Cialis 20mg Tablets (Tadalafil)

Cialis 20 mg Tablets (Tadalafil): Cialis is a clinically proven tablet that you can take for erectile dysfunction (ED) to help improve erections. It can be an effective option no matter how severe your ED may be. CIALIS can also help treat ED in men who have other health problems, such as heart disease, diabetes, and high cholesterol. Only you and your doctor can decide if CIALIS is right for you.

How does Cialis work?

Following sexual stimulation cialis works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. Cialis will not help you if you do not have erectile dysfunction.

It is important to note that cialis does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

 CIALIS doesn't cure erectile dysfunction, but it has been clinically proven to improve:

• Your ability to get erections and maintain them until sexual intercourse is successfully completed
• Confidence in the ability to get and maintain an erection
• Overall satisfaction with the hardness of erections
• Keep in mind that you have to be sexually stimulated for CIALIS to work.

What Can Cause Erectile Dysfunction?

There are many things that can contribute to erectile dysfunction (ED) or impotence - from physical issues, like another health condition, to possible side effects of medicines that you're taking. Even emotional or personal issues can play a role. For these reasons, ED may not just go away on its own. But for most men, erectile dysfunction can be treated, whether the cause is physical or psychological.

Some possible physical conditions and factors that can lead to Erectile Dysfunction include:

• High blood pressure (also called hypertension)
• High blood pressure can damage blood vessels throughout the body, including those in the penis.
• Diabetes (high blood sugar). Diabetes can increase the chances of having ED. Over time, high blood sugar can damage blood vessels and nerves in the penis.
• High blood cholesterol
• Low hormone levels

Lifestyle factors:

Smoking, being overweight, drinking too much alcohol, not being physically active, or using recreational drugs can cause ED.

Additional factors and conditions that may contribute to ED:

Less often, ED may be caused by emotional or personal issues-from ongoing stress or relationship problems to depression or anxiety about sexual performance.

If you think you have any of these conditions, be sure to talk to your doctor.

What Role Does Age Play?

It's true that as men get older, sexual function is likely to decrease, even in healthy men. Erectile dysfunction (ED) also becomes more common. But more often than not, ED may be caused by other health problems, such as heart disease or diabetes.

The important thing to understand is that ED affects men of all ages. Simply getting older by itself does not lead to ED, nor is ED just a natural part of aging that men have to accept. It's a real medical condition that affects more than 30 million men in the United States, both young and old.

Please refer to the patient information leaflet provided for further information.

How to take Cialis 20mg Tablets (Tadalafil):

• Always take cialis exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
• You may take a cialis tablet at least 30 minutes before sexual activity. Cialis may still be effective up to 36 hours after taking the tablet. It is important to note that cialis does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
• Drinking alcohol may affect your ability to get an erection. Drinking alcohol may temporarily lower your blood pressure. If you have taken or are planning to take cialis, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.
• You should NOT take cialis more than once a day.

What Cialis 20mg Tablets (Tadalafi) contains:

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

The other ingredients are:

• Tablet core: lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate.
• Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.

Possible side effects form Cialis 20mg Tablets (Tadalafil):

Like all medicines, cialis can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

Very Common Side Effects

Very commonly reported side effect in patients taking cialis were headache and indigestion.

Common Side Effects

Commonly reported side effects in patients taking cialis include back pain, muscle aches, facial flushing, nasal congestion, dizziness, pounding heartbeat sensation, abdominal pain and reflux.

Uncommon Side Effects

Uncommon side effects are allergic reactions including rashes and hives, blurred vision, swelling of the eyelids, eye pain, red eyes, increased sweating, nose bleeds, a fast heart rate, high blood pressure, low blood pressure and chest pain. In case of chest pain occurring during or after sexual activity you should NOT use nitrates but you should seek immediate medical assistance.

Before you take cialis

• If you are allergic (hypersensitive) to tadalafil or any of the other ingredients of cialis. 
• If you are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines ("nitrates") used in the treatment of angina pectoris ("chest pain"). Cialis has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor. 
• If you have serious heart disease or have had a recent heart attack. 
• If you have had a recent stroke 
• If you have low blood pressure or uncontrolled high blood pressure. 
• If you have ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition sometimes described as "stroke of the eye". 

• You have sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood cells) or any deformation of your penis.
• You have a serious liver problem.
• You have a severe kidney problem.
• It is not known if cialis is effective in patients who have undergone pelvic surgery or radical non-nerve-sparing prostatectomy.
• If you experience sudden decrease or loss of vision, stop taking cialis and contact your doctor immediately.
• Cialis is not intended for use by women or by adolescents under the age of 18.

• Please tell your doctor if you are taking or have recently taken any other medicine, including medicines obtained without prescription, because they might interact.
• This is particularly important if you are treated with nitrates as you should not take cialis if you are taking these medicines.
• A type of medicine called an alpha blocker is sometimes used to treat high blood pressure and enlarged prostate. Tell your doctor if you are being treated for either of these conditions or if you take other medicines to treat high blood pressure.
• If you are taking medicines that can inhibit an enzyme called CYP3A4 (for example ketoconazole or protease inhibitors for treatment of HIV) the frequency of side effects might increase.
• Do not take cialis with other medicines if your doctor tells you that you may not.
• You should not use cialis together with any other treatments for erectile dysfunction.

• Always take cialis exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
• The recommended starting dose is one 10 mg tablet before sexual activity. If the effect of this dose is too weak your doctor may increase the dose to 20 mg. Cialis tablets are for oral use. Swallow the tablet whole with some water. You may take cialis with or without food.
• You may take a cialis tablet at least 30 minutes before sexual activity. Cialis may still be effective up to 36 hours after taking the tablet. It is important to note that cialis does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
• Drinking alcohol may affect your ability to get an erection. Drinking alcohol may temporarily lower your blood pressure. If you have taken or are planning to take cialis, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.
• You should NOT take cialis more than once a day. Cialis 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use.
• If you take more cialis than you should

• Keep out of the reach and sight of children.
• Do not use cialis after the expiry date stated on the carton and blister.
• Store in the original package in order to protect from moisture. Do not store above 30°C.
• Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.