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This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Tell your doctor about all your current medicines and any you start or stop using, especially: medicines to treat erectile dysfunction or pulmonary arterial hypertension; medicines to treat erectile dysfunction or pulmonary arterial hypertension; antiviral medicine to treat hepatitis C or HIV/AIDS; antiviral medicine to treat hepatitis C or HIV/AIDS; drugs to treat high blood pressure or a prostate disorder; or drugs to treat high blood pressure or a prostate disorder; or Other drugs may interact with tadalafil, including prescription and over-the-counter medicines, vitamins, and herbal products.

Further information

Cialis is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding. Cialis is not approved for use by anyone younger than 18 years old.

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Cialis is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Cialis can be taken with or without food. For erectile dysfunction, take Cialis just before sexual activity but not more than once per day.

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Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Do not take Cialis for erectile dysfunction if you are taking Adcirca 60 mg cialis for pulmonary arterial hypertension. Store at room temperature away from moisture and heat. As Cialis is used as needed, you are not likely to be on a dosing schedule. Not all possible interactions are listed in this medication guide. Cialis (tadalafil) and Viagra (sildenafil) are both prescription drugs used to treat erectile dysfunction (ED), but taking them together is generally not recommended. Mixing these medications can lead to dangerously low blood pressure and a higher risk of side effects.

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Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy
Cialis Professional	20mg	10 Pills	48.29€ 45.99€	Buy
Cialis Generic	40mg	10 Pills	37.79€ 35.99€	Buy
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Cialis Professional	20mg	20 Pills	78.33€ 74.60€	Buy
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Cialis Generic	10mg	20 Pills	48.23€ 45.93€	Buy
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When used alone, Cialis may cause small reductions in blood pressure, but if used with nitrates or guanylate cyclase stimulators like riociguat (brand name: Adempas) your blood pressure may dangerously drop. Do not cialis purchase online canada use these drugs with Cialis. You could get dizzy, faint, or have a heart attack or stroke. Cialis vs Viagra - What's the difference between them? Why does Cialis take at least 12-14 hours to work? Is taking Cialis 40 mg daily safe?

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Stop and get medical help at once if you have nausea, chest pain, or dizziness during sex. You could be having a life-threatening side effect. Stop using this medicine and call your doctor at once if you have: a light-headed feeling, like you might pass out; a light-headed feeling, like you might pass out; an erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis); an erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis); ringing in your ears or sudden hearing loss; or ringing in your ears or sudden hearing loss; or heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. muscle pain, back pain, pain in your arms, legs, or back. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Cialis only for the indication prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Cialis (tadalafil) is a brand-name drug used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). The typical dosage of Cialis depends on the condition it’s being used to treat.

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When tadalafil is taken as needed for ED, it can start working within 30 to 45 minutes. It typically reaches peak effect 2 hours after it’s taken. But in some cases, it can still be effective up to 36 hours after it was taken. Like other ED drugs that are taken as needed for ED, it must be taken in advance of when you plan to be sexually active to give it time to start working. There are several options to treat ED aside from oral medications like tadalafil, including: erectile dysfunction pump (penis or vacuum pump) sex therapy for emotional, psychological, and relationship issues related to ED Generic versions of Cialis have been available since 2018 under the name tadalafil.

Patient resources

A long list of companies has been FDA approved to produce tadalafil for treating ED and BPH. Generic versions of Cialis that are FDA-approved are equally as effective and safe as brand-name Cialis. Generic versions are often less than half the cost. Generic name: tadalafil [ ta-DAL-a-fil ] Other brand names of tadalafil include: Adcirca, Cialis Drug class: Impotence medications Cialis relaxes muscles of the blood vessels and increases blood flow to particular areas of the body. Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).

Dosage for both ED and BPH

Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Cialis while also taking Adcirca, unless your doctor tells you to. Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Some medicines can cause unwanted or dangerous effects when used with Cialis. And for ED, the dosage depends on whether it’s taken daily or as needed.

• As with any medication, long-term use should be monitored by a healthcare professional.
• Regular check-ups allow your doctor to assess ongoing effectiveness and side effects.
• It also provides an opportunity to screen for any new health conditions.
• Your doctor may recommend periodic cardiovascular assessments.
• There is no evidence that long-term use of Tadalafil causes dependency or addiction.
• The medication does not permanently alter penile physiology.
• Stopping the medication will return you to your baseline state of erectile function.
• Some men find that successful treatment helps improve confidence long-term.
• Research into new treatments and formulations for ED is ongoing.
• Future innovations may offer even more options for patients.
• Staying informed through your doctor is the best way to manage your health.
• Always report any new or worsening symptoms to your physician promptly.

The maximum recommended dosage for ED or BPH is 20 mg per day. Your doctor may adjust your Cialis dosage based on factors such as other medications you take, whether you experience bothersome side effects, and whether you have kidney or liver problems. Cialis belongs to a drug class called phosphodiesterase-5 (PDE5) inhibitors. It is available in a generic version.

Region	Average Price per Pack	Pack Size	Availability	Online Purchase Options
North America	$20 - $40	10-20 tabs	Widely available in pharmacies	Legit online pharmacies, Amazon
Europe	€15 - €35	10-30 tabs	Readily accessible	Approved online vendors
Asia	$10 - $25	10-20 tabs	Available in clinics	Local online drug stores

This article describes the dosages of Cialis, as well as its available strengths and how to take it.

Medical uses

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Drinking alcohol with this medicine can cause side effects. Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine. Get emergency medical help if you have signs of an allergic reaction to Cialis: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. The following information describes dosages that are commonly used or recommended for Cialis.

Indication	Recommended Dose	Frequency	Duration of Effect
Erectile Dysfunction (ED)	20 mg	1 hour before sex	Up to 36 hours
Pulmonary Hypertension (off-label)	20 mg daily	Once daily	Continuous
Performance enhancement (off-label)	As prescribed	As needed	Variable

Be sure to take the dosage your doctor prescribes for you. They’ll determine the best dosage to fit your needs.

• The discreet nature of a small, chewable tablet is appealing to many users.
• It can be taken without water, making it convenient for use outside the home.
• The lack of a need for water also contributes to a potentially faster onset.
• The medication should still be used responsibly and as part of a planned activity.
• It is not intended for recreational use or to enhance performance in healthy men.
• Misuse of prescription erectile dysfunction medication is a growing concern.
• Illicit use, especially when combined with other drugs, can be extremely dangerous.
• Only use medication that has been prescribed specifically for you by a doctor.
• Be wary of online offers for "generic Cialis" that do not require a prescription.
• These are often illegal operations selling counterfeit or adulterated products.
• Counterfeit drugs are a significant global public health problem.
• Legitimate online pharmacies will require a valid prescription from a healthcare provider.

In some cases, doctors may adjust your dosage from those mentioned here.

• Some men may not respond to PDE5 inhibitors like Tadalafil.
• Lack of response could be due to severe nerve or vascular damage.
• Alternative treatments for ED exist if oral medications are not effective.
• Alternatives include penile injections, intraurethral pellets, vacuum pumps, or implants.
• Testosterone replacement therapy may be an option if low testosterone is a cause.
• Your doctor can help determine the underlying cause of ED through testing.
• Tests may include blood tests, ultrasound, or overnight erection tests.
• Psychological counseling can be effective if the cause is primarily psychological.
• A combination of therapy and medication is often the most successful approach.
• It is important to follow up with your doctor to evaluate the treatment's effectiveness.
• Do not just stop taking the medication; discuss any concerns with your physician.
• Your treatment plan may be adjusted over time based on your response.

Cialis comes as an oral tablet in four strengths: 2.5 milligrams (mg), 5 mg, 10 mg, and 20 mg.

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Tell your doctor about all your current medicines, especially riociguat (Adempas). Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Get medical help at once if you have nausea, chest pain, or dizziness during sex. Stop using Cialis and get emergency medical help if you have sudden vision loss.

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You should not take Cialis if you are allergic to tadalafil. Taking Cialis with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not cialis sublingual take this medicine if you also use: riociguat (to treat pulmonary arterial hypertension); or riociguat (to treat pulmonary arterial hypertension); or a nitrate drug (for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite "poppers". a nitrate drug (for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite "poppers". Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take (longer if you have liver or kidney disease).

Professional resources

To make sure this Cialis is safe for you, tell your doctor if you have ever had: angina (chest pain), high or low blood pressure; angina (chest pain), high or low blood pressure; pulmonary hypertension (unless you are taking tadalafil for this); pulmonary hypertension (unless you are taking tadalafil for this); a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart); a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart); liver or kidney disease (or if you are on dialysis); liver or kidney disease (or if you are on dialysis); vision loss, or retinitis pigmentosa (an inherited condition of the eye); vision loss, or retinitis pigmentosa (an inherited condition of the eye); a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a physical deformity of the penis (such as Peyronie's disease), or an erection lasting longer than 4 hours; a physical deformity of the penis (such as Peyronie's disease), or an erection lasting longer than 4 hours; health problems that make sexual activity unsafe. health problems that make sexual activity unsafe. Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or had high cholesterol, diabetes, coronary artery disease, a history of smoking, or were over 50 years old). It is not clear whether the medicine was the actual cause of vision loss.