The medicine acts in combination with sexual stimulation, promoting increased blood flow in the penis, allowing to achieve and maintain erection. Please note that Cialis has no effect without sexual stimulation. It starts acting 16 minutes after ingestion and the effect lasts for 36 hours.

Dosage

It is recommended to take Cialis 20 mg at least 16 minutes before your sexual intercourse. Its effect can last up to 36 hours. Do not exceed the recommended dose and do not take Cialis more than once a day.

Precautions

Before starting treatment with Cialis you should consult your doctor about all the conditions listed below: abnormal penis, including curved penis and the presence of congenital defects of the penis, a history of coronary artery disease, bleeding, stomach ulcers, arrhythmia, angina pectoris, heart failure and stroke, hypotension or hypertension, diabetes, hyperlipidemia (excess of lipids in the blood) , sickle cell anemia, insufficiency of liver or kidney. Do not take Cialis with grapefruit juice, alcoholic beverages or tobacco as it can lead to a sudden loss of vision due to failure of the optic nerve.

Cons-indications

The medicine can interact with certain medications. It is not advisable to take along if you take any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or other medicines called "nitric oxide donors", or recreational drugs containing nitrate amyl or butyl

Possible side effects

The case of frequent allergic reactions can include facial flushing (reddening), stomach upset, diarrhea, headaches, flu-like symptoms and nausea. Rarer side effects include low blood pressure, blurred vision and changes in color vision, abnormal ejaculation may occur, prolonged erections or priapism (painful erections lasting more than 6 hours). If side effects persist or become bothersome contact your doctor.

Drug interactions
Cheap Cialis can interact with some medications. Therefore, co-administration with the following drugs is not recommended: medications containing organic nitrates, Erythrityl tetranitrate, isosorbide dinitrate, isosorbide mononitrate, erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox) of nitroglycerin, pentaerythritol tetranitrate, indinavir (Crixivan) and ritonavir (Norvir). Tell your doctor about all medicines you may take and especially about the following products: atazanavir bunazosin, clarithromycin, nelfinavir, phenoxybenzamine, phentolamine, prazosin, saquinavir, doxazosin, erythromycin, indinavir, itraconazole, ketoconazole, moxisylyte, nefazodone, Telithromycin, Terazosin, Trimazosin, Urapidil as a correction of your dose of Brand Cialis may be required.

Missed dose

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

Overdose

If you think you have overdosed the medicine seek emergency medical help in time. Overdose symptoms are in the form of back pain, muscle pain and blurred vision.

Preservation

Store the medicine in a tight container at room temperature away from moisture, sunlight, out of reach of children and pets.

Note

The information provided on the site has a general character. Please note that this information may not be used for self-treatment and self diagnosis. You should consult your doctor or health care advisor for specific instructions regarding your case. 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 the information on the site and also for consequences of self-treatment.