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What are Generics?
Generic drugs marketed without brand names contain the exact same active ingredients used in their brand-name counterparts, but cost significantly less. The drugs are required to meet U.S. Food and Drug Administration (FDA) standards for safety, purity and effectiveness.

Cialis pills is an effective and reversible inhibitor that acts selectively on cGMP-specific phosphodiesterase type 5 enzymes (also known as PDE5). When the sexual stimulation causes local release of nitric oxide the PDE 5 inhibition by Cialis results in enhancement of cGMP levels in the corpus cavernosum. As a result, the arterial smooth muscles relax and blood begins to flow increasingly to the penis tissues. Thus, an erection is caused. If a sexual stimulation is absent, Generic Cialis will be ineffective. Cialis enhances erection and makes it possible to achieve a successful sexual intercourse. The drug lasts up to 36 hours. In some cases, if the sexual arousal is present, the effect may appear after 16 minutes after the drug was taken.

Dosage and Direction for Use Cialis
It is recommended to take one 20 mg tablet of Cialis at least 16 minutes before the sexual activity. The effect lasts 36 hours. Take Cialis once a day and do not exceed the recommended dose.

Precautions
Do not to use Cialis drugs when drinking grapefruit juice and alcoholic beverages or smoking cigarettes. Otherwise, this may result in a condition called NAION (sudden optic nerve-related vision loss). Before taking Cialis you should inform your healthcare provider of any abnormalities of penis, including birth defects of the penis or deformed penis shape, as well as of the following medical problems, which have been recorded in your medical history: ischemic heart disease, irregular heartbeats, chest pain (also known as angina), heart attack or heart failure, low or high blood pressure, bleeding, stomach ulcers, diabetes, hyperlipidemia (high lipid levels in the blood), sickle-cell disease, liver or kidney failure.

Contraindications
The patients, who are using on a regular basis and/ or occasionally any medicines called organic nitrates, are not allowed to take Cialis, since this drug may potentiate hypotensive effect of nitrates.

Possible Cialis Side Effects
Usually persons that take Cialis may suffer the following side effects: headaches, flushing, stomach upset, nausea, diarrhea and flu-like symptoms. Uncommon side effects include the following: hypotension, blurred vision and changes in color vision as well as abnormal ejaculation. Prolonged erections or priapism (painful erections lasting more than 6 hours) may also occur. If you get an erection, which lasts more than 4 hours, seek immediate medical help. Otherwise it may cause permanent damages to your penis. There was also reported on the aggravation of heart problems in patients with pre-existing heart disease that take Cialis.

Drug Interactions
Co-administration with medicines that contain organic nitrates may lead to severe hypotension, which in some cases may pose a considerable threat. Do not take Cialis with such medicines as Nitroglycerin, Erythrityl Tetranitrate, Isosorbide Dinitrate, Pentaerythritol Tetranitrate, Isosorbide Mononitrate. The toxicity level of Cialis may be increased by the following medicines: erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Your healthcare provider should know if you are taking Atazanavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Nelfinavir Bunazosin, Clarithromycin, Doxazosin, Ketoconazole, Erythromycin, Indinavir, Itraconazole,  Moxisylyte, Nefazodone, Telithromycin, Terazosin, Trimazosin, Urapidil. In case you take the said medicines your Cialis dose may be subject to correction.

Missed Dose
If you take Cialis for treatment of erectile dysfunction, the ‘missed dose’ is not a term to be applied, since in this case the drug is used only when needed.


Overdose
As a result of Cialis overdose you may suffer the symptoms described as the side effects. You should seek immediate medical help, if you think you took too much of this medicine.

Storage Conditions
Store the medicine at room temperature in a tight container. The drugs should not be exposed to sunlight and moisture.  Make sure that the medicine is out of reach of children and pets. Buy cheap generic cialis pills online. Order cialis drugs without prescription with great discount.

Disclaimer
We provide only general information on the medicine. It does not contain all directions for use, possible drug integrations or precautions. The information posted on the site is not provided for the purpose of self-diagnosis or self-treatment. Any specific instructions for a particular patient should be agreed with your health care provider or doctor in charge of the case. We disclaim reliability of the information provided and possible mistakes contained therein. We do not take any responsibility for any direct, indirect, or other special damage as a result of any use of the information provided on this site as well as for any consequences of self-treatment.

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Product Info

Uses

Generic Cialis will perform just like the brand name, but is sold at a fraction of the cost. Activated only when aroused, this fast acting pill will help you regain your confidence in the bedroom.

Generic Cialis is best known for being the longest lasting erectile dysfunction treatment on the market today. Cialis works to improve erectile function by increasing blood flow to the male genitalia and relaxing muscle tissue in the area. Cialis is specially designed to last more than three-times longer than competing impotence medications. Aside from restoring male sexual performance, Cialis is also suitable to treat benign prostatic hyperplasia (BPH) and aid certain heart complications. Consult a trusted healthcare professional before using Cialis for alternative uses.

How to take

Take Generic Cialis as needed 20-60 minutes before engaging in sexual activity. It is recommended that those new to this medication begin with the 10mg dosage. Do not take Cialis more than once daily.

Side effects

 

Get emergency medical help if you have any of these signs of an allergic reaction to Generic Cialis: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. If you become dizzy or nauseated during sexual activity, or if you have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Generic Cialis.

Stop using this medicine and call your doctor at once if you have any of these serious side effects:

  • changes in vision or sudden vision loss;
  • ringing in your ears, or sudden hearing loss;
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • irregular heartbeat;
  • shortness of breath, swelling in your hands or feet;
  • seizure (convulsions);
  • feeling light-headed, fainting; or
  • penis erection that is painful or lasts 4 hours or longer.

Less serious Generic Cialis side effects may include:

  • redness or warmth in your face, neck, or chest;
  • cold symptoms such as stuffy nose, sneezing, or sore throat;
  • headache;
  • memory problems;
  • diarrhea, upset stomach; or
  • muscle pain, back pain.

This is not a complete list of side effects and others may occur.

 

Precautions

Drinking alcohol can increase certain side effects of Generic Cialis.

Grapefruit and grapefruit juice may interact with Generic Cialis and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.

Avoid using other medicines to treat erectile dysfunction, such as sildenafil (Viagra) or vardenafil (Levitra) while you are taking Generic Cialis.

Drug interactions

Before taking Generic Cialis, tell your doctor about all other medicines you use, especially:

  • rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, Rifater, Rifamate), or rifapentine (Priftin);
  • an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);
  • antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);
  • an antidepressant such as nefazodone;
  • a barbiturate such as phenobarbital (Solfoton);
  • drugs to treat high blood pressure or a prostate disorder, such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin), tamsulosin (Flomax);
  • heart or blood pressure medication such as diltiazem (Cardizem, Dilacor, Tiazac), nicardipine (Cardene), quinidine (Quin-G), or verapamil (Calan, Covera, Isoptin, Verelan);
  • HIV or AIDS medications such as darunavir (Prezista), efavirenz (Sustiva), etravirine (Intelence), nevirapine (Viramune), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir, Kaletra), and others; or
  • seizure medications such as carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), and others.

This list is not complete and other drugs may interact with Generic Cialis.

Missed dose

Since Generic Cialis is used as needed, you are not likely to be on a dosing schedule.

If you take tadalafil every day and you miss a dose, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

Storage

Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. Keep this medication and all other medications out of the reach of children.