Notes

How to use


Cialis should only be taken orally and ingested whole, and can be taken independently of meals.
dosage

The maximum recommended dose of Cialis is 20 mg, taken before intercourse. The maximum recommended dose frequency is once a day.

Cialis has proven to be effective from 30 minutes after its administration, for up to 36 hours. Patients may initiate sexual activity at varying times of administration in order to determine their own optimal range of response.

The duration of treatment should be at the discretion of the physician.

Follow your doctor's advice, always respecting the times, doses and duration of treatment. Do not stop treatment without your doctor's knowledge.

This medicine must not be broken, opened or chewed.
What should I do when I forget to use Cialis?

The maximum recommended daily dose of Cialis is 20 mg, taken before sexual intercourse and independent of meals. Therefore, its use is on demand.

If in doubt, seek advice from your pharmacist or doctor or dentist.
precautions

Cialis should be given with caution to patients who have one of the following health conditions:

Heart problems such as angina (chest pain), heart failure, irregular heartbeat or having had a heart attack; low blood pressure or uncontrolled high blood pressure; stroke, liver problems, kidney problems or requiring dialysis, stomach ulcers, bleeding problems, deformity of the penis or Peyronie's disease; conditions that predispose to priapism (an erection lasting longer than four hours), such as sickle cell anemia, multiple myeloma, or leukemia.

Also remembering that sexual activity may be discouraged in patients with severe heart disease, as well as physical exercise in general. The doctor should always be informed about the heart problems of the patient with ED and then he will decide which treatment is most suitable for ED. The use of Cialis with other phosphodiesterase 5 (PDE5) inhibitors or with ED treatments has not been studied and is therefore not recommended.

The combination of tadalafil and drugs that stimulate the enzyme guanylate cyclase (a substance that, among other actions, leads to dilation of blood vessels), such as riociguat, is not recommended as it can cause symptomatic hypotension (low blood pressure).

Rare cases of vision loss have been reported in men taking erectile dysfunction medications, including Cialis. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (interruption of blood flow to the optic nerve). An increased risk of acute non-arteritic anterior ischemic optic neuropathy was suggested from analysis of observational data in men with ED within 1 to 4 days of the PDE5 inhibitor use episode. 시알리스 who have diabetes, high blood pressure, high cholesterol, heart disease and smokers have a higher risk of having this eye disease. If you experience a change in vision during treatment with Cialis, stop taking the medicine and see your doctor.

Physicians should advise patients to discontinue use of PDE5 inhibitors, including tadalafil, as well as to seek expert advice in cases of sudden decrease or loss of hearing. These events, which may be accompanied by tinnitus and vertigo, have been reported in temporal association with the introduction of PDE5 inhibitors, including tadalafil. It is not possible to determine whether these events are directly related to the use of PDE5 inhibitors or to other factors.

Cialis is not indicated for use in women. There are no studies of tadalafil in pregnant women (Category B).

This medicine contains Lactose. Therefore, it should be used with caution in patients who are lactose intolerant.

The effectiveness of this drug depends on the functional capacity of the patient.
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