Cialis Tadalafil 20mg (1 Tablet)
Once-Daily Use: Initially 2.5mg (taken at same time each day); may increase to 5mg/day. Concomitant potent CYP3A4 inhibitors (See Interactions): max 2.5mg. CrCl<30mL/min or hemodialysis: not recommended. Both ED Uses: Concomitant α-blockers: use lowest recommended dose (see full labeling).
| Use Case | Description | Typical Dosage Schedule | Onset of Action | Duration of Effect |
|---|---|---|---|---|
| Erectile Dysfunction | Improves blood flow to the penis | As needed, 1 hour before | 30-60 minutes | Up to 36 hours |
| Pulmonary Hypertension | Lowers blood pressure in lungs | Once daily | 30 minutes | 4-6 hours |
| BPH (Benign Prostatic Hyperplasia) | Relieves urinary symptoms | Once daily | 30-60 minutes | 24 hours |
ED/BPH: 5mg once daily (taken at same time each day). Renal impairment: CrCl 30–50mL/min: initially 2.5mg; may increase to 5mg/day; CrCl <30mL/min or hemodialysis: not recommended. For BPH: concomitant α-blockers: not recommended. Tadalafil, sold under the brand name Cialis among others, is a medication used to treat erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension. [7] Onset is typically within half an hour and the duration is up to 36 hours. Common side effects include headache, muscle pain, flushing, and nausea.
- Cialis 20mg is not approved for women; effects on fertility are unknown.
- Rare side effects include seizures, palpitations, and swelling of face/tongue.
- If you experience an erection lasting more than 4 hours, seek emergency care.
- Priapism can cause permanent tissue damage if untreated.
- Do not combine with recreational drugs like MDMA (ecstasy) due to cardiovascular risks.
- Avoid taking Cialis if you have a known allergy to tadalafil.
- Discuss all medical conditions including liver, kidney, and blood disorders.
[7] Caution is advised in those with cardiovascular disease. [7] Rare but serious side effects include a prolonged erection that can lead to damage to the penis, vision problems, and hearing loss.
How should I take Cialis?
Erections lasting longer than 4 hours can be dangerous and may cause permanent damage. Your doctor may recommend a low dose of Cialis if you have blood cell problems. If you’ve had an allergic reaction to Cialis or any of its ingredients, you should not take Cialis. Ask your doctor what other medications are better options for you. It’s not known if Cialis is safe to take during pregnancy.
Muscular Dystrophy (Orphan)
For more information, please see the “Cialis and pregnancy” section above. It’s not known if Cialis is safe to take while breastfeeding. For more information, please see the “Cialis and breastfeeding” section above. Note: For more information about the potential negative effects of Cialis, see the “Cialis side effects” section above. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date.
Long-term use
However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Reminder: A valid doctor’s prescription is required to purchase this product. [7] Tadalafil is not recommended in people taking nitrovasodilators such as nitroglycerin, as this may result in a serious drop in blood pressure. [7] Tadalafil is a PDE5 inhibitor which increases blood flow to the penis. [7] It also dilates blood vessels in the lungs, which lowers the pulmonary artery pressure. Tadalafil was approved for medical use in the United States in 2003.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 20mg | 270 + 10 Pills | 335.21€ 319.25€ | |
| Cialis Professional | 40mg | 90 + 2 Pills | 348.59€ 331.99€ | |
| Cialis Generic | 10mg | 30 + 4 Pills | 63.32€ 60.30€ | |
| Cialis Black | 80mg | 20 Pills | 71.83€ 68.41€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Generic | 10mg | 120 + 6 Pills | 178.49€ 169.99€ | |
| Cialis Super Active | 20mg | 20 + 4 Pills | 92.35€ 87.95€ | |
| Cialis Soft Tabs | 20mg | 10 Pills | 39.03€ 37.17€ | |
| Cialis Generic | 2.5mg | 60 + 4 Pills | 83.43€ 79.46€ | |
| Cialis Generic | 60mg | 60 + 4 Pills | 145.06€ 138.15€ | |
| Cialis Generic | 10mg | 10 Pills | 31.41€ 29.91€ | |
| Cialis Generic | 2.5mg | 180 + 10 Pills | 154.86€ 147.49€ | |
| Cialis Black | 80mg | 270 + 10 Pills | 502.88€ 478.93€ | |
| Cialis Professional | 40mg | 180 + 4 Pills | 618.23€ 588.79€ | |
| Cialis Professional | 40mg | 20 Pills | 110.24€ 104.99€ |
[7] It is available as a generic medication.
Overdose/Missed Dose
Book a consultation with one of our doctors to discuss your needs and get expert advice. Cialis Tadalafil 20mg is used to treat men who have trouble getting or maintaining a firm erection for sexual activity. It contains tadalafil, which is part of a group of medicines called phosphodiesterase type 5 inhibitors. Tadalafil helps relax blood vessels in the penis after sexual stimulation, allowing increased blood flow and improved erectile function. It's essential to understand that Tadalafil doesn't work without sexual stimulation.
Dosage for both ED and BPH
Foreplay with your partner is still necessary, just as it would be without taking medicine for erectile issues. Hati Health is your digital health companion that connects you with trusted clinics and doctors across the Philippines. We make booking appointments and accessing healthcare simple and convenient, all through our growing network of 100+ partners. We work with a growing network of trusted clinics nationwide, making it convenient to find quality care wherever you are. Just share what service you need and your location—we'll show you all the available options nearby.
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:
Hati Health is for everyone — women, men, and all genders, from children to adults. We cover a wide range of health needs, from diagnostics and vaccines to women's health, men's health, sexual health, and family care. We offer flexible payment options including GCash, credit/debit cards, and bank transfers, with installment plans through BillEase and GoTyme. While cialis tablets we don't accept insurance yet, our affordable prices are often lower than HMO networks, and we're working on future partnerships. You can reach us through our support chat on the website, Messenger or email us at [email protected]. [8] In 2022, it was the 172nd most commonly prescribed medication in the United States, with more than 3 million prescriptions. Tadalafil is used to pharmacy cialis uk treat erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension. [7] In the United States, tadalafil (as Cialis) is indicated for the treatment of erectile dysfunction and the signs and symptoms of benign prostatic hyperplasia;[4] and (as Adcirca) for the treatment of pulmonary arterial hypertension to improve exercise ability. A meta‐analysis found that tadalafil is an effective treatment for lower urinary tract symptoms due to benign prostatic hyperplasia and that such treatment had a low rate of adverse effects.
- Cialis 20mg is sometimes used for off-label purposes.
- Proper storage extends the medication’s shelf life.
- Do not use expired Cialis tablets.
- Report any persistent or severe side effects promptly.
- Taking Cialis as prescribed optimizes treatment outcomes.
[11] Tadalafil is FDA-approved for males as a therapy to treat and prevent symptoms of benign prostatic hyperplasia, such as urinary urgency, hesitancy, weak stream, dribbling, and incontinence. Tadalafil was found to have similar benefits for lower urinary tract symptoms as the usually prescribed tamsulosin. Tadalafil is approved in the United States, Canada, and Japan to improve exercise ability in people with pulmonary arterial hypertension.
What other information should I know?
Concomitant α-blockers: not recommended; discontinue at least 1 day prior to therapy. Concomitant other erectile dysfunction treatments: not recommended. Headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, limb pain; sudden vision or hearing loss, cardiovascular effects; rare: priapism, prolonged erection. Tabs 2.5mg—2×15 (blisters); 5mg—30, 2×15 (blisters); 10mg, 20mg—30 Treatment of ED and signs/symptoms of benign prostatic hyperplasia (BPH). If concomitant with finasteride to initiate BPH treatment, such use is recommended for up to 26 weeks.
Certain HIV drugs
≥18yrs: ED: As Needed Use: Initially 10mg (taken before sexual activity), range: 5–20mg. Max dosing: once daily; effect may last ≤36hrs. Renal impairment: CrCl 30–50mL/min: initially 5mg/day; max 10mg per 48hrs; CrCl <30mL/min or hemodialysis: max 5mg per 72hrs. Mild-to-moderate hepatic impairment: max 10mg/day. Concomitant potent CYP3A4 inhibitors (See Interactions): max 10mg per 72hrs. The most common potential side effects when using tadalafil are headache, stomach discomfort or pain, indigestion, burping, acid reflux, back pain, myalgia (pain in limbs and extremities), flushing, hypertension (or uncommonly hypotension), and stuffy/runny nose. [7] Also common are dizziness, peripheral edema, fatigue, and urinary or respiratory tract infection; both diarrhea and constipation have been reported. [7] Diarrhea was reported more frequently in patients 65 or older than in younger subjects.
| Side Effect | Severity | Frequency | Advice |
|---|---|---|---|
| Headache | Mild | Common | Use OTC pain relief |
| Flushing | Mild | Common | Relax and hydrate |
| Nasal Congestion | Mild | Common | Use decongestants cautiously |
| Dizziness | Mild | Occasionally | Avoid driving if dizzy |
[4] These side effects reflect the ability of PDE5 inhibition to cause vasodilation (causing blood vessels to widen) and usually resolve after a few hours.
Frequently Asked Questions
Our team is here to assist you. Cialis (Tadalifail 20mg) is a prescription only medicine used for the treatment of Erectile Dysfunction (ED) in adult men, a condition which implies difficulties in getting or keeping an erection. Cialis can only be taken by adults aged 18 years and over. Do not take Cialis if you also take medicines called nitrates often prescribed for chest pain. Tabs 2.5mg—2×15 (blisters); 5mg—30, 2×15 (blisters); 10mg, 20mg—30 If concomitant with finasteride to initiate BPH treatment, such use is recommended for up to 26 weeks.
Can Cialis be used to treat ED after prostate surgery?
≥18yrs: 5mg once daily (taken at same time each day). Renal impairment: CrCl 30–50mL/min: initially 2.5mg; may increase to 5mg/day. CrCl <30mL/min or hemodialysis: not recommended. Concomitant potent CYP3A4 inhibitors (See Interactions): max 2.5mg/day. Cardiovascular disease (eg, MI within 90 days, unstable angina or angina during intercourse, NYHA Class 2 or greater HF or stroke within 6 months; hypotension [<90/50mmHg], uncontrolled hypertension or arrhythmias, severely impaired autonomic BP regulation, LV outflow obstruction), severe hepatic impairment, hereditary degenerative retinal disorders including retinitis pigmentosa: not recommended.
Will Cialis help me keep an erection after ejaculating?
Underlying non-arteritic anterior ischemic optic neuropathy risk factors. Advise patients to discontinue if sudden vision or hearing loss occurs. Patients for whom sexual activity is inadvisable or contraindicated. Hypotension with nitrates, GC stimulators, other antihypertensives, alcohol (≥5 units). Potentiated by CYP3A4 inhibitors (eg, generic cialis lilly ketoconazole, itraconazole, protease inhibitors, erythromycin, grapefruit juice). In May 2005, the US Food and Drug Administration (FDA) found that tadalafil (along with other PDE5 inhibitors) was associated with vision impairment related to NAION (non-arteritic anterior ischemic optic neuropathy). [16] Most, but not all, of these patients, had underlying anatomic or vascular risk factors for the development of NAION, unrelated to PDE5 inhibitor use. [7] The FDA concluded that they were not able to draw a cause and effect relationship, only an association; the label of all three PDE5 inhibitors was changed to alert clinicians to that fact.
- Cialis 20mg can be part of a treatment plan for ED.
- Patients should monitor blood pressure regularly.
- Tell your doctor about other medications being taken.
- Avoid grapefruit and grapefruit juice while using Cialis.
- Seek emergency help if an erection lasts more than 4 hours.
A 2019 meta-analysis found that tadalafil exposure was not associated with NAION.
| Parameter | Value | Notes |
|---|---|---|
| Absorption Rate | Rapid | Peak plasma levels in 2 hours |
| Half-life | 17.5 hours | Determines dosing frequency |
| Bioavailability | Approximately 80% | Efficiency of absorption |
| Metabolism | Liver (CYP3A4 enzyme) | Mainly metabolized in the liver |
In October 2007, the FDA announced that the labeling for all PDE5 inhibitors, including tadalafil, requires a more prominent warning of the potential risk of sudden hearing loss as the result of post-marketing reports of deafness associated with use of PDE5 inhibitors.