Mechanism of action

The active substance of Tadalafil 5mg India is Tadalafil Eli Lilly, 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 40 Mg Dosage.

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.

To sum up: buy Tadalafil Citrate Dosage (Cialis Tadalafil 20 Mg 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 Tablets on other drugs

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

Tadalafil Tablets Usp 20 Mg does not have a clinically significant effect on the pharmacokinetics of S-warfarin or R-warfarin. Tadalafil Tablets 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 5mg 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 Tadalafil Tablets Usp 20 Mg should be given appropriate clinical recommendations.

Did not observed a significant reduction in blood pressure in the application of Tadalafil 10mg Dosage 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 Tadalafil Generic Cialis 20mg 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 Tadalafil 5mg India. At high doses of alcohol (0.7 g/kg), Tadalafil Dosage For Erectile Dysfunction 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 Citrate Dosage has no clinically significant effect on the pharmacokinetics or pharmacodynamics of theophylline.

Dosage and administration

Inside. Use of Tadalafil 5mg India Cialis Tadalafil Buy Online 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 Cialis Tadalafil Tablets at a dose of 20 mg, immediately before sexual activity, according to the instructions for medical use of Tadalafil Eli Lilly. The maximum daily dose of Tadalafil 40 Mg Dosage is 20 mg. the Use of Tadalafil Dosage For Erectile Dysfunction according to the indication of BPH or ED/BPH. The recommended dose of Tadalafil For Erectile Dysfunction when used once a day is 5 mg; Tadalafil Dosage 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 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 Cialis From India 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 10mg Dosage practically displayed.

Interaction with other drugs

Tadalafil Usa 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 For Erectile Dysfunction. The simultaneous administration of antacid (magnesium hydroxide/aluminium hydroxide) and Cialis Tadalafil Buy Online reduced the rate of absorption of the latter without changing the AUC. Cialis Tadalafil Buy Online 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 Generic Cialis 20mg in patients receiving nitrates is contraindicated

Recommendations and contraindications

Be sure to consult your doctor before taking Tadalafil For Erectile Dysfunction 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 Cialis 20mg 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 20mg, Tadalafil Generic Cialis 20mg 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 Cialis Tadalafil 20 Mg 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.

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