System headache
  • faint;
  • migraine;
  • transient ischaemic attacks;
  • blood stroke.
Visual Organs System visual perception turbidity sight disturbance
  • non-arterial anterior ischemic optic neuropathy;
  • retinal vein occlusion.
Respiratory System nasal bleeding
Digestive Tract System stomach ache gastroesophageal reflux
Skin System
  • itch;
  • urticarial fever;
  • excessive sweating.
Stevens–Johnson syndrome;

exfoliative dermatitis.

General Violations chest pain face edema sudden cardiac arrest
Immune System hypersensitivity
Reproductive System long-lasting erection priapism (erection lasting for more than 4 hours)

Contraindications

There is the list of Cialis contraindications which should be considered when a person decides to carry out treatment for erectile dysfunction:

  • hypersensitivity to tadalafil or to any other drug component;
  • use in case you are under 18 years of age;
  • the presence of contraindications to sexual activity in patients with cardiovascular system disorders: prior myocardial infarction, unstable angina, chronic cardiac insufficiency II-IV classes according to NYHA classification, uncontrolled arrhythmia, arterial hypotension ( BP less than 90/50 mm Hg), uncontrolled hypertension, ischemic stroke;
  • loss of vision due to non-arterial anterior ischemic optic nerve neuropathy;
  • simultaneous reception of doxazosin, as well as drugs for erectile dysfunction treatment;
  • use in patients with chronic renal failure (creatinine clearance less than 30 ml/min);
  • deficiency of lactose, lactose intolerance, glucose-galactose malabsorption.

Drug Interactions

Generic Cialis (Tadalafil) is mainly metabolized by the enzyme CYP3A4. Ketoconazole (a selective inhibitor of CYP3A4) magnifies AUC by 107% when rifampicin decreases it by 88%.

Although some interactions have not been examined, protease inhibitors such as ritonavir and saquinavir, as well as erythromycin and itraconazole, are possible to magnify activity of tadalafil.

In case of one and the same time antacid administration (magnesium hydroxide/aluminum hydroxide) in addition to tadalafil, the rate of its absorption decreases without changing its AUC.

Tadalafil improves nitrates’ hypotensive effect. It happens because of the additive reaction of nitrates and tadalafil on nitric oxide and cGMP metabolism. Therefore, tadalafil use in patients receiving nitrates is contraindicated.

Why Is Cialis So Unique?

Cialis for EDWhat is the major Cialis uniqueness? As to speak about its uniqueness, Cialis pills perform its effect for 36 hours! It is proved to be the most long-lasting effect of well-known ED drugs.

Nowadays, it has successfully passed six dozen tests for proving its effectiveness and safety. In these tests, Cialis was utilized by more than 4 000 men having this or that sexual problems. Men taking part in these trials were of different age groups. It means that men of different ages feel how Cialis from My Canadian Pharmacy may influence sexual function. According to these clinical trials, more than 80 % of men felt a positive effect.

Cialis maximum dosage is 20 mg. One Cialis pill will ensure men with a long-lasting erection in case of sexual stimulation. As a result, the great advantage of Cialis is that you may take a pill in the morning but the effect will be observed in the evening.

Can I Take Cialis without Doctor’s Permission and Where to Buy it Online?

To cut a long story short, if you do not have any contraindications to Cialis application, then you are not prohibited to take Cialis without visiting a doctor who is able to give you a prescription. But it is better to get a consultation from a doctor to avoid any possible ramifications.

You may not predispose what kind of health problems you may have because there are cases of unsymptomatic disorders. Never combine Cialis with drugs of the same effect. And if you take at least some medications, then be sure to consult your doctor also. Since Cialis may have influence on their effectiveness and vice versa.

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According to Cialis reviews, this ED drug provides almost 100-% effectiveness in all men without exception.

Alternative Application

The European Commission has given permission to apply Cialis for treatment of benign prostatic hyperplasia – prostate adenoma. For the first sight, Cialis from an online pharmacy or conventional drugstore was approved by European regulators in 2002 for erectile dysfunction treatment.

As a result, Cialis became the only drug effective in men suffering from either erectile dysfunction or prostate adenoma, the combination of these disorders as well. Therefore, the approval of a single drug for both indications represents a new successful treatment option for patients. It means that more and more men have a chance to get rid of both disorders of the male reproductive system.