Generic Cialis (Tadalafil)
Cialis
Cialis is most commonly used to treat erectile dysfunction and impotence, which is when a man struggles to maintain an erection or cannot get erect at all. It's also sometimes prescribed for an enlarged prostate. Tadalafil is the active ingredient of Cialis. It improves blood flow to the penis so that a man can get an erection for sexual activity. Depending on how your doctor prescribes the medication, you might take it as needed before sex or every day. If you take it as needed, the effects may last up to 36 hours.
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Common use

Cialis Super Active is an offer of advanced new generation formulation with the shortest activation time and most prolonged time of action to treat erectile dysfunction. Besides active substance tadalafil gelatin makes the pill to reach its full effects in a few minutes. Take Cialis Super Active 5-7 minutes before sexual activity. The prolonged action lasts 50-55 hours and erection can appear any time during this period if there is sexual stimulation. The medicine is easily absorbed without harm to gastrointestinal track. It naturally increases testosterone levels, possess enhanced vasodilating effect, increases sperm production and sexual arousal, stamina, and response to stimulation. The medication can be safely used by young and old alike.



Dosage and direction

Dose of 20 mg is taken 5-7 minutes before sexual intercourse. Take when needed according to recommendations of your doctor. Do not take more than one pill a day.



Precautions

Alcohol, hot weather, exercise, or fever may increase adverse reactions of your body to Cialis Super Active. Do not use other medicines for erectile dysfunction together with Cialis Super Active. Cialis Super Active may cause more severe adverse reactions in the elder patients. Inform your doctor if there are painful or prolonged erection in your history, you currently suffer with kidney diseases, stomach ulcers, blood cell problems such as sickle cell anemia, leukemia, or myeloma.



Contraindications

Do not take this drug if you are hypersensitive to its components, suffer from you severe liver problems or have retinitis pigmentosa (hereditary degenerative eye disease), severe problems with blood or heart such as unstable angina, angina during sexual intercourse, heart failure, irregular heartbeat, uncontrolled high blood pressure, low blood pressure, a heart attack or stroke in history, currently taking nitrates in any form as well as poppers (amyl nitrate, butyl nitrate), or if your doctor did not advise you sexual activity due to your heart problems.



Possible side effect

The most frequent side effects of this medicine are dizziness, drowsiness, lightheadedness, fainting, fast heartbeat, and low blood pressure, or blurred vision. Less serious symptoms include heartburn, mild back or muscle pain, upset stomach, running nose. In some people this medication causes priapism, a condition when erection lasts more than four hours. Such prolonged erections may be very dangerous and lead to permanent damage to your penis. Contact your health care advisor the soonest if you experience this.



Drug interaction

Concomitant use with any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside , any 'nitric oxide donor' medicine, or recreational drugs called "poppers" which also contain nitrates such as amyl or butyl nitrate is contraindicated. Life threating conditions may be caused by co-administration of Cialis Super Active with certain alpha-blocker drugs such as alfuzosin, prazosin, terazosin, or doxazosin. Dose correction is needed if this medication is co-administered with other drugs for erectile dysfunction, certain antifungal medicines such as itraconazole or ketoconazole, macrolide antibiotics such as clarithromycin or erythromycin, other antibiotics such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir), medicine for high blood pressure, or HIV protease inhibitors such as indinavir (Crixivan) and ritonavir (Norvir).



Missed dose

Take when needed. Missed dose is not supposed.



Overdose

Immediately seek professional medical help if you experience severe chest pain, fainting, prolonged erection, dizziness, persistent vision changes, persistent back or muscle pain.



Storage

Store in a dry tight container away from sunlight at room temperature between 68-77 F (20-25 C) away from children and pets.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

Cialis

Other names used:

  • CialisĀ®

Active Ingredients:

  • Tadalafil

How does Tadalafil work and what pharmaceutical group does it belong to?

Tadalafil is a reversable selective inhibitor of the specific phosphodiesterase type 5(PDE5) cGMP. When sexual excitement causes local release of NO, inhibiting of PDE5 by Tadalafil causes an increase of cGMP levels in the cavernous body of the penis. This causes smooth muscles to relax and increases blood flow to the penis. Tadalafil does not cause an erection without sexual stimulation.

Tadalafil acts within 36 hours and effect occurs in 16 minutes after the sexual excitement. Tadalafil does not cause changes in systolic and diastolic pressure and heart rate.

Tadalafil is availabla in the form of soft tablets that are dissolved directly under the tongue. This increases the bioavalability of the preparation.

Which conditions are treated with Tadalafil?

Tadalafil is indicated for the treatment of erectile dysfunction.

What should a patient know prior taking the medication?

Tadalafil is contraindicated in patients with hypersensitivity to any of the medication ingredients.

Tadalafil is not approved to treat females or children and adolescents under 18 years of age.

Tadalafil should not be taken in patients which take organic nitrates.

Tadalafil should be used with caution in:

  • Cardiovascular disease including recent heart attacks, strokes, high or low blood pressure, heart failure, abnormal heart rhythm
  • Liver and kidney diseases
  • Vision problems
  • Blood diseases including Sickle cell anemia, leukemia
  • Penis deformation
  • Multiple myeloma

Which adverse effects may manifest when using the medication?

The most common Tadalafil side effects are associated with blocking of PDE5. These are: headache, stuffy nose, nasal congestion, dizziness, drowsiness, upset stomach or dyspepsia, hot flushing, pain in the arms, legs and muscles.

In rare cases Tadalafil may cause: angina, high blood pressure, insomnia, blurred vision, migraines, problems with vision and hearing.

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Tadalafil?

The drug is affected by the following:

  • Alcoholic beverages
  • Alpha blockers
  • High blood pressure medicines
  • Antumycotics
  • Certain antibiotics
  • Grape fruit juice
  • Nitrates
  • Antivirals
  • Xantines(Theophylline)

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient:

Tadalafil is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.