John's wort. tell your doctor if you smoke; if you have ever had an erection that lasted more than 4 hours; and if you have recently had diarrhea, vomiting, not been drinking enough fluids, or sweating a lot which may have caused dehydration (loss of a large amount of body fluids. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina (chest pain); a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells), or leukemia (cancer of the white blood cells); or heart, kidney, or liver disease.

Question	Answer	Notes
Can I take Cialis daily?	Yes, 5 mg is the lowest once-daily dose approved for daily use.	Ensures spontaneity
Is it safe for women?	No, Cialis is not approved or recommended for women.	Limited research
Does food affect absorption?	Food, especially high-fat meals, may delay onset.	Best taken on an empty stomach or with light meal
Can I drink alcohol?	Moderate alcohol consumption is generally safe but may increase side effects.	Use in moderation
What should I do if I miss a dose?	Take as soon as remembered unless close to the next dose.	Do not double doses

Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help cialis online pharmacy canadian you see.

Dosing & Uses

If you are taking tadalafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Tadalafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV). It may be taken with or without food. If you are taking tadalafil to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph. There are two different ways to take tadalafil, either daily or on an as needed basis.

Higher dosages of Cialis

Talk to your doctor about which dosing schedule is right for you. Tadalafil is sometimes taken as needed, usually at least 30 minutes before sexual activity and not more often than once every 24 hours. Your doctor will help you decide the best time for you to take tadalafil before sexual activity. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. You may attempt sexual activity at any time between doses. if you are a woman and you are taking tadalafil to treat PAH, tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking tadalafil, call your doctor.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	2.5mg	30 + 4 Pills	51.95€ 49.48€
Cialis Generic	40mg	180 + 10 Pills	277.29€ 264.09€
Cialis Professional	20mg	20 Pills	78.33€ 74.60€
Cialis Generic	10mg	10 Pills	31.41€ 29.91€
Cialis Generic	5mg	90 + 6 Pills	115.91€ 110.39€
Cialis Professional	20mg	60 + 2 Pills	183.83€ 175.08€
Cialis Generic	40mg	60 + 6 Pills	130.98€ 124.74€
Cialis Professional	40mg	180 + 4 Pills	618.23€ 588.79€
Cialis Super Active	20mg	60 + 8 Pills	230.32€ 219.35€
Cialis Super Active	20mg	270 + 30 Pills	661.49€ 629.99€
Cialis Super Active	20mg	30 + 6 Pills	128.09€ 121.99€
Cialis Generic	5mg	30 + 4 Pills	53.56€ 51.01€
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€
Cialis Generic	5mg	360 + 10 Pills	268.08€ 255.31€
Cialis Generic	60mg	90 + 6 Pills	196.67€ 187.30€
Cialis Black	80mg	180 + 10 Pills	356.64€ 339.66€
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€

if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tadalafil. talk to your doctor about the safe use of alcoholic beverages during your treatment with tadalafil. If you drink a large amount of alcohol (more than five glasses of wine or five shots of whiskey) while you are taking tadalafil you are more likely to experience certain side effects of tadalafil such as dizziness, headache, fast heartbeat, and low blood pressure. if you are taking tadalafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a health care professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid sexual activity until your doctor tells you otherwise. tell all your health care providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the health care providers who treat you will need to know when you last took tadalafil. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine. If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose or more than one dose per day to make up for a missed one. If you are taking tadalafil for PAH or BPH, take the missed dose as soon as you remember it.

Informed consent for participation and publication

Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes, and ointments. Ask your doctor if you are not sure whether any of your medications contain nitrates. Your doctor will probably tell you not to take tadalafil if you are taking nitrates. tell your doctor if you are taking street drugs containing nitrates ('poppers') such as amyl nitrate, butyl nitrate, or nitrite while taking tadalafil. Your doctor will probably tell you not to take tadalafil if you are taking street drugs containing nitrates.

Data extraction

you should know that tadalafil is available under the brand names Adcirca and Cialis. You should only be treated with one of these products at a time. tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor what herbal products you are taking, especially St. Do not take a double dose to make up for a missed one. pain in the stomach, back, muscles, arms, or legs sudden decrease or loss of vision (see below for more information) changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) sudden decrease or loss of hearing (see below for more information) erection that lasts longer than 4 hours swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs Some patients experienced a sudden loss of some or all of their vision after they took tadalafil or other medications that are similar to tadalafil. The vision loss was permanent in some cases.

5 mg Cialis is used for consistent, daily erectile support.
The medication is available by prescription only.
Cialis belongs to the class of PDE5 inhibitors.
It is important to follow prescribed dosage instructions.
Overdosing can lead to serious health risks.
Cialis is generally well-tolerated in low doses.
The drug can be used safely for long-term treatment.
5 mg doses are often preferred for older men.
Cialis tablets are usually taken at the same time daily.
Consistency helps maintain steady drug levels in blood.
5 mg doses can be adjusted by physicians based on response.
Patients should report any adverse effects immediately.

It is not known if the vision loss was caused by the medication. If you experience a sudden loss of vision while you la cialis are taking tadalafil, call your doctor immediately or get emergency medical treatment.

Parameter	Value	Description
Absorption Time	About 2 hours	Time to reach peak plasma levels
Half-life	17.5 hours	Duration of drug presence in blood
Bioavailability	40%	Percentage absorbed into circulation
Metabolism	Liver (CYP3A4 enzyme)	Primary pathway
Excretion	Feces and urine	Elimination routes

Do not take any more doses of tadalafil or similar medications such as sildenafil (Revatio, Viagra) or vardenafil (Levitra) until you talk to your doctor. Some patients experienced a sudden decrease or loss of hearing after they took tadalafil or other medications that are similar to tadalafil. The hearing loss usually involved only one ear and did not always improve when the medication was stopped.

Clinical studies show it's effective for up to 36 hours post-dose.
The daily 5 mg dose provides continuous coverage, not 36-hour windows.
Onset of action for daily dose is not a relevant concept.
Switching from 20 mg as-needed to 5 mg daily is a common strategy.
The 2.5 mg daily dose is also available for those needing less.
Dose may be reduced to 2.5 mg if side effects are troublesome.
For renal impairment, 5 mg daily is max if CrCl 30-50 mL/min.
For severe renal impairment (CrCl <30 mL/min), daily use not recommended.
For mild hepatic impairment, dose adjustment not typically needed.
Not studied in patients with severe hepatic impairment.

It is not known if the hearing loss was caused by the medication.

Storage Condition	Recommended Temperature	Additional Tips
Room Temperature	20-25°C (68-77°F)	Keep away from moisture
Protect from Light	Yes	Store in a dry, cool place
Keep Out of Reach	Yes	Keep out of children's reach
Expiry Date	Check regularly	Do not use expired medication
Packaging	Original packaging	Prevents contamination

If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking tadalafil, call your doctor immediately. Call your doctor if you have any unusual problems while taking this medication If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088). Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Dispose of unneeded medications in a way so that pets, children, and other people cannot take them.

Cialis should be stored in a cool, dry place.
Keep medications out of reach of children.
A 5 mg daily dose can improve quality of life.
Cialis may be used with certain lifestyle changes.
Regular sexual activity can enhance treatment effectiveness.
Dose adjustments require physician approval.
Do not take Cialis more than once per day.
Notify your doctor of any other medications.
Tadalafil, the active compound in Cialis, lasts longer than other ED drugs.
Cialis can help reduce performance anxiety.
It is important to have realistic expectations.
Follow-up appointments help optimize treatment.

Do not flush this medication down the toilet. Talk to your pharmacist about take-back programs in your community.

Pregnancy & Lactation

If you are taking tadalafil for erectile dysfunction, your doctor will probably start you on an average dose of tadalafil and increase or decrease your dose depending on your response to the medication. Tell your doctor if tadalafil is not working well or if you are experiencing side effects. If you are taking tadalafil for PAH, you should know that tadalafil controls PAH but does not cure it. Continue to take tadalafil even if you feel well. Do not stop taking tadalafil without talking to your doctor.

Off-label use for Cialis

Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. tell your doctor and pharmacist if you are allergic to tadalafil, any cialis vidalista 60mg other medications, or any of the ingredients in tadalafil tablets. Ask your pharmacist for a list of the ingredients. tell your doctor if you are taking or have recently taken riociguat (Adempas) or nitrates such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others). Visit the FDA's Safe Disposal of Medicines website for more information. Keep all medication out of sight and reach of children as many containers are not child-resistant. Place the medication in a safe location – one that is up and away and out of their sight and reach.

A treatment option for men with both ED and BPH (common combo).
Potential for improved quality of life and self-esteem.
Open communication with your partner about treatment is beneficial.
Does not cause infertility; may actually aid in conception efforts.
Sperm parameters are not negatively affected by tadalafil.
There is no evidence it causes permanent retinal damage.
Most side effects are mild to moderate and diminish over time.
Back pain is thought to be due to PDE11 inhibition in muscle.
Staying well-hydrated may help mitigate muscle-related side effects.
Driving and operating machinery are usually safe while taking it.

In case of overdose, call the poison control helpline at 1-800-222-1222.

Are There Any Other Benefits?

If you are taking tadalafil on a regular schedule, take it at around the same time every day. If you have certain health conditions or are taking certain medications, your doctor may tell you to take tadalafil less often or may prescribe a lower dose to be taken once a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Do not take more or less of it or take it more often than prescribed by your doctor. If you are taking tadalafil to treat PAH or BPH, follow your doctor's directions and the guidelines in this paragraph.

Does tadalafil interact with foods or drinks?

You should take tadalafil one time a day. Take all of the tablets for your daily dose at one time each day; do not divide the tablets to take as separate doses. Take tadalafil at around the same time every day. If you are already taking medication to treat BPH, your doctor may tell you to stop taking your other medication at least one day before starting treatment with tadalafil. Follow your doctor's directions carefully, and ask your doctor or pharmacist to explain any part you do not understand. Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.