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Cialis is an effective modern drug used to treat erectile dysfunction in men. Using it, you can get a long and steady erection, which will allow you to have full sexual intercourse and achieve the satisfaction of both partners.

What does CIalis generic look like and what are its properties?

The product is available in the form of coated tablets containing 20mg of Tadalafil and some excipients. The tablets are packed in blister packs, which are packed in cardboard boxes.

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The main active ingredient of the preparation is tadalafil. It is a reversible selective inhibitor of FDE5 or fifth type phosphodiesterase. Under the influence of the drug, there is a release of nitric oxide, which contributes to the expansion of the pelvic vessels. The rush of blood to the genitals causes the penis to fill with blood, creating a steady and long-lasting erection.

It is important to remember that the product itself is not an aphrodisiac; therefore, adequate sexual arousal and desire are required for an erection.

Why is Cialis Generic so special?

Cialis over the counter is a drug intended to restore sexual relations in general, namely to treat erectile dysfunction. Using this drug, thanks to its reliability and high effectiveness, it is possible to completely get rid of erectile dysfunction without professional medical intervention, which, of course, can be considered one of the main positive qualities of this drug. In addition, Cialis online is easy to use.

Another significant benefit of the drug in terms of how it works is the fact that its effects come on only when a sexual urge is felt. Hence the most important rule that should be followed when taking Cialis without a prescription: you should only take the pills when you feel aroused, i.e. when you feel agitated. H. if you have a desire for sexual intimacy. In this case, the effect of the drug will be most effective, and the effect of the drug will last for the entire duration of intercourse. If this condition is not met, the medication may not work and the desired effect may not occur. In other words, Cialis works only when needed and not all the time, so it cannot be considered a regular stimulant. This is a significant advantage over other drugs with a similar effect.

How should you use Cialis Generic from Germany?

The drug is applied about 40 to 60 minutes before planned sexual intercourse. The effect can occur after a quarter of an hour and last up to 36 hours. During this time, you can have multiple, full intercourse with minimal rest in between.

The maximum daily dose is 20 mg, i. H. 1 tablet every 24 hours. The maximum dose should not be exceeded to avoid the occurrence of negative side effects.

For whom is Cialis Generic not suitable?

The following diseases and conditions are contraindications to the use of this medication:

  • Allergic reaction to tadalafil or any other ingredient in the product.
  • Under 18 years and over 65 years.
  • Female gender.
  • History of a heart attack or stroke within the last six months.
  • Severe damage to the cardiovascular system.
  • Severe forms of arterial hypertension.
  • Consequences of diabetic retinopathy.
  • Simultaneous use of nitrogen donors or nitrates.
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More than 5,700 men aged 19 to 87 years (mean age 59 years) took tadalafil worldwide for at least one year during the clinical trial period, and more than 1,300 patients for at least six months. In placebo-controlled phase 3 clinical trials, the proportion of patients receiving tadalafil 10 or 20 mg who discontinued treatment due to adverse reactions was 3.1% compared to 1.4% for placebo.

In clinical trials with tadalafil, back pain or myalgia generally occurred 12-24 hours after dosing and usually resolved within 48 hours. Back pain/myalgia associated with tadalafil administration has been described as diffuse bilateral pain in the lower lumbar region, buttocks, hip or thoracolumbar muscle discomfort and aggravation on supine position. The pain was usually mild to moderate and resolved without medication.

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What precautions should be taken before taking Generic Cialis and what side effects can Generic Cialis have?

Before starting treatment, a medical history should be taken to diagnose erectile dysfunction, determine the possible causes and choose the appropriate treatment.

It should be borne in mind that sexual activity poses a potential risk for patients with cardiovascular disease. Therefore, treatment of erectile dysfunction, including the use of tadalafil, should not be carried out in men with cardiovascular diseases for whom sexual activity is not recommended.

Note that patients with left ventricular obstruction (eg, aortic stenosis and idiopathic hypertrophic subaortic stenosis) may respond to vasodilators, including FDE5 inhibitors.

Certain patient populations with cardiovascular disease have not been included in clinical trials of the efficacy and safety of tadalafil and use in these patients is therefore not recommended until further information is available (see Limitations of Use).

There have been rare reports of erections lasting more than 4 hours and priapism (painful erections lasting more than 6 hours) with compounds in this class. Not treating priapism in time can cause irreversible damage to penile tissues. If an erection lasts longer than 4 hours, the patient should consult a doctor immediately.

Before prescribing Tadalafil, the following points should be considered:

Patients with moderate renal impairment (creatinine C1 31-50 ml/min) have a higher incidence of back pain taking tadalafil than patients with mild renal impairment (creatinine C1 51-80 ml/min) or healthy volunteers. At a dose of 5 mg, the frequency and severity of back pain did not differ significantly from that in the general population. No back pain was observed in hemodialysis patients receiving tadalafil 10 or 20 mg.

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Hepatic impairment and concomitant therapy with strong CYP3A4 cytochrome P450 inhibitors

Like other FDE5 inhibitors, tadalafil has the properties of a weak systemic vasodilator, which can lead to a transient reduction in blood pressure. The safety and effectiveness of Tadalafil when taken with other drugs for erectile dysfunction has not been studied and concomitant use is not recommended.

Tadalafil has not been used in patients who are prone to bleeding or who have an active stomach ulcer. Although tadalafil does not prolong bleeding time in healthy subjects, the benefit/risk balance should be considered in patients with a bleeding tendency or with an active peptic ulcer.

In clinical trials with tadalafil, approximately 25% of men were over 65 years old. In general, no differences in efficacy and safety were observed between elderly and younger patients. However, higher sensitivity to the drug has been observed in some older men.

How can you rate the drug in general?

The article should conclude with the main positive and negative properties of Cialis. The parameters of the first category of the drug are as follows:

  • Its effect can only be seen at the right time;
  • An erection achieved with the product lasts for the entire duration of intercourse;
  • The effects produced by the product give the user confidence in their sexual performance;
  • Cialis increases both the pleasure of the process and the sensitivity of the orgasm achieved through it;
  • Not only the user of the product enjoys its effects, but also his partner;
  • The effects of the product, and more importantly its results, will lift your spirits;
  • Cialis can also be useful for people who are severely impotent;
  • It does not prevent you from getting pregnant and vice versa;
  • Cialis is compatible with other drugs.

Of course, you should also consider the negative properties of the drug:

  • There are some contraindications for people with chronic heart disease;
  • Cialis is incompatible with heart drugs, namely with the nitrites they contain;
  • These factors explain the prescription nature of the product and the need for prior consultation;
  • The daily dose of 20 mg should not be exceeded;
  • It is not advisable to take this medicine for a long period of time.

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