Buy Cialis Online Tadalafil

Description

Tadalafil, known by the brand name Cialis, is prescribed for the treatment of erectile dysfunction (ED) and the symptoms associated with benign prostatic hyperplasia (BPH) in adult males. These symptoms may include difficulty urinating, painful urination, and urinary frequency and urgency. Additionally, Tadalafil, under the brand name Adcirca, is utilized to enhance exercise capacity in individuals with pulmonary arterial hypertension (PAH). This condition is characterized by high blood pressure in the vessels carrying blood to the lungs, resulting in symptoms such as shortness of breath, dizziness, and fatigue. Tadalafil belongs to a class of drugs called phosphodiesterase (PDE) inhibitors. It functions by increasing blood flow to the penis during sexual arousal to address erectile dysfunction. Moreover, in the treatment of PAH, Tadalafil works by relaxing the blood vessels in the lungs, facilitating easier blood flow.

It is important to understand that tadalafil, when used to address erectile dysfunction, does not provide a cure for the condition or enhance sexual desire. Additionally, tadalafil does not offer protection against pregnancy or the transmission of sexually transmitted diseases like HIV.

How should this medicine be used?

Tadalafil is available in tablet form and can be taken orally. It can be taken with or without food.

If you are using tadalafil to treat erectile dysfunction, it is important to follow your doctor’s instructions and the guidelines provided in this paragraph. There are two ways to take tadalafil: either on a daily basis or as needed. It is recommended to discuss with your doctor to determine the most suitable dosing schedule for you.

When taken as needed, tadalafil should be taken at least 30 minutes before sexual activity and not more than once every 24 hours. Your doctor will advise you on the optimal timing for taking tadalafil before engaging in sexual activity. Alternatively, tadalafil can be taken once a day, regardless of the timing of sexual activity. You can attempt sexual activity at any time between doses.

If you are taking tadalafil on a regular schedule, make sure to take it at the same time every day. Depending on your health conditions or other medications you may be taking, your doctor may adjust the frequency or prescribe a lower dose to be taken once a day. It is important to carefully follow the directions on your prescription label and seek clarification from your doctor or pharmacist if there is anything you do not understand. Take tadalafil exactly as directed by your doctor and do not exceed the prescribed dosage or take it more frequently than instructed.

Adhere to your doctor’s instructions and the recommendations provided in this paragraph when using tadalafil for PAH or BPH treatment. It is important to take tadalafil once daily, consuming all tablets for your daily dose at the same time each day without splitting them into separate doses. Ensure to take tadalafil at approximately the same time daily. If you are currently on BPH medication, your doctor might advise you to discontinue it at least one day before commencing tadalafil treatment. Follow your doctor’s guidance diligently, and seek clarification from your doctor or pharmacist on any unclear aspects.

If you are prescribed tadalafil for the treatment of erectile dysfunction, your physician will likely initiate your treatment with a standard dosage of tadalafil. Subsequently, your doctor may adjust your dosage, either increasing or decreasing it, based on your individual response to the medication. It is important to inform your doctor if tadalafil is not yielding satisfactory results or if you are encountering any adverse effects.

It is important to understand that while tadalafil helps manage PAH, it is not a cure. It is crucial to keep taking tadalafil as prescribed, even if you are feeling better. Consult your doctor before discontinuing the medication.

Kindly request a duplicate of the patient’s manufacturer’s information from your pharmacist or doctor.

This medication may have other prescribed purposes; kindly consult your doctor or pharmacist for additional details.

What special precautions should I follow?

Before taking tadalafil,
Inform your healthcare provider and pharmacist about any allergies you may have to tadalafil, other medications, or any components found in tadalafil tablets. Request a list of the ingredients from your pharmacist.
Notify your doctor if you are currently using or have recently used riociguat (Adempas) or nitrates like isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, among others). Nitrates are available in various forms such as tablets, sublingual tablets, sprays, patches, pastes, and ointments. Consult your doctor if you are unsure whether any of your medications contain nitrates. Your doctor will likely advise against taking tadalafil if you are using nitrates.
Inform your doctor if you are using recreational drugs that contain nitrates (‘poppers’) like amyl nitrate, butyl nitrate, or nitrite while on tadalafil. Your doctor will likely advise against taking tadalafil if you are using recreational drugs containing nitrates.
Be aware that tadalafil is marketed under the brand names Adcirca and Cialis. You should only receive treatment with one of these products at a time.

Inform your doctor and pharmacist about any other prescription and over-the-counter medications, as well as vitamins and dietary supplements, that you are currently using or intend to use. It is important to specifically mention any of the following:

Alpha blockers like alfuzosin (Uroxatral),
doxazosin (Cardura),
dutasteride (Avodart, in Jalyn),
prazosin (Minipress),
silodosin (Rapaflo),
tamsulosin (Flomax, in Jalyn),and terazosin;
amiodarone (Cordarone, Pacerone);
specific antifungals such as fluconazole (Diflucan),
griseofulvin (Grifulvin, Gris-PEG),
itraconazole (Onmel, Sporanox),
ketoconazole (Extina, Ketozole, Nizoral, Xolegel),
and voriconazole (Vfend);
aprepitant (Emend);
bosentan (Tracleer);
carbamazepine (Carbatrol, Epitol, Tegretol, Teril, others);
clarithromycin (Biaxin, in Prevpac);
diltiazem (Cardizem, Cartia, Tiazac, others);
efavirenz (Sustiva, in Atripla); erythromycin (E.E.S., E-Mycin, Erythrocin);
HIV protease inhibitors including indinavir (Crixivan),
nelfinavir (Viracept), and ritonavir (Norvir, in Kaletra),
lovastatin (Altocor, in Advicor);
medications for high blood pressure;
nefazodone;
nevirapine (Viramune);
other medications or treatments for erectile dysfunction;
other medications or treatments for PAH;
phenobarbital;
phenytoin (Dilantin, Phenytek);
rifabutin (Mycobutin);
rifampin (Rifadin, Rimactane, in Rifamate, in Rifater);
sertraline (Zoloft);
telithromycin (Ketek);
and verapamil (Calan, Covera, Verelan, in Tarka).

It may be necessary for your physician to adjust the dosages of your medications or closely observe you for any potential side effects. Inform your doctor about any herbal supplements you are using, particularly St. John’s wort.

tell your doctor

• If you engage in smoking,
• if you have experienced an erection lasting longer than 4 hours,
• if you have recently encountered symptoms such as diarrhea,
• vomiting,
• inadequate fluid intake,
• excessive sweating leading to dehydration (significant loss of bodily fluids)

Inform your physician if you have a history of pulmonary veno-occlusive disease (PVOD), any condition affecting penile shape, diabetes, high cholesterol, blood pressure fluctuations, irregular heartbeat, heart issues, angina, stroke, stomach ulcers, bleeding disorders, circulation problems, blood cell disorders like sickle cell anemia, multiple myeloma, or leukemia, as well as kidney, liver, or heart disease. Additionally, disclose any family history of eye diseases like retinitis pigmentosa or sudden vision loss due to nerve blood flow blockage.

If you are a female and you are using tadalafil to manage PAH, it is important to inform your doctor if you are currently pregnant, planning to conceive, or breastfeeding. In the event that you become pregnant while taking tadalafil, please contact your doctor promptly.

If you are undergoing any surgical procedure, including dental surgery, it is important to inform the doctor or dentist about your current use of tadalafil.

It is important to consult your doctor regarding the appropriate consumption of alcoholic beverages while undergoing treatment with tadalafil. Consuming a significant quantity of alcohol (exceeding five glasses of wine or five shots of whiskey) while taking tadalafil may increase the likelihood of encountering specific side effects, including dizziness, headache, rapid heartbeat, and low blood pressure.

If you are currently using tadalafil to address erectile dysfunction, it is important to inform your doctor if you have previously been advised by a healthcare professional to abstain from sexual activity due to medical reasons or if you have ever encountered chest pain during sexual activity. Engaging in sexual activity can potentially strain your heart, particularly if you have a pre-existing heart condition. In the event that you experience chest pain, dizziness, or nausea during sexual activity, it is crucial to contact your doctor immediately or seek emergency medical attention. It is also essential to inform all of your healthcare providers that you are taking tadalafil. In the event that you require emergency medical treatment for a heart problem, the healthcare providers who attend to you will need to be aware of when you last took tadalafil.

What special dietary instructions should I follow?

Consult with your physician regarding the consumption of grapefruit and grapefruit juice while using this medication.

What should I do if I forget a dose?

If you are following a regular schedule for taking tadalafil to treat erectile dysfunction, take the missed dose promptly upon remembering it. Nevertheless, if the next dose is nearly due, skip the missed dose and resume your usual dosing routine. Avoid taking a double dose or exceeding one dose per day in order to compensate for a missed dose.

If you are using tadalafil to treat PAH or BPH, administer the missed dose promptly upon recollection. In case the next dose is approaching, omit the missed dose and adhere to your usual dosing timetable. Avoid taking an extra dose to compensate for the missed one.

What side effects can this medication cause?

Please inform your doctor if any of these symptoms persist or become severe as Tadalafil may result in side effects that require attention.

• headache
• indigestion or heartburn
• nausea
• diarrhea
• flushing
• pain in the stomach, back, muscles, arms, or legs
• cough

Certain side effects may pose a serious risk. Should you encounter any of these symptoms, it is imperative to promptly contact your physician or seek urgent medical attention.

– sudden decrease or loss of vision (see below for more information)
– blurred vision
– changes in color vision (seeing a blue tinge on objects or having difficulty
– alterations in color perception (observing a blue shade on objects or struggling to distinguish between blue and green)
– sudden decrease or loss of hearing (see below for more information)
– ringing in ears
– erection that lasts longer than 4 hours
– dizziness
– discomfort in the chest
– skin rash
– difficulty in breathing or swallowing
– swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
– formation of blisters or peeling of the skin.

Certain individuals encountered an abrupt decline in their vision, either partially or completely, subsequent to consuming tadalafil or other drugs resembling tadalafil. In certain instances, the vision loss proved to be irreversible. The exact cause of the vision impairment remains unknown. Should you undergo a sudden vision loss while on tadalafil, promptly contact your physician or seek urgent medical attention. Refrain from consuming additional doses of tadalafil or similar medications like sildenafil (Revatio, Viagra) or vardenafil (Levitra) until consulting with your doctor.

Several patients have reported a sudden reduction or complete loss of hearing after consuming tadalafil or other medications that have similar effects. Typically, this hearing loss affects only one ear and may not improve even after discontinuing the medication. The exact cause of this hearing loss is still unknown. If you encounter a sudden hearing loss accompanied by ringing in the ears or dizziness while taking tadalafil, it is crucial to contact your doctor right away. Refrain from taking any further doses of tadalafil or similar medications like sildenafil (Revatio, Viagra) or vardenafil (Levitra) until you have consulted with your doctor.

Notify your physician immediately if you experience any uncommon issues while using this medication, as Tadalafil may result in additional side effects.

What should I know about storage and disposal of this medication?

Please ensure that you store this medication in its original container, securely closed, and out of the reach of children. It should be stored at room temperature, away from excessive heat and moisture (avoid storing it in the bathroom).

Please ensure that you store this medication in its original container, securely closed, and out of the reach of children. It should be stored at room temperature, away from excessive heat and moisture (avoid storing it in the bathroom).

It is crucial for individuals to maintain a written record of all the medications they are consuming, including both prescription and nonprescription (over-the-counter) drugs, along with any supplementary products like vitamins, minerals, or dietary supplements. This comprehensive list should be carried during every doctor’s appointment and hospital admission. Moreover, it is essential to have this information readily available in case of any unforeseen emergencies.