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Product Description:

General information
Cialis belongs to the group of phosphodiesterase inhibitors (PDE 5) used to treat erectile dysfunction or male impotence. The medicine acts in combination with sexual stimulation by helping the blood flow into penis to achieve and maintain erection. Note please that Cialis can't work without sexual stimulation. It starts to work in 16 minutes after intake and its effect last 36 hours. Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia). Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, hepatitis B, gonorrhea, syphilis).

Directions
It is recommended to take 20 mg of Cialis at least 16 minutes before your sexual intercourse. Its effect can last up to 36 hours. Do not exceed your recommended dose and do not take Cialis more often than once per day. When treating symptoms of an enlarged prostate (BPH), tadalafil should be taken once a day. Tadalafil may be taken with or without food.

Precautions
Do not take Cialis with grapefruit juice, alcoholic beverages or tobacco as it can lead to sudden optic nerve-related vision loss. This drug may make you dizzy or cause vision changes.

Contraindications
Before starting your treatment with Cialis you should consult with your doctor and inform him about your individual traits such as: abnormal penis, including curved penis and birth defects of the penis, coronary artery disease, bleeding, stomach ulcers, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.

Possible side effects
The frequent allergic reactions can include facial flushing (reddening), stomach upset, diarrhea, headaches, back pain, muscle pain, flu-like symptoms and nausea. More rare side effects are low blood pressure, swollen eyelids, blurred vision and changes in color vision, abnormal ejaculation, prolonged erections or priapism (painful erections lasting more than 6 hours). If these side effects persist or bothersome you should contact your doctor.

Drug interactions
Cialis can interact with some medicines. Thus co-administration with the drugs listed below isn't recommended: medications containing organic nitrates, Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox)Nitroglycerin, Pentaerythritol Tetranitrate, indinavir (Crixivan) and ritonavir (Norvir). Inform your doctor about all the medicines you can take especially about the following: Atazanavir, Bunazosin, Clarithromycin, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Telithromycin, Terazosin, Trimazosin, Urapidil as your Cialis dose may require correction. Do not take this medication with any other product that contains tadalafil or other similar medications used to treat erectile dysfunction/pulmonary hypertension (e.g., sildenafil, vardenafil).

Missed dose
Cialis is used when it's needed, so it's unlikely to miss a dose.

Overdose
If you think you have overdosed the medicine seek emergency medical help at once. The overdose symptoms are back pain, muscle pain, and abnormal vision.

Storage
Store the medicine at room temperature (between 15°C and 30°C) away from moisture, sunlight, kids and pets in a tight container.

Note
The information presented at the site has a general character. Note please this information cannot be used for self-treatment and self diagnosis. You should consult with your doctor or health care adviser regarding any specific instructions of your condition. The information is reliable, but we concede it could contain mistakes. We are not responsible for any direct, indirect, special or other damage caused by use of this information on the site and also for consequences of self-treatment.

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