CIALIS 10mg / 20mg tadalafil 4/8 tablets erectile dysfunction

For warnings, precautions for use, composition, dosage, contraindications, please consult the instructions for use.

If your symptoms persist, consult your doctor.

Warning ! This product is a prescription drug. To be able to order it, you must follow the following procedure:

You must obtain a prescription from your doctor . This prescription must absolutely be written and signed by a doctor practicing in the European Union . The prescription date must not be earlier than 3 months before the date of the order.

The order must include the following:

• exact contact details and doctor's signature
• your name and exact address
• the name of the medication, the amount needed and the dosage to be applied
• duration of treatment

You must download the medical prescription by pressing the Personalize your product button.

If all these conditions are not respected, we will be under the legal obligation not to be able to give a favorable result to the order of this medicine. The order of this product will be canceled, and the amount of its purchase will be fully refunded.

CIALIS 10mg / 20mg tadalafil 4/8 erectile dysfunction tablets

CIALIS is a treatment for men with erectile dysfunction ; that is, when a man cannot achieve or maintain an erection sufficient for sexual activity .

Description of CIALIS 10mg / 20mg tadalafil 4/8 erectile dysfunction tablets

CIALIS belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation, CIALIS works by helping the relaxation of the blood vessels in your penis , thereby promoting blood flow. This results in an improvement in erection . CIALIS will not help you if you do not have an erection problem.

It is important to know that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay as you would if you were not taking medication for your erection problem.

Directions for use and dosage

Always take the dose recommended by your doctor. If in doubt, consult your doctor or pharmacist.

The recommended dose is one 10 mg tablet to be taken before sexual activity. If the effect of this dose is too weak, your doctor may increase the dose to 20 mg. CIALIS tablets are to be swallowed. Swallow the tablet whole with a little water. You can take CIALIS with or without food.

You can take one CIALIS tablet at least 30 minutes before sexual activity. CIALIS can remain effective for up to 36 hours after taking the tablet. It is important to know that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay as you would if you were not taking erectile dysfunction medication.

Drinking alcohol can affect your ability to get an erection. Drinking alcohol can also temporarily lower your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive alcohol consumption (blood alcohol concentration of 0.08% or more), this may increase the risk of feeling dizzy when switching to the position standing.

You should NOT take CIALIS more than once a day.
CIALIS 10 mg or 20 mg is taken before sexual activity.
Long-term daily use of CIALIS 10 mg and 20 mg is not recommended.

If you take more CIALIS than you should
Tell your doctor.
If you have any further questions on the use of this product, ask your doctor or pharmacist for more information.

Give your opinion on the advice for use and dosage of CIALIS 10mg / 20mg tadalafil 4/8 erectile dysfunction tablets with our partner Avis checked after your purchase.

Composition

The active substance is : tadalafil.
Each tablet contains 20 mg of tadalafil.

The other components are :
Tablet core: lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium lauryl sulfate, magnesium stearate.
Film coating: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), yellow iron oxide (E172), talc.

Precautions for use

Do not take CIALIS

• if you are allergic (hypersensitive) to tadalafil or any of the other ingredients of CIALIS.
• if you are taking medicines that contain nitrates or nitrogen monoxide donors like amyl nitrite in any form. This group of drugs ("nitrates") is used to treat attacks of angina pectoris ("chest pain"). CIALIS has been shown to increase the effects of these drugs. If you take nitrates in any form or have any doubts, tell your doctor.
• if you have severe heart disease or have recently had a heart attack.
• if you have recently had a stroke.
• if you have low blood pressure or uncontrolled high blood pressure.
• if you have ever had vision loss due to non-arteritic anterior ischemic optic neuropathy (NAION), a condition sometimes described as "stroke".

Take care with CIALIS
Please note that sexual activity poses a potential risk in patients with heart disease, due to the extra effort involved in the heart. If you have a heart problem, talk to your doctor.

CIALIS may also not be indicated to you for the following reasons. If you are affected by any of them, talk to your doctor before taking this medicine:

• you have sickle cell anemia (a malformation of the red blood cells), multiple myeloma (cancer of the bone marrow), leukemia (cancer of the blood cells) or a deformation of the penis,
• you have a serious liver problem.
• you have a serious kidney problem.

The efficacy of CIALIS in patients who have undergone pelvic surgery or prostate surgery (radical prostatectomy without preserving the nerve strips) is not known.

In case of sudden decrease or loss of vision, you should stop your treatment with CIALIS and contact your doctor immediately.

Presentation of CIALIS 10mg / 20mg tadalafil 4/8 erectile dysfunction tablets

Packaging: box of 8 tablets

Our advice and opinions from pharmacy experts

Still too often qualified pejoratively as "impotence", erectile dysfunction affects one in three men after 40 years. Due to its impact on quality of life, this problem is not so trivial.
Erectile dysfunction is defined as the constant or recurrent inability to obtain and / or maintain a penile erection sufficient to allow intercourse.

What are the causes of erectile dysfunction ?

• Erectile dysfunction can simply be caused by psychological disorders : anxiety, stress, a new sexual partner, a new sexual situation, depression, etc. This form of erectile dysfunction is much more common in men 20 to 40 years of age. Sometimes a first episode can lead to a certain "anticipatory anxiety" causing a problem experienced once to become a recurring problem.
• Vascular problems are the most common organic cause. In this situation, erectile dysfunction is due to the narrowing of blood vessels - the penile tubes cannot get enough blood, erections therefore become inadequate. This problem is called arteriosclerosis (narrowing of blood vessels) and is often associated with smoking, diabetes, high blood pressure (high pressure) and increased cholesterol (unhealthy lifestyle habits).

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.