How Long Cialis Lasts: Duration of Action and Timing

Do not take tadalafil unless it has been prescribed to you by a healthcare provider.

Parameter	Value	Details
Half-life	~17.5 hours	Time to eliminate half the drug
Absorption	Rapid, peaks in 2 hours	Taken with or without food
Metabolism	Liver (CYP3A4 enzyme)	May interact with other drugs metabolized here
Excretion	Feces (~61%), Urine (~36%)	Primary pathways of elimination

Do not share tadalafil with other people, even if they have the same condition as you.

¿En qué se Diferencia Cialis de Tadalafil?

For pulmonary arterial hypertension, tadalafil relaxes the blood vessels in the lungs. This lowers blood pressure and reduces strain on the heart. For benign prostatic hyperplasia, tadalafil relaxes the muscles of the bladder and prostate, making it easier to urinate and reducing symptoms. Tadalafil should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it.

Are you currently using Tadalafil (Cialis, Adcirca, and others)?

The most common side effects of tadalafil are listed below. The side effects may vary depending upon the condition being treated. Tell your healthcare provider if you have any of these side effects that bother you. Pain in your muscles, back, arms, or legs There may be other side effects of tadalafil that are not listed here. Contact your healthcare provider if you think you are having a side effect of a medicine. Keep tadalafil out of the reach of children. Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away. Tadalafil does not protect against sexually transmitted infections, including HIV. Tadalafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension. You should not take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn). If you take liquid tadalafil, shake the bottle well for 30 seconds before use. Use an accurate measuring device to measure your dose.

• Do not share Cialis with others; it is prescribed based on individual health conditions.
• Avoid using Cialis past its expiration date for safety reasons.
• Always store medication out of reach of children and pets.

A household spoon is not an accurate measuring device and may cause you to take the wrong dose. Ask your pharmacist to recommend an appropriate measuring device. Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

Product	Dosage	Quantity + Bonus	Price
Cialis Original	20mg	48 + 4 Pills	224.69€ 213.99€	Buy
Cialis Generic	20mg	90 + 6 Pills	154.71€ 147.34€	Buy
Cialis Soft Tabs	20mg	120 + 6 Pills	248.64€ 236.80€	Buy
Cialis Professional	40mg	60 + 2 Pills	262.32€ 249.83€	Buy
Cialis Generic	20mg	270 + 10 Pills	335.21€ 319.25€	Buy
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€	Buy
Cialis Professional	20mg	10 Pills	48.29€ 45.99€	Buy
Cialis Generic	2.5mg	10 Pills	28.51€ 27.15€	Buy
Cialis Soft Tabs	20mg	60 + 4 Pills	159.37€ 151.78€	Buy
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€	Buy
Cialis Soft Tabs	20mg	180 + 8 Pills	353.17€ 336.35€	Buy
Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy

This will help them determine if tadalafil is right for you. In particular, make sure that you discuss any of the following. Tell your healthcare provider if you have any of the following. Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia, multiple myeloma, or leukemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see in an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked It is not known if or how tadalafil could affect pregnancy or harm an unborn baby.

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Tadalafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light. Though rare, some people have reported permanent vision loss. Stop taking tadalafil and get help right away if you have sudden vision loss in one or both eyes. Tadalafil may cause a sudden decrease or loss of hearing. Stop taking tadalafil and tell your healthcare provider right away if you experience hearing loss or have any of the following symptoms. Tell your healthcare provider if you are or plan to become pregnant.

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I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help. by Clarence Brown on Sep 14, 2017 I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

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I am feeling better now after visiting clinic New York urology specialists. by George & Sally R on Jan 07, 2013 Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. by Joyce T on Feb 16, 2012 Dr. Your healthcare provider will advise you if you should take tadalafil while you are pregnant or trying to get pregnant.

Use	Suitable Patients	Recommended Dosage	Benefits	Side Effects
Erectile Dysfunction	Men aged 18-65	10-20 mg daily	Improves erectile function	Headache, flushing
Benign Prostatic Hyperplasia	Men with urinary symptoms	5-20 mg daily	Reduces BPH symptoms	Muscle pain
Pulmonary Hypertension	Adults with PAH	40 mg daily	Vasodilation, reduces pulmonary pressure	Dizziness, nausea

It is not known if tadalafil passes into breast milk. Tell your healthcare provider if you are breastfeeding or plan to breastfeed.

• Cialis can be taken with or without food; however, high-fat meals may delay its effect.
• Consuming large amounts of alcohol while on Cialis can increase side effects.
• Stay well-hydrated when using Cialis to maintain overall health.

Your healthcare provider may recommend limiting or avoiding grapefruit while taking tadalafil.

Population	Considerations	Comments
Elderly	Dose adjustments may be necessary	Increased sensitivity to side effects
Patients with Liver Disease	Use with caution, lower doses may be required	Liver metabolism may be impaired
Patients with Renal Impairment	Dose adjustment needed, especially in severe cases	Clearance may be reduced
Women	Not approved, safety not established	Off-label use is discouraged

Grapefruit or grapefruit juice can raise tadalafil levels in your body, which can increase the risk of side effects. It is unknown if drinking alcohol will affect tadalafil. The risk of low blood pressure and dizziness may be increased if you drink alcohol while taking tadalafil.

Tadalafil (Cialis) dosage

Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. Tadalafil is a medicine that is commonly used for the following conditions. Erectile dysfunction, a condition where you have trouble getting or keeping an erection Pulmonary arterial hypertension, a condition where you have high blood pressure in the blood vessels that carry blood from your heart to your lungs Benign prostatic hyperplasia (BPH), a condition where the prostate gland has become enlarged Tadalafil may also be used for other conditions as determined by your healthcare provider.

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Tadalafil works by blocking the activity of an enzyme called phosphodiesterase 5 (PDE5). This enzyme usually stops some types of muscles from relaxing, including the muscles lining some types of blood vessels. By blocking PDE5, the muscles will relax and blood flow increases. For erectile dysfunction, it increases blood flow to the penis when aroused. This makes it easier to get and keep an erection. It is best to limit the amount of alcohol you drink while taking tadalafil. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking tadalafil.

Efecto secundario del sildenafil

In the U.S., you can report side effects to the FDA at or by calling 800-FDA-1088. In Canada, you can report side effects to Health Canada at or by calling 866-234-2345. While less common, the most serious side effects of tadalafil are described below, along with what to do if they happen. Tadalafil may cause allergic reactions, which can be serious. Stop taking tadalafil and get help right away if you have any of the following symptoms of a serious allergic reaction.

What should I do if I miss a dose of tadalafil?

Swelling of the face, lips, mouth, tongue, or throat Itching, skin rash, or pale red bumps on the skin called hives Tadalafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal. Permanent damage to the penis may occur if priapism is not treated quickly. Stop taking tadalafil and get emergency help right away if you have any of the following symptoms canadian generic cialis pharmacy of priapism. Erection lasting for more than 4 hours Erection that is unrelated to sexual stimulation If you feel faint or dizzy, lie down. Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. A nitrate, such as nitroglycerin (Nitro-Dur, Nitrostat, and others) or isosorbide, which is a medicine used for chest pain caused by a type of heart disease, or a street drug, such as amyl nitrite (“poppers”) A guanylate cyclase stimulator, such as riociguat (Adempas), which is a medicine used for high blood pressure in the lungs (pulmonary arterial hypertension), or vericiguat (Verquvo), which is a medicine used for a type of heart failure An alpha-blocker, such as alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride, prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax), or terazosin (Hytrin), which is a medicine that may be used for high blood pressure and/or difficulty peeing due to an enlarged prostate A blood pressure medicine, such as amlodipine (Norvasc) or enalapril (Vasotec) Bosentan (Tracleer), which is a medicine used for pulmonary arterial hypertension A protease inhibitor, such as ritonavir (Norvir), which is a medicine commonly used to treat HIV Rifampin (Rifadin), which is a medicine commonly used to treat an infection called tuberculosis A medicine used for fungal infections, such as ketoconazole or itraconazole (Sporanox, Tolsura) Erythromycin (Ery-Tab and others) or clarithromycin (Biaxin), which is a medicine used for bacterial infections Any other medicine used for erectile dysfunction or pulmonary arterial hypertension Some other medicines may alter the blood levels of tadalafil.

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People who are allergic to any of the following should not take tadalafil. Any of the ingredients in the specific product dispensed Your pharmacist can tell you all of the ingredients in the specific tadalafil products they stock. Tadalafil should not be taken while you are using certain other medicines. Before taking tadalafil, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details.