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Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

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  • Tadalafil lasts up to 36 hours
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* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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Cialis Together for Erectile Dysfunction

Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

Is Cialis Together right for me?

If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

  • If you are allergic to any of the ingredients in Cialis Together
  • If you have severe heart, liver or kidney problems
  • If you have blood pressure concerns
  • If you have non-arteritic anterior ischemic optic neuropathy
  • If you are taking riociguat
  • If you have other penis-related issues (deformation or painful erections)
Feel free in this article to get more information about this review.

How to use Cialis Together

Take a tablet about one hour before sexual activity with a full glass of water. Cialis Together is usually taken on an empty stomach or after a meal. You should take no further tablets when you have sex. Consult with a doctor or a health professional if you feelU prescribe a lower dose of Cialis Together as that can affect the safety of the medication.

Avoid taking alcohol with Cialis Together as it can increase the chances of dizziness and drowsiness and could lead to low sexual desire and even lead to potential pregnancy. Avoid drinking alcohol while taking Cialis Together as it can increase the effect of alcohol and lead to dizziness and low dose use could lead to dizziness and drowsiness.

Cialis Together can can make your joints feel hot and cold and can make it more difficult for you to ejaculate. It can also make it more difficult for you to have an orgasm or it can make you feel more confident about your health.

Your doctor will decide how many tablets you will need to take Cialis Together and you should have full function for the first time. However, you should not take more than 2 pills in any 24-hour period.

Cialis Together is not recommended for use if you have a heart problem or a blood clot in your veins or tummins. Consult a doctor before taking Cialis Together as it may cause your heartbeat to speed up (coagulate) and you may feel worse or something starts to hurt you it may be helpful to know that you are safe using this medicine before taking it.

If you think you might be allergic to Cialis Together take special care if possible, if any of the following apply to you:

  • Before you take Cialis Together let your doctor know if you are taking any other medicines for any health issue
  • If you are taking any other erectile dysfunction medication, including generic Cialis Together please please please please please please please please please
  • Before you take Cialis Together let your doctor know if you have any of the following health issues:

Unlocking of libido or a low level of confidence

Cialis Together may increase the libido in you if you take it for the reasons listed in the doctor’s patient information leaflet.

This article will provide an in-depth overview of generic Cialis and its uses, its market status, current available options, and important safety considerations. It will also provide an in-depth understanding of the medication's mechanism of action, side effects, and cost.

Introduction to Generic Cialis

Generic Cialis, also known by its generic name tadalafil, is a medication primarily used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). It belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors.

Historical Overviews of Cialis

Cialis: A Brief Overview

Cialis was first introduced to the market in 1998 by Eli Lilly and Company. It was approved by the FDA in 2003 and is now the most widely prescribed medication in the United States.

Impact on PDE5 Inhibitors

During the second half of the 20th century, generic versions of Cialis gained popularity for their efficacy and lower cost. These medications work by enhancing blood flow to the penis, helping achieve and maintain an erection during sexual activity. However, these generics have some risks and side effects that need to be considered carefully.

Generic Cialis: Mechanism of Action

Cialis is a PDE5 inhibitor that primarily acts on the enzyme PDE5. This enzyme plays a crucial role in breaking down cyclic guanosine monophosphate (cGMP), a molecule crucial for regulating blood flow in the penis. By inhibiting PDE5, cGMP helps relax the blood vessels in the penis, allowing for increased blood flow and facilitating an erection.

In the absence of sexual stimulation, cGMP levels typically remain stable, but can rise over time due to inhibition of phosphodiesterase type 5 (PDE5). This elevation can lead to smooth muscle relaxation and increased blood flow to the penis.

By inhibiting PDE5, cGMP can inhibit phosphodiesterase type 5 (PDE5), leading to decreased levels of cGMP within the body. This decrease in cGMP levels can result in penile hyperproliferation, improved erectile function, and a more fulfilling sexual experience.

Side Effects

While generic versions of Cialis are generally well-tolerated, like most medications, some people may experience side effects. Some common side effects of generic Cialis include headache, nasal congestion, indigestion, and facial flushing.

In rare cases, more serious side effects like priapism (prolonged erection) or sudden vision loss have been reported. These conditions are typically reversible upon discontinuation of the medication.

Cost Analysis of Generic Cialis

Current Market

The cost of generic Cialis ranges from $4.50 to $8.00 per pill. This cost may vary depending on the pharmacy, dosage, and availability of generic alternatives.

  • For example, Cialis costs the average retail price for $16.66 per pill, with generic versions available in more quantities.

  • For those with insurance, the cost may be higher due to the high out-of-pocket costs of the medications. Generic medications may also be less likely to provide coverage for certain conditions, such as erectile dysfunction or kidney disease.

Price Comparisons

Generic Cialis is typically priced very competitive compared to other ED medications. However, there are potential costs associated with this drug. Generic versions of Cialis can cost more than the brand-name counterpart, and it's essential to understand the potential savings options available.

  1. The cost of brand-name Cialis may be lower, depending on your insurance plan.

  2. Generic options may have lower price points due to lower out-of-pocket costs.

Market Analysis

Historical Context

The market for generic Cialis has been around for more than a century. While it is no longer viewed as a "generic drug," it has gained popularity due to its effectiveness and lower price. This has made generic medications more accessible.

Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

  • Ketoconazole, itraconazole (used to manage fungal infection)
  • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
  • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
  • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
  • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

  1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
  2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
  3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
  4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
A final@>
  1. Take taking Cialis topically, with or without food
  2. Follow your doctor's instructions for taking Cialis with food.
  3. Do not take Cialis with grapefruit or grapefruit juice since the combination may interfere with the medication's effectiveness.

uishactone (Orudasol, Vivus, Leary-Dalliance, Vivus Orthost. or Vivus B. D.

Zovirax (axitaine) is an antiviral medication used to manage infections caused by viruses and fungi. It is commonly used to treat cold sores, genital herpes, and acute infections of the genitals. See also How to use.

Contraindications:

Cialis (tadalafil) is not recommended for use in individuals with certain heart conditions (such as heart failure or previous heart attack); certain eye conditions (such as retinitis pigmentosa); or liver or kidney disease.