Tadalafil 20mg

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About the pills:

International name: Cialis (Tadalafil).

Before the use of tadalafil you should read the instructions available.

  • • Instruction includes a brief description of all the information regarding the drug Tadalafil, produced in the form of packs of pills at 2.5, 5, 10 and tadalafil 20mg.
  • • Before taking tadalafil 20mg you should read the attached instructions.
  • • We recommend to leave instructions in case you need to read it again.
  • • If you have questions you can ask specialist or pharmacist on this web-site.

Means should be used only for its intended purpose and should not be given to others.

1. Indications for use: Tadalafil is prescribed for the treatment of erectile dysfunction.

2. Contraindications:

  • • High sensitivity to the main active ingredient of the drug or an auxiliary component having in its composition;
  • • Simultaneous use of medicines, including any type of organic nitrates;
  • • Age less than 18 years.

2.1. Using during pregnancy and breastfeeding:

  • Tadalafil should not be used by women.

3. Dosage and method of the reception:

  • Tadalafil tablets are taken orally.

3.1. Tips for receiving persons of middle age:

  • Tadalafil should be drunk at a dosage of 20 mg. Tadalafil is taken orally before sexual intercourse. Food does not affect the effectiveness of tadalafil. Sexual activity lasts maximal for 36h. to identify the optimal time of response to the drug.

Tadalafil allowed to get once a day.

3.2. Tips for admission to the elderly and people with kidney or liver disease:

  • Specially selected dosage for the elderly is not necessary. All recommendations regarding the use of tadalafil available in the “Tips for receiving persons of middle age” are valid and the elderly. For people with kidney disease (creatinine clearance 30 ml per minute) or the liver is also no need to separately select the dosage (see section “Special warnings and precautions”).

3.3. Use for children:

  • Tadalafil should not be applied to people under the age of 18 years.

4. Side effects:

  • Patients reported such undesirable side effects of tadalafil as headache and dyspepsia (in 11 and 7 per cent of cases). Side effects of tadalafil usually has little or average severity and attenuated during the prolonged administration.
  • During the action- standard unpleasant effects include pain in the back, stuffy nose, myalgia and facial flushing.
  • Very rare in humans swollen eyelids appear unpleasant sensations in the eyes may feel dizzy.

5. Overdose:

  • When using tadalafil people without the disease at a dose of 500 mg and up to repeated use by people with erection problems in doses up to 100mg per day negative side effect was the same as that of lower doses. In case of overdose usually requires treatment in accordance with the symptoms.

6. Special notes:

  • Sexual activity may be dangerous for men who have cardiovascular disease. For this reason, it is not recommended to treat erection problems, including the use of the drug tadalafil for people with cardiovascular diseases such as sexual activity is not desirable.

It is worth remembering about possible complications during sexual activity in men with cardiovascular diseases such as:

  1. • stroke in the last six months;
  2. • uncompensated cardiac arrhythmia, hypotension (with a pressure of less than 90 to 50) or uncompensated hypertension;
  3. • heart failure type 2 or more, which appeared in the last six months;
  4. • unstable angina or angina, which appears during sexual intercourse;
  5. • infarction in the last 3 months.

Tadalafil to be very careful to make people predisposed to priapism (leukemia and so on.), And people with a deformed penis (curved sideways). If time does not begin treatment of priapism, it will damage the penis, in the end a man may for a long time to lose sexual potency.

Safety and effectiveness of the treatment of erection problems tadalafil in combination with other types of treatment are not subjected to the study. Because the use of such combined treatment is not recommended.

Tadalafil in the treatment of patients with moderately severe kidney disease (creatinine clearance from 31 th to 50 ml per minute) was more frequent such negative side effects such as pain in the back, compared to men with mild renal insufficiency (when creatinine clearance from 51 th to 80 ml per minute) and healthy individuals. People with severe renal dysfunction (creatinine clearance 30 ml per minute) exposure to tadalafil has not been investigated. The drug is taken with caution required men with purification rate in biological fluids and tissues of creatinine in 50ml per minute.