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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.

  • Available in 5 mg, 10 mg, and 20 mg
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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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The information provided here is for general information purposes only though personal observations are also included.

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.
Added/Keypoint
interaction Explanation
- Nitrates- As-needed tadalafil can lead to vasospasm; this can amplify symptoms like dizziness, lightheadedness, or fainting. If left untreated, these signs canpictured-associated dilation of the aortic valve, increasing blood flow to the penis. If taken as directed, these medications-associated events can’tisosorbide dinitrate combined with nitrates improving their use. Grapefruit and grapefruit juice may alter the effectiveness of these products. To use them, participants must be seated; standing on a tadalafil-soaked cloths.

C.

The following information is provided for informational purposes only. It is not meant to be used as a substitute for the advice of qualified healthcare professionals. It should not be considered as a substitute for any professional medical advice. Always consult your healthcare provider or pharmacist regarding any questions or concerns you may have regarding erectile dysfunction and should seek the advice of a qualified healthcare professional. They will be able to determine the cause of your erectile dysfunction and may also provide you with other relevant information. The websites that link to this information are considered as a whole. If you have any concerns about the information, contact your doctor or pharmacist.

Dosage:The dosage of Cialis depends on the condition it is being used for and your age. It is available as a tablet and a capsule. The dosage will be determined by the doctor. It is not recommended to buy more than the recommended dosage.

Safety Information:Before taking Cialis, you should consult with your doctor if you have any of these conditions;

  • heart attack;
  • heart disease;
  • heart bypass;
  • history of kidney disease;
  • problems with the erection of the penis;
  • problems with the ability to get an erection;
  • stomach ulcer;
  • bleeding from the stomach;
  • problems with the digestive system;
  • problems with vision.

Warning/Precautions:Before taking Cialis, be careful not to consume alcohol during the treatment. You should also consult your doctor if you have any allergies to any ingredient in Cialis. Cialis should not be used if you are allergic to any of its ingredients.

Interactions:Cialis can interact with other medicines, vitamins and herbs. Before using Cialis, tell your doctor about any medicines you are taking.

How to use:Cialis is available in the form of tablets. You should swallow one tablet whole, with or without food. The amount of medicine you can take will depend on the condition it is being used for. Take the medicine about an hour before the anticipated sexual activity. Do not take more than one dose of Cialis per day. Cialis is available in the form of a blister pack. You should not store the medicine in the bathroom or near the kitchen sink or sink.

Side Effects:Common side effects include;

  • blurred vision;
  • headache;
  • nasal congestion;
  • dizziness;
  • diarrhea;
  • back pain;
  • muscle pain;
  • stiffness in the arms and legs;
  • rash;
  • unusual weakness in the arms or legs;
  • stuffy nose.

Information Leaflet:Please read this information carefully before using this product. It is not intended to diagnose, treat, cure, or prevent any disease or health condition.

Sildenafil citrate powder is a registered trademark of PFIZER, Inc.Sildenafil powder is a trademark of Pfizer, Inc.Tadalafil powder is a trademark of Pfizer, Inc.Powder is a registered trademark of Pfizer, Inc.Cialis is a trademark of Pfizer, Inc.

Sildenafil is a registered trademark of Pfizer, Inc.

Sildenafil powder is a registered trademark of Pfizer, Inc.

This leaflet provides general information about Cialis. It does not take the place of talking with your doctor or pharmacist. You should always consult your doctor or pharmacist if you have any queries about this or any other medications or supplements you are taking. They will be able to provide you with the appropriate information.

Cialis is a prescription drug.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

Read more about Cialis's effects on erectile dysfunction.‍

Learn more about:

As with any medication, Cialis can cause serious side effects.uv. (rare side effects that occur during Cialis use) are: headaches, back pain, muscle aches, muscle loss, and arthritis.

For a full list of side effects, please read our following tips before you order. responsibly choose a medication

Approved Medication
Steps to taking CialisTake by mouth with or without food
Steps to Taking CialisSwallow Cialis with a glass of water. Take at about 30 minutes to 4 hours after a meal. If you take Cialis when you are sexually excited, it may take longer to start working, depending on your reaction. Take Cialis at about 4 hours after a meal.
If you take Cialis when you are sexually excited, take it at about 4 hours after a meal.
Medical HistoryNotify your doctor if you notice any changes in your medical condition.

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But it’s not just about the bathtub. It’s about the whole “sex drive.”

A lot of women have complained about the bathtub in the cialis commercials, and you’d be right to be disappointed. But for some women, the bathtub in the cialis commercials could actually be the next “glamorous” product they need to boost their sex drive.