Generic Cialis (Tadalafil)
Cialis

Cialis is most commonly used to treat erectile dysfunction and impotence.  Sometimes it is also prescribed for enlarged prostate.
Tadalafil is the active ingredient in Cialis. It improves blood flow to the penis, which helps achieve an erection for sexual activity. Taking the drug (as needed before sex or every day) depends on your doctor's prescription.  If you take Cialis as needed, the effects can last up to 36 hours.

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Product Description

Common use
Cialis is an effective, reversible, selective phosphodiesterase type 5 (PDE 5) inhibitor specific for cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis results in increased levels of cGMP in the cavernous body of the penis. This leads to relaxation of arterial smooth muscles and blood flow to the tissues of the penis, causing an erection.
Cialis has no effect in the absence of sexual stimulation. Cialis improves erections and allows you to achieve successful intercourse.

Dosage and Direction
The recommended dose of Cialis is 20 mg and should be taken at least 16 minutes before intercourse. The effect lasts for 36 hours.
Do not take Cialis more than once a day.

Precautions
Do not take Cialis with grapefruit juice or alcoholic beverages.
If you take Cialis and smoke tobacco at the same time, it may cause a condition called NAION (sudden loss of vision related to the optic nerve).
Tell your doctor before taking Cialis if you have heart attack or heart failure, coronary heart disease, arrhythmia, angina pectoris, abnormal penis including curved penis and congenital penile defects, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess lipids in the blood), sickle cell anemia, history of liver or kidney failure.

Contraindications
Do not take Cialis if you regularly and/or intermittently take organic nitrates in any form, as Cialis may increase the hypotensive effect of nitrates.

Possible side effects
The most common side effects of Cialis are: headache, upset stomach, diarrhea, nausea, facial hyperemia (redness), flu-like symptoms.
Rarer side effects: blurred vision and altered color perception, decreased blood pressure, abnormal ejaculation.
Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If an erection lasts more than 4 hours, seek medical attention immediately, as this can cause permanent damage to the penis.
Worsening heart problems are known to occur in patients with pre-existing heart disease who are taking Cialis.
If you notice any side effects not listed above, talk to your doctor or pharmacist.

Drug interactions
Combined use with drugs containing organic nitrates may cause severe hypotension, which is dangerous in some cases. Avoid taking Cialis with drugs such as erythritol tetranitrate, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, pentaerythritol tetranitrate. Cialis levels and toxicity are increased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan), and ritonavir (Norvir). Tell your doctor if you are taking atazanavir, bunazosin, clarithromycin, doxazosin, erythromycin, indinavir, itraconazole, ketoconazole, moxisil, nefazodone, nelfinavir, phenoxybenzamine, phentolamine, prazosin, saquinavir, telithromycin, terazosin, trimazosin, urapidil as you may need to adjust the Cialis dose.

Missed Dose.
Cialis is used as needed when taken to treat erectile dysfunction. Therefore, a missed dose is not allowed.

Overdose
Cialis overdose causes the symptoms described as side effects. Seek immediate emergency medical attention if you think you have consumed too high a dose of this drug. Do not exceed the recommended dose.

Storage
Store at room temperature in a tight container away from moisture, sunlight, children and pets.

Disclaimer
We provide only general information on medicines, which does not include all instructions for use, precautions, possible combinations with other medicines.
The information on this site should not be used for self-medication and self-diagnosis.
Any specific instructions for a particular patient should be coordinated with your medical advisor or treating physician.
We disclaim the reliability of this information and any errors it may contain.
We are not responsible for any direct, indirect, special, or other consequential damages resulting from the use of the information on this site, nor are we liable for the consequences of self-medication and self-diagnosis.