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Brand Cialis (Tadalafil)
Brand Cialis improves erection and lets achieve a successful sexual intercourse.
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5-9 days | 30$ | Tracking# available in 2 days |
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Common use
Brand Cialis was developed by the pharmaceutical company LILLY and
contains Tadalafil as its main component.
Cialis
is an effective, reversible, selective inhibitor of phosphodiesterase
type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When
sexual stimulation causes local release of nitric oxide, inhibition of
PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body
of penis. It results in relaxation of arterial smooth muscles and blood
flow to the tissues of the penis that causes erections. Cialis has no
effect when sexual stimulation is absent. Cialis improves erection and
lets achieve a successful sexual intercourse. The drug acts during 36
hours. If sexual arousal is present the effect appears even after 16
minutes after the medication was taken.
Dosage and direction
The
recommended dose of Cialis is 20 mg it should be taken at least 16
minutes before the sexual activity. The effect persists during 36 hours.
Take Cialis once daily and do not exceed the recommended dose.
Precautions
It
is preferable not to use Cialis with grapefruit juice, alcoholic
beverages, tobacco. If you smoke tobacco and take Cialis concomitantly
this may lead to a condition called NAION (sudden optic nerve-related
vision loss). Inform your doctor before to take Cialis if you have
abnormal penis, including curved penis and birth defects of the penis,
had coronary artery disease, arrhythmia, angina, heart attack or heart
failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes,
hyperlipidemia (excess of lipids in the blood), sickle-cell anemia,
liver or kidney failure in history.
Contraindications
Cialis
is contraindicated in patients who are using any form of organic
nitrate, either regularly and/ or intermittently as it is able to
potentiate hypotensive effect of nitrates.
Possible side effects
Most
usual side effects of Cialis are facial flushing (reddening),
headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In
more rare cases low blood pressure, blurred vision and changes in color
vision, and abnormal ejaculation may occur. Prolonged erections or
priapism (painful erections lasting more than 6 hours) are also
possible. If your erection is longer than 4 hours, seek for immediate
medical help as it may permanently damage your penis. Aggravation of
heart problems in patients with pre-existing heart disease using Cialis
was reported.
Drug interactions
Co-administration
with medications containing organic nitrates may cause severe
hypotension which is dangerous in some cases. Avoid taking Calis with
medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate,
Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate.
Levels and toxicity of Cialis are increased by erythromycin,
ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan)
and ritonavir (Norvir). Inform your doctor if you are taking Atazanavir,
Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir,
Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir,
Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin,
Terazosin, Trimazosin, Urapidil as your Cialis dose may require
correction.
Missed dose
Missed dose is not supposed if Cialis is
taken for treatment of erectile dysfunction as it s used when needed.
Overdose
Overdose
of Cialis causes symptoms described as side effects. Seek for immediate
medical help if you by your opinion you took too much of this
medication.
Storage
Store at room temperature away from moisture,
sunlight, kids and pets in a tight container.
Disclaimer
We
provide only general information about medications which does not cover
all directions, possible drug integrations, or precautions. Information
at the site cannot be used for self-treatment and self-diagnosis. Any
specific instructions for a particular patient should be agreed with
your health care adviser or doctor in charge of the case. We disclaim
reliability of this information and mistakes it could contain. We are
not responsible for any direct, indirect, special or other indirect
damage as a result of any use of the information on this site and also
for consequences of self-treatment.