Cialis Tadalafil Erectile Dysfunction

Regulated Dispensing in Perpignan (66000) – Pyrénées-Orientales (66)

Validation of Your Prescription at a Pharmacy

This medication requires a prescription in accordance with current French regulations. Its dispensing is strictly regulated and occurs only after validation by a pharmacist in Perpignan, in the Pyrénées-Orientales.

To ensure your safety and proper care, dispensing requires a thorough review of your prescription by the pharmacist when you visit the pharmacy in the 66 department.

Conditions for Prescription Validity in Perpignan

In order to order and pick up your medication at a pharmacy in Perpignan (66000), your prescription must meet the following criteria:

• Be written by a physician practicing in a European Union country
• Be dated within the last 3 months at the time of the order
• Include the required information:

  • Full contact information and signature of the prescribing physician

  • The patient’s last name, first name, and address

  • Name of the medication (Cialis tadalafil), dosage, and quantity

  • Duration of treatment

Secure ordering process – Perpignan Pharmacy

Before picking up your order at a pharmacy in the Pyrénées-Orientales, you must:

• Upload your prescription using the “Customize Your Product” button when ordering online
• Wait for pharmaceutical validation of your order

Any order that does not comply with these regulatory requirements will be automatically canceled. A full refund will then be issued in accordance with applicable law.

Mandatory Check Upon Pickup at the Pharmacy (66)

When you visit a pharmacy in Perpignan, the pharmacist is required to:

• Verify the original prescription
• Review potential contraindications
• Validating the dosage and duration of treatment

This safety process ensures that the medication is dispensed in accordance with your medical condition.

Therapeutic Indication: Cialis Tadalafil 10 mg / 20 mg

The medication Cialis (tadalafil) is indicated for the treatment of erectile dysfunction, defined as the persistent or recurrent inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse.

Vascular Mechanism of Action

Tadalafil belongs to the class of phosphodiesterase type 5 (PDE5) inhibitors. It works by promoting the relaxation of smooth muscles in the corpora cavernosa, allowing for increased penile blood flow in response to sexual stimulation.

The effectiveness of the treatment depends on prior sexual stimulation.

Dosage and Administration of This Medication 

The prescription must be strictly followed:

• Recommended starting dose: 10 mg before sexual activity
• May be increased to 20 mg depending on the clinical response
• Take orally with a glass of water, regardless of meals
• Onset of action: approximately 30 minutes
• Duration of effect: up to 36 hours

Important recommendations

• Do not take more than once a day
• Recommended for occasional use only (not intended for prolonged daily use)
• Avoid excessive alcohol consumption (risk of low blood pressure and dizziness)

In case of overdose, seek medical attention immediately.

Composition of Cialis 

Active ingredient:

• Tadalafil (10 mg or 20 mg, depending on the dosage)

Main excipients:

• Lactose monohydrate
• Sodium croscarmellose
• Microcrystalline cellulose
• Sodium lauryl sulfate
• Magnesium stearate

Contains lactose: use with caution if you have a sugar intolerance.

Contraindications and Precautions for the Use of Tadalafil (Cialis)

Major Contraindications

Do not use Cialis in the following situations:

• Combination with nitrates (risk of severe hypotension)
• Recent history of myocardial infarction or stroke
• Severe cardiovascular conditions
• Hypotension or uncontrolled hypertension
• History of ischemic optic neuropathy (ION)

Special Precautions

A medical evaluation is essential in the following cases:

• Hematologic disorders (sickle cell disease, leukemia, multiple myeloma)
• Anatomical deformity of the penis
• Severe liver or kidney failure

Any sudden loss of vision requires immediate discontinuation of treatment and an urgent medical consultation.

Pharmacy Advice – Pharmacy in Perpignan

Sexual activity constitutes cardiovascular exertion that may pose a risk for certain patients. A prior evaluation by a healthcare professional is essential.

Pharmacists in Perpignan (66) are here to assist you with:

• Reviewing your prescription
• Preventing drug interactions
• Patient education regarding erectile dysfunction

Understanding erectile dysfunction

Erectile dysfunction can have multiple causes:

Psychological causes

• Stress, performance anxiety
• Depression
• Relationship or emotional factors

Physical causes

• Vascular disorders (arteriosclerosis)
• Diabetes
• High blood pressure
• Dyslipidemia

These factors are frequently found in patients in the Pyrénées-Orientales, requiring comprehensive and personalized care.

Packaging

• Box of 4 or 8 film-coated tablets

Safe dispensing in Perpignan (66)

The dispensing of Cialis (tadalafil) follows a strict protocol that ensures:

• Regulatory compliance
• Patient safety
• The absence of contraindications

Picking up the medication at a pharmacy in Perpignan allows for direct communication with the pharmacist, ensuring safe dispensing and optimal therapeutic support.

Patient follow-up and reviews

After receiving your medication at a pharmacy in the Pyrénées-Orientales, you can share your experience via a certified review platform.

Patient feedback helps improve the quality of pharmaceutical care and the assessment of treatment effectiveness.

Medication of impotence

tadalafil

. Presentations . Composition . Indications . Contraindications . Attention . Drug interactions . Pregnancy and breastfeeding . Instructions for use and dosage . Tips . Side effects . Lexicon

PRESENTATIONS ^(summary)

CIALIS 2.5 mg: tablet (light orange); box of 28.
Not refunded - Free price -
Prescription (List I)

CIALIS 5 mg: tablet (light yellow); box of 28.
Not refunded - Free price -
Prescription (List I)

CIALIS 5 mg: tablet (light yellow); box of 84.
Not refunded - Free price -
Prescription (List I)

CIALIS 10 mg: tablet (light yellow); box of 4.
Not refunded - Free price -
Prescription (List I)

CIALIS 20 mg: tablet (yellow); box of 4.
Not refunded - Free price -
Prescription (List I)

CIALIS 20 mg: tablet (yellow); box of 8.
Not refunded - Free price -
Prescription (List I)

Laboratory Lilly France

COMPOSITION ^(summary)

	p cp	p cp
tadalafil	2.5 mg	5 mg
Lactose	+	+

	p cp	p cp
tadalafil	10 mg	20 mg
Lactose	+	+

INDICATIONS ^(summary)

This medicine is a vasodilator that acts specifically on the penis. Its action on the rest of the cardiovascular system is minimal and is of consequence only in the case of a combination of nitrated vasodilator drugs (see Interactions). It can only work in cases of sexual desire and does not usually trigger erection alone. Its effect is shown no later than one hour after taking and may last another 36 hours after. Erection is improved or restored in 75% of users, all causes of impotence combined (except local radiotherapy and some surgical procedures).
It is used in the treatment of erectile dysfunction.
The 5 mg dosage is also used in the treatment of urinary disorders related to prostate adenoma .

CONTRAINDICATIONS ^(summary)

This medicine should not be used in the following cases:

• Cardiovascular fragility contraindicates the effort of the sexual act (severe angina pectoris, severe heart failure ...);
  
• situations in which the effect of the drug has not been studied: arterial hypertension or uncontrolled cardiac arrhythmias , severe hypotension, recent history of stroke or myocardial infarction ;
  
• impaired vision due to optic nerve damage;
  
• in combination with nitrated vasodilators (see Interactions).
  

ATTENTION ^(summary)

The resumption of a sexual activity in a man weakened by age or a chronic disease can be at the origin of a cardiovascular accident. A medical check-up is necessary before using this medication.
Precautions are necessary in men with penile malformation or those who have predisposed priapism (sickle cell disease, multiple myeloma, leukemia).
The medical treatment of erectile dysfunction is conceivable only when the curable causes of impotence have been sought. The impotences of psychological origins can be improved or healed by specific therapies.
In the event of a sudden decline in vision or a decrease or loss of hearing, stop taking the medicine and contact your doctor promptly.
Because of its potential side effects, this medication may not be compatible with driving or handling dangerous machinery in some people. Make sure that you take this medication for the first time before driving or using a machine.

DRUG INTERACTIONS ^(summary)

The combination of tadalafil with nitrated vasodilators can cause severe hypotension. These vasodilators may be drugs for the heart: nitroprusside, nitrite, nitrates, trinitrin, linsidomine, molsidomine, nicorandil. It can also be products sold in sex shops: "poppers", "boosts", "snappers", which contain nitrites and are used as amplifiers of orgasm or to dilate the anus.
The effect of tadalafil may be increased by drugs that contain ritonavir, saquinavir, itraconazole, ketoconazole or erythromycin: a decrease in the dosage of tadalafil may be necessary.
Tadalafil may also interact with alpha-blockers , particularly those used in the treatment of urinary disorders due to prostate adenoma .

PREGNANCY and BREASTFEEDING ^(summary)

This medicine has no indication in women.

DIRECTIONS AND DOSAGE ^(summary)

This medicine can be taken interchangeably during or between meals.

Usual dosage:

• Male over 18:
  
  • Erectile dysfunction: 1 tablet 10 mg, between 30 minutes and 12 hours before intercourse. In case of insufficient effect, this dose may be increased to 20 mg. The effect of the drug may persist for up to 36 hours after dosing. It is recommended not to exceed one dose per day. For men who expect frequent use of this medication (at least twice a week), it is possible to take 1 tablet at 2.5 mg or 5 mg daily. The decision should be made with the doctor.
    
  • Urinary disorders due to prostate adenoma : 1 tablet 5 mg daily, to be taken if possible at the same time each day.
    

TIPS ^(summary)

This medicine is not an aphrodisiac, it does not create the sexual desire, but allows to concretize it.

ADVERSE POSSIBLE EFFECTS ^(summary)

Frequent (1 to 10% of users): headache, redness of the face, stuffy nose, difficult digestion, back or muscle pain, extremity pain.
Uncommon (less than 1 user in 100): dizziness, blurred vision, eye pain, ringing of ears, palpitations , tachycardia, shortness of breath, nosebleeds, abdominal pain, vomiting, nausea, heartburn, redness, allergic reaction , presence of blood in the urine.
Rare (less than 1 user in 1000): swollen eyelids, red eyes, sudden loss of hearing; Sudden loss of vision, painless, most often affecting only one eye, and requiring urgent medical advice.
The risk of priapism is low. If the erection exceeds four hours, the doctor must be contacted urgently for appropriate treatment to be implemented.

---

LEXICON ^(summary)

stroke
Brain injury due to haemorrhage or abrupt obstruction of an artery. Depending on the size of the lesion, the consequences are more or less serious: passenger discomfort, paralysis, coma.
Abbreviation: stroke.


prostate adenoma
Increase in the volume of the prostate gland located under the bladder of the man. This increase in volume is benign, has nothing to do with cancer, but may hinder the passage of urine in the canal (urethra) that passes through the gland.
The symptoms that suggest the presence of a prostate adenoma are:

• Difficulty urinating (slow, weak jet)
  
• the need to get up several times a night to urinate;
  
• urges to urinate imperious and difficult to control.
  

Some drugs, especially atropine, may have the undesirable effect of aggravating the discomfort and may lead to a complete blockage of the evacuation of the bladder. They are therefore contraindicated or should be used with caution in men with the symptoms described above.


alpha
Alpha receptors, present especially on the blood vessels and the urinary system, are responsible for their contraction. An alphablocker is a substance that blocks these receptors and thus causes vasodilatation (by loosening muscle fibers in the vessel wall) or opening the sphincter of the urethra.


angina pectoris
Oppressive pain due to partial obstruction of the coronary arteries that irrigate the heart muscle. It can manifest in the chest, arms or jaw.
Synonym: angor.


antecedent
Affection healed or still evolving. The antecedent can be personal or family. The antecedents are the story of a person's health.


high blood pressure
Excess pressure (tension) of the blood in the arteries. This pressure is provided by the heart and is expressed by two numbers. It is maximal during the contraction of the heart, or systole (first digit), and minimum during the cardiac rest, or diastole (second digit). Hypertension is characterized by a maximum (systolic) pressure greater than or equal to 16, or a minimum (diastolic) pressure greater than or equal to 9.5. Treatment is initiated when these numbers are exceeded or for lower voltages in some people with cardiovascular risk factors: heredity, smoking, diabetes, excess cholesterol. Permanent antihypertensive therapy can reduce the damage to the heart and blood vessels caused by high blood pressure.


myocardial infarction
Destruction of part of the heart muscle (myocardium), deprived of blood by obstruction of its arteries.


heart failure
Inability of the heart to fulfill its pump function. The main symptoms of heart failure are fatigue and shortness of breath during exercise.


palpitations
Abnormal perception of irregular heartbeat.


dosage
Quantity and distribution of the dose of a drug according to the age, weight and general condition of the patient.


priapism
Erection abnormally prolonged and painful.


allergic reaction
Reaction due to the hypersensitivity of the body to a drug. Allergic reactions can be very varied: urticaria, angioedema, eczema, rash of measles-like pimples, etc. Anaphylactic shock is a generalized allergic reaction that causes discomfort by sudden drop in blood pressure.


heart rhythm disorders
Serious or benign abnormality of the frequency of contractions of the heart. Extrasystole is a contraction occurring just before or after a normal contraction, often perceived as a slight shock in the chest. Fibrillation is an irregular and disordered contraction. Other disorders include torsades de pointes, Wolf-Parkinson-White syndrome, Bouveret's disease, tachysystole, flutter and atrioventricular block, etc.


vasodilator
Drug capable of dilating the blood vessels (artery, vein), as opposed to vasoconstrictor.