Product Description

Buy Tadalafil 20mg Cialis For Sale Online

CIALIS is a treatment for adult men with erectile dysfunction. Buy Tadalafil 20mg Cialis For Sale Online used for men who cannot get, or keep a hard, erect penis suitable for sexual activity. CIALIS is seen to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.

CIALIS contains the active substance tadalafil which belongs to a group of medicines called phosphodieste rase type 5 inhibitors. Following sexual stimulation CIALIS works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. CIALIS will not help you if you do not have erectile dysfunction. It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

What you need to know before you take CIALIS

Do not take CIALIS if you:

  • are allergic to tadalafil or any of the other ingredients of this medicine
  • are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines (“nitrates”) used in the treat ment of angina pectoris (“chest pain”). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor
  • have serious heart disease or recent ly had a heart attack within the last 90 days
  • recently had a stroke within the last 6 months .
  • have low blood pressure or uncontrolled high blood pressure.
  • ever had loss of vision because of non- arteritic anterior ischemic optic neuro pathy (NAION), a condition described as “stroke of the eye”.

Warnings and precautions

Talk to your doctor before taking CIALIS .

Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor. Before taking the tablets, tell your doctor if you have:

  • sickle cell anaemia (an abnormality of red blood cells)
  • multiple myeloma (cancer of the bone marrow)
  • leukaemia (cancer of the blood cells)
  • any deformation of your penis.
  • a serious liver problem.
  • a severe kidney problem

It is not known if CIALIS is effective in patients who have had:

  • pelvic surgery
  • removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non- nerve -sparing prostatectomy ).

If you experience sudden decrease or loss of vision, stop taking CIALIS and contact your doctor immediately.

Children and adolescents
CIALIS is not intended for use by children and adolescents under the age of 18. Buy Tadalafil 20mg Cialis For Sale Online Overnight

Other medicines and CIALIS
Tell your doctor if you are taking, have recently taken or might take any other medicines

Do not take CIALIS if you are already taking nitrates.

Tell your doctor or pharmacist if you are already taking:

  • an alpha blocker ( used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia)
  • other medicines to treat high blood pressure
  • riociguat
  • a 5- alpha reductase inhibitor ( used to treat benign prostatic hyperplasia)
  • medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection.
  • phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines)
  • rifampicin, erythromycin , clarithromycin or itraconazole
  • other treatments for erectile dysfunction

How to take CIALIS

CIALIS tablets are for oral use in men only. Swallow the tablet whole with some water. Take this tablets with or without food.

  • The recommended starting dose is one 10 mg tablet before sexual activity.
  • You may take a CIALIS tablet at least 30 minutes before sexual activity.
    CIALIS may still be effective up to 36 hours after taking the tablet.
  • Do not take CIALIS more than once a day.
  • It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
  • Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking (blood alcohol level of 0.08 % or greater), since this may increase the risk of dizziness when standing up.

Possible Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

  • allergic reactions including rashes (frequency uncommon)
  • chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon)
  • priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare) . If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately.
  • sudden loss of vision (frequency rare)
Common
  • headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion , and indigestion.
Uncommon
  • Additionally, dizziness, stomach ache, feeling sick , being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine , prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired.
Rare
  • fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin) , penile bleeding, presence of blood in semen and increased sweating

Heart attack and stroke is reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

Some additional rare side effects have been reported in men taking CIALIS that were not seen in clinical trials. These include:

  • migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat , serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death. Buy Tadalafil 20mg Cialis For Sale Online Overnight

How to store CIALIS

  • Keep this medicine out of the sight and reach of children.
  • The expiry date refer s to the last day of that month.
  • Store in the original package in order to protect from moisture. Do not store above 30 ° C
  • Do not throw away any medicine s via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use . These measures will help protect the environment

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