Cialis solves your sexual problems

Cialis – is the most effective and the best preparation for the duration of action. The active ingredient of the drug – tadalafil prevents the breakdown of the enzyme PDE-5, which is the cause of erectile dysfunction in men. Cialis works for 36 hours, and its effect appears in 16 minutes after taking one pill in the presence of sexual arousal. The rate and extent of absorption of tadalafil are not dependent on food intake, so that Cialis can be taken with or without food.

Who should use Cialis with caution?

The recommended dose is 20 mg. Dose adjustments for elderly patients and for patients with hepatic and renal failure, as well as for men suffering from diabetes, is not required. However, patients with severe hepatic and renal insufficiency (creatinine clearance 30 mL / min), Cialis should be taken with caution, because the data controlled clinical studies on safety and efficacy in these patients are not available. Drug is given with caution to patients taking α1-blockers such as doxazosin, since simultaneous use in some cases can lead to symptomatic hypotension.

Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, treatment of erectile dysfunction, including Cialis should not be carried out in men with heart disease, in which sexual activity is not recommended.

Cialis should be used with caution in patients predisposed to priapism (such as sickle-cell anemia, multiple myeloma, or leukemia) or in patients with anatomical deformation of the penis (such as angulation, cavernous fibrosis or Peyronie’s disease).


Please keep in mind that tadalafil enhances the hypotensive effect of nitrates. This means that Cialis is absolutely should not be taken concurrently with medications that contain nitrates.

Cialis is a relatively new drug; he appeared on the market in 2003. After the active ingredient of Cialis – tadalafil was approved by the European Union for use, the drug appeared in Europe, Australia and New Zealand, and later – in the markets of other countries. Clinical studies have shown that Cialis is effective in more than 80% of cases.

To buy Cialis online is convenient and advantageous, because you do not need a prescription. So you can buy Cialis in any quantity at a low price, in addition, maintaining complete anonymity.

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