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Cialis® Lilly Original

Active ingredient: tadalafil 20mg.
Yellow almond-shaped tablets debossed with “  C20  ” on one side.

Pharmacotherapeutic group: Treatment of erectile dysfunction – PDE-5 inhibitor.

Tadalafil significantly improves erectile function, the ability of a man to achieve and maintain an erection for sexual intercourse within 15-20 minutes after taking the drug.

Cialis is a modern drug that is produced in the form of yellow-orange tablets familiar to many men. Guaranteed restoration of potency, long-term effects, and the possibility of taking with fatty foods are the main advantages of Cialis.

Tadalafil is an erection recovery stimulant that dilates blood vessels, increasing blood flow in the cavernous bodies of the penis. The duration of action of the tablets is 36 hours, the drug acts even with a pronounced violation of potency.

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Cialis Original is available in yellow oval tablets, in the central part there is a division for changing the dosage. The dosage should be indicated on the package, as well as the name of the drug in English letters, and the name of the manufacturer. The tablet itself also contains engraving. If possible, check the tablet to the touch: it should be quite dense and not crumble in your hands, there should not be a special smell.
The packaging must indicate the expiration date, as well as the batch number of the product.

If you decide to order Cialis Original in an online pharmacy, be sure to ask if the store has certificates and licenses for this drug. Buy medicines only on trusted sites that agree to provide these documents.

You should not buy too cheap generics, which probably have nothing to do with the original. Currently, manufacturers produce a large number of analogs of Cialis (for example, Tadarise and others). The packaging should honestly indicate whether the drug is generic.
Study the reviews when buying, while it is recommended to trust only the proven recommendations of real users.

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What is the danger of buying fake Cialis?
If you decide to order generic Cialis online, it is recommended to choose drugs with the same dosage formula as the original. Otherwise, when using a fake or low-quality drug, the following side effects are possible:

  • nausea and vomiting, stool disorders, and other disorders of the digestive system;
  • headache, dizziness, fainting;
  • tachycardia, heart pain, changes in blood pressure;
  • manifestation of an allergic reaction (skin rash, itching, allergic rhinitis, lacrimation).

When these phenomena appear, especially if they do not go away for a long time, it is necessary to consult a specialist.

Buy Cialis online without a prescription

Cialis is sold in an online pharmacy without a prescription, but before buying it is always better to consult a doctor for contraindications and undergo a medical examination.

Tadalafil is a reversible selective inhibitor of phosphodiesterase type 5 (PDE-5). When sexual arousal causes the local release of nitric oxide, PDE-5 inhibition by tadalafil leads to an increase in the concentration of cGMP in the cavernous bodies of the penis. The consequence of this is the relaxation of smooth muscles and blood flow, which causes an erection. Tadalafil has no effect in the treatment of erectile dysfunction in the absence of sexual arousal.

Of all the phosphodiesterases, tadalafil has the most pronounced effect on PDE-5. The effect of tadalafil on PDE-5 is more than 10,000 times greater than on PDE-1, PDE-2, PDE-3, and PDE-4 (enzymes present in the heart, brain, blood vessels, liver, and other organs). The selectivity of tadalafil for PDE-5 over PDE-3 is particularly important because PDE-3 is an enzyme that regulates myocardial contractility. In addition, the effect of tadalafil on PDE-5 is approximately 700 times higher than on PDE-6 (an enzyme located in the retina and responsible for phototransduction). Tadalafil is also more than 10,000 times more active against PDE-5 than against PDE-7 – PDE-10.

This means that tadalafil acts very selectively and therefore the likelihood of side effects compared to other PDE-5 inhibitors (Viagra, Levitra) is very low.

For patients with frequent sexual activity (more than twice a week): the recommended frequency of intake is daily, once a day, Cialis 5 mg, at the same time, regardless of food intake. The daily dose can be reduced to 2.5 mg of Cialis daily, depending on individual sensitivity.

Patients with infrequent sexual activity are recommended to prescribe Cialis at a dose of 20 mg, immediately before sexual activity, according to the instructions for the medical use of the drug. The maximum daily dose of Cialis is 20 mg.

Cialis – side effects:

  • The most frequent: are headaches and dyspepsia. Possible: back pain, myalgia, nasal congestion, flushing. Rarely: swelling of the eyelids, eye pain, conjunctival hyperemia, dizziness.

Overdose:

  • Symptoms: with a single appointment of tadalafil in healthy individuals at a dose of up to 500mg and in patients with erectile dysfunction – again up to 100mg/day side effects were the same as when using the drug in lower doses. Treatment: In case of overdose, standard symptomatic treatment should be prescribed.

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