Mechanism of action

The active substance of Tadalafil Tablets India is Buy Cialis Tadalafil, 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 10mg Tablets.

Rules of admission

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

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Effect of Tadalafil 5mg India on other drugs

It is known that Tadalafil Dosage For Erectile Dysfunction increases the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Tadalafil Dosage For Erectile Dysfunction on the metabolism of nitric oxide (NO) and cGMP. Therefore, the use of Tadalafil Cialis 20mg 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 Dosage For Erectile Dysfunction does not inhibit or induce isoenzymes CYP1A2, CYP3A4, CYP2C9, CYP2C19, CYP2D6, CYP2E1.

Cialis Tadalafil 10mg Tablets does not have a clinically significant effect on the pharmacokinetics of S-warfarin or R-warfarin. Tadalafil 5mg India does not affect the action of warfarin against PV.

Tadalafil Eli Lilly does not increase the duration of bleeding caused by acetylsalicylic acid.

Tadalafil Cialis From India 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 Cialis Tadalafil 10mg Tablets should be given appropriate clinical recommendations.

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

Coadministration of Tadalafil 10mg Dosage with doxazosin is contraindicated. When using Cialis Tadalafil Tablets 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 10mg Dosage did not affect the concentration of alcohol, nor did alcohol affect the concentration of Tadalafil Tablets Usp 20 Mg. At high doses of alcohol (0.7 g/kg), Cialis Tadalafil Tablets did not cause a statistically significant decrease in the average blood PRESSURE. Some patients had postural dizziness and orthostatic hypotension. When taking Tadalafil Generic Cialis 20mg 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 Tablets India has no clinically significant effect on the pharmacokinetics or pharmacodynamics of theophylline.

Clinical pharmacology

Tadalafil Generic Cialis 20mg is a reversible selective inhibitor of specific PDE-5 cGMP. When sexual arousal causes local release of nitric oxide, inhibition of PDE-5 by Tadalafil Generic Cialis 20mg leads to an increase in the concentration of cGMP in the cavernous body of the penis. The consequence of this is the relaxation of the smooth muscles of the arteries and blood flow to the tissues of the penis, which causes an erection. Cialis Tadalafil 20 Mg Tablets has no effect in the absence of sexual arousal.

In vitro studies have shown that Cialis Tadalafil Tablets is a selective PDE-5 inhibitor. PDE-5 is an enzyme found in the smooth muscles of the cavernous body, in the smooth muscles of the vessels of the internal organs, in skeletal muscles, platelets, kidneys, lungs and cerebellum. The effect of Tadalafil Dosage For Erectile Dysfunction on PDE-5 is more active than on other PDES. Tadalafil 10mg Dosage is 10,000 times more powerful against PDE-5 than against PDE-1, PDE-2, PDE-4 and PDE-7, which are localized in the heart, brain, blood vessels, liver, leukocytes, skeletal muscles and other organs. Tadalafil Eli Lilly is 10,000 times more active in blocking PDE-5 than PDE-3, an enzyme that is found in the heart and blood vessels. This selectivity for PDE-5 versus PDE-3 is important because PDE-3 is an enzyme involved in cardiac muscle contraction. In addition, Tadalafil Dosage For Erectile Dysfunction is approximately 700 times more active against PDE-5 than against PDE-6, which is found in the retina and is responsible for photo transmission. Tadalafil 5mg India is also showing the action in 9000 times more potent against PDE-5 compared with its effect on PDE-8, PDE-9, PDE-10 and 14 times more potent against PDE-5 compared to PDE-11. Tissue distribution and physiological effects of PDE-8 — PDE-11 inhibition have not yet been clarified.

Tadalafil 5mg India improves erection and increases the possibility of a full sexual intercourse.

Tadalafil Citrate Dosage in healthy individuals does not cause a significant change in sad and dad in comparison with placebo in the supine position (the average maximum decrease is 1.6/0.8 mm Hg. art respectively) and standing (mean maximum decrease of 0.2/4.6 mm Hg. art., respectively). Cialis Tadalafil 10mg Tablets does not cause a significant change in heart rate.

Tadalafil Cialis From India does not cause changes in color recognition (blue/green), due to the low affinity for PDE-6. In addition, there is no effect of Tadalafil Eli Lilly on visual acuity, electroretinogram, intraocular pressure and pupil size.

Dosage and administration

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

Interaction with other drugs

Tadalafil 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 Citrate Dosage. The simultaneous administration of antacid (magnesium hydroxide/aluminium hydroxide) and Tadalafil Eli Lilly reduced the rate of absorption of the latter without changing the AUC. Cialis Tadalafil 10mg Tablets 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 Tablets India in patients receiving nitrates is contraindicated

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