Tadalafil 20mg 1 Film-coated Tablet [PRESCRIPTION REQUIRED]

Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. Tadalafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light. Though rare, some people have reported permanent vision loss. Stop taking tadalafil and get help right away if you have sudden vision loss in one or both eyes. Tadalafil may cause a sudden decrease or loss of hearing. Stop taking tadalafil and tell your healthcare provider right away if you experience hearing loss or have any of the following symptoms. People who are allergic to any of the following should not take tadalafil. Any of the ingredients in the specific product dispensed the best generic cialis Your pharmacist can tell you all of the ingredients in the specific tadalafil products they stock. Tadalafil should not be taken while you are using certain other medicines.

Ingredient	Quantity per Pill	Function	Notes
Tadalafil	20 mg	Active pharmaceutical ingredient	Main compound
Microcrystalline Cellulose	50 mg	Filler	Binds ingredients
Magnesium Stearate	2 mg	Lubricant	Improves manufacturing
Lactose Monohydrate	10 mg	Diluents	Contains lactose

Before taking tadalafil, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details. Do not take tadalafil unless it has been prescribed to you by a healthcare provider.

Storage and disposal

It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it. The most common side effects of tadalafil are listed below. The side effects may vary depending upon the condition being treated. Tell your healthcare provider if you have any of these side effects that bother you. Pain in your muscles, back, arms, or legs There may be other side effects of tadalafil that are not listed here.

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Contact your healthcare provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at or by calling 800-FDA-1088. In Canada, you can report side effects to Health Canada at or by calling 866-234-2345. While less common, the most serious side effects of tadalafil are described below, along with what to do if they happen. Tadalafil may cause allergic reactions, which can be serious. Do not share tadalafil with other people, even if they have the same condition as you.

Product	Dosage	Quantity + Bonus	Price
Cialis Black	80mg	30 + 2 Pills	89.11€ 84.87€	Buy
Cialis Generic	60mg	360 + 10 Pills	570.52€ 543.35€	Buy
Cialis Professional	40mg	10 Pills	65.09€ 61.99€	Buy
Cialis Professional	40mg	30 Pills	148.94€ 141.85€	Buy
Cialis Generic	5mg	90 + 6 Pills	115.91€ 110.39€	Buy
Cialis Super Active	20mg	30 + 6 Pills	128.09€ 121.99€	Buy
Cialis Generic	40mg	10 Pills	37.79€ 35.99€	Buy
Cialis Generic	5mg	360 + 10 Pills	268.08€ 255.31€	Buy
Cialis Generic	40mg	90 + 6 Pills	171.35€ 163.19€	Buy
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€	Buy
Cialis Professional	20mg	360 + 6 Pills	807.03€ 768.60€	Buy
Cialis Generic	10mg	270 + 10 Pills	308.71€ 294.01€	Buy

Keep tadalafil out of the reach of children. Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack.

• Can be taken with or without food for convenience
• Avoid high-fat meals to speed up onset
• Grapefruit juice can increase drug levels
• Alcohol in moderation is generally safe
• Excessive alcohol increases risk of side effects
• Caffeine may interact with some users
• Stay hydrated while using medication
• Do not use with recreational drugs like poppers
• Nitrates in some street drugs are dangerous
• Always inform doctor of all substances used
• Drug interactions can be life-threatening
• Keep a list of all medications for doctor

Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away. Tadalafil does not protect against sexually transmitted infections, including HIV. Tadalafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension. You should not take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn).

Safety advice

The hearing loss usually involved only one ear and did not always improve when the medication was stopped. It is not known if the hearing loss was caused by the medication. If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking tadalafil, call your doctor immediately. Call your doctor if you have any unusual problems while taking this medication If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088). Keep this medication in the container it came in, tightly closed, and out of reach of children.

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Store it at room temperature and away from excess heat and moisture (not in the bathroom). Dispose of unneeded medications in a way so that pets, children, and other people cannot take them. Do not flush this medication down the toilet. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines website for more information. If you take liquid tadalafil, shake the bottle well for 30 seconds before use.

• 20mg dose is effective for most men with ED
• Success rate of about 80% in clinical trials
• Works regardless of ED cause (physical or psychological)
• May take several attempts to find optimal timing
• Not effective without sexual arousal
• Can be used in men with spinal cord injuries
• Helps with ED after prostate surgery
• May improve confidence and relationship satisfaction
• Does not increase sexual desire or libido
• Only treats erectile function, not premature ejaculation
• Can be combined with other treatments if needed
• Discuss expectations with doctor for best results

Use an accurate measuring device to measure your dose.

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Keep all medication out of sight and reach of children as many containers are not child-resistant. Place the medication in a safe location – one that is up and away and out of their sight and reach. In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. Do not let anyone else take your medication.

Disease Interactions

Ask your pharmacist any questions you have about refilling your prescription. Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. Bring this list with you each time you visit a doctor or if you are admitted to the hospital. You should carry the list with you in case of emergencies. Entadfi® (as a combination product containing Finasteride, Tadalafil) Tadalafil is a medicine that is commonly used for the following conditions. A household spoon is not an accurate measuring device and may cause you to take the wrong dose.

5.9 Alcohol

Erectile dysfunction, a condition where you have trouble getting or keeping an erection Pulmonary arterial hypertension, a condition where you have high blood pressure in the blood vessels that carry blood from your heart to your lungs Benign prostatic hyperplasia (BPH), a condition where the prostate gland has become enlarged Tadalafil may also be used for other conditions as determined by your healthcare provider. Tadalafil works by blocking the activity of an enzyme called phosphodiesterase 5 (PDE5). This enzyme usually stops some types of muscles from relaxing, including the muscles lining some types of blood vessels. By blocking PDE5, the muscles will relax and blood flow increases. For erectile dysfunction, it increases blood flow to the penis when aroused.

Does Cialis work and is it safe?

This makes it easier to get and keep an erection. For pulmonary arterial hypertension, tadalafil relaxes the blood vessels in the lungs. This lowers blood pressure and reduces strain on the heart. For benign prostatic hyperplasia, tadalafil relaxes the muscles of the bladder and prostate, making it easier to urinate and reducing symptoms. Tadalafil should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). Ask your pharmacist to recommend an appropriate measuring device. Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if tadalafil is right for you. In particular, make sure that you discuss any of the following. Tell your healthcare provider if you have any of the following. Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia, multiple myeloma, or leukemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see in an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked It is not known if or how tadalafil could affect pregnancy or harm an unborn baby.

• Cialis 20mg may cause side effects like headache or flushing.
• Serious side effects are rare but require medical attention.
• Common side effects usually resolve without treatment.

Tell your healthcare provider if you are or plan to become pregnant. Your healthcare provider will advise you if you should take tadalafil while you are pregnant or trying to get pregnant. It is not known if tadalafil passes into breast milk. Tell your healthcare provider if you are breastfeeding or plan to breastfeed.

• May cause mild, temporary color vision changes
• Difficulty distinguishing blue and green shades
• Vision issues usually resolve after drug clears system
• Avoid driving if vision is affected
• Report persistent vision problems to doctor
• Hearing loss is rare but serious side effect
• Tinnitus (ringing in ears) may occur
• Sudden hearing loss requires immediate medical attention
• Balance issues or vertigo should be evaluated
• Eye pain or swelling needs prompt care
• Protect eyes from bright lights if sensitive
• Use caution with night driving

Your healthcare provider may recommend limiting or avoiding grapefruit while taking tadalafil. Grapefruit or grapefruit juice can raise tadalafil levels in your body, which can increase the risk of side effects. It is unknown if drinking alcohol will affect tadalafil. The risk of low blood pressure and dizziness may be increased if you drink alcohol while taking tadalafil. It is best to limit the amount of alcohol you drink while taking tadalafil. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking tadalafil. A nitrate, such as nitroglycerin (Nitro-Dur, Nitrostat, and others) or isosorbide, which is a medicine used for chest pain caused by a type of heart disease, or a street drug, such as amyl nitrite (“poppers”) A guanylate cyclase stimulator, such as riociguat (Adempas), which is a medicine used for high blood pressure in the lungs (pulmonary arterial hypertension), or vericiguat (Verquvo), which is a medicine used for a type of heart failure An alpha-blocker, such as alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride, prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax), or terazosin (Hytrin), which is a medicine that may be used for high blood pressure and/or difficulty peeing due to an enlarged prostate A blood pressure medicine, such as amlodipine (Norvasc) or enalapril (Vasotec) Bosentan (Tracleer), which is a medicine used for pulmonary arterial hypertension A protease inhibitor, such as ritonavir (Norvir), which is a medicine commonly used to treat HIV Rifampin (Rifadin), which is a medicine commonly used to treat an infection called tuberculosis A medicine used for fungal infections, such as ketoconazole or itraconazole (Sporanox, Tolsura) Erythromycin (Ery-Tab and others) or clarithromycin (Biaxin), which is a medicine used for bacterial infections Any other medicine used for erectile dysfunction or pulmonary arterial hypertension Some other medicines may alter the blood levels of tadalafil.

Fact Box

Stop taking tadalafil and get help right away if you have any of the following symptoms of a serious allergic reaction. Swelling of the face, lips, mouth, tongue, or throat Itching, skin rash, or pale red bumps on the skin called hives Tadalafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal. Permanent damage to the penis may occur if priapism is not treated quickly. Stop taking tadalafil and get emergency help right away if you have any of the following symptoms of priapism. Erection lasting for more than 4 hours Erection that is unrelated to sexual stimulation If you feel faint or dizzy, lie down.