Buy Cialis Tadalafil Online from Canadian Pharmacy
Cialis
Cialis (tadalafil) is an FDA-approved medication used in the treatment of erectile dysfunction (ED), pulmonary arterial hypertension (PAH), and benign prostatic hyperplasia (BPH). It increases blood flow to the penis, aiding in achieving and maintaining an erection. Dosages vary from 2.5 to 20 mg for ED, 5 mg daily for BPH, and 40 mg daily for PAH. It’s essential to follow safety guidelines, avoid mixing with nitrates, and store at room temperature. Cialis is not suitable for everyone, especially those with allergies to tadalafil or certain medical conditions. Always consult a healthcare professional before use.
Product Overview
Cialis (tadalafil) is a prescription medication approved by the FDA for the treatment of erectile dysfunction (ED), pulmonary arterial hypertension (PAH), and benign prostatic hyperplasia (BPH). It works by increasing blood flow to the penis, helping men achieve and maintain an erection. For ED, the dosage can vary from 2.5 mg to 20 mg depending on the individual’s needs and the frequency of sexual activity. For BPH, a daily dose of 5 mg is recommended. In the case of PAH, the typical dose is 40 mg once daily.
When using Cialis, it’s important to follow safety guidelines. Inform your doctor of any heart problems, allergies, or other medical conditions you may have. Avoid excessive alcohol and do not mix with nitrates or certain other medications, as this can lead to serious side effects. The medication should be stored at room temperature, away from moisture and heat, and out of reach of children and pets.
Cialis is not recommended for everyone. It is contraindicated in patients with a history of allergic reactions to tadalafil, those taking nitrates for chest pain, or those with certain medical conditions. Always consult with a healthcare professional before starting any new medication to ensure it is safe and appropriate for your specific health situation.
Uses of Cialis
- Erectile Dysfunction (ED)
- Benign Prostatic Hyperplasia (BPH)
- Pulmonary Arterial Hypertension
How to Use Cialis?
Dosage
Strengths and Forms
Tablet (Adcirca, Alyq, generic)
- 20mg
Tablet (Cialis, generic)
- 2.5mg
- 5mg
- 10mg
- 20mg
Oral suspension (Tadliq)
- 20mg5/mL
Recommended Dosage for Different Patients
For Adults:
Erectile dysfunction (ED)
- For use as needed (PRN): Start with 10 mg by mouth before sexual activity, with or without food. The dose may be increased to 20 mg or decreased to 5 mg based on effectiveness and tolerability. Most patients should not take it more than once a day.
- For daily use: Take 2.5 mg per day by mouth, without regard to the timing of sexual activity, with or without food. The dose may be increased to 5 mg daily based on effectiveness and tolerability.
Dosing considerations:
- For use as needed: If you’re also taking a strong CYP3A4 inhibitor (such as ritonavir, ketoconazole, or itraconazole), the dose should not exceed 10 mg every 72 hours.
- For daily use: If you also take a strong CYP3A4 inhibitor, the dose should not exceed 2.5 mg daily.
Benign Prostatic Hyperplasia (BPH)
It is also used daily for patients with both BPH and erectile dysfunction (ED).
- For BPH alone: Take 5 mg by mouth once daily.
- For BPH with ED: Take 5 mg by mouth once daily, at approximately the same time each day, without regard to the timing of sexual activity.
- For treating BPH when combined with finasteride. Consume 5 mg of tadalafil and 5 mg of finasteride orally once a day for a maximum of 26 weeks. The incremental benefit of tadalafil diminishes from 4 weeks to 26 weeks, and any benefit beyond 26 weeks is uncertain.
Pulmonary Arterial Hypertension (PAH)
Cialis is used to treat pulmonary arterial hypertension (PAH), a type of lung high blood pressure, to improve exercise ability. It is precisely for PAH classified as WHO Group 1, and it has been proven effective mainly in patients with NYHA Functional Class II – III symptoms and causes such as idiopathic or heritable PAH (61%) or PAH associated with connective tissue diseases (23%).
- For PAH treatment, take 40 mg by mouth once daily. Do not split the dose for more frequent dosing.
- If you are also taking ritonavir, start with 20 mg by mouth once daily for at least one week, then you may increase to 40 mg per day based on tolerability.
Dosing considerations:
- Avoid taking Cialis with CYP3A4 inhibitors (a type of medication). If you must take them together, you may need to change or stop the Cialis dose.
- If you are already taking a potent CYP3A4 inhibitor and need to start Cialis, take 20 mg by mouth once daily. You may increase to 40 mg per day based on tolerability.
- If you are already taking Cialis and need to start a potent CYP3A4 inhibitor, stop taking Cialis at least 24 hours before beginning the inhibitor. After one week, you can resume Cialis at 20 mg once daily, and you may increase to 40 mg per day based on tolerability.
For Geriatrics
Erectile Dysfunction:
- Cialis is used to treat erectile dysfunction (ED).
- No change in dosage is needed based on age alone, but remember that older people may be more sensitive to the medication.
Pulmonary Arterial Hypertension:
- Cialis also treats pulmonary arterial hypertension (PAH) to improve exercise ability. It is practical, in patients with certain types of PAH.
- Older patients taking Cialis for PAH may need a lower dose or less frequent dosing due to slower clearance from the body.
[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]
How to Take It?
- Take Cialis only once daily, following your prescription label’s directions.
- Do not take more or less of the medicine than prescribed.
- You can take Cialis with or without food.
- Swallow the tablet whole without breaking or splitting it.
- For treating erectile dysfunction, take Cialis shortly before involving in sexual activity, but limit it to once per day.
- Cialis helps achieve an erection when there is sexual stimulation; it does not cause an erection just by taking the pill.
[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]
How Does Cialis Work?
Cialis (tadalafil) works by increasing blood flow to the penis, which helps a man achieve and maintain an erection. It does this by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which is responsible for breaking down a chemical in the body called cyclic guanosine monophosphate (cGMP). cGMP helps relax the blood vessels in the penis, allowing more blood to flow in during sexual stimulation. By blocking PDE5, Cialis increases the levels of cGMP, leading to improved erectile function. It’s important to note that sexual stimulation is still required for Cialis to be effective.
Important Safety Information
Side Effects
Common Side Effects
- Headache
- Upset stomach and indigestion
- Back pain
- Muscle pain
- Stuffy or runny nose
- Flushing (temporary warmth, redness, or deepening of skin color)
- Upper respiratory infections, such as the common cold
- Cough
- Diarrhea
- Urinary tract infection
- Heartburn
- Abdominal pain
Adverse/Serious Side Effects
- Chest pain
- Heart attack
- Fast heart rate
- Severe allergic reaction
- Prolonged erection (an erection that lasts more than 4 hours, also known as priapism, can damage the penis)
- High or low blood pressure
- Vision changes, like loss of vision
- Sudden hearing loss or ringing in your ears
[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]
Warnings
Heart Problems: Inform your doctor about any heart issues before taking Cialis, as it can affect heart function.
Allergic Reaction: Do not use Cialis if you have had an allergic reaction to it or its ingredients.
Prolonged Erection: Cialis can cause priapism, an erection lasting more than 4 hours, which can damage the penis.
Pediatric Use: Cialis is not recommended for use in children, as its safety and efficacy have not been established.
Pulmonary Hypertension: Consult your doctor before taking Cialis if you have pulmonary hypertension (high blood pressure in the lungs).
Precautions
- Tell your doctor or pharmacist if you are allergic to tadalafil or have any other allergies, as this medication may contain inactive ingredients that can cause allergic reactions.
- Inform your healthcare provider or pharmacist about your medical history, particularly if you’ve experienced heart issues, stroke, kidney or liver disease, high or low blood pressure, dehydration, conditions affecting the penis, or a history of painful or prolonged erections. These disorders that could raise the risk of priapism (e.g., sickle cell anemia, leukemia, multiple myeloma), eye problems, bleeding disorders, or active stomach ulcers.
- Be aware that this drug can make you dizzy, and using alcohol or marijuana can increase this effect. Do not drive or operate machinery until you are sure you can do so safely. Consume limited alcohol and consult about marijuana use with your medical professional.
- Inform your doctor or dentist about all the products you use, like prescription and nonprescription medicines and herbal items, prior to undergoing surgery.
- Note that this brand of tadalafil is not usually used in women. If you are pregnant, tadalafil should only be used when clearly needed. Discuss the risks and benefits with your doctor.
- Consult your doctor before breastfeeding, as it is unknown if tadalafil passes into breast milk.
Cialis Contraindications
Cialis is contraindicated in patients who are:
- Taking nitrates.
- Having an allergic reaction to Cialis or tadalafil (Adcirca).
- Taking guanylate cyclase stimulators, such as riociguat (Adempas).
Missed Dose
If someone has overdosed and experiences severe symptoms like fainting or difficulty breathing, call emergency services immediately.
[Note: If you have missed a medication dose and are still determining when to take the next one, immediately consult your doctor or pharmacist.]
Overdose
Do not take more Cialis than prescribed by your doctor, as exceeding the recommended dosage can result in serious side effects.
[Note: If you consumed more than recommended dose, get medical help right away, or call the Poison Help line at 1-800-222-1222.]
Storage
- When you buy Cialis Tadalafil, keep Cialis at room temperature, ideally between 20°C- 25°C.
- Store it in a dry location, away from moisture, such as in a medicine cabinet.
- Avoid exposing Cialis to extreme temperatures, including freezing or excessive heat.
- Ensure children and pets are out of reach to prevent accidental ingestion.
- Store Cialis in its original packaging to shield it from light and moisture.
- Refrain from storing Cialis in the bathroom, where moisture levels can be high.
- When you buy Cialis Tadalafil, properly dispose of any expired or unused Cialis following local regulations.
[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]
Cialis Interactions
- Nitrates (nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate)
- Alpha-Blockers (doxazosin, terazosin, and tamsulosin)
- Antihypertensive Medications
- HIV Protease Inhibitors
- Antifungal Medications (ketoconazole and itraconazole)
- Macrolide Antibiotics (erythromycin and clarithromycin)
- Riociguat
- Grapefruit and Grapefruit Juice
- Other Erectile Dysfunction Medications
- Other PDE5 Inhibitors (Sildenafil (Viagra) or vardenafil (Levitra)
[Note: This isn’t a complete list, and there could be other drugs that interact with (drug name). Make sure to tell your doctor any prescription, over-the-counter medicines, and herbal products you’re taking.]
Cialis Alternatives
- Viagra (sildenafil)
- Levitra (vardenafil)
- Stendra (avanafil)
- Staxyn (vardenafil)
- Caverject (alprostadil)
- Caverject Imulse (alprostadil)
- Edex (alprostadil)
- Muse (alprostadil)
[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]
Quick Tips
Does Cialis Lower Blood Pressure? Exploring the Potential Benefits of Tadalafil
Frequently Asked Questions
How long does it take for Cialis to start working?
Cialis typically commences working roughly half an hour after ingestion, and its effects can last up to 36 hours. Delving further, its effects can be felt even longer, as they may continue to be experienced up to 72 hours after ingestion.
Is Cialis available without a prescription?
Cialis can only be purchased when a valid prescription has been obtained from a certified Canadian pharmacy referral service like Polarbearmeds.com. Taking the drug without consulting a medical professional or without their supervision is unsafe and not recommended.
Are there any other drugs or treatments that interact with Cialis?
Yes, some other drugs and treatments may interact with Cialis. These include nitrates, rifampin, ketoconazole or itraconazole, erythromycin, protease inhibitors, alpha-blockers for BPH symptoms, and HIV protease inhibitors. All of these should be considered, as they may cause changes in the effectiveness of Cialis.
Can Cialis maintain my erection after ejaculation?
No, Cialis does not maintain an erection after ejaculation. Typically, sexual excitement decreases after ejaculation, leading to the loss of an erection, regardless of Cialis use. While Cialis can be effective for up to 36 hours after taking a dose, sexual stimulation is still required to achieve an erection.
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