2 DOSAGE AND ADMINISTRATION

If you take too much CIALIS, call your healthcare provider or emergency room right away. How Should I Take CIALIS for Symptoms of BPH? For symptoms of BPH, CIALIS is taken once daily. Do not take CIALIS more than one time each day. Take one CIALIS tablet every day at about the same time of day.

14.1 CIALIS for Use as Needed for ED

Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate. Some recreational drugs called “poppers” also contain nitrates, such as amyl nitrite and butyl nitrite. Do not take CIALIS if you take medicines called guanylate cyclase stimulators which include: Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronic-thromboembolic pulmonary hypertension. Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates or guanylate cyclase stimulators, such as riociguat.

Dosage for BPH

Tell all of your healthcare providers that you take CIALIS. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took CIALIS. After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications (see “Can Other Medicines Affect CIALIS?”). Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. If you miss a dose, you may take it when you remember but do not take more than one dose per day.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	2.5mg	270 + 10 Pills	199.64€ 190.13€	Buy
Cialis Generic	5mg	60 + 4 Pills	86.02€ 81.92€	Buy
Cialis Generic	20mg	360 + 10 Pills	427.34€ 406.99€	Buy
Cialis Generic	20mg	120 + 8 Pills	188.15€ 179.19€	Buy
Cialis Generic	20mg	30 + 4 Pills	68.05€ 64.81€	Buy
Cialis Soft Tabs	20mg	60 + 4 Pills	159.37€ 151.78€	Buy
Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy
Cialis Black	80mg	90 + 6 Pills	207.88€ 197.98€	Buy
Cialis Generic	10mg	180 + 8 Pills	236.88€ 225.60€	Buy
Cialis Generic	10mg	20 Pills	48.23€ 45.93€	Buy
Cialis Generic	2.5mg	30 + 4 Pills	51.95€ 49.48€	Buy

How Should I Take CIALIS for ED? For ED, there are two ways to take CIALIS - either for use as needed OR for use once daily. Take one CIALIS tablet before you expect to have sexual activity. You may be able to have sexual activity at 30 minutes after taking CIALIS and up to 36 hours after taking it.

• The medication is available in most countries around the world.
• Brand names may vary by region (e.g., Tadalis in some areas).
• Importing prescription medication for personal use is subject to customs laws.
• Traveling to countries where it is available over-the-counter is not advised without consultation.
• A sudden change in efficacy could indicate a new health problem.
• This should prompt a visit to a doctor for reevaluation.
• It is not addictive, and there are no withdrawal symptoms upon cessation.
• The medication only works when taken; effects are not cumulative.
• There is no benefit to taking it if sexual activity is not anticipated.
• Wasting tablets by taking them unnecessarily should be avoided.
• Keeping a record of usage and effects can be helpful for doctor consultations.
• The ultimate measure of success is the patient's satisfaction with their sexual function.

You and your healthcare provider should consider this in deciding when you should take CIALIS before sexual activity.

How to use Cialis Tablet

CIALIS for the Treatment of ED and Symptoms of BPH ED and symptoms of BPH may happen in the same person and at the same time. Men who have both ED and symptoms of BPH may take CIALIS for the treatment of both conditions. CIALIS is not for women or children. CIALIS must be used only under a healthcare provider's care. use recreational drugs called “poppers” like amyl nitrite and butyl nitrite.

Taking Cialis with food

(See “What Is The Most Important Information I Should Know About CIALIS?”) take any medicines called guanylate cyclase stimulators, such as riociguat. are allergic to CIALIS or ADCIRCA®, or any of its ingredients. See the end of this leaflet for a complete list of ingredients in CIALIS. Symptoms of an allergic reaction may include:rashhivesswelling of the lips, tongue, or throatdifficulty breathing or swallowing swelling of the lips, tongue, or throat Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above. What Should I Tell My Healthcare Provider Before Taking CIALIS? Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine, and on your health condition.

How does tadalafil work?

Only your healthcare provider and you can decide if CIALIS is right for you. Before taking CIALIS, tell your healthcare provider about all your medical problems, including if you: have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack. Ask your healthcare provider if it is safe for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. have low blood pressure or have high blood pressure that is not controlled have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including a condition called NAION have a deformed penis shape or Peyronie's disease have had an erection that lasted more than 4 hours have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia Tell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Tadalafil may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

CIALIS and other medicines may affect each other. Always check with your healthcare provider before starting or stopping any medicines. Especially tell your healthcare provider if you take any of the following*: medicines called nitrates (see “What Is The Most Important Information I Should Know About CIALIS?”) medicines called guanylate cyclase stimulators, such as riociguat (Adempas®), used to treat pulmonary hypertension These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl) or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. If CIALIS is taken with certain alpha blockers, your blood pressure could suddenly drop. CIALIS for once daily use is a lower dose you take every day. You may attempt sexual activity at any time between doses. How Should I Take CIALIS for Both ED and the Symptoms of BPH? For both ED and the symptoms of BPH, CIALIS is taken once daily. What Should I Avoid While Taking CIALIS? Do not use other ED medicines or ED treatments while taking CIALIS. Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

• The environmental impact of pharmaceutical excretion is a concern.
• Trace amounts of Tadalafil can be found in wastewater.
• Its effects on aquatic life are not fully understood.
• Advanced water treatment plants can remove a significant portion.
• Proper disposal of unused medication helps minimize environmental contamination.
• The synthesis of Tadalafil is a multi-step chemical process.
• The starting material is often D-tryptophan methyl ester.
• The manufacturing process is subject to strict Good Manufacturing Practice (GMP).
• Quality control ensures each tablet contains the precise 10mg dose.
• Stability testing determines the shelf life of the product.
• Packaging is designed to protect the tablets from moisture and light.
• Batch numbers and expiration dates are printed on every package.

What Are The Possible Side Effects Of CIALIS?

Medication Class	Interaction Type	Effect	Notes
Nitrates	Dangerous	Severe blood pressure drop	Avoid combining with Cialis
Alpha-blockers	Caution	Potential for hypotension	Use at lowest effective dose
Antifungals (e.g., Ketoconazole)	Increased Tadalafil levels	Possible side effects	Adjust dosage if needed
Blood Pressure Medications	Additive effects	Lowered blood pressure	Monitoring recommended
CYP3A4 inhibitors	Prolonged Tadalafil action	Increased risk of side effects	Dose adjustment required

See “What Is The Most Important Information I Should Know About CIALIS?” 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. Men 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 within 2 days.

How Cialis 10mg Tablet Works

Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. See also “What Are The Possible Side Effects Of CIALIS?” CIALIS is a prescription medicine taken by mouth for the treatment of: men with symptoms of benign prostatic hyperplasia (BPH) ED is a condition where the penis does not fill with enough blood to harden and expand when a man is sexually excited, or when he cannot keep an erection. A man who has trouble getting or keeping an erection should see his healthcare provider for help if the condition bothers him. CIALIS helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis decreases, and his erection goes away.

Take as part of a healthy lifestyle

Some form of sexual stimulation is needed for an erection to happen with CIALIS. protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your healthcare provider about ways to guard against sexually transmitted diseases. serve as a male form of birth control CIALIS is only for men over the age of 18, including men with diabetes or who have undergone prostatectomy. CIALIS for the Treatment of Symptoms of BPH BPH is a condition that happens in men, where the prostate gland enlarges which can cause urinary symptoms. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Diet & Lifestyle Advice

other medicines to treat high blood pressure (hypertension) medicines called HIV protease inhibitors, such as ritonavir (Norvir®, Kaletra®) some types of oral antifungals such as ketoconazole (Nizoral®), itraconazole (Sporanox®) some types of antibiotics such as clarithromycin (Biaxin®), telithromycin (Ketek®), erythromycin (several brand names exist. Please consult your healthcare provider to determine if you are taking this medicine). CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take sildenafil citrate (Revatio®) with CIALIS. Take CIALIS exactly as your healthcare provider prescribes it. An erection that won't go away (priapism).

Understanding Tadalafil

Your healthcare provider will prescribe the dose that is right for you. Some men can only take a low dose of CIALIS or may have to take it less often, because of medical conditions or medicines they take. Do not change your dose cialis oral strips or the way you take CIALIS without talking to your healthcare provider. Your healthcare provider may lower or raise your dose, depending on how your body reacts to CIALIS and your health condition. CIALIS may be taken with or without meals. If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis, including the inability to have erections. Color vision changes, such as seeing a blue tinge (shade) to objects or having difficulty telling the difference between the colors blue and green. In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including CIALIS) reported a sudden decrease or loss of vision in one or both eyes. It is uncertain whether PDE5 inhibitors directly cause the vision loss. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including CIALIS, and call a healthcare provider right away. Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in people taking PDE5 inhibitors, including CIALIS.

Condition	Caution	Alternative Advice
Use with Nitrates	Contraindicated due to risk of severe hypotension	Consult healthcare provider before use
Severe Cardiovascular Disease	Use with caution or avoid	Prior medical consultation required
Liver or Kidney Impairment	Adjust dosage or avoid	Regular monitoring essential
Allergies to Tadalafil	Discontinue use if allergic	Seek medical advice
Eye Conditions (e.g., Retinitis Pigmentosa)	Use cautiously	Regular eye check-ups recommended

It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking CIALIS and contact a healthcare provider right away.