Recommendations and contraindications
Be sure to consult your doctor before taking Cialis Tadalafil Buy Online pills. Based on your medical history, it will determine the risks you may be exposed to after taking the medicine. Here are the most important rules to follow:
- Like any other drug of this action, Buy Tadalafil Canada is contraindicated in combination with nitrates (which are in medicines for the treatment of cardiovascular diseases).
- The body, which is sensitive to any of the components of Tadalafil Citrate Dosage, Tadalafil Cialis From India is strictly contraindicated.
- It should not be used by persons under the age of 18.
- Hypertension, hepatic or renal failure, disorders of the heart-are one of the most important contraindications for the use of Tadalafil Generic Cialis 20mg.
Side effects and overdose
Due to the well-studied experience of Tadalafil Cialis 20mg, side effects are quite rare. But there are exceptions to the rule, so you need to be prepared for the following symptoms:
- Mild headaches
- Dizziness and vomiting
- A rush of blood to the face
- Nasal congestion
When overdosed, the risk of getting one of the side effects increases. Therefore, you should immediately consult a doctor to conduct standard symptomatic therapy.
Dosage and administration
Inside. Use of Tadalafil Dosage For Erectile Dysfunction Tadalafil Citrate Dosage 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 Tablets India at a dose of 20 mg, immediately before sexual activity, according to the instructions for medical use of Tadalafil 10mg Dosage. The maximum daily dose of Tadalafil Cialis 20mg is 20 mg. the Use of Tadalafil 10mg Dosage according to the indication of BPH or ED/BPH. The recommended dose of Tadalafil Cialis 20mg when used once a day is 5 mg; Tadalafil Cialis 20mg 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 Cialis Tadalafil 20 Mg Tablets 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 Cialis Tadalafil 20 Mg Tablets 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 Dosage For Erectile Dysfunction in lower doses. Treatment: in case of overdose, standard symptomatic treatment is necessary. In hemodialysis Tadalafil Generic Cialis 20mg practically displayed.
Interaction with other drugs
Cialis Tadalafil 20 Mg Tablets 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 Dosage For Erectile Dysfunction. The simultaneous administration of antacid (magnesium hydroxide/aluminium hydroxide) and Tadalafil 10mg Dosage reduced the rate of absorption of the latter without changing the AUC. Tadalafil Cialis From India enhances the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Tadalafil Eli Lilly on the metabolism of nitric oxide and cGMP. Therefore, the use of Cialis Tadalafil Tablets in patients receiving nitrates is contraindicated
It is known that Cheap Generic Tadalafil increases the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Tadalafil Citrate Dosage on the metabolism of nitric oxide (NO) and cGMP. Therefore, the use of Cialis Tadalafil Tablets in patients receiving nitrates is contraindicated.
Tadalafil Dosage For Erectile Dysfunction 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 Cialis Tadalafil 10mg Tablets does not inhibit or induce isoenzymes CYP1A2, CYP3A4, CYP2C9, CYP2C19, CYP2D6, CYP2E1.
Tadalafil Dosage For Erectile Dysfunction does not have a clinically significant effect on the pharmacokinetics of S-warfarin or R-warfarin. Tadalafil 40 Mg Dosage does not affect the action of warfarin against PV.
Tadalafil Tablets India does not increase the duration of bleeding caused by acetylsalicylic acid.
Cialis Tadalafil 10mg Tablets 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 40 Mg Dosage should be given appropriate clinical recommendations.
Did not observed a significant reduction in blood pressure in the application of Tadalafil Cialis From India in healthy individuals taking selective альфа1А-blocker tamsulosin on the results of two clinical studies.
Coadministration of Tadalafil Generic Cialis 20mg with doxazosin is contraindicated. When using Buy Cialis Tadalafil 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.
Tadalafil Generic Cialis 20mg did not affect the concentration of alcohol, nor did alcohol affect the concentration of Cialis Tadalafil 10mg Tablets. At high doses of alcohol (0.7 g/kg), Tadalafil 40 Mg Dosage 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.
Tadalafil Dosage For Erectile Dysfunction has no clinically significant effect on the pharmacokinetics or pharmacodynamics of theophylline.
Tadalafil Citrate Dosage is mainly metabolized with the participation of the CYP3A4 isoenzyme. Selective inhibitor of CYP3A4, ketoconazole (400 mg/day) increases the AUC of Cialis Tadalafil Tablets in a single dose by 312% and SMACNA 22%, and ketoconazole (200 mg/day) increases the AUC of Tadalafil Citrate Dosage in a single dose by 107% and Smachna 15% relative to the AUC values for Tadalafil Tablets India Smartelco one. Ritonavir (200 mg 2 times a day), an inhibitor of isoenzymes CYP3A4, 2C9, 2C19 and 2D6, increases the AUC of Tadalafil Tablets Usp 20 Mg in a single dose by 124% without changing Cmax. Although no specific interactions have been studied, it can be assumed that other HIV protease inhibitors such as saquinavir and CYP3A4 isoenzyme inhibitors such as erythromycin and Itraconazole increase Cialis Tadalafil 20 Mg Tablets activity.
Selective inducer of CYP3A4, rifampin (600 mg/day), reduces the exposure of a single dose of Buy Cialis Tadalafil (AUC) by 88% and SMACNA 46% relative to the AUC values for Tadalafil Tablets Usp 20 Mg Smartelco one. It can be assumed that the simultaneous use of other inducers of CYP3A4 isoenzyme should also reduce the concentration of Tadalafil Tablets India in plasma.
Simultaneous administration of antacid (magnesium hydroxide/aluminum hydroxide) and Tadalafil Tablets Usp 20 Mg reduces the rate of absorption of Cialis Tadalafil Tablets without changing the area under the pharmacokinetic curve for Tadalafil Eli Lilly. The increase in gastric pH as a result of the H2-histamine receptor blocker nizatidine had no effect on the pharmacokinetics of Buy Tadalafil Canada.
The safety and effectiveness of the combination of Tadalafil 5mg India with other types of treatment of erection disorders have not been studied, so the use of such combinations is not recommended.
Buy Tadalafil Canada does not potentiate the increase in bleeding time caused by taking acetylsalicylic acid.
Tadalafil 40 Mg Dosage