Cialis Professional: How It Works and What to Expect

Always check with your healthcare provider

Side effects

Patients should be counseled that the concomitant use of CIALIS with GC stimulators may cause blood pressure to drop to an unsafe level. Physicians should consider the potential cardiac risk of sexual activity in patients with preexisting cardiovascular disease. Physicians should advise patients who experience symptoms upon initiation of sexual activity to refrain from further sexual activity and seek immediate medical attention [see Warnings and Precautions (5.1)]. Physicians should discuss with patients the potential for CIALIS to augment the blood-pressure-lowering effect of alpha-blockers, and antihypertensive medications [see Warnings and Precautions (5.6), Drug Interactions (7.1), and Clinical Pharmacology (12.2)]. Physicians should discuss with patients the clinical implications of continuous exposure to tadalafil when prescribing CIALIS for once daily use, especially the potential for interactions with medications (e.g., nitrates, alpha-blockers, antihypertensives and potent inhibitors of cytochrome P450 3A4) and with substantial consumption of alcohol.

14.4 CIALIS 5 mg for Once Daily Use for ED and BPH

[see Dosage and Administration (2.7), Warnings and Precautions (5.6), Drug Interactions (7.1, 7.2), Clinical Pharmacology (12.2), and Clinical Studies (14.2)]. Physicians should advise patients who have an erection lasting greater than 4 hours, whether painful or not, to seek emergency medical attention. Physicians should advise patients to stop use of all PDE5 inhibitors, including CIALIS, and seek medical attention in the event of a sudden loss of vision in one or both eyes. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision, including possible permanent loss of vision, that has been reported rarely postmarketing in temporal association with the use of all PDE5 inhibitors. Physicians should discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye.

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Physicians should also discuss with patients the increased risk of NAION among the general population in patients with a "crowded" optic disc, although evidence is insufficient to support screening of prospective users of PDE5 inhibitors, including CIALIS, for this uncommon condition [see Warnings and Precautions (5.4) and Adverse Reactions (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. Physicians should instruct patients on the appropriate administration of CIALIS to allow optimal use. For CIALIS for use as needed in men with ED, patients should be instructed to take one tablet at least 30 minutes before anticipated sexual activity. before starting or stopping any medicines.

• PDE5 inhibitors are generally safe for men with stable cardiovascular disease.
• Cialis Professional contains the same molecule as regular tadalafil.
• The dosage and formulation may differ from standard tablets.
• Self-diagnosis and treatment for ED can be dangerous and ineffective.
• Legitimate services prioritize patient safety and follow legal protocols.
• Avoid pharmacies that send unsolicited emails or sell controlled substances.
• Check if your insurance has a preferred mail-order pharmacy partner.
• Take the pill with a full glass of water to aid swallowing.
• Do not use if you have severe renal impairment without dose adjustment.
• Alpha-blockers for prostate enlargement require careful timing of doses.
• Report any persistent or bothersome side effects at your next visit.

Especially tell your healthcare provider if you take

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	5mg	10 Pills	29.39€ 27.99€	Buy
Cialis Super Active	20mg	10 Pills	55.64€ 52.99€	Buy
Cialis Original	20mg	92 + 4 Pills	377.99€ 359.99€	Buy
Cialis Soft Tabs	20mg	270 + 10 Pills	471.40€ 448.95€	Buy
Cialis Original	20mg	48 + 4 Pills	224.69€ 213.99€	Buy
Cialis Generic	60mg	120 + 8 Pills	240.18€ 228.74€	Buy
Cialis Black	80mg	180 + 10 Pills	356.64€ 339.66€	Buy
Cialis Original	20mg	12 Pills	78.32€ 74.59€	Buy
Cialis Original	20mg	14 + 2 Pills	95.75€ 91.19€	Buy
Cialis Generic	5mg	270 + 10 Pills	205.81€ 196.01€	Buy
Cialis Original	20mg	64 + 4 Pills	274.18€ 261.12€	Buy
Cialis Super Active	20mg	20 + 4 Pills	92.35€ 87.95€	Buy
Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy
Cialis Generic	40mg	20 Pills	59.47€ 56.64€	Buy

any of the following*: medicines called nitrates (see

• Dosage instructions for Cialis Professional should be followed exactly.
• Generally, a single pill per day is the recommended dosage.
• Do not increase dose frequency without medical advice.

“What Is The Most Important Information I Should

10. Overdosage

In most patients, the ability to have sexual intercourse is improved for up to 36 hours. For CIALIS for once daily use in men with ED or ED/BPH, patients should be instructed to take one tablet at approximately the same time every day without regard for the timing of sexual activity. Cialis is effective at improving erectile function over the course of therapy. For CIALIS for once daily use in men with BPH, patients should be instructed to take one tablet at approximately the same time every day. Marketed by: Lilly USA, LLCIndianapolis, IN 46285, USA Read this important information before you start taking CIALIS and each time you get a refill.

8.5 Geriatric Use

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. 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?

8.2 Lactation

CIALIS can cause 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. Never take CIALIS with any nitrate or guanylate cyclase stimulator medicines. 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 20 cialis pain in your chest, jaw, or down your arm. Know About CIALIS?”) medicines

2. Cialis Dosage and Administration

protect 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 control CIALIS is only for men over the age of 18, including men with diabetes or who have undergone prostatectomy. CIALIS for the Treatment of Symptoms of BPH BPH is a condition that happens in men, where the prostate gland enlarges which can cause urinary symptoms. CIALIS for the Treatment of ED and Symptoms of BPH ED and symptoms of BPH may happen in the same person and at the same time.

Final Thoughts: Convenience Meets Caution

Men who have both ED and symptoms of BPH may take CIALIS for the treatment of both conditions. CIALIS is not for women or children. CIALIS must be used only under a healthcare provider's care. use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. (See “What Is The Most Important Information I Should Know About CIALIS?”) take any medicines called guanylate cyclase stimulators, such as riociguat. called guanylate cyclase stimulators, such as riociguat (Adempas®), used to treat pulmonary hypertension

Shipping Method	Estimated Delivery Time	Cost ($)	Tracking Available
Standard Air	7-14 days	10	Yes
Express Courier	2-4 days	20	Yes
Discreet Post	10-20 days	8	No
EMS	5-7 days	15	Yes

These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl),

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are allergic to CIALIS or ADCIRCA®, or any of its ingredients. See the end of this leaflet for a complete list of ingredients in CIALIS. Symptoms of an allergic reaction may include:rashhivesswelling of the lips, tongue, or throatdifficulty breathing or swallowing swelling of the lips, tongue, or throat Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above. What Should I Tell My Healthcare Provider Before Taking CIALIS? Only your healthcare provider and you can decide if CIALIS is right for you. Cardura® (doxazosin mesylate), Minipress®

11. Cialis Description

Before taking CIALIS, tell your healthcare provider about all your medical problems, including if you: 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 controlled have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including a condition called NAION have a deformed penis shape or Peyronie's disease have had an erection that lasted more than 4 hours have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia Tell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. CIALIS and other medicines may affect each other. (prazosin HCl), Uroxatral® (alfuzosin

Condition	Temperature Range	Humidity	Shelf Life	Notes
Storage Room	15-30 °C	40-60%	2 years	Keep away from sunlight
Refrigerator	2-8 °C	20-40%	2 years	Not necessary but acceptable
Humid Environments	Not recommended	N/A	N/A	Store in dry place

HCl), Jalyn® (dutasteride and tamsulosin HCl) or Rapaflo® (silodosin).

Step	Description	Required Information	Typical Processing Time
1	Select product variant	Dosage, Pack size	Immediate
2	Add to cart	Payment method	1 minute
3	Fill shipping details	Address, contact info	2 minutes
4	Confirm order	Review details	Immediately
5	Payment processing	Payment info	10-15 minutes

Alpha-blockers are sometimes prescribed for

• Educate yourself on potential drug interactions with Cialis Professional.
• Monitoring your health during use can prevent complications.
• Always have a healthcare provider’s contact information handy.

prostate problems or high blood pressure.

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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. Some recreational drugs called “poppers” also contain nitrates, such as amyl nitrite and butyl nitrite. Do not take CIALIS if you take medicines called guanylate cyclase stimulators which include: Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronic-thromboembolic pulmonary hypertension. Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates or guanylate cyclase stimulators, such as riociguat.

Related treatment guides

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. 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.

A doctor or nurse practitioner will message you within 1 day

See also “What Are The Possible Side Effects Of CIALIS?” CIALIS is a prescription medicine taken by mouth for the treatment of: men with symptoms of benign prostatic hyperplasia (BPH) 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. 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.