Tadalafil cialis 4 tabs (20 mg/1 tab)

Cialis by Eli Lilly is a product that contains the active compound tadalafil and is known for its long-lasting action of up to 36–48 hours. It is commonly used in discussions about supporting male sexual performance. Many men note that it helps maintain confidence and reduces recovery time between intimate acts.

Cialis is produced by the American company Eli Lilly and is supplied in packs of four. Each film-coated, yellow, almond-shaped tablet is packaged in a blister inside a yellow box to ensure product integrity and quality.

Tadalafil, the key component in Cialis, is known for its extended duration of action. Because its half-life is longer compared to other compounds in the same group, its effects remain noticeable for up to two days. This allows greater flexibility and spontaneity without precise timing. On average, its full action begins about one hour after intake.

Characteristics:

Active ingredients: Tadalafil
Quantity of active substance: 20 mg
Form of release: tablets for internal use
Quantity in the package: 1 tablet
Primary packaging: blister
Directions for use: Oral
Interaction with food: Does not matter
Storage temperature: 5°C to 30°C
Sensitivity to light: Not sensitive
Trait: Imported
Origin: Chemical
Market Status: Original

Cialis Usage and Dosage

Before ordering Cialis, please read the instructions for use and dosage of the product. Take one tablet of the medicine on the days you plan to have sex. Swallow the potency enhancer with plenty of water at least 45-60 minutes before the start of action. Never take this medicine with alcohol or caffeinated drinks (coffee, tea, cola).

Grapefruit contains a compound that, together with the active substance Tadalafil, can cause side effects, so avoid it.. Tadalafil does not act as an aphrodisiac, i. does not cause an erection without sexual stimulation. The drug allows you to develop a long, strong erection but does not cause other changes in sex. It restores the correct chemical balance in the tissues of the penis, ensuring a successful process.

Side effects and contraindications

In most cases, the drug causes minor or mild side effects. Of course, not everyone experiences discomfort. Serious side effects are very rare and occur almost exclusively in those who have the condition or are taking it with the medication (see below). The most common side effects are headache, back pain, muscle pain, runny or stuffy nose, hot flashes, and upset stomach. Cialis and certain medications should not be taken because they cause a sudden, dramatic drop in blood pressure, which can lead to dizziness or fainting (alcohol should be avoided for the same reasons).

It is strictly forbidden to take medicine with nitrates. Other agents that are not recommended include guanylate cyclase stimulants, other PDE5 inhibitors, antibiotics and oral fungicides, alpha-blockers, and protease inhibitors. Do not take tadalafil if you have heart disease, pulmonary hypertension, liver or kidney disease, anemia or other blood cell disorders, bleeding, or penile deformity.

Effect of Cialis on other medicines

Sialis is known to enhance the hypotensive effects of nitrates. This occurs due to the additive effect of nitrates and Sialis on the metabolism of nitric oxide and cGMP. Therefore, the use of Sialis against the background of nitrates is contraindicated. In case of a life-threatening condition, when administration of nitrates is clinically justified, it is necessary to maintain a 48-hour interval after the last dose of Sialis. In such circumstances, nitrates should be used only under strict medical supervision with appropriate hemodynamic monitoring.

Sialis has no clinically significant effect on the clearance of drugs metabolized with the participation of cytochrome P450 isoenzyme. Studies have confirmed that Sialis does not inhibit or induce CYP1A2, CYP3A4, CYP2C9, CYP2C19, CYP2D6, CYP2E1 isoenzymes.

Sialis has no clinically appreciable effect on the pharmacokinetics of S-warfarin or R-warfarin. Sialis does not affect the effect of warfarin on prothrombin time.