WARNINGS AND PRECAUTIONS

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended.

Are There Any Other Benefits?

However, it’s usually not necessary to change the doses of these two medications together. Tadalafil is used to treat men who have erectile dysfunction (also called sexual impotence). Tadalafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works.

Pulmonary arterial hypertension

Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body's normal response is to increase blood flow to his penis to produce an erection. By controlling the enzyme, tadalafil helps to maintain an erection after the penis is stroked by increasing blood flow to the penis. Without physical action to the penis, such as that occurring during sexual intercourse, tadalafil will not work to cause an erection. Tadalafil is also used to treat men who have signs and symptoms of benign prostatic hyperplasia (BPH).

Professional resources

BPH is caused by an enlarged prostate. Men with BPH usually have difficulty urinating, a decreased flow of urination, hesitation at the beginning of urination, and a need to get up at night to urinate. Tadalafil will make these symptoms less severe and reduce the chance that prostate surgery will be needed. This medicine is also used to treat erectile dysfunction and signs and symptoms of BPH. Tadalafil is also used in both men and women to treat the symptoms of pulmonary arterial hypertension to improve your ability to exercise. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• [Counterfeit versions may contain incorrect doses, wrong ingredients, or contaminants.]
• [Genuine tablets have specific physical characteristics (color, shape, imprint).]
• [Purchase only with a valid prescription from a reputable, licensed pharmacy.]
• [Be wary of online pharmacies that do not require a prescription.]
• [Report suspected counterfeit medications to the FDA or relevant health authority.]

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur.

Product	Dosage	Quantity + Bonus	Price
Cialis Super Active	20mg	90 + 10 Pills	314.14€ 299.18€	Buy
Cialis Generic	40mg	180 + 10 Pills	277.29€ 264.09€	Buy
Cialis Soft Tabs	20mg	10 Pills	39.03€ 37.17€	Buy
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€	Buy
Cialis Professional	40mg	270 + 6 Pills	898.37€ 855.59€	Buy
Cialis Generic	10mg	360 + 10 Pills	388.49€ 369.99€	Buy
Cialis Generic	40mg	120 + 8 Pills	206.98€ 197.12€	Buy
Cialis Original	20mg	48 + 4 Pills	224.69€ 213.99€	Buy
Cialis Generic	5mg	60 + 4 Pills	86.02€ 81.92€	Buy
Cialis Generic	20mg	180 + 10 Pills	254.09€ 241.99€	Buy
Cialis Soft Tabs	20mg	270 + 10 Pills	471.40€ 448.95€	Buy
Cialis Generic	5mg	30 + 4 Pills	53.56€ 51.01€	Buy
Cialis Super Active	20mg	270 + 30 Pills	661.49€ 629.99€	Buy
Cialis Generic	2.5mg	120 + 6 Pills	128.93€ 122.79€	Buy
Cialis Professional	40mg	120 + 4 Pills	436.68€ 415.89€	Buy
Cialis Generic	60mg	90 + 6 Pills	196.67€ 187.30€	Buy

Using alcohol or tobacco with certain medicines may also cause interactions to occur. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases.

Cialis Contraindications

This is high blood pressure that occurs in the main artery that carries blood from the right side of the heart (the ventricle) to the lungs. When the smaller blood vessels in the lungs become more resistant to blood flow, the right ventricle must work harder to pump enough blood through the lungs. Tadalafil works on the PDE5 enzyme in the lungs to relax the blood vessels. This will increase the supply of blood to the lungs and reduce the workload of the heart. This medicine is available only with your doctor's prescription.

How does tadalafil work?

This product is available in the following dosage forms: In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For cialis 20mg women non-prescription products, read the label or package ingredients carefully. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, cialis oral strips especially: Abnormal penis, including curved penis and birth defects of the penis (eg, angulation, cavernosal fibrosis, or Peyronie’s disease) or Sickle-cell anemia (blood disorder)—Use with caution. May increase risk of unwanted side effects (eg, prolonged erection of the penis).

• Cialis tadalafil 10mg tablets are priced variably depending on pharmacy location.
• Generic versions of Cialis are often available at a lower cost.
• Prescription required; do not buy Cialis without consulting a healthcare provider.
• Insurance coverage for Cialis varies; check with your provider for details.
• Buy Cialis from licensed pharmacies to avoid counterfeit products.
• Online purchasing requires caution; always verify the legitimacy of the source.
• Bulk buying may offer cost savings but ensure product authenticity.
• Discount programs or coupons may reduce the out-of-pocket expense.
• Generally, Cialis is well-tolerated when used as directed.
• Price comparison across different vendors can help find the best deal.
• Consider consulting your doctor about alternative erectile dysfunction treatments.

Crowded optic disc or low cup to disc ratio in the eye (an eye disorder) or Hyperlipidemia (high lipids or fats in the blood) or Non-arteritic anterior ischemic optic neuropathy or NAION (serious eye condition), history of or May increase risk for non–arteritic anterior ischemic optic neuropathy (NAION). Blood vessel problems (eg, aortic stenosis, idiopathic subaortic stenosis) or Heart attack (within the last 3 months) or Heart failure (within the last 6 months) or Retinitis pigmentosa (an inherited eye disorder) or Stroke (within the last 6 months)—Should not be used in patients with these conditions. Stomach ulcers—Use must be determined by your doctor. Pulmonary veno-occlusive disease or PVOD (a type of lung disease)—Use with caution. Liver disease, mild or moderate—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

• Cialis tadalafil 10mg tablets are prescribed for watchful monitoring initially.
• Patients should report chest pain or vision changes while on Cialis.
• Cialis is not recommended for use in women or children.
• The drug is contraindicated in patients with severe liver or kidney disease.
• Avoid grapefruit juice, which may increase Cialis blood levels.
• Use caution if you have a history of heart disease.
• Some medications can increase Cialis's side effects; always disclose all drugs.
• Cialis may interact with blood pressure medications, affecting their efficacy.
• Always inform your physician about any new health issues during treatment.
• Do not adjust your Cialis dosage without medical advice.
• Follow-up appointments help optimize treatment and manage side effects.

Use tadalafil exactly as directed by your doctor.

• [Psychological counseling may be beneficial alongside medication for some men with ED.]
• [For BPH, other treatment options include other medications or surgical procedures.]
• [A thorough medical history is essential to rule out other causes of symptoms.]
• [Open communication with your partner about expectations and treatment is important.]
• [Treatment plans should be personalized based on individual health needs and goals.]

Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Also, do not stop taking this medicine without checking first with your doctor. This medicine comes with a patient information leaflet. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions. You may take this medicine with or without food.

Proper Use

For those with mild or moderate liver disease (Child Pugh Class A or B), doctors should consider starting tadalafil at 20 mg once daily. People with severe liver disease (Child Pugh Class C) should avoid tadalafil. People with kidney disease People with mild to moderate kidney disease (creatinine clearance 31 to 80 ml/min) should start tadalafil at 20 mg once daily and increase to 40 mg once daily based on how well they tolerate the medication and side effects. People with severe kidney disease (creatinine clearance greater than 30 ml or on dialysis), generally should avoid tadalafil. Severe kidney disease increases the amount of tadalafil in the bloodstream, even when patients are on dialysis.

Does tadalafil interact with other medicines (drug interactions)?

People with HIV/AIDS If you have human immunodeficiency virus (HIV or AIDS), consult your pharmacist before taking phosphodiesterase inhibitors such as tadalafil, which can impair the efficacy of some antiretrovirals. Other conditions Tadalafil isn’t recommended for people with two rare diseases often associated with PAH: pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis. Use tadalafil with caution if you have dehydration, left heart diseases and abnormalities of the nervous system. People with retinitis pigmentosa shouldn’t take tadalafil, although there is no research to determine whether the medication is beneficial or safe for those patients. Don’t take nitrates in any form while taking tadalafil because the combination can cause systemic blood pressure to fall to unsafe levels.

Nitrates and other medications

That includes nitric oxide donors or alpha blockers, which generally are used to treat high blood pressure. Use caution taking tadalafil with other medications that lower blood pressure, as well as alcohol. Tadalafil is broken down predominantly by an enzyme called CYP3A in the liver. It can cause significant interactions with medications that target this enzyme pathway. Simultaneous use of bosentan and tadalafil can decrease tadalafil levels in blood. Do not split, break, chew, or crush it. Chewable tablets: Chew the tablet completely before swallowing. When using this medicine for erectile dysfunction, the ability to have sexual activity may be improved for up to 36 hours after taking the tablet. Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way. Do not eat grapefruit or drink grapefruit juice while you are using this medicine. Grapefruit and grapefruit juice may change the amount of this medicine that is absorbed in the body. The dose of this medicine will be different for different patients.

Storage Conditions	Recommended Temperature	Humidity	Shelf Life	Additional Notes
In a cool, dry place	20°C to 25°C	<60%	2-3 years	Keep out of direct sunlight
Away from moisture	Controlled environment			Store in original packaging
Keep out of reach of children	Ambient conditions			Ensure safety from accidental ingestion

Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

Cialis Generic Name & Formulations

Use of Cialis® and Chewtadzy® tablet is not indicated for use in the pediatric population. Safety and efficacy have not been established. Appropriate studies have not been performed on the relationship of age to the effects of Adcirca® and Alyq™ tablet in the pediatric population. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tadalafil in the elderly. However, elderly patients are more sensitive to the effects of this medicine than younger adults. The amount of medicine that you take depends on the strength of the medicine.

Ingredient	Quantity per Tablet	Function	Notes
Tadalafil	10 mg	Active pharmaceutical ingredient	Main component for efficacy
Lactose	50 mg	Filler	For tablet bulk
Microcrystalline Cellulose	20 mg	Binder	Helps hold tablet together
Magnesium Stearate	2 mg	Lubricant	Prevents sticking during compression
Croscarmellose Sodium	5 mg	Disintegrant	Ensures tablet dissolves

Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.