Description

Tadalafil (Generic Cialis) is taken orally and helps men suffering from erectile dysfunction achieve and maintain an erection. Tadalafil works in much the same way as Sildenafil Citrate, but is much faster, lasting up to 36 hours. Tadalafil was initially introduced into Europe, and is now available worldwide.

 

	Quantity	Strength	Price Per Pill	Price	Our Guarantees
	30 Tab(s)	20mg	$3.30	$99.00
	60 Tab(s)	20mg	$2.42	$145.00
	90 Tab(s)	20mg	$2.21	$199.00
	180 Tab(s)	20mg	$1.93	$349.00
	360 Tab(s)	20mg	$1.66	$599.00

Before using Tadalafil

Some medical conditions may interact with Tadalafil . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have heart failure, high blood pressure, an irregular heartbeat, kidney or liver problems (eg, dialysis), or stomach ulcers
• if you have bleeding problems, blood cell problems (eg, sickle cell anemia), multiple myeloma, or leukemia
• you have a deformed penis or Peyronie disease, or have had an erection that lasted more than 4 hours
• if you have retinitis pigmentosa, other eye disease, or if you have ever had severe vision loss

Some MEDICINES MAY INTERACT with Tadalafil . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Azole antifungals (eg, ketoconazole), HIV protease inhibitors (eg, indinavir), ketolides (eg, telithromycin), or macrolides (eg, erythromycin) because actions and side effects, such as prolonged erection, dizziness upon standing, or vision problems, may be increased
• Nitrates (eg, nitroglycerin, isosorbide) because blood pressure could drop suddenly to unsafe levels, causing dizziness, fainting, heart attack, or stroke
• Alpha-blockers (eg, doxazosin) because dizziness, especially upon standing, or fainting may occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Tadalafil may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Tadalafil

Use Tadalafil as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Tadalafil may be taken with or without food
• Take Tadalafil as directed before anticipated sexual activity. Do not take Tadalafil more than once a day. If you have certain medical conditions or are taking certain other medicines, you may only be able to take Tadalafil once every 2 or 3 days. Contact your doctor or pharmacist for more information
• If you miss a dose of Tadalafil , take it as soon as you remember. Continue to use it as directed by your doctor

Ask your health care provider any questions you may have about how to use Tadalafil.

Description

Tadalafil is a medicine used to treat erectile dysfunction in men. Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body's normal response is to increase blood flow to his penis. This results in an erection. Tadalafil helps increase blood flow to the penis and may help men with erectile dysfunction 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.

This medicine is available only with your doctor's prescription.

This product is available in the following dosage forms:
Tablet
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Before Using

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Tadalafil is not for use in children.

Geriatric

This medicine has been tested in a limited number of patients 65 years of age or older and has not been shown to cause different side effects or problems in older people than it does in younger adults.

How Does Cialis Work? -- An Introduction
Cialis® (tadalafil) is a medication that has been licensed to treat erectile dysfunction, which is the repeated inability to get or keep an erection firm enough for sexual intercourse.

Cialis is very effective at treating erectile dysfunction. The medication works by allowing the arteries in the penis to open wider so more blood can flow into the penis. This results in an improved erection.

Understanding Erections and Erectile Dysfunction
To understand how Cialis works, it may be helpful to understand erections.

When a man is aroused, nerve signals are sent from the brain and around the penis. These nerve signals cause chemicals to be released that relax the muscles in the penis. Normally, these muscles are constricted so that blood cannot flow into the penis. When these muscles relax, large amounts of blood are able to enter the penis, causing an erection. An erection is reversed when another chemical (known as phosphodiesterase type 5 [PDE5]) breaks down the chemicals that caused the muscles to relax in the first place. This causes the muscles in the penis to constrict again as blood leaves the penis.

How Does Cialis Work?
Cialis works by blocking PDE5. When PDE5 is blocked, more of the chemicals responsible for the erection remain, so the muscles in the penis do not constrict. This allows blood to stay in the penis longer, which allows the man to maintain an erection.