Mechanism of action

The active substance of Tadalafil For Erectile Dysfunction is Tadalafil Dosage For Erectile Dysfunction, which contributes to the inhibition of the production of the enzyme phosphodiesterase type 5 (PDE5). The enzyme (PDE5) regulates the concentration of cGMP (cyclic guanosine monophosphate) in the smooth muscles of the penis's tricky body.

After taking the pill, the concentration of cGMP increases to normal, which creates conditions for a full, healthy erection with sexual arousal. After the act of love, the penis, as expected, relaxes.

The highest concentration of the substance in the blood occurs approximately 2 hours after taking Cialis Tadalafil 20 Mg Tablets.

Rules of admission

The duration of the generic Tadalafil Generic Cialis 20mg reaches 36 hours, but it is recommended to take a 20mg tablet 30 minutes before the intended sexual intercourse. Drink Tadalafil Tablets India should be water.

Per day is allowed to take no more than 40mg, the optimal dose — 1 tablet 20mg. And, as before taking any other medication, you should carefully study the instructions, namely the indications and contraindications.

To sum up: buy Tadalafil Cialis 20mg (Cialis Tadalafil Tablets) should be because

• it has a duration of 36 hours.
• virtually no side effects
• effective in diabetics
• can be combined with meals and strong drinks
• not addictive
• helps to get rid of worries about possible failure

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Effect of Cialis Tadalafil 20 Mg Tablets on other drugs

It is known that Tadalafil 10mg Dosage increases the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Tadalafil Tablets India on the metabolism of nitric oxide (NO) and cGMP. Therefore, the use of Cialis Tadalafil Tablets in patients receiving nitrates is contraindicated.

Tadalafil Cialis From India does not have a clinically significant effect on the clearance of drugs whose metabolism occurs with the participation of cytochrome P450. Studies have confirmed that Tadalafil Generic Cialis 20mg does not inhibit or induce isoenzymes CYP1A2, CYP3A4, CYP2C9, CYP2C19, CYP2D6, CYP2E1.

Tadalafil Cialis 20mg does not have a clinically significant effect on the pharmacokinetics of S-warfarin or R-warfarin. Tadalafil Usa does not affect the action of warfarin against PV.

Tadalafil Cialis 20mg does not increase the duration of bleeding caused by acetylsalicylic acid.

Tadalafil 40 Mg Dosage has systemic vasodilating properties and can enhance the effect of antihypertensive drugs aimed at reducing blood PRESSURE.

In addition, patients who took several antihypertensive drugs, in which hypertension was poorly controlled, there was a slightly greater decrease in blood PRESSURE. In the vast majority of patients, this decrease was not associated with hypotensive symptoms. Patients receiving treatment with antihypertensive drugs and taking Tadalafil Dosage For Erectile Dysfunction should be given appropriate clinical recommendations.

Did not observed a significant reduction in blood pressure in the application of Cialis Tadalafil Tablets in healthy individuals taking selective альфа1А-blocker tamsulosin on the results of two clinical studies.

Coadministration of Cialis Tadalafil Buy Online with doxazosin is contraindicated. When using Tadalafil Cialis From India healthy volunteers, taking doxazosin (4-8 mg/day), alfa1-adrenoblokator, there was an increase in the hypotensive effect of doxazosin. Some patients experienced symptoms associated with a decrease in blood PRESSURE, including fainting.

Cialis Tadalafil Tablets did not affect the concentration of alcohol, nor did alcohol affect the concentration of Tadalafil Usa. At high doses of alcohol (0.7 g/kg), Tadalafil 5mg India did not cause a statistically significant decrease in the average blood PRESSURE. Some patients had postural dizziness and orthostatic hypotension. When taking Cialis Tadalafil Tablets in combination with lower doses of alcohol (0.6 g/kg), a decrease in blood PRESSURE was not observed, and dizziness arose with the same frequency as when taking one alcohol.

Cialis Tadalafil Buy Online has no clinically significant effect on the pharmacokinetics or pharmacodynamics of theophylline.

Dosage and administration

Inside. Use of Tadalafil Eli Lilly Tadalafil Cialis 20mg according to the indication of erectile dysfunction (ED). For patients with frequent sexual activity (more than 2 times a week): the recommended frequency of intake is daily, 1 time per day 5 mg, at the same time, regardless of food intake. The daily dose can be reduced to 2.5 mg, depending on individual sensitivity. For patients with infrequent sexual activity (at least 2 times a week): it is recommended to prescribe Tadalafil 40 Mg Dosage at a dose of 20 mg, immediately before sexual activity, according to the instructions for medical use of Buy Tadalafil Canada. The maximum daily dose of Buy Cialis Tadalafil is 20 mg. the Use of Cialis Tadalafil Tablets according to the indication of BPH or ED/BPH. The recommended dose of Cialis Tadalafil Buy Online when used once a day is 5 mg; Tadalafil Usa should be taken at approximately the same time of day, regardless of the time of sexual activity. The duration of treatment is set by the doctor individually. In patients with mild renal insufficiency (creatinine Cl from 51 to 80 ml/min) and moderate (creatinine Cl from 31 to 50 ml/min) dose adjustment is not required. In patients with severe renal failure (Creatinine CL <30 ml/min and hemodialysis): use of Tadalafil 10mg Dosage is contraindicated.

Side effect

Most often: headache, dyspepsia. Possible: back pain, myalgia, nasal congestion, blood flow to the face. Rarely: swelling of the eyelids, pain in the eyes, conjunctival hyperemia, dizziness.

Overdose

Symptoms: with a single appointment to healthy individuals Tadalafil Citrate Dosage at a dose of up to 500 mg and patients with erectile dysfunction - repeatedly up to 100 mg/day, the undesirable effects were the same as when using Tadalafil Tablets Usp 20 Mg in lower doses. Treatment: in case of overdose, standard symptomatic treatment is necessary. In hemodialysis Tadalafil For Erectile Dysfunction practically displayed.

Interaction with other drugs

Tadalafil 40 Mg Dosage is mainly metabolized by the enzyme CYP3A4. Selective inhibitor CYP3A4 ketoconazole increases AUC by 107%, and rifampicin reduces it by 88%. Although specific interactions have not been studied, it can be assumed that protease inhibitors such as ritonavir and saquinavir, as well as CYP3A4 inhibitors such as erythromycin and Itraconazole, increase the activity of Tadalafil Eli Lilly. The simultaneous administration of antacid (magnesium hydroxide/aluminium hydroxide) and Tadalafil Dosage For Erectile Dysfunction reduced the rate of absorption of the latter without changing the AUC. Tadalafil 40 Mg Dosage enhances the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Buy Tadalafil Canada on the metabolism of nitric oxide and cGMP. Therefore, the use of Tadalafil Cialis From India in patients receiving nitrates is contraindicated

Pharmacokinetics

The pharmacokinetics of Cialis Tadalafil Buy Online in patients with erectile dysfunction is similar to the pharmacokinetics of Cialis Tadalafil 10mg Tablets in persons without erectile dysfunction.

Suction

After taking Tadalafil Cialis 20mg inside Tadalafil 5mg India is rapidly absorbed. The average plasma Cmax is achieved in an average of 2 hours after ingestion. The rate and degree of absorption of Tadalafil 10mg Dosage does not depend on the meal, so Tadalafil 10mg Dosage® can be used regardless of the meal. The time of administration (morning or evening) had no clinically significant effect on the rate and degree of absorption.

The pharmacokinetics of Tadalafil Tablets India in healthy individuals is linear in terms of time and dose. In the dose range from 2.5 to 20 mg AUC increases in proportion to the dose.

Distribution

Css in plasma are attained within 5 days while taking Tadalafil Usa 1 time/day.

The average Vd is about 63 liters, which indicates that Cialis Tadalafil 10mg Tablets is distributed in the tissues of the body.

The plasma protein binding of Tadalafil For Erectile Dysfunction at therapeutic concentrations 94%.

In healthy individuals, less than 0.0005% of the administered dose was found in sperm.

Metabolism

Tadalafil For Erectile Dysfunction is mainly metabolized with the participation of the CYP3A4 isoenzyme. The major circulating metabolite is methylethanolamine. This metabolite is at least 13,000 times less active against PDE5 than Cialis Tadalafil 20 Mg Tablets. Therefore, the concentration of this metabolite is not clinically significant.

Breeding

In healthy individuals, the average clearance of Tadalafil 5mg India when administered is 2.5 l/h, and the average T1/2 - 17.5 h. Tadalafil Eli Lilly is excreted mainly in the form of inactive metabolites, mainly with feces (about 61% of the dose) and, to a lesser extent, with urine (about 36% of the dose).

Pharmacokinetics in special clinical cases

Binding to proteins does not change with impaired renal function.

Healthy elderly patients (65 years and more) had a lower clearance of Cialis Tadalafil Tablets when administered, which was expressed in an increase in AUC by 25% compared with healthy individuals aged 19 to 45 years. This difference is not clinically significant and does not require dose adjustment.

In patients with renal insufficiency of mild to moderate severity dose adjustment is not required. Due to the increased exposure of Tadalafil Tablets Usp 20 Mg (AUC), patients with severe renal insufficiency are not recommended to use Tadalafil Generic Cialis 20mg®.

The pharmacokinetics of Tadalafil Eli Lilly in patients with weak and moderate hepatic insufficiency is comparable to that in healthy individuals In patients with severe hepatic insufficiency (class C according to the child-Pugh classification) data are not available. When prescribing Tadalafil Cialis From India Tadalafil 5mg India® patients with severe liver failure must first assess the risk and benefit of Tadalafil Cialis 20mg.

In patients with diabetes mellitus during the use of Tadalafil Eli Lilly AUC was less by about 19% than in healthy individuals. This difference does not require dose selection.

Tadalafil Citrate Dosage