Cialis is a treatment for men who have erectile dysfunction. This is when a man cannot get or keep an erect penis that is firm enough for sexual activity. Cialis has been shown to significantly improve the ability to get a firm erect penis that is suitable for sexual activity. Cialis contains the active ingredient tadalafil, which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation, Cialis works by helping the blood vessels in your penis to relax, allowing blood to flow into the penis. As a result, erections are improved. Cialis will not help you if you do not have erection problems. It is important to note that Cialis does not work if there is no sexual stimulation. How to use Always take Cialis exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Cialis tablets are for oral use in men only. Swallow the tablet whole with some water. The tablet can be taken with or without food. The recommended starting dose is one 10 mg tablet taken before sexual activity. However, if your doctor has prescribed a 20 mg dose, this means that 10 mg is too weak for you. You can take Cialis at least 30 minutes before sexual activity. Cialis may remain effective for up to 36 hours after taking the tablet. Do not take Cialis more than once a day. Cialis 10 mg and 20 mg are intended to be taken before anticipated sexual activity and are not recommended for continuous daily use. It is important to note that Cialis does not work in the absence of sexual stimulation. Warnings and precautions Talk to your doctor before taking Cialis. You should be aware that sexual activity is potentially dangerous for patients with heart disease because it puts extra stress on your heart. If you have a heart problem, you should tell your doctor about it. Before taking Cialis tablets, tell your doctor if: I had sickle cell anemia (an abnormality of red blood cells). I had multiple myeloma (bone marrow cancer). I had leukemia (cancer of the blood cells). You had any deformity of the penis. You had a serious liver problem. You had a severe kidney problem. Side Effects Common (seen in 1 to 10 in every 100 patients) - headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion and indigestion. If you experience the following side effects, stop taking this medicine and seek medical help immediately: Allergic reactions including rash (frequency is uncommon). Chest pain – do not take nitrates and seek immediate medical help (recurrence is uncommon). A prolonged and possibly painful erection after taking Cialis (recurrence is rare). If you experience such an erection, which lasts for more than 4 hours, you should contact your doctor immediately. Sudden loss of vision (recurrence is rare). Storage Information Keep this medicine out of the sight and reach of children. Do not use Cialis after the expiry date which is stated on the carton or blister after “EXP”. The expiry date refers to the last day of that month. Store in original package to protect from moisture. Do not store above 30°C. Drug Interactions It is contraindicated or used with caution according to the doctor’s instructions if you are taking these medications: Calcium gate inhibitors. Organic nitrates. Nitric oxide donors such as amyl nitrite. Ingredients Tadalafil Specifications Cialis 20 mg is available in yellow, film-coated, almond-shaped tablets with “C20” on one side
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