4 CONTRAINDICATIONS

You can ask your

• Cialis is contraindicated in patients with severe heart disease.
• Alcohol can increase the risk of side effects like dizziness and hypotension.
• The medication does not protect against HIV or other STDs.
• Avoid splitting or crushing Cialis tablets unless directed by a doctor.
• Always check with a healthcare professional before starting or stopping Cialis.

healthcare provider or pharmacist for

8.7 Renal Insufficiency

Alpha blockers are sometimes prescribed for prostate problems or high blood pressure. If CIALIS is taken with certain alpha blockers, your blood chep cialis pressure could suddenly drop. You could get dizzy or faint.other medicines to treat high blood pressure (hypertension)medicines called HIV protease inhibitors, such as ritonavir (Norvir®, Kaletra®)ketoconazole (Nizoral®)itraconazole (Sporanox®)erythromycinother medicines or treatments for ED.CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take Revatio® with CIALIS.How Should I Take CIALIS?Take CIALIS exactly as your healthcare provider prescribes it. Your healthcare provider will prescribe the dose that is right for you.Some men can only take a low dose of CIALIS or may have to take it less often, because of medical conditions or medicines they take.Do not change your dose or the way you take CIALIS without talking to your healthcare provider.

Missed Dose

Your healthcare provider may lower or raise your dose, depending on how your body reacts to CIALIS and your health condition.CIALIS may be taken with or without meals.If you take too much CIALIS, call your healthcare provider or emergency room right away.There are two ways to take CIALIS:CIALIS for use as needed:Do not take CIALIS more than one time each day.Take one CIALIS tablet before you expect to have sexual activity. You may be able to have sexual activity at 30 minutes after taking CIALIS and up to 36 hours after taking it. You and your healthcare provider should consider this in deciding when you should take CIALIS before sexual activity. Some form of sexual stimulation is needed for an erection to happen with CIALIS.Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine, and on your health condition.ORCIALIS for once daily use:Do not take CIALIS more than one time each day.Take one CIALIS tablet every day at about the same time of day. You may attempt sexual activity at any time between doses.If you miss a dose, you may take it when you remember but do not take more than one dose per day.Some form of sexual stimulation is needed for an erection to happen with CIALIS.Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine, and on your health condition.What Should I Avoid While Taking CIALIS?Do not use other ED medicines or ED treatments while taking CIALIS.Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). information about CIALIS that

Product	Dosage	Quantity + Bonus	Price
Cialis Professional	20mg	180 + 4 Pills	423.11€ 402.96€	Buy
Cialis Generic	40mg	90 + 6 Pills	171.35€ 163.19€	Buy
Cialis Generic	2.5mg	20 Pills	40.73€ 38.79€	Buy
Cialis Generic	60mg	180 + 10 Pills	313.11€ 298.20€	Buy
Cialis Generic	10mg	30 + 4 Pills	63.32€ 60.30€	Buy
Cialis Super Active	20mg	30 + 6 Pills	128.09€ 121.99€	Buy
Cialis Original	20mg	76 + 4 Pills	319.19€ 303.99€	Buy
Cialis Professional	20mg	90 + 2 Pills	241.49€ 229.99€	Buy
Cialis Generic	20mg	30 + 4 Pills	68.05€ 64.81€	Buy
Cialis Black	80mg	60 + 4 Pills	150.98€ 143.79€	Buy
Cialis Generic	60mg	360 + 10 Pills	570.52€ 543.35€	Buy
Cialis Original	20mg	34 + 2 Pills	183.99€ 175.23€	Buy
Cialis Professional	40mg	180 + 4 Pills	618.23€ 588.79€	Buy

is written for health providers.

• Cialis has different strengths, typically 2.5 mg, 5 mg, 10 mg, and 20 mg tablets.
• The starting dose for most users is 10 mg before sexual activity.
• For daily use, a lower dose like 2.5 mg or 5 mg is usually prescribed.
• Cialis should not be taken more than once per day to prevent overdose.
• Consult your healthcare provider if erections last longer than 4 hours.

*The brands listed are

5.8 Hepatic Impairment

Speak to your healthcare provider about ways to guard against sexually transmitted diseases.serve as a male form of birth controlCIALIS is only for men over the age of 18 who have ED, including men with diabetes or who have undergone prostatectomyCIALIS is not for women or children.CIALIS must be used only under a healthcare provider's care.Who Should Not Take CIALIS?Do not take CIALIS if you:take any medicines called “nitrates”.use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. (See “What Is The Most Important Information I Should Know About CIALIS?”)What Should I Tell My Healthcare Provider Before Taking CIALIS?CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Before taking CIALIS, tell your healthcare provider about all your medical problems, including if you:are allergic to CIALIS or ADCIRCA any of its ingredients. See the end of this leaflet for a complete list of ingredients in CIALIS.have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack.

Does tadalafil interact with other medicines (drug interactions)?

Ask your healthcare provider if it is safe for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems.have low blood pressure or have high blood pressure that is not controlledhave had a strokehave liver problemshave kidney problems or require dialysishave retinitis pigmentosa, a rare genetic (runs in families) eye diseasehave ever had severe vision loss, including a condition called NAIONhave stomach ulcershave a bleeding problemhave a deformed penis shape or Peyronie's diseasehave had an erection that lasted more than 4 hourshave blood cell problems such as sickle cell anemia, multiple myeloma, or leukemiaCan Other Medicines Affect CIALIS?Tell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. CIALIS and other medicines may affect each other. Always check with your healthcare provider before starting or stopping any medicines. Especially tell your healthcare provider if you take any of the following:*medicines called nitrates (see “What Is The Most Important Information I Should Know About CIALIS?”)medicines called alpha blockers. trademarks of their respective owners

Comparing Drug Interactions

Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.What Are The Possible Side Effects Of CIALIS?See “What Is The Most Important Information I Should Know About CIALIS?”The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days.Call your healthcare provider if you get any side effect that bothers you or one that does not go away.Uncommon side effects include:An erection that won't go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away.

Drug Interactions

Priapism must be treated as soon as possible or lasting damage can happen to your penis, including the inability to have erections.Color vision changes, such as seeing a blue tinge (shade) to objects or having difficulty telling the difference between the colors blue and green.In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including CIALIS) reported a sudden decrease or loss of vision in one or both eyes. It is not possible to determine whether these events are related directly to these medicines, to other factors such as high blood pressure or diabetes, or to a combination of these. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including CIALIS, and call a healthcare provider right away.Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in people taking PDE5 inhibitors, including CIALIS. It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking CIALIS and contact a healthcare provider right away.These are not all the possible side effects of CIALIS. and are not trademarks

17.7 Sudden Hearing Loss

For more information, ask your healthcare provider or pharmacist.How Should I Store CIALIS?Store CIALIS at room temperature between 59° and 86°F (15° and 30°C).Keep CIALIS and all medicines out of the reach of children.General Information About CIALIS:Medicines are sometimes prescribed for conditions other than those described in patient information leaflets. Do not use CIALIS for a condition for which it was not prescribed. Do not give CIALIS to other people, even if they have the same symptoms that you have. It may harm them.This is a summary of the most important information about CIALIS. If you would like more information, talk with your healthcare provider. of Eli Lilly and Company.

Medication	Dosage Forms	Onset Time	Duration	Price (approx.)
Cialis 20mg	Tablets	30-60 minutes	Up to 36 hours	Moderate
Viagra 50mg	Tablets	30-60 minutes	4-6 hours	Moderate
Levitra 10mg	Tablets	30 minutes	4-5 hours	Slightly higher
Stendra 100mg	Tablets	15-30 minutes	6 hours	Higher