Mechanism of action

The active substance of Tadalafil Tablets India is Cialis Tadalafil Tablets, 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 Tadalafil Citrate Dosage.

Rules of admission

The duration of the generic Cheap Generic Tadalafil reaches 36 hours, but it is recommended to take a 20mg tablet 30 minutes before the intended sexual intercourse. Drink Tadalafil Citrate Dosage 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 Cialis Tadalafil Tablets (Tadalafil Dosage For Erectile Dysfunction) 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 Tadalafil Dosage For Erectile Dysfunction on other drugs

It is known that Tadalafil 40 Mg 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 10mg Tablets in patients receiving nitrates is contraindicated.

Tadalafil 40 Mg Dosage 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 Cialis From India does not inhibit or induce isoenzymes CYP1A2, CYP3A4, CYP2C9, CYP2C19, CYP2D6, CYP2E1.

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

Tadalafil Generic Cialis 20mg 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 Cialis Tadalafil Tablets in healthy individuals taking selective альфа1А-blocker tamsulosin on the results of two clinical studies.

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

Pharmacological action

Cialis Tadalafil 20 Mg Tablets for the treatment of erectile dysfunction. Buy Cialis Tadalafil is a reversible selective inhibitor of cyclic guanosine monophosphate (cGMP) PDE5. When sexual arousal causes local release of nitric oxide, inhibition of PDE5 by Tadalafil Tablets Usp 20 Mg 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. Tadalafil Tablets India has no effect in the absence of sexual arousal.

In vitro studies have shown that Tadalafil Tablets Usp 20 Mg is a selective PDE5 inhibitor. PDE5 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 Cialis Tadalafil Tablets on PDE5 is more active than on other PDES. Tadalafil Eli Lilly is 10,000 times more potent against PDE5 than against PDE1, PDE2, PDE4 and PDE7, which are localized in the heart, brain, blood vessels, liver, leukocytes, skeletal muscles and other organs. Buy Tadalafil Canada is 10,000 times more active in blocking PDE5 than PDE3, an enzyme that is found in the heart and blood vessels. This selectivity concerning PDE5 compared to ФДЭ3 is important because ФДЭ3 is an enzyme participating in the reduction of cardiac muscle. In addition, Tadalafil 5mg India is approximately 700 times more active against PDE5 than against PDE6 found in the retina and responsible for photo transmission. Buy Tadalafil Canada is also showing the action in 9000 times more potent against PDE5 compared to its effect on PDE8, PDE9 and PDE10, and 14 times more potent against PDE5 compared to PDE11. Tissue distribution and physiological effects of inhibition of PDE8 - PDE11 have not yet been clarified.

Tadalafil 40 Mg Dosage improves erection and increases the possibility of a full sexual intercourse.

Tadalafil Cialis From India in healthy individuals does not cause a significant change in systolic and diastolic pressure in comparison with placebo in the supine position (the average maximum decrease is 1.6/0.8 mm Hg. respectively) and in the standing position (the average maximum decrease is 0.2/4.6 mm Hg. art., respectively). Tadalafil 40 Mg Dosage does not cause a significant change in heart rate. Cheap Generic Tadalafil does not cause changes in color recognition (blue/green), due to its low affinity for PDE6. In addition, there is no effect of Tadalafil Usa on visual acuity, electroretinogram, intraocular pressure and pupil size.

Several studies have been conducted to assess the effect of daily Cialis Tadalafil Buy Online on spermatogenesis. None of the studies showed an undesirable effect on the morphology of sperm and their mobility. One study found a decrease in the average sperm concentration compared to placebo. A decrease in sperm concentration was associated with a higher ejaculation rate. In addition, there was no undesirable effect on the average concentration of sex hormones, testosterone, LH and FSH when taking Buy Cialis Tadalafil compared to placebo.

The efficacy and safety of Tadalafil 10mg Dosage (at doses of 2.5 mg and 5 mg) was studied in clinical trials. There was an improvement in erection in patients with erectile dysfunction of all degrees of severity when taking Tadalafil 40 Mg Dosage 1 time/day. In studies of the primary efficacy of Tadalafil Usa at a dose of 5 mg, 62% and 69% of sexual intercourse attempts were successful compared to 34% and 39% of placebo patients. Cialis Tadalafil Tablets at a dose of 5 mg significantly improved erectile function for 24 hours between doses.

Dosage and administration

Inside. Use of Buy Cialis Tadalafil Tadalafil Usa 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 Usp 20 Mg at a dose of 20 mg, immediately before sexual activity, according to the instructions for medical use of Tadalafil Usa. The maximum daily dose of Tadalafil 10mg Dosage is 20 mg. the Use of Tadalafil 5mg India according to the indication of BPH or ED/BPH. The recommended dose of Tadalafil Dosage For Erectile Dysfunction when used once a day is 5 mg; Tadalafil For Erectile Dysfunction 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 Generic Cialis 20mg 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 40 Mg 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 Citrate Dosage in lower doses. Treatment: in case of overdose, standard symptomatic treatment is necessary. In hemodialysis Tadalafil Cialis From India practically displayed.

Interaction with other drugs

Tadalafil Generic Cialis 20mg 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 Usa. The simultaneous administration of antacid (magnesium hydroxide/aluminium hydroxide) and Buy Tadalafil Canada reduced the rate of absorption of the latter without changing the AUC. Tadalafil For Erectile Dysfunction enhances the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Tadalafil Citrate Dosage on the metabolism of nitric oxide and cGMP. Therefore, the use of Tadalafil 40 Mg Dosage in patients receiving nitrates is contraindicated

Tadalafil For Erectile Dysfunction