CIALIS

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Buy Cialis Online

Cialis is approved to treat erectile dysfunction (ED) (2.5 mg, 5 mg, 10mg, 20 mg), the signs and symptoms of benign prostatic hyperplasia (BPH 5 mg), and both ED and the signs and symptoms of BPH (5 mg). Taking Cialis with finasteride when starting BPH treatment has been studied for 26 weeks. Cialis is not for women or children. When you take Cialis, you have two dosing options: Cialis for daily use strong>and Cialis for use as needed.Do not take Cialis more than one time each day. Tadalafil(Cialis) is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, Tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Cialis at real low prices strong>is thought to work by relaxing the smooth muscle in the prostate and bladder. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhoea, syphilis). Practice "safe sex" such as using latex condoms. Consult your doctor or pharmacist for more details. If Cialis is used with finasteride to initiate BPH treatment, such use is recommended for up to 26 weeks because the incremental benefit of Cialis decreases from 4 weeks until 26 weeks, and the incremental benefit of Cialis beyond 26 weeks is unknown.

Cialis increases blood flow to the penis, and this enables a man to achieve an erection. It does not lead to sexual arousal. It should be used with caution, and only under medical supervision. Tadalafil was approved by the United States (U.S.) Food and Drug Administration (FDA) in 2003 for the treatment of erectile dysfunction (ED). It is also used to treat pulmonary arterial hypertension and benign prostatic hyperplasia, a condition in which the prostate gland becomes enlarged, causing problems with urination.

Different erectile dysfunction medicines suit different people, but it is difficult to tell which one will be best for you until you have tried them all. While a particular erectile dysfunction medicine may not work for you first time round, it is recommended taking it at least eight times before giving up and trying another. This is because it can often take this long to determine whether or not a medicine is right for you. It is also often suggested that men initially try all three erectile dysfunction medicines to see which is best for them, and you can buy Viagra in the Netherlands, Levitra and Cialis for those suitable.

You can buy Viagra, Cialis and Levitra online. If appropriate, get Cialis Overnight delivery for treatment for erectile dysfunction. If you’re unsure which ED treatment will be best for you then take our free ED assessment. Viagra, Cialis and Levitra have all been shown to be effective in 60-70% of men with erectile dysfunction. However, as above, it is possible that one medicine will be more or less effective than the others, and therefore it is best to initially try out all three to see which is best.Buy online pill Cialis and low cost generic Cialis for home delivery.

Storage: Store Cialis at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis out of the reach of children and away from pets.

Active Ingredient: Tadalafil.

Inactive Ingredients: Croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

WHY DO MEN GET ERECTILE DYSFUNCTION?

A range of factors contribute to erectile dysfunction, including lifestyle choices, mental state, chronic disease, and injuries and operations. Emotional problems, such as stress and performance anxiety, can have an impact on both erectile performance and sexual desire. Occasional treatment with a PDE5 inhibitor such as Cialis can be effective in breaking a cycle of anxiety and failure. Lifestyle factors, such as smoking, non-prescription drug use, excessive drinking and even obesity can have an effect. Erectile dysfunction is sometimes a symptom of underlying health problems such as diabetes, atherosclerosis and heart disease, amongst others.

Men suffering from erectile dysfunction should inform their GP who will undertake an assessment, possibly perform tests, and provide advice.

HOW TO USE CIALIS?

Cialis comes in yellow, film-coated and almond-shaped tablets in 5, 10 and 20 milligram (mg) doses.

Patients with erectile dysfunction can take Cialis as needed, but it should not be taken more frequently than once every 24 hours.For the medication to work, a man needs to be sexually aroused. The drug does not provide an erection without sexual stimulation.

There are four strengths of Cialis – 2.5mg, 5mg, 10mg and 20mg. The lower doses of 2.5mg and 5mg are primarily for regular daily use, although Cialis 5mg strength can be taken on an as required basis by men who respond well to one-off lower doses.

The usual starting dose is 10mg taken at least 30 minutes before sexual activity. If this dose is highly effective, subsequent doses could be reduced to 5mg on a trial basis. If repeated trials of a 10mg dose prove ineffective, the dose can be increased to 20mg.There is no benefit in taking a higher dose than is needed. Repeated trials of treatment at one dose are recommended before changing to higher or lower strength tablets.

Cialis for daily use (2.5 mg, 5 mg)

  • Take Cialis daily
  • You can attempt sex anytime between doses
  • No need to plan around a pill
  • With a 2.5 mg or 5 mg tablet once a day, you may be able to have successful intercourse in as early as 4 to 5 days.

Cialis for use as needed (5 mg, 10 mg, 20 mg)

  • Take Cialis when you need it
  • Cialis 20 mg can last for up to 36 hours
  • A 20 mg dose works in as little as 30 minutes in some men

Read the Patient Information Leaflet provided by your pharmacist before you start taking Tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.Take this medication by mouth, with or without food, as directed by your doctor. Do not take Tadalafil more often than once daily. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, non-prescription drugs, and herbal products).To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should continue taking this medication. To treat erectile dysfunction-ED, there are 2 ways that Tadalafil may be prescribed. Your doctor will determine which is the best way for you to take Tadalafil. Follow your doctor's directions exactly since your dosage depends on how you are taking it. The first way is to take it as needed, usually at least 30 minutes before sexual activity. Tadalafil’s effect on sexual ability may last up to 36 hours.

The second way to treat ED is to take Tadalafil regularly, once a day every day. If you take it this way, you may attempt sexual activity at any time between your doses.If you are taking Tadalafil to treat both ED and BPH, take it as directed by your doctor, usually once a day. You may attempt sexual activity at any time between your doses. If you are taking Tadalafil once daily for BPH, or for ED, or for both, take it regularly to get the most benefit from it. To help you remember, take it at the same time each day. Tell your doctor if your condition does not improve or if it worsens.

Cialis benefits from having a long duration of action. Viagra remains active for about 4 hours, Levitra for 12 hours and Cialis for 36 hours – hence its familiar name 'The Weekend Pill'. Erections will not be continuous during 36 hours after taking Cialis, occurring only at times of arousal during those 36 hours.

BENEFITS OF CIALIS

There are several treatments available for erectile dysfunction, and each have their own unique set of advantages. Cialis is a popular ED drug, and is particularly noted for its lengthy 17.5 hour half-life and subsequent duration of function; which is up to 36 hours.

Duration of Activity

This characteristic has earned Cialis the moniker ‘the weekend pill’, as once the patient has taken a dose, the drug remains active for a whole day and a half. So, for instance, a dose taken on Friday evening may still be functional all the way up to Sunday morning. Contrary to what some might think however, this does not mean that an erection will be present for the whole duration of action; rather that the user will be able to achieve an erection when sexually stimulated during the time that Cialis is working.

Other oral tablet medicines may only remain active for four to six hours. Topical agents and urethral suppositories, although they get to work within minutes, may only have an effect which lasts for one or two hours. In terms of durational efficacy, Cialis is currently the undisputed market leader.

Spontaneity

Another advantage of Cialis, and even more so of Cialis Daily, is that it allows the user to be spontaneous.

Cialis takes 30-60 minutes to work, but after this is functional for up to 36 hours. That means that once the treatment has begun to work, the user does not have to interrupt foreplay in order to take a pill, or apply a device or topical agent; once sexually stimulated, they’re ‘ready to go’.

Furthermore, those who take Cialis Daily, which contains a smaller dose but is designed to be taken once a day, do not have to wait 30-60 minutes for the tablet to work. This medicine remains functional 24 hours a day, and is suitable for those men who plan to have sex three (or more) times over the course of a week.

Some may see taking a tablet every day as a minor drawback, whereas others may prefer doing so and incorporating ED treatment into their routine. Because it doesn’t require ‘on-demand’ administration, Cialis Daily is considered by many to be the closest of all ED medications currently on the market to being an ‘instant’ treatment.

Efficacy of Cialis

Cialis performs strongly among its competitors in terms of efficacy.

There are two doses of Cialis available (10 and 20mg), and two doses of Cialis Daily (2.5mg and 5mg). As one would expect, these different doses have reported different efficacy rates in clinical trials: In one study, 10mg and 20mg doses of Cialis resulted in erections potent enough for vaginal penetration in 73 and 81 per cent of cases respectively; and resulted in erections strong enough to complete intercourse in 59 and 71 per cent of cases respectively.

Cialis on demand then has a comparable success level to sildenafil (perhaps the most established drug on the market for ED), which in clinical trials reported 63, 74 and 82 percent effectiveness rates respectively for the 25mg, 50mg and 100mg doses.

Ease of Use

Measured against alprostadil, an injectable treatment for impotence, oral tadalafil tablets have performed slightly less favourably in clinical studies; alprostadil delivered via injection has been shown to have a 90 percent efficacy rate.

However, as an oral tablet, Cialis is a much easier treatment to take; and only needs to be applied once when taken on-demand to provide 36 hours of erectile potency.

Likelihood of Side Effects

It has been noted by some experts that tadalafil is a more selective enzyme inhibitor than some of its contemporaries. Sildenafil and Vardenafil have also been found to exert inhibiting qualities over PDE6, an enzyme found in the eye, and PDE1, which is present in the brain and heart.

Tadalafil does inhibit these enzymes too, but to a much lesser extent. It has been theorised that tadalafil may be less likelyto cause side effects such as disturbed vision, vasodilation and tachycardia as a result.

ALTERNATIVE TREATMENTS OF ERECTILE DYSFUNCTION

Viagra, Sildenafil and Levitra are alternative tablet treatments for erectile dysfunction and are also available to buy in various strengths and pack sizes after completing the same medical consultation.

What is Viagra?

Viagra is the most well-known of the three as it has been around for over 15 years. This means that a lot is known about its effects and side effects. It works within an hour of taking a tablet, and is best taken on an empty stomach. The effects of Viagra will last for four to six hours.

Viagra was developed and originally marketed by the pharmaceutical company Pfizer, and until 2013 Pfizer was the only company allowed to sell it. When Pfizer’s patent on Viagra expired, the market was open for other companies to produce the medicine, albeit under its generic name Sildenafil, rather than the brand name Viagra.

Sildenafil contains exactly the same active ingredient as Viagra (sildenafil citrate), and works in the same way. However, because it is the generic version of the medicine, rather than the brand, Sildenafil is considerably cheaper.

What is Levitra?

Levitra will last for a similar amount of time as Viagra (four to six hours). The main difference to Viagra is that Levitra tends to be less affected by food or alcohol so can be taken with meals. There is also some evidence that Levitra is more effective in diabetics than other erectile dysfunction medicines.

What is Cialis?

The effects of Cialis (tadalafil) last much longer than those for Viagra or Levitra (up to 36 hours) so many men prefer it as involves less planning. The downside is that if you do experience side effects these can last for longer too. Like Levitra, Cialis is not affected much by food, so can be taken after a meal. Alcohol, however, may reduce its effects.

WHAT IS BEST FOR YOU- VIAGRA, CIALIS OR LEVITRA?

Different erectile dysfunction medicines suit different people, but it is difficult to tell which one will be best for you until you have tried them all. While a particular erectile dysfunction medicine may not work for you first time round, we recommend taking it at least eight times before giving up and trying another. This is because it can often take this long to determine whether or not a medicine is right for you.

How do Viagra, Cialis and Levitra work?

Viagra, Levitra and Cialis all work in a similar way. They all relax the blood vessels which supply blood to the penis, meaning that more blood can get there when aroused. These medicines are not aphrodisiacs, so you will still need to be sexually stimulated in order to get an erection.

Sildenafil and Spedra are two other major erectile dysfunction medicines which work in a similar way to Viagra, Cialis and Levitra. As outlined above, Sildenafil is the generic version of Viagra, and contains the same active ingredient. Out of the five, Spedra is the newest medicine on the market, and takes the shortest amount of time to work – just 15 minutes in some men.

If your ED has a psychological cause, such as stress, anxiety or depression, counselling can be an effective treatment. This usually takes the form of either couples’ psychosexual counselling, or one-on-one sessions with a psychosexual counsellor. Sometimes even just talking over the issues with a trained professional can help treat the problem.

It can be a while before any effects from counselling are seen, so it is often combined with prescription medicines such as Viagra, Cialis or Levitra which treat ED in the short term.

How effective are Viagra, Cialis and Levitra?

Viagra, Cialis and Levitra have all been shown to be effective in 60-70% of men with erectile dysfunction. However, as above, it is possible that one medicine will be more or less effective than the others, and therefore it is best to initially try out all three to see which is best.

WHICH FACTORS WILL AFFECT HOW LONG CIALIS LASTS FOR?

As a rule, Cialis starts affecting the body a half-hour to an hour after you take a dose, and the drug will stay in your system for, on average, 36 hours. However, there are other factors that can affect how long Cialis stays in your system.

First, it’s important to remember that Cialis is a drug with a long half-life in the body, much longer than other drugs with a similar function. The “half-life” of a drug is how long it takes for half the drug to leave the body. Viagra has a half-life of 4 hours, while Cialis has a half-life of 17 hours. This is why the effects of Cialis last longer than Viagra, but beyond that, there are other factors that can keep it in the body.

For example, most drugs are broken down in the kidneys and liver. If your kidney or liver function is impaired, or you take drugs that inhibit the function of the kidneys or liver, Cialis will stay in your system longer as it is not being broken down. Similarly, Cialis, which works as a vasodilator, may combine with other drugs you are taking which open up the blood vessels and may make the effects last longer. Or you may pass out from low blood pressure, which is a distinct possibility.

Finally, never combine Cialis with other drugs in its class, such as Viagra (Sildenafil) or Levitra (vardenafil). These drugs may combine to cause low blood pressure or other side effects. Do not use other medicines or treatments for ED while you are taking Cialis without first checking with your doctor. Use Cialis with caution in the elderly; they may be more sensitive to its effects. Cialis will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control. Cialis is not recommended for use in children younger 18 years.

PRECAUTIONS WHILE TAKING CIALIS

Before taking tadalafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure, a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peronei’s disease), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anaemia, leukaemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION), bleeding disorders, active stomach ulcers.

This drug may make you dizzy. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, non-prescription drugs, and herbal products).

This brand of the drug is not usually used in women. During pregnancy, tadalafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

INTERACTIONS OF CIALIS

Disease Interactions: Cialis is not right for everyone. Only your healthcare provider and you can decide if Cialis is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take Cialis if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking Cialis, tell your healthcare provider about all your medical problems, particularly if you have or ever had:

  • heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack
  • pulmonary hypertension
  • low blood pressure or high blood pressure that is not controlled
  • stroke
  • liver or kidney problems or require dialysis
  • retinitis pigmentosa, a rare genetic (runs in families) eye disease
  • severe vision loss, including a condition called NAION
  • stomach ulcers or a bleeding problem
  • a deformed penis shape or Peronei’s disease
  • an erection that lasted more than 4 hours
  • blood cell problems such as sickle cell anaemia, multiple myeloma, or leukaemia

Drug Interactions: Tell your healthcare provider about all the medicines you take, especially:

  • medicines called "nitrates" which are often prescribed for chest pain
  • medicines called guanylate cyclase stimulators, such as riociguat (Adempas®), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension
  • alpha-blockers often prescribed for prostate problems
  • blood pressure medications
  • medicines for HIV or some types of oral antifungal medications
  • some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine)
  • Other medicines or treatments for erectile dysfunction (ED)
  • Cialis is also marketed as Adcirca for the treatment of pulmonary arterial hypertension. Do not take both Cialis and Adcirca. Do not take sildenafil citrate (Revatio) with Cialis.

SIDE- EFFECTS OF CIALIS

The most common side effects with Cialis are:

  • Headache
  • Indigestion
  • back pain
  • muscle aches
  • flushing
  • stuffy or runny nose.

These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

To reduce the risk of dizziness and light-headedness, get up slowly when rising from a sitting or lying position.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away:

  • severe dizziness
  • fainting
  • chest/jaw/left arm pain
  • nausea.

Rarely, sudden decreased vision, including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking tadalafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke.

Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking tadalafil and get medical help right away if these effects occur.

In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

DOES CIALIS WORK EVERY TIME?

Response to treatment is usually predictable and consistent. On most occasions, if Cialis has worked before, it will work again.

Some causes of erectile dysfunction, such as physical injuries or nerve damage, are more resistant to tablet treatments and may require other therapies, such as injections or penile implants.

Erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling.

All men who are troubled by erectile dysfunction, which can be a distressing problem, should consult a doctor for a full assessment and advice.

CIALIS vs VIAGRA

Men frequently ask us what the difference between Viagra and Cialis is. Both medications essentially work in the same way. The main difference is that Cialis works for up to 36 hours, whereas the effect of Viagra will subside within four hours of swallowing the tablet. Once you have taken Cialis, you will find it easier to gain an erection for up to 36 hours without having to take any additional pills. Some men prefer Cialis on the basis that it gives them more flexibility. It eliminates the necessity to “plan ahead” and allows spontaneous sex from 30 minutes after you have taken the tablet.

FAST FACTS ON CIALIS

Here are some key points about Cialis.

  • Under the name Cialis, tadalafil is used to treat erectile dysfunction.
  • As Adcirca, the same drug treats pulmonary arterial hypertension and benign prostatic hyperplasia.
  • Cialis increases blood flow to the penis, enabling an erection to occur when a man is sexually stimulated.
  • Anyone with a heart condition should seek medical advice before using Cialis.
  • Cialis is a medication, with potentially serious adverse effects. It should only be obtained from a reputable source and used under medical supervision.

BUY ONLINE PILLS CIALIS

When buying Viagra, Cialis or Levitra online it’s important to ensure that you are getting them from a trustworthy source. There are lots of websites offering erectile dysfunction medicines but many supply fake or counterfeit medicines. Apart from the fact that these medicines may not work, there is also the risk of potentially serious adverse effects from taking non-genuine medicines.

Cialis is available by prescription and should be used under the supervision of a medical professional. Cialis can be purchased online, Viagra online Australia, no prescription and cheap Viagra.

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The amount pharmacies pay for Cialis is the wholesale price set by the drug company Eli Lilly. The amount pharmacies charge patients will depend on their business models. Some supply Cialis with a small profit margin and others with bigger profit margins. It is usually worth shopping around for the lowest cost supplier, but always use a registered pharmacy to avoid fake medicines.

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