English
French
German
Italian
Spanish
Czech
Dutch
Cialis Brand
* For illustration purpose only
Cialis Brand
Short description
Cialis Brand 20mg (EU) 4 pills 4 pills
128.07 $
Cialis Brand 20mg (EU) 8 pills 8 pills
143.82 $
Cialis Brand 20mg (EU) 12 pills 12 pills
159.56 $
Cialis Brand 20mg (EU) 16 pills 16 pills
175.31 $
Cialis Brand 20mg (EU) 20 pills 20 pills
191.06 $
Cialis Brand 20mg (EU) 24 pills 24 pills
207.85 $
Cialis Brand 20mg (EU) 28 pills 28 pills
223.60 $
Cialis Brand 20mg (EU) 30 pills 30 pills
230.95 $
Cialis Brand 20mg (EU) 60 pills 60 pills
350.62 $
Cialis Brand 20mg 4 pills 4 pills
79.78 $
Cialis Brand 20mg 8 pills 8 pills
87.13 $
Cialis Brand 20mg 12 pills 12 pills
94.48 $
Cialis Brand 20mg 16 pills 16 pills
101.83 $
Cialis Brand 20mg 20 pills 20 pills
109.17 $
Cialis Brand 20mg 24 pills 24 pills
116.52 $
Cialis Brand 20mg 28 pills 28 pills
124.92 $
Cialis Brand 20mg 30 pills 30 pills
128.07 $
Cialis Brand 20mg 60 pills 60 pills
184.76 $
Cialis Brand 10mg 4 pills 4 pills
76.63 $
Cialis Brand 10mg 8 pills 8 pills
80.83 $
Cialis Brand 10mg 12 pills 12 pills
85.03 $
Cialis Brand 10mg 16 pills 16 pills
89.23 $
Cialis Brand 10mg 20 pills 20 pills
93.43 $
Cialis Brand 10mg 24 pills 24 pills
97.63 $
Cialis Brand 10mg 28 pills 28 pills
101.83 $
Cialis Brand 10mg 30 pills 30 pills
103.93 $
Cialis Brand 10mg 60 pills 60 pills
136.47 $
Cialis Brand 5mg 4 pills 4 pills
76.63 $
Cialis Brand 5mg 8 pills 8 pills
80.83 $
Cialis Brand 5mg 12 pills 12 pills
85.03 $
Cialis Brand 5mg 16 pills 16 pills
89.23 $
Cialis Brand 5mg 20 pills 20 pills
93.43 $
Cialis Brand 5mg 24 pills 24 pills
97.63 $
Cialis Brand 5mg 28 pills 28 pills
101.83 $
Cialis Brand 5mg 30 pills 30 pills
103.93 $
Cialis Brand 5mg 60 pills 60 pills
136.47 $
added to cart
-
Shippingavrg. 5-9 daysGuaranteed delivery time 16 daysGuaranteed delivery time 16 daysDosages mentioned (EU), are shipped inside Europe and guarantee faster time in delivery.
-
Payment
-
Upgrade and save. Add worth of items to cart and get free shipping
209.95 $
Cialis Brand
Regarding Shipping: Products with dosages mentioned (EU), are shipped inside Europe and garantuee faster time in delivery.
Common use
Brand Cialis was developed by the pharmaceutical company LILLY and contains Tadalafil as its main component. Cialis is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to an increase in cGMP levels in the cavernous body of the penis. It results in the relaxation of arterial smooth muscles and blood flow to the tissues of the penis, causing erections. Cialis has no effect when sexual stimulation is absent. Cialis improves erection and allows achieving successful sexual intercourse. The drug acts for 36 hours. If sexual arousal is present, the effect appears even after 16 minutes after the medication was taken.
Dosage and direction
The recommended dose of Cialis is 20 mg. It should be taken at least 16 minutes before sexual activity. The effect persists for 36 hours. Take Cialis once daily and do not exceed the recommended dose.
Precautions
It is preferable not to use Cialis with grapefruit juice, alcoholic beverages, or tobacco. If you smoke tobacco and take Cialis concomitantly, this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before taking Cialis if you have an abnormal penis, including curved penis and birth defects of the penis, or if you have had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, or liver or kidney failure in history.
Contraindications
Cialis is contraindicated in patients who are using any form of organic nitrate, either regularly and/or intermittently, as it can potentiate the hypotensive effect of nitrates.
Possible side effects
Most usual side effects of Cialis include facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms, and nausea. In more rare cases, low blood pressure, blurred vision, changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection lasts longer than 4 hours, seek immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.
Drug interactions
Co-administration with medications containing organic nitrates may cause severe hypotension, which is dangerous in some cases. Avoid taking Cialis with medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, and Pentaerythritol Tetranitrate. Levels and toxicity of Cialis are increased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan), and ritonavir (Norvir). Inform your doctor if you are taking Atazanavir, Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, and Urapidil as your Cialis dose may require correction.
Missed dose
Missed dose is not applicable if Cialis is taken for treatment of erectile dysfunction as it is used when needed.
Overdose
Overdose of Cialis causes symptoms described as side effects. Seek immediate medical help if you believe you have taken too much of this medication.
Storage
Store at room temperature away from moisture, sunlight, kids, and pets in a tight container.