Note: If this brand is out of stock, another brand will be sent to you. Active ingredient and concentration will be the same.

Other trade names:Tadalis, Tadalies, Tadacip
Active substance: Tadalafil
The main effects and Cialis pharmacodynamics:
Cialis is erectile dysfunction medication that works by increasing blood flow to penis and causing erection satisfactory for sexual intercourse. Cialis contains the active ingredient Tadalafil that is selective inhibitor of specific phosphodiesterase type 5 cyclic GMP. By inhibiting this enzyme Tadalafil increases the amount of cyclic GMP in the corpus cavernosum and thus relaxes smooth muscles of cavernous body. This ultimately helps to achieve strong and lasting erection. The main advantage of Cialis is that it works for 36 hours allowing to have several sexual intercourses during this period.
The medication works naturally meaning that it effective only in presence of sexual excitement.
Proposed clinical use:
Cialis is indicated for the treatment of erectile dysfunction in men over 18 years of age. Erectile dysfunction is defined as inability to achieve and maintain erection satisfactory for sexual intercourse.
Absolute and relative contraindications: The drug must not be used in cases of:
- Hypersensitivity to the components of the preparations or a known allergic reaction to drugs of the same class.
- Females
- Children and adolescents under 18 years of age
- Liver diseases including intoxication, cirrhosis, hepatitis
- Kidney diseases including pyelonephritis, glomerulonephritis
- Prolonged QT interval
- Arrhythmia
- Cardiovascular diseases such as heart attacks, strokes, arrhythmia within the past six months, high blood pressure, low blood pressure
- Retinitis pigmentosa
- Priapism
The preparation should be used with caution after a consultation with your doctor in the following conditions:
- History of priapism
- A history of severe vision loss (including a condition called NAION).
- Stomach and duodenal ulcers
- Multiply myeloma
- Leukemia
- Sickle cell anemia
- Predisposition to hemorrhages
- Anatomical deformation of the penis (angulation, Peyronie's disease, or cavernosal fibrosis)
Possible adverse reactions: As any drug Cialis may express specific side effects. If a side effect is stated below it will not necessarily appear during the use of the preparation. However if any of the given side effects do manifest please consult your doctor immediately. Cialis adverse effects include the following:
- Headache
- Hot flashes
- Dyspepsia
- Back pain
- Nasal congestion or rhinits
- Muscle pain
- Joint pain
In rare cases Tadalafil may cause the following side effects: insomnia, vertigo, vision problems, prolonged erection, xerostomia, hypertension, migraine headache.
For more detailed information on the possible adverse effects please consult your health care provider or our customer support service. Not all of the Cialis side effects stated by the drug manufacturer are provided above.
Pharmacological interactions: Before starting application of any drug including Cialis please tell your health care provider about other food supplements, vitamins or preparations that you are currently using. Adverse drug interaction may lead to different life threatening conditions which may be avoided after careful consideration. Cialis is known to interact with the following drugs and drug groups:
- Tricyclic antidepressants
- Alpha blockers and other hypertension drugs
- Nitrates
- Phosphodiesterase type 5 inhibitors
- H2 histamine receptor blockers (cimetidine)
- Grape fruit juice
- Xantines (theophylline)
- Antivirals
- Antifungals
- Antibiotics (erythromycin, izoniazid)
- Anti-arrhythmic drugs
- Alcoholic beverages
Additional information: Avoid drug abuse when using Cialis. The preparation is intended for individual use only. The drug must not be used in treatment of health conditions not indicated by the manufacturers as it may lead to life threatening results. Keep the drug and any corresponding materials our of reach of children. Reuse of syringes, needles or other materials if supplied with the drug is strongly forbidden. The use of the drug without a medical prescription is allowed at your own risk.