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Cialis (generic)

Common use
Cialis is medication which provides selective, efficient and revocable inhibition of phosphodiesterase 5 elective towards (cGMP). After release of nitric oxide due to sexual stimulation, Cialis-caused inhibition of PDE 5 instigates escalation of cyclic guanosine monophosphate levels in the tissue of a penis. The result of this process is smooth muscles’ relaxation and consecutive blood flow to the penis, which in turn means erection. However, in the absence of sexual stimulation Cialis won’t be proficient. The main goal of Cialis is to enhance erection, and accordingly provide an efficacious sexual contact. The effect of a treatment appears in just sixteen minutes after administering it.

Dosage and direction
20 mg equals the recommended dose of Cialis. The male patient should take it at least in sixteen minutes prior to the sexual intercourse. The effect lasts approximately 36 hours. Cialis is designated to be taken once a day, and the dose must not be surpassed.

This medication should not be administered simultaneously with citrus juice or alcohol. Besides, smoking tobacco and parallel usage of Cialis can cause ad adverse reaction connected with vision (namely vision loss). Moreover, you should tell your doctor before to take Cialis if you have any medical problems, such as blood system diseases, history of an angina or a heart attack, curved penis, arrhythmia, stomach ulcers, hypotension, high pressure, diabetes, hyperlipidemia, anemia, history of kidney of liver diseases.

Patients administering any form of nitrates must refrain from using Cialis since it can cause dangerous medicinal effects.

Possible side effects
The most frequent side effects of Cialis include headaches, diarrhea, stomach upset, facial reddening, and nausea. Very rarely such effects as blurred vision, low blood pressure, and atypical ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. In the case of prolonged or painful erection (I.e. longer than four hours), seek medical help immediately.

Drug interactions
Simultaneous administration with drugs or even ointments enclosing nitrates may bring to stark and dangerous hypotension. Never administer Cialis with such treatments as Nitroglycerin, Isosorbide Dinitrate, Erythrityl Tetranitrate, Isosorbide Mononitrate etc. Toxicity of Cialis may be increased in the presence of ketoconazole, erythromycin, indinavir and ritonavir. In the case if you are taking any medications containing the abovementioned substances (Atazanavir, Clarithromycin, Phenoxybenzamine, Bunazosin, Doxazosin, Indinavir, Itraconazole, Moxisylyte, Nelfinavir, Phentolamine, Telithromycin, Terazosin, Urapidil etc.) inform your healthcare professional about it. In this case your dosage of Cialis should be correspondingly modified.

Missed dose
Since Cialis is taken when needed, missed dose is not considered. Do not use it more often than once a day.

In the case if you think than overdose takes place, seek for medical help instantaneously.

This treatment must be kept at room temperature, far away from bright light, excess moisture, and children.

The general information provided here does not cover all the possible drug integrations, usage directions, or means of precaution. It cannot be used for self-treatment. All the definite instructions for a certain patient must be provided by your healthcare professional. We disclaim the responsibility of this information and any possible mistakes in it.