Cialis (Tadalafil)

Cialis is to treate male impotence (eg, men's erectile dysfunction). It is supposed to be used for other purposes.

Cialis' Benefits:

• comparing to Viagra and Levitra, Cialis' effect lasts much longer - up to 48 hours. Besides, Cialis has fewer side effects;
• Cialis is to be taken from 30 minutes to 12 hours before sex;
• 66% clients prefer Cialis to Viagra.

Cialis should be taken as directed by your doctor. Please check the label to detemine an exact dosing instructions.
Cialis is to be taken oral, with or without food.

For using as needed: Cialis is to be taken at least 30 minutes before sexual activity, as directed by your doctor. Cialis' effects can last for up to 48 hours after taking.

For daily use: Take Cialis regularly at about the same time each day.

Talk to your doctor, if you have questions about the way of taking Cialis. Consult your physician before eating grapefruit or drinking grapefruit juice while using Cialis.

Cialis is a phosphodiesterase inhibitor type 5. It works by helping the blood flow into a penis to achieve and maintain an erection.

If you miss a dose of Cialis and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.

Keep Cialis at room temperature away from moisture, heat and light (between 59 and 86 degrees F (15-30 degrees C)). Store this medication out of the reach of children.

Do not take Cialis, if you are also using a nitrate drug for chest pain or heart problems, including

• nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro),
• isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate),
• isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").

• heart disease or heart rhythm problems;
• a recent history a heart attack (within the past 90 days);
• a recent history of stroke or congestive heart failure (within the past 6 months);
• angina (chest pain);
• high or low blood pressure;
• liver disease;
• kidney disease (or if you are on dialysis);
• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
• a bleeding disorder such as hemophilia;
• a stomach ulcer;
• retinitis pigmentosa (an inherited condition of the eye);
• a physical deformity of the penis (such as Peyronie's disease); or
• if you have been told you should not have sexual intercourse for health reasons.

The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours.

Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor, if you get a side effect that bothers you or one that will not go away.

Sexual stimulation is required for Cialis effect. Without sexual stimulation you can't get erection just by taking Cialis.

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2. International Unregistered Airmail

 27.01.2008
 Britni
 Redwood City, CA
 I'm very happy using your pharmacy. One of the main things is the quick delivery. It's very important to get the medicine on time, sometimes it's a matter of life and death. You are like an ambulance. Plus I want to mention the quality of your product. All of these make a your business a greate sucess. Thank you very much!

 03.02.2008
 Erick
 Iowa City, IA
 First thing that cought my eye while shopping at your web site was the greate discount on practicly everything. I was a little sceptical abouth the quality of the product at first, but I turned out to be wrong, the quality is great. I also wanted to thank you for saving me a trip to the pharmacy and standing in the line. The delivery was very quick. I'll be glad to use your pharmacy again.

 11.02.2008
 Jenifer
 New York, NY
 Two months ago I found out that my mom has heat problems. We saw a doctor and he prescribed Cialis (Tadalafil), which we got from your pharmacy. A few days of taking Cialis made a big difference. My mom feels much better and is still continiuing the course. Thank you!

 23.02.2008
 Jack
 Blair, NE
 I've been married for 7 years now. We have a great family and we all love each other dearly. A few months earlier I noticed that my sex life i just not the same as it used to be. All of the sudden I wasn't attracted to my wife. It stuck me as a suprize, because i love her very much. Once I spoke about this problem with a friend of mine and it turned out that he went through the same thing. He advised me Cialis. Thanks god they arrive so soon. We are at it again and it feels like the second honey moon. Thank you so much for your products.

 07.03.2008
 Kira
 El Monte, CA
 Starting my teenage years I was suffering from my skin problems. I felt insecure and depressed. I tried alomost everything. Some of the medicines I tried even worsened my condition and led to alergic brake outs. Cialis (Tadalafil) were like a light at the end of the tonnel for me. Gradually but trully the prolem disapeared by itself, I'm very happy and don't even remember how it felt before. All of that thanks to you guys.

 15.04.2008
 Tom
 Cowtown, TX
 3 years ago I broke my leg while skying. It was a spoiled vocation which costed me 6 months of recovery. But I never recovered fully I had severe pains and discomfort feeling, untill I tried your Cialis. I thought I'd never get on the skies again but instead I already booked my next winter vocation at the skying resort for me and my girlfriend.

 21.04.2008
 Christine
 Danvers, MN
 The beauty is the most important posession for woman. But the time does its dirty job. Soom I'm turning 40 and keeping myself in shape requires more and more time and many more hours of work out. The Cialis (Tadalafil) I bought from your pharmacy help me greatly to keep in shape and IT'S OK if I skip the gym once in a while and even more important are the tasty treats that I can afford to have more friquently.

 11.05.2008
 Sean
 Apalachin, NY
 I'm sure I'm not the only victim of irresponsible pharmacies. I think many people would understand my feeling when the medicine arrives so late that you don't need it any more. Your pharmacy has never disappointed me. A broad choice of medicine and great discounts allow me to buy a quality product for a very reasonable price.

 19.05.2008
 Melony
 Chatsworth, CA
 I'm a big pet lover i have two dogs and a cat. I just love watching them run around and play with each other. Recently I noticed that my cat became kind or passive and sleepy and didn't play as much. After a started giving her Cialis (Tadalafil), I bought from your pharmacy, she is back on track again running, jumping and bugging the dogs. Thank you so much for your help.

What is tadalafil?

Tadalafil relaxes muscles and increases blood flow to particular areas of the body.

Tadalafil is used to treat erectile dysfunction (impotence).

Tadalafil may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about tadalafil?

Tadalafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking tadalafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether tadalafil is the actual cause of vision loss.

What should I discuss with my healthcare provider before taking tadalafil?

Before taking tadalafil, tell your doctor if you are allergic to any drugs, or if you have:

• heart disease or heart rhythm problems;

• a recent history a heart attack (within the past 90 days);

• a recent history of stroke or congestive heart failure (within the past 6 months);

• angina (chest pain);

• high or low blood pressure;

• liver disease;

• kidney disease (or if you are on dialysis);

• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

• a bleeding disorder such as hemophilia;

• a stomach ulcer;

• retinitis pigmentosa (an inherited condition of the eye);

• a physical deformity of the penis (such as Peyronie's disease); or

• if you have been told you should not have sexual intercourse for health reasons.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take tadalafil.

Tadalafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking tadalafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether tadalafil is the actual cause of vision loss. Stop using tadalafil and get emergency medical help if you have sudden vision loss.

How should I take tadalafil?

Take tadalafil exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Taking this medication in larger doses will not make it more effective, and could cause dangerous side effects.

Tadalafil can be taken with or without food.

Tadalafil is usually taken only when needed, just before sexual activity. However, tadalafil may also be taken daily (at a lower dose), regardless of when sexual activity is planned. Follow your doctor's instructions.

Tadalafil can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.

What happens if I miss a dose?

Since tadalafil is used as needed, you are not likely to be on a dosing schedule.

If you take tadalafil every day and you miss a dose, take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Overdose symptoms may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking tadalafil?

Grapefruit and grapefruit juice may interact with tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Tadalafil side effects

Stop using tadalafil and call your doctor at once if you have any of these serious side effects:

• sudden vision loss;

• ringing in your ears, or sudden hearing loss;

• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

• irregular heartbeat;

• swelling in your hands, ankles, or feet;

• shortness of breath;

• seizure (convulsions);

• vision changes;

• feeling light-headed, fainting; or

• penis erection that is painful or lasts 4 hours or longer.

Less serious side effects may include:

• warmth or redness in your face, neck, or chest;

• stuffy nose, sore throat;

• headache;

• diarrhea, upset stomach; or

• muscle pain, back pain.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect tadalafil?

Before taking tadalafil, tell your doctor about all other medications you use for erectile dysfunction, or if you are using any of the following medications:

• heart or blood pressure medications;

• cimetidine (Tagamet, Tagamet HB);

• erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);

• doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);

• HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);

• itraconazole (Sporanox) or ketoconazole (Nizoral);

• carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or

• rifampin (Rifadin, Rimactane).

This list is not complete and there may be other drugs that can interact with tadalafil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about tadalafil.