20mg Cialis Tadalafil Tablets
You may report side effects to FDA at 1-800-FDA-1088.
7.1 Potential for Pharmacodynamic Interactions with CIALIS
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. Cialis is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
ED dosage for occasional use
It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby. Tell your doctor if free samples of cialis in canada you are breast-feeding. Cialis is not approved for use by anyone younger than 18 years old. Cialis is usually taken only once per day. Follow all directions on your prescription label. 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. Not all possible interactions are listed in this medication guide.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 60mg | 120 + 8 Pills | 240.18€ 228.74€ | |
| Cialis Professional | 20mg | 360 + 6 Pills | 807.03€ 768.60€ | |
| Cialis Generic | 10mg | 90 + 6 Pills | 146.17€ 139.21€ | |
| Cialis Generic | 60mg | 180 + 10 Pills | 313.11€ 298.20€ | |
| Cialis Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Cialis Soft Tabs | 20mg | 90 + 6 Pills | 216.71€ 206.39€ | |
| Cialis Super Active | 20mg | 60 + 8 Pills | 230.32€ 219.35€ | |
| Cialis Generic | 5mg | 270 + 10 Pills | 205.81€ 196.01€ | |
| Cialis Professional | 40mg | 10 Pills | 65.09€ 61.99€ | |
| Cialis Generic | 10mg | 20 Pills | 48.23€ 45.93€ | |
| Cialis Professional | 40mg | 60 + 2 Pills | 262.32€ 249.83€ |
Cialis (tadalafil) and Viagra (sildenafil) are both prescription drugs used to treat erectile dysfunction (ED), but taking them together is generally not recommended.
What is your return policy?
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. Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
Will Cialis help me keep an erection after ejaculating?
Do not take Cialis for erectile dysfunction if you are taking Adcirca 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. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Drinking alcohol with this medicine can cause side effects. Mixing these medications can lead to dangerously low blood pressure and a higher risk of side effects.
- Absorption is not significantly affected by food, unlike some other ED drugs.
- A high-fat meal may delay the time to reach maximum concentration.
- For predictable timing, take on an empty stomach or with a light meal.
- Maximum plasma concentration is reached approximately 2 hours after dosing.
- The medication is highly protein-bound in the bloodstream.
- It is not removed by dialysis, so dose adjustment is critical in renal failure.
- In mild to moderate renal impairment, a maximum dose of 10mg is often advised.
- In severe renal impairment, the maximum recommended dose is 5mg.
- For patients on dialysis, use is not recommended.
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.
5.10 Concomitant Use of Potent Inhibitors of Cytochrome P450 3A4 (CYP3A4)
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. 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.
Higher dosages of Cialis
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. This is not a complete list of side effects and others may occur. Call your cialis pill appearance doctor for medical advice about side effects. Do not use these drugs with Cialis. You could get dizzy, faint, or have a heart attack or stroke.
| Use Area | Description | Recommended Dosage | Onset of Action |
|---|---|---|---|
| Erectile Dysfunction | Improves blood flow to penile tissue | 20 mg | 30-60 minutes |
| Benign Prostatic Hyperplasia | Relieves urinary symptoms | As prescribed | 1-2 hours |
| Pulmonary Hypertension | Reduces blood pressure in lungs | 40 mg daily | 2 hours |
Cialis vs Viagra - What's the difference between them?
2.4 Concomitant Medications
But there’s another sex-related issue that’s more common in men than you might expect: difficulty orgasming. 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). 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.
Is a 40-mg dose of Cialis safe to take?
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. 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. Why does Cialis take at least 12-14 hours to work?
- The FDA approved Cialis for erectile dysfunction in 2003.
- Approval for daily use and BPH symptoms came later.
- It was one of the first ED drugs to offer a 36-hour window.
- This longer duration was a significant marketing point versus Viagra.
- Patent exclusivity for Cialis in the US expired around 2017-2018.
- This expiration led to the influx of generic tadalafil products.
- The medication is widely studied with a large body of clinical evidence.
- Ongoing post-marketing surveillance monitors for rare adverse events.
- Patients are encouraged to report side effects via the FDA MedWatch program.
Is taking Cialis 40 mg daily safe?
17.6 Vision
Feasibility Study of Video Telehealth Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex. Erectile dysfunction affects as many as 30 million men in the United States. Premature ejaculation (PE) is a sexual dysfunction characterized by a short ejaculatory latency, a perceived lack of control about the timing of ejaculation, and distress and interpersonal difficulty related to ejaculating too quickly.
Dosage adjustments
Low testosterone or testosterone deficiency, also known as hypogonadism, is a condition in which patients develop symptoms such as low sex drive, erectile dysfunction (ED), and fatigue because the body doesn’t produce enough testosterone. Though many men don’t like to talk about it, ejaculation problems are very common. Some of the most common issues include premature, delayed, or retrograde ejaculation. Your pelvic floor is a lot like plumbing in your home: you never really think about it unless something goes wrong. When you think of male sexual dysfunction, concerns like erectile dysfunction (ED) or premature ejaculation (PE) probably come to mind first. 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.
Further information
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. 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.
Cialis for erectile dysfunction (ED)
Do not 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). To make sure this Cialis is safe for you, tell your doctor if you have ever daily cialis price 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. Reminder: A valid doctor’s prescription is required to purchase this product. Book a consultation with one of our doctors to discuss your needs and get expert advice. Cialis Tadalafil 20mg is used to treat men who have trouble getting or maintaining a firm erection for sexual activity. It contains tadalafil, which is part of a group of medicines called phosphodiesterase type 5 inhibitors.
| Age Group | Percentage of Users | Common Conditions in Group |
|---|---|---|
| 30-40 years | 20% | Erectile dysfunction, BPH |
| 41-60 years | 50% | Erectile dysfunction, hypertension |
| 60+ years | 30% | BPH, cardiovascular issues |
Tadalafil helps relax blood vessels in the penis after sexual stimulation, allowing increased blood flow and improved erectile function.
| Medication | Effect on Cialis or Patient | Notes |
|---|---|---|
| Nitrates | Dangerous hypotension | Avoid concurrent use |
| Alpha-blockers | Increased blood pressure effects | Monitor patient closely |
| Ritonavir | Increased tadalafil levels | Dose adjustment may be needed |
| Antifungal agents (e.g., ketoconazole) | Slower metabolism | Potential for increased effect |
It's essential to understand that Tadalafil doesn't work without sexual stimulation. Foreplay with your partner is still necessary, just as it would be without taking medicine for erectile issues.