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Buy Tadalafil PAH 20 Mg Tablets from Canadian Pharmacy Online

What Is Tadalafil PAH (Adcirca)?

Tadalafil is a medicine used to treat a type of high blood pressure in the lungs known as Pulmonary Arterial Hypertension (PAH). This condition makes it hard for people to exercise and be active.

How Does Tadalafil Work?

This drug belongs to a group called phosphodiesterase 5 inhibitors. Imagine there’s an enzyme in your body called phosphodiesterase 5 that breaks down a special substance (cGMP). This substance, cGMP, is important because it helps relax and widen blood vessels. Tadalafil works by reducing the activity of this enzyme, which means more cGMP is available to help blood vessels relax and widen.


Benefits of Tadalafil in PAH: When the blood vessels in the lungs are relaxed and widened, blood can flow through them more easily. This makes it easier for your heart to pump blood through your lungs. As a result, the blood pressure in your lungs goes down. This improvement in blood flow can help you exercise better and feel better overall.

Tadalafil PAH Doses & Usage

Form and Strength: Tadalafil comes in tablet form. Each tablet has 20 milligrams (mg) of the medication.

Usual Dose for Most People:

  • The typical dose is 40 mg.
  • This means taking two of the 20 mg tablets together.
  • Tadalafil is not available as an IV medication, which is the type given through a vein.

How to Use Tadalafil?

Read the information leaflet from your pharmacist each time you get more Tadalafil. If you have questions, ask your doctor or pharmacist. Here’s how to take Tadalafil PAH:

  • Take Tadalafil once daily, with or without food. Your doctor might first prescribe one tablet per day.
  • Then, after some time, they may increase it to the full dose of two tablets daily.
  • This gradual increase helps your body get used to the medication.
  • Inform your doctor if your condition doesn’t get better or if it gets worse while using Tadalafil.
  • Don’t split (cut into halves), crush, or chew the tablets. You should swallow them whole.

Considerations for Special Populations

Pregnancy and Breastfeeding: However, it’s often used by women who are pregnant or breastfeeding if they have severe pulmonary arterial hypertension (PAH), a serious heart and lung condition. This is because the danger of not treating PAH is considered greater than the potential risks of using tadalafil.

Children: Tadalafil seems to be safe and works well for children.

Liver Disease: People with mild or moderate liver problems should start with a low dose of tadalafil (20 mg once a day). If someone has severe liver disease, they shouldn’t use tadalafil.

Kidney Disease: Those with mild to moderate kidney problems can start tadalafil at a low dose (20 mg once a day) and possibly increase it to 40 mg daily if they tolerate it well. However, if someone has severe kidney issues or is on dialysis, they should generally avoid tadalafil. This is because severe kidney disease can cause higher levels of tadalafil in the blood.

HIV/AIDS: If you have HIV or AIDS, you should talk to your pharmacist before taking tadalafil or similar medicines. This is because these medicines can greatly reduce the effectiveness of some HIV/AIDS treatments.

Side Effects

Allergic Reactions: Skin rashes, itching, swelling on your face, lips, tongue, or throat

Hearing Issues: Experiencing hearing loss or a ringing sound in your ears

Heart Attack Symptoms: Chest pain, pain in shoulders, arms, or jaw, feeling sick, difficulty breathing, skin that feels cold or clammy, feeling faint or lightheaded – these are warning signs of a heart attack. Seek medical help immediately.

Low Blood Pressure: Feeling dizzy, lightheaded, or having blurry vision are signs of low blood pressure. 

Prolonged or Painful Erection: If this occurs, you need to contact your healthcare provider as soon as possible.

Skin Reactions: Redness, blisters, peeling skin, or sores in your mouth are serious.

Stroke Symptoms: Sudden numbness or weakness, especially on one side of the body, severe headache, trouble speaking, difficulty walking, confusion, loss of balance or coordination, or changes in vision are signs of a stroke. Seek medical attention right away.

Sudden Vision Loss: Losing vision suddenly in one or both eyes is serious. Contact your doctor immediately.

Other side effects that are less serious but still may need attention:

  • Back Pain
  • Facial Redness or Flushing
  • Headache
  • Muscle Pain
  • Runny or Stuffy Nose
  • Upset Stomach

These are usually less concerning and may not need urgent medical attention, but you should still mention them to your care team if they persist or bother you.

What May Interact with Tadalafil 20mg?

  • Nitrates
  • Erectile Dysfunction Medications
  • Tadalafil Products (includes Cialis)
  • Riociguat
  • High Blood Pressure Medications
  • Certain drugs used for treating HIV or AIDS can affect how this medication works.
  • Medications used in antifungal and yeast infection treatments, like fluconazole, itraconazole, ketoconazole, and voriconazole could interact.
  • Seizure Medications include drugs like carbamazepine, phenytoin, and phenobarbital.
  • Grapefruit juice
  • Macrolide Antibiotics
  • Prostate Problem Medications
  • Rifamycins (Such as rifabutin, rifampin, or rifapentine)

[Important Note: This list doesn’t cover all possible interactions. Share a complete list of all your medicines, including over-the-counter drugs, herbs, and supplements, with your healthcare provider. Also, inform them if you smoke, consume alcohol, or use illegal drugs, as these may also interact with your medicine.]

Frequently Asked Questions

Where should I keep my medication?

When storing your medication, it’s crucial to place it somewhere out of children’s reach. Ideally, keep it at a comfortable room temperature, between 15 to 30 degrees Celsius (59 to 86 degrees Fahrenheit). Also, remember to discard any medication that’s past its expiration date.

What is the difference between tadalafil and tadalafil PAH?

Tadalafil and Tadalafil PAH are essentially the same medication, but they’re marketed under different brand names for distinct medical conditions. For instance, Cialis, a well-known brand of tadalafil, is primarily used for treating erectile dysfunction and benign prostatic hyperplasia. On the other hand, Adcirca, another brand of tadalafil, is specifically aimed at treating pulmonary arterial hypertension (PAH). So, while the underlying drug is the same, the branding and the targeted health issues differ.

What drugs should be avoided in PAH?

In managing Pulmonary Arterial Hypertension (PAH), it’s important to be cautious with certain medications. Specifically, decongestants and drugs that have stimulants like pseudoephedrine or ephedrine should be avoided. These are commonly found in over-the-counter treatments for colds, flu, sinus issues, allergies, and headaches. The reason for this caution is that these substances can cause the blood vessels to narrow, potentially exacerbating PAH symptoms and leading to increased blood pressure and heart rate.

What is not recommended while on Tadalafil 20 mg?

Tadalafil might not be the best choice for individuals with a specific kind of lung high blood pressure known as pulmonary veno-occlusive disease. In case you have this condition or suddenly find yourself coughing, struggling to breathe, feeling chest pain, or breathing rapidly, it’s crucial to have a chat with your doctor before considering this medication.

Our Guarantee

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