Drug title

Cialis (Tadalafil)

Usage indications

Cialis is designed for men impotence treatment (men erectile disfunction). It can be used for other goals as well.

Advantages of Cialis

• the Cialis effect last longer up to 48 hours in comparison to Viagra and Levitra. Besides this Cialis has less side effects;
• Cialis should be taken 30 minutes -12 hours before sex;
• 66% of clients prefer Cialis to Viagra.

Cialis should be used every day to enable you to have sexual contacts any time.

Application mode

Take Cialis in accordance with your doctor recommendations. Make sure to check the label to define the dosage required. Cialis is for oral intake with or without food.

Use this drug in case of necessity only. Take Cialis 30 minutes before sex based on your doctor recommendations. The effect from Cialis intake lasts for 48 hours.

Everyday intake

Take Cialis on a regular basis at the same time.
Consult with your doctor in case you have any questions about grapefruit juice or fruit eating together with Cialis.

Drug class and mechanism of action

Cialis is 5th type phosphodiesterase inhibitor. It prompts penile blood inflow by thus stimulating and supporting erection.

Missed dose

If you have missed the dose but plan doing sexual act try to take the drug as soon as you remember about it. Continue taking it in accordance with your doctor recommendations.

Storage

Keep Cialis at room temperature of 59-86 F degrees (15-30 C degrees) away from the moisture, high temperature and sun light. Keep away from children.

Warnings/precautions

Do not take Cialis together with the drugs used for chest pains or heart problems treatment and containing nitrates including:

• nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro),
• isosorbidedinitrate (Dilatrate-SR, Isordil, Sorbitrate),
• isosorbidemononitrate (Imdur, ISMO, Monoket) or other restoring drugs such as amyl nitrate or nitrite ("poppers").

The intake of Cialis together with the drug containing nitrite can cause serious blood pressure decrease by thus causing weakening or heart attack. Inform your doctor about any of the following situations before tadalafil intake:

• heart problems or arrhythmia;
• recent heart attack (within last 90 days);
• recent heart insufficiency attack (within last 6 months);
• chestpain;
• high or low blood pressure;
• liver disease
• kidneys disease (or dialis);
• blood cells disfunction such as sickle erythrocyte anemia, multiple myeloma or leukemia;
• bleeding stomach upset such as haemophillia;
• stomach ulcer;
• retinitis pigmentosa (inherited);
• penis physical deformation (Peironi disease); or
• you have the disease related to the necessity to avoid sexual contacts due to medical reasons.

Possible side effects

The most widespread effects related to Cialis intake are headache, stomach upset, back pain, muscle pain, breathing difficulties or cold. Usually they last about several hours and stop afterwards.

The patients suffering from back or muscle pains usually feel them within 12-24 hours of Cialis intake. Back or muscle pain usually stop within 48 hours. Inform your doctor if you have noticed the side effect with irritates you or persist.

Other information

Sexual agitation is required for Cialis action efficiency. You will not be able to sense erection by simply taking Cialis.