High levels of the drug in your body can be dangerous. For children: Doctors don’t prescribe tadalafil for use in children younger than 18 years old. It’s not known if tadalafil is safe and effective in children. All possible dosages may not be included here. Your doctor will tell you what dosage is right for you.
Drug Interactions
They may suggest a treatment to manage your symptoms and can determine whether you should keep taking tadalafil. If you have symptoms of a severe allergic reaction, such as swelling or trouble breathing, call 911 or your local emergency number right away. These symptoms could be life threatening and require immediate medical care. If your doctor confirms you’ve had a serious allergic reaction to tadalafil, they may have you switch to a different treatment. Eating grapefruit or drinking grapefruit juice may increase the levels of tadalafil in your blood.
Stomach acid drugs
This raises your risk for side effects. Don’t drink large amounts of alcohol when taking tadalafil. Both alcohol and tadalafil can dilate (widen) your blood vessels. When used together, they can cause your blood pressure to decrease, which soft tab cialis can be dangerous. For people with heart disease: Sexual activity creates a risk for your heart.
Cialis and other medications
Your doctor won’t prescribe tadalafil if you have a heart condition and your doctor has advised against sexual activity. For people at risk for prolonged erections: Tadalafil may cause priapism. This condition causes a painful, long-lasting erection. Talk with your doctor before using tadalafil if you have a condition that puts you at higher risk for priapism. These conditions include blood cell conditions such as sickle cell anemia, multiple myeloma, or leukemia, as well as Peyronie’s disease. Your dosage, drug form, and how often you take the drug will depend on: how you react to the first dose Strengths: 2.5 milligrams (mg), 5 mg, 10 mg, and 20 mg Strengths: 2.5 mg, 5 mg, 10 mg, and 20 mg Typical dosage for BPH: One 5-mg tablet per day.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 10mg | 60 + 6 Pills | 105.81€ 100.77€ | |
| Cialis Generic | 5mg | 90 + 6 Pills | 115.91€ 110.39€ | |
| Cialis Professional | 20mg | 360 + 6 Pills | 807.03€ 768.60€ | |
| Cialis Original | 20mg | 48 + 4 Pills | 224.69€ 213.99€ | |
| Cialis Professional | 40mg | 60 + 2 Pills | 262.32€ 249.83€ | |
| Cialis Black | 80mg | 270 + 10 Pills | 502.88€ 478.93€ | |
| Cialis Generic | 20mg | 90 + 6 Pills | 154.71€ 147.34€ | |
| Cialis Generic | 10mg | 120 + 6 Pills | 178.49€ 169.99€ | |
| Cialis Super Active | 20mg | 30 + 6 Pills | 128.09€ 121.99€ | |
| Cialis Soft Tabs | 20mg | 180 + 8 Pills | 353.17€ 336.35€ | |
| Cialis Original | 20mg | 120 + 8 Pills | 497.29€ 473.61€ | |
| Cialis Generic | 40mg | 30 + 4 Pills | 74.97€ 71.40€ | |
| Cialis Soft Tabs | 20mg | 90 + 6 Pills | 216.71€ 206.39€ | |
| Cialis Black | 80mg | 30 + 2 Pills | 89.11€ 84.87€ | |
| Cialis Generic | 40mg | 90 + 6 Pills | 171.35€ 163.19€ |
When to take your dose: Take it at about the same time each day.
Frequently Asked Questions
Animal studies don’t always predict the way humans would respond. Therefore, this drug should only be taken during pregnancy if clearly needed. Note: In this article, we use the term “male” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, see this article. For people who are breastfeeding: It isn’t known if tadalafil passes into breast milk. When using with other drugs: If you’re taking tadalafil with another BPH drug called finasteride (Propecia, Proscar), your tadalafil dosage will be 5 mg once daily for up to 26 weeks.
| Region | Average Price (USD) per Tablet | Purchasing Options | Note |
|---|---|---|---|
| US | $20 - $30 | Pharmacies, online suppliers | Prescription required |
| Europe | €15 - €25 | Local pharmacies, online pharmacies | Varies by country |
| Asia | $10 - $20 | Online pharmacies, local markets | Verify authenticity |
| Online (Global) | $10 - $40 | Major online retailers | Beware of counterfeit products |
For ED, tadalafil can be used either as needed or taken once a day. Typical starting dosage for ED as needed: 10 mg. Dosage increases: Your doctor may increase buy cialis over the counter your dose to 20 mg or decrease it to 5 mg. This depends on how tadalafil is working for you and how well your body reacts to it. When to take your dose: Take one tadalafil tablet before you expect to have sexual activity.
| Parameter | Value | Notes |
|---|---|---|
| Absorption Rate | Rapid | Peak plasma levels in 2 hours |
| Half-life | 17.5 hours | Determines dosing frequency |
| Bioavailability | Approximately 80% | Efficiency of absorption |
| Metabolism | Liver (CYP3A4 enzyme) | Mainly metabolized in the liver |
The drug’s effects start about 30 minutes after taking tadalafil and last for up to 36 hours. Typical starting dosage for ED once daily: 2.5 mg per day. Dosage increases: Your doctor may increase your dose to 5 mg per day, depending on how well tadalafil is working for you and how well your body reacts to it. When to take your dose: Take one tadalafil tablet every day. Take it at about the same time each day. Typical dosage for ED/BPH: One 5-mg tablet every day. When to take your dose: Take this drug at about the same time each day.
- Cialis 20mg can be part of a treatment plan for ED.
- Patients should monitor blood pressure regularly.
- Tell your doctor about other medications being taken.
- Avoid grapefruit and grapefruit juice while using Cialis.
- Seek emergency help if an erection lasts more than 4 hours.
The drug’s effects start about 30 minutes after taking your dose and last for up to 36 hours.
- Cialis 20mg is available by prescription only in most regions.
- It helps improve blood flow to the penis.
- The medication can be taken with or without food.
- Store Cialis in a cool, dry place away from children.
- Missed doses should be skipped; do not double dose.
You need to be sexually aroused for tadalafil to help you have an erection.
Before taking this medicine
If it does, it may cause serious effects in a child who is breastfed. Tadalafil is prescribed for males, so it’s unlikely to be taken while breastfeeding. But talk with your doctor if you’re taking tadalafil and you want to breastfeed. For older adults: If you are age 65 years or older, your body may process this drug more slowly. Your doctor may start you on a lower dosage so that tadalafil doesn’t build up too much in your body. Typical starting dosage for PAH: 40 mg (taken as two 20-mg tablets) once per day. When to take your dose: Take your dose at about the same time each day. You should take your dose all at once (don’t split into two doses per day.) Senior dosage (ages 65 years and older): Your body processes this drug more slowly.
Health And Lifestyle
This damage includes impotence (not being able to have an erection). If you get an erection that lasts more than 4 hours, call your doctor right away. Tadalafil oral tablets can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.
What should I do if I miss a dose of tadalafil?
To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist. Examples of drugs that can cause interactions with tadalafil are listed below. If you take tadalafil with nitrates, your blood pressure could suddenly drop to dangerously low levels.
Legal Class
This could make you dizzy or cause you to faint. If you take tadalafil with certain alpha-blockers, your blood pressure could suddenly drop to low levels that are dangerous. Taking tadalafil with certain HIV drugs could increase tadalafil levels in your blood. This can lead to low blood pressure, dizziness and fainting, priapism, and vision problems. These drugs are protease inhibitors and include ritonavir and lopinavir/ritonavir. Your doctor may start you on a lowered dosage to keep the drug from building up too much in your body.
- Cialis 20mg starts working within 30-60 minutes.
- Using Cialis does not automatically cause an erection.
- It should not be used recreationally or without medical advice.
- The drug may cause muscle aches and back pain.
- Regular use can improve sexual performance over time.
Too much of the drug in your body can be dangerous.
- Some users experience temporary vision disturbances.
- Cialis 20mg may reduce blood pressure temporarily.
- It's important to stay hydrated while using the medication.
- Avoid using Cialis if you have severe liver or kidney issues.
- Discuss any contraindications with your healthcare provider.
For people with kidney or liver problems: Your body processes tadalafil in your liver and gets rid of tadalafil partly through your kidneys.
| Ingredient | Active Ingredient | Inactive Ingredients | Purpose |
|---|---|---|---|
| Tadalafil | 20mg | Lactose, Croscarmellose sodium, Magnesium stearate | Main active component |
| Lactose | - | - | Filler |
| Croscarmellose | - | - | Disintegrant |
| Magnesium stearate | - | - | Lubricant |
If your kidneys or liver aren’t working well, more of the drug may stay in your body longer. Your doctor may lower your dosage, have you take tadalafil less often, or not prescribe it at all for you. This may depend on how severe your condition is and whether you are on dialysis.
Cialis Boxed Warnings
Taking certain oral antifungal drugs with tadalafil may increase levels of tadalafil in your blood. Examples of these drugs include ketoconazole and itraconazole. Taking certain antibiotics with tadalafil may raise the level of tadalafil in your blood. Other types of antibiotics may lower the level of tadalafil in your blood. This could prevent tadalafil from working well.
Dosage for erectile dysfunction and benign prostatic hyperplasia (ED/BPH)
These medications work in the same way as tadalafil. If you take them with tadalafil, it increases your risk for side effects. Examples of these drugs include sildenafil (Viagra, Revatio) and vardenafil (Levitra). If you take tadalafil with other types of PAH drugs, such as riociguat (Adempas), your blood pressure could suddenly drop to dangerously low levels. The drug riociguat is in this drug class.
Does tadalafil interact with other medicines (drug interactions)?
Taking these medications with tadalafil may keep your body from absorbing tadalafil well. An example of this type of drug is magnesium hydroxide/aluminum hydroxide. Taking certain anti-seizure drugs with tadalafil may lower the level of tadalafil in your blood. Tadalafil can cause a severe allergic reaction. swelling of your lips, throat, or tongue If you have mild symptoms of an allergic reaction, such as a mild rash, call your doctor right away. Tadalafil oral tablet is used for long-term treatment. It comes with risks if you don’t take it as prescribed. If you stop taking tadalafil or don’t take it on schedule: If you’re being treated for BPH, your BPH symptoms may not reduce. These symptoms may include trouble starting to urinate, straining while trying to urinate, and a weak urine flow. They may also include frequent urges to urinate. If you’re being treated for ED, you may not be able to get and keep an erection during sexual activity. If you’re being treated for PAH, it won’t help you feel better. It won’t decrease your symptoms, such as shortness of breath during physical activity. If you take too much tadalafil: You will be at an increased risk for side effects.
Cialis Generic Name & Formulations
For people with vision problems: Tadalafil hasn’t been studied in people with retinitis pigmentosa (a rare genetic eye disease), and your doctor won’t prescribe tadalafil if you have a history of this condition. Also, tell your doctor if you’ve ever had severe vision loss, including a condition cialis no perscription called NAION (non-arteritic anterior ischemic optic neuropathy). If you’ve had NAION and take tadalafil, you may be at increased risk of having NAION again. For people with kidney disease or on dialysis: Your body may not be able to get rid of tadalafil correctly. This means the drug would stay in your body longer and raise your risk for side effects.
Q6: How should I store Cialis?
Your doctor may start you on a lower dosage, have you take tadalafil less often than usual, or not prescribe it at all. For people with liver problems: Your body may not process tadalafil correctly. Your doctor may start you on a lower dosage, have you take tadalafil less often, or not prescribe it at all. For people with bleeding disorders or peptic ulcers: Tadalafil hasn’t been studied in people with these conditions. Using tadalafil may cause or worsen bleeding or ulcers.
What to do in case of overdose
If you take tadalafil, your doctor may monitor you more closely. For pregnant people: Tadalafil is prescribed for males, so it’s unlikely to be taken during pregnancy. Studies of this drug in pregnant animals haven’t shown risk to the fetus. However, there aren’t enough studies to show whether the drug poses a risk to a human fetus. Talk with your doctor if you’re pregnant or planning to become pregnant. If you think you’ve taken too much of this drug, call your doctor or seek guidance from America’s Poison Centers at 800-222-1222 or through its online tool. What to do if you miss a dose: Take it when you remember, but don’t take more than one dose per day.
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