INDICATIONS AND USAGE

You and your healthcare provider should consider this in deciding when you should take CIALIS before sexual activity.

Ingredient	Quantity Per Tablet	Function	Source
Tadalafil	20 mg	Main active component	Lilly Laboratories
Croscarmellose	1.5 mg	Disintegrant	Pharmaceutical Grade
Microcrystalline Cellulose	2 mg	Filling agent	Pharmaceutical Supplier
Magnesium Stearate	0.2 mg	Lubricant	Chemical Manufacturer

Some form of sexual stimulation is needed for an erection to happen with CIALIS.Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine,

• Eli Lilly developed Cialis in the early 2000s.
• Cialis 20mg doses should be taken approximately one hour before sexual activity.
• The medication helps increase the blood flow only during arousal.
• Cialis is not a cure but helps manage erectile dysfunction.
• It is important to confirm kidney and liver health before use.
• Cialis 20mg is sometimes used off-label for other conditions.
• Overuse of Cialis can lead to adverse effects.
• The medication should be kept out of reach of children.
• Cialis 20mg is often preferred for its long-lasting effects.
• The drug’s patent run out, making generics more available.
• Patients should report any allergic reactions to their doctor.
• Cialis can improve intimacy and confidence in men.

and on your health condition.ORCIALIS for once daily use:Do not take CIALIS more than one time each day.Take one CIALIS tablet every day at about the same time of day.

• Generic tadalafil is available in various strengths, including 10mg and 20mg.
• Cialis 20mg is marketed under the brand name Cialis by Lilly.
• The medication was one of the first PDE5 inhibitors approved for ED.
• Cialis can be prescribed for pulmonary arterial hypertension under different names.
• Users should avoid grapefruit juice while taking Cialis.
• Tadalafil’s half-life is approximately 17.5 hours.
• Cialis 20mg can be used by men of various age groups.
• It’s essential to seek medical advice before starting Cialis.
• The medication is not intended for recreational use.
• Plain Cialis tablets are usually diamond-shaped.
• Cialis 20mg may cause priapism, a prolonged erection.
• The efficacy of Cialis can vary based on individual health.

You may attempt sexual activity at any time between doses.If you miss a dose, you may take it when you remember but do not take

16.2 Storage

Physicians should also discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye, including whether such individuals could be adversely affected by use of vasodilators such as PDE5 inhibitors [see Clinical Studies (6.2)]. Therefore, physicians should inform patients that substantial consumption of alcohol (e.g., 5 units or greater) in combination with CIALIS can increase the potential for orthostatic signs and symptoms, including increase in heart rate, decrease in standing blood pressure, dizziness, and headache [see Warnings and Precautions (5.9), Drug Interactions (7.1), and Clinical Pharmacology (12.2)]. Counseling of patients about the protective measures necessary to guard against sexually transmitted diseases, including Human Immunodeficiency Virus (HIV) should be considered. CIALIS is available in two dosing regimens; therefore, physicians should instruct patients on the appropriate administration to allow optimal use. For CIALIS for use as needed, patients should be instructed to take one tablet at least 30 minutes before anticipated sexual activity.

Why Should I Pay More For the Same Results?

In most patients, the ability to have sexual intercourse is improved for up to 36 hours. For CIALIS for once daily use, patients should be instructed to take one tablet at approximately the same time every day without regard for the timing of sexual activity. PATIENT PACKAGE INSERT Patient InformationCIALIS®(See-AL-iss)(tadalafil) tabletsRead this important information before you start taking CIALIS and each time you get a refill. You may also find it helpful to share this information with your partner. This information does not take the place of talking with your healthcare provider. more than one dose per day.Some form of sexual stimulation is needed for an erection to happen with CIALIS.Your healthcare provider may change your dose

Product	Dosage	Quantity + Bonus	Price
Cialis Professional	40mg	120 + 4 Pills	436.68€ 415.89€	Buy
Cialis Generic	60mg	10 Pills	41.22€ 39.26€	Buy
Cialis Generic	5mg	30 + 4 Pills	53.56€ 51.01€	Buy
Cialis Generic	20mg	10 Pills	31.49€ 29.99€	Buy
Cialis Professional	40mg	20 Pills	110.24€ 104.99€	Buy
Cialis Generic	2.5mg	120 + 6 Pills	128.93€ 122.79€	Buy
Cialis Black	80mg	360 + 20 Pills	639.78€ 609.31€	Buy
Cialis Generic	40mg	270 + 10 Pills	382.19€ 363.99€	Buy
Cialis Original	20mg	12 Pills	78.32€ 74.59€	Buy
Cialis Generic	5mg	20 Pills	41.99€ 39.99€	Buy

of CIALIS depending on how you respond to the medicine, and on your health condition.What Should I Avoid While Taking CIALIS?Do not use other ED

Patient Group	Recommended Dosage	Timing	Comments
Erectile Dysfunction Patients	20 mg as needed	30 minutes before activity	Do not exceed once per day
Men on other medications	Consult doctor	Varies	Watch for drug interactions
Elderly Men	20 mg or lower	As directed	Adjust based on tolerability
Patients with liver issues	Lower dose advisable	Consult physician	Risk of accumulation

medicines or ED treatments while taking CIALIS.Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey).

17.6 Vision

CIALIS and other medicines may affect each other. Always check with your healthcare provider before starting or stopping any medicines. Especially tell your healthcare provider if you take any of the following:*medicines called nitrates (see “What Is The Most Important Information I Should Know About CIALIS?”)medicines called alpha blockers. Alpha blockers are sometimes prescribed for prostate problems or high blood pressure. If CIALIS is cialis online pharmacies taken with certain alpha blockers, your blood pressure could suddenly drop.

Will I need to take this drug long term?

You could get dizzy or faint.other medicines to treat high blood pressure (hypertension)medicines called HIV protease inhibitors, such as ritonavir (Norvir®, Kaletra®)ketoconazole (Nizoral®)itraconazole (Sporanox®)erythromycinother medicines or treatments for ED.CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take Revatio® with CIALIS.How Should I Take CIALIS?Take CIALIS exactly as your healthcare provider prescribes it. Your healthcare provider will prescribe the dose that is right for you.Some men can only take a low dose of CIALIS or may have to take it less often, because of medical conditions or medicines they take.Do not change your dose or the way you take CIALIS without talking to your healthcare provider. Your healthcare provider may lower or raise your dose, depending on how your body reacts to CIALIS and your health condition.CIALIS may be taken with or without meals.If you take too much CIALIS, call your healthcare provider or emergency room right away.There are two ways to take CIALIS:CIALIS for use as needed:Do not take CIALIS more than one time each day.Take one CIALIS tablet before you expect to have sexual activity. You may be able to have sexual activity at 30 minutes after taking CIALIS and up to 36 hours after taking it. Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.What Are The Possible Side Effects Of

8.5 Geriatric Use

A man who has trouble getting or keeping an erection should see his healthcare provider for help if the condition bothers him. CIALIS helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis decreases, and his erection goes away.Some form of sexual stimulation is needed for an erection to happen with CIALIS.CIALIS does not:cure EDincrease a man's sexual desireprotect a man or his partner from sexually transmitted diseases, including HIV. Speak to your healthcare provider about ways to guard against sexually transmitted diseases.serve as a male form of birth controlCIALIS is only for men over the age of 18 who have ED, including men with diabetes or who have undergone prostatectomyCIALIS is not for women or children.CIALIS must be used only under a healthcare provider's care.Who Should Not Take CIALIS?Do not take CIALIS if you:take any medicines called “nitrates”.use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. (See “What Is The Most Important Information I Should Know great britain drugs generic cialis About CIALIS?”)What Should I Tell My Healthcare Provider Before Taking CIALIS?CIALIS is not right for everyone.

How is tadalafil supplied (dosage forms)?

Only your healthcare provider and you can decide if CIALIS is right for you. Before taking CIALIS, tell your healthcare provider about all your medical problems, including if you:are allergic to CIALIS or ADCIRCA any of its ingredients. See the end of this leaflet for a complete list of ingredients in CIALIS.have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack. Ask your healthcare provider if it is safe for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems.have low blood pressure or have high blood pressure that is not controlledhave had a strokehave liver problemshave kidney problems or require dialysishave retinitis pigmentosa, a rare genetic (runs in families) eye diseasehave ever had severe vision loss, including a condition called NAIONhave stomach ulcershave a bleeding problemhave a deformed penis shape or Peyronie's diseasehave had an erection that lasted more than 4 hourshave blood cell problems such as sickle cell anemia, multiple myeloma, or leukemiaCan Other Medicines Affect CIALIS?Tell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. CIALIS?See “What Is The Most Important Information I Should Know About CIALIS?”The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose.

• Clinical trials demonstrated the efficacy and safety of tadalafil for ED.
• In studies, 20mg on-demand improved erectile function in ~80% of men.
• Placebo response rates were typically around 30-35%.
• The International Index of Erectile Function (IIEF) is a common assessment tool.
• For BPH, tadalafil 5mg daily significantly improved IPSS (symptom score) vs. placebo.
• Long-term studies support the safety of daily use for up to 4 years.
• Cardiovascular safety profile was established in large, controlled trials.
• Studies excluded men with unstable cardiovascular disease or recent cardiac events.
• No causal link to melanoma was found in large epidemiological studies.
• Post-marketing surveillance continues to monitor long-term safety.
• Efficacy is maintained in men with diabetes and after prostate surgery.

These side effects usually go away after a few hours.

Brand Name	Manufacturer	Price (per 20mg tablet)	Certification	Notes
Cialis	Lilly	$30	FDA, EMA	Original branded drug
Tadalafil Generic	Multiple	$8 - $15	ISO-certified	Cheaper alternative
Adcirca	Lilly	Prescription only	FDA	For pulmonary hypertension
Tadylof	Local pharma	$10 - $12	Local cert	Generic version

Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days.Call your healthcare provider if you get any side effect that bothers you or one that does not go away.Uncommon side effects include:An erection that won't go away (priapism).

1.1 Erectile Dysfunction

You and your healthcare provider should talk about CIALIS when you start taking it and at regular checkups. If you do not understand the information, or have questions, talk with your healthcare provider or pharmacist.What Is The Most Important Information I Should Know About CIALIS?CIALIS can cause cialis 10mg tablets price your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. You could get dizzy, faint, or have a heart attack or stroke.Do not take CIALIS if you take any medicines called “nitrates.” Nitrates are commonly used to treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm.Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate.

Alternatives for ED and BPH

Some recreational drugs called “poppers” also contain nitrates, such as amyl nitrite and butyl nitrite.Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates. (See “Who should not take CIALIS?”)Tell all of your healthcare providers that you take CIALIS. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took CIALIS.After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications (see “Can Other Medicines Affect CIALIS?”).Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.See also “What Are The Possible Side Effects Of CIALIS?”What Is CIALIS?CIALIS is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men.ED is a condition where the penis does not fill with enough blood to harden and expand when a man is sexually excited, or when he cannot keep an erection.