Pharmacokinetics

The pharmacokinetics of Tadalafil Citrate Dosage in patients with erectile dysfunction is similar to the pharmacokinetics of Buy Cialis Tadalafil in persons without erectile dysfunction.

Suction

After taking Tadalafil Citrate Dosage inside Buy Cialis Tadalafil 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 Generic Cialis 20mg does not depend on the meal, so Buy Tadalafil Canada® 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 Tablets India 1 time/day.

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

The plasma protein binding of Tadalafil Generic Cialis 20mg at therapeutic concentrations 94%.

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

Metabolism

Tadalafil Cialis 20mg 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 10mg Tablets. Therefore, the concentration of this metabolite is not clinically significant.

Breeding

In healthy individuals, the average clearance of Tadalafil Citrate Dosage when administered is 2.5 l/h, and the average T1/2 - 17.5 h. Tadalafil For Erectile Dysfunction 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 Tadalafil For Erectile Dysfunction 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 Cialis From India (AUC), patients with severe renal insufficiency are not recommended to use Tadalafil Tablets Usp 20 Mg®.

The pharmacokinetics of Tadalafil 40 Mg Dosage 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 20mg Tadalafil Dosage For Erectile Dysfunction® patients with severe liver failure must first assess the risk and benefit of Tadalafil 40 Mg Dosage.

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

About Tadalafil Citrate Dosage

Tadalafil 40 Mg Dosage is a drug that has long gained popularity in men who have a weak or unstable erection. A huge number of clinical studies and experiments were conducted, in which several thousand people with erectile dysfunction participated. The effectiveness of Tadalafil Usa was 81%, this percentage of men was able to fully restore the "normal" erection, the rest got rid of their ailments, depending on the degree of complexity of the disease. Agree, this is an amazing result!

The main feature of Cialis Tadalafil Buy Online is the ability to restore an erection for 36 hours after taking the pill, which will occur only with sexual arousal. That allows partners not to adapt to a certain time of Tadalafil Dosage For Erectile Dysfunction, and lead a normal life before the natural desire. In addition, the effectiveness of Buy Cialis Tadalafil will not affect a hearty dinner or drunk alcohol, which is also a definite plus for men of any age.

Action of preparation

We all understand that the main effect of the action of Tadalafil Tablets Usp 20 Mg should be only one – increasing potency in men. This is exactly what happens after the use of Tadalafil Tablets India, with sexual arousal: the blood vessels of the penis expand, after which it receives a more enhanced blood flow, thereby creating a "normal" erection. A noticeable improvement in potency can be observed within 20 minutes after the use of Buy Tadalafil Canada.

Application and dosage

Tablets are used inside and washed down with water, regardless of the meal. The minimum time before presumable sexual intercourse has to make 20 minutes. Most often, doctors recommend a dose of 20 mg. After that, for 36 hours, you can at any moment be in full sexual readiness. The maximum frequency of admission should not exceed 1 time per day. For the elderly, no changes in the dosage and application does not exist.

Recommendations and contraindications

Be sure to consult your doctor before taking Tadalafil Eli Lilly 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, Tadalafil Usa 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 Cialis From India, Cialis Tadalafil Tablets 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 Dosage For Erectile Dysfunction.

Side effects and overdose

Due to the well-studied experience of Cialis Tadalafil 10mg Tablets, 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 Usa Cialis Tadalafil Tablets 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 Generic Cialis 20mg at a dose of 20 mg, immediately before sexual activity, according to the instructions for medical use of Buy Cialis Tadalafil. The maximum daily dose of Cialis Tadalafil 10mg Tablets is 20 mg. the Use of Buy Cialis Tadalafil according to the indication of BPH or ED/BPH. The recommended dose of Buy Cialis Tadalafil when used once a day is 5 mg; Cialis Tadalafil 20 Mg Tablets 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 Buy Online 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 Buy Tadalafil Canada 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 5mg India in lower doses. Treatment: in case of overdose, standard symptomatic treatment is necessary. In hemodialysis Tadalafil Dosage For Erectile Dysfunction practically displayed.

Interaction with other drugs

Tadalafil Dosage For Erectile Dysfunction 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 Cialis 20mg. The simultaneous administration of antacid (magnesium hydroxide/aluminium hydroxide) and Tadalafil Cialis From India reduced the rate of absorption of the latter without changing the AUC. Tadalafil Dosage For Erectile Dysfunction enhances the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Cialis Tadalafil 10mg Tablets on the metabolism of nitric oxide and cGMP. Therefore, the use of Tadalafil 5mg India in patients receiving nitrates is contraindicated

Tadalafil Eli Lilly