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If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up. Store at room temperature away from light and moisture. Keep all medications away from children and pets.

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This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug are: Tadalafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use any of the following with tadalafil or within 48 hours of your last dose of tadalafil: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide) recreational drugs called "poppers" containing amyl or butyl nitrite If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting.

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Your doctor may start treatment with a lower dose of tadalafil or adjust your alpha blocker medication to minimize your risk of low blood pressure. Other medications can affect the removal of tadalafil from your body, which may affect how tadalafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as fosamprenavir), rifampin, ritonavir, among others. Do not take this medication with any other product that contains tadalafil or other similar medications used to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, vardenafil). If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product.

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This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs. Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019. This copyrighted material has been downloaded from a licensed data provider. The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional. You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	20mg	60 + 6 Pills	117.76€ 112.15€	Buy
Cialis Professional	20mg	90 + 2 Pills	241.49€ 229.99€	Buy
Cialis Original	20mg	22 + 2 Pills	129.20€ 123.05€	Buy
Cialis Professional	20mg	270 + 6 Pills	623.07€ 593.40€	Buy
Cialis Generic	60mg	180 + 10 Pills	313.11€ 298.20€	Buy
Cialis Professional	20mg	120 + 4 Pills	291.68€ 277.79€	Buy
Cialis Black	80mg	360 + 20 Pills	639.78€ 609.31€	Buy
Cialis Generic	60mg	60 + 4 Pills	145.06€ 138.15€	Buy
Cialis Generic	40mg	90 + 6 Pills	171.35€ 163.19€	Buy
Cialis Generic	20mg	90 + 6 Pills	154.71€ 147.34€	Buy
Cialis Generic	10mg	120 + 6 Pills	178.49€ 169.99€	Buy
Cialis Professional	40mg	120 + 4 Pills	436.68€ 415.89€	Buy
Cialis Generic	40mg	30 + 4 Pills	74.97€ 71.40€	Buy
Cialis Generic	5mg	20 Pills	41.99€ 39.99€	Buy
Cialis Generic	10mg	20 Pills	48.23€ 45.93€	Buy
Cialis Professional	40mg	180 + 4 Pills	618.23€ 588.79€	Buy
Cialis Soft Tabs	20mg	120 + 6 Pills	248.64€ 236.80€	Buy

* The product images are for reference only. Generic equivalents may also be supplied by alternate manufacturers.

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Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

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Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: Rarely, sudden decreased vision, including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking tadalafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. The generic Tadalafil comes under a variety of different names including: It may come from other manufacturers under different alternate names. Our customers may also buy Viagra and other ED medications through our CIPA certified pharmacy. Cialis is available in the dosages of 2.5mg, 5mg, 10mg and 20mg tablets. The brand Cialis is an elliptical or oval yellow coloured film coated tablet with pill imprint “C (dosage)” Cialis (Tadalafil) belongs to the class of drugs called phosphodiesterase-5 (PDE5) inhibitors. Tadalafil is used for the treatment of erectile dysfunction (impotence) and symptoms of an enlarged prostate (BPH).

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This medication works by increasing blood flow to the penis to help a man get and keep an erection. It also relaxes the muscles in the prostate and bladder. It helps to maintain an erection long enough for sex but it does not work without sexual stimulation. Tadalafil does not protect against sexually transmitted diseases.

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Stop taking tadalafil and get medical help right away if these effects occur. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: itching/swelling (especially of the face/tongue/throat) This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

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Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Before taking tadalafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic is cialis generic reactions or other problems. This medication is usually taken at least thirty minutes before sexual activity. The effect of this medication on sexual ability may last up to 36 hours. Cialis for Daily Use is available in 2.5 mg and 5 mg tablets. Cialis for Use as Needed is available in 5 mg, 10 mg, and 20 mg tablets. The common side effects of Cialis include back pain, canadian cialis 5mg dizziness, flushing, muscle pain, stuffy nose and upset stomach. Stop taking the medication and seek immediate medical help if you have any of the serious side effects that may include: • Heart Symptoms: Chest pain, pressure, or irregular heartbeat. • Priapism: An erection lasting longer than 4 hours. • Vision/Hearing Changes: Sudden loss or ringing in the ears. There is another brand of Tadalafil, Adcirca, used to treat pulmonary arterial hypertension.

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Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669. Do not share this medication with others. If you are taking this medication on a regular schedule and you miss a dose, take it la cialis as soon as you remember. You should not take Cialis if you are taking Adcirca, unless advised by your doctor. You should not take Cialis if you are allergic to Tadalafil or if you have any other allergies. Use caution when driving or operating heavy machinery until you know how this medication affects you. Combining it with significant amounts of alcohol can increase the risk of orthostatic hypotension (dizziness when standing up).

Important Notes

Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure) penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease) conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma) eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION) Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

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This brand of the drug is not usually used in women. During pregnancy, tadalafil should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if this medication passes into breast milk. Drug interactions may change how your medications work or increase your risk for serious side effects. Cialis is not indicated for use in women.

Benefit	Description	Evidence Level	Notes
Improved Erectile Function	Helps achieve and maintain an erection	Moderate	Consult a doctor first
Fewer Side Effects	Lower dosage reduces adverse effects	High	Individual response varies
Convenient Dosing	Once daily low-dose medication	Moderate	Personal schedule adjustments
Long-lasting Effect	Up to 24 hours of improved performance	High	Not a cure for ED

There may be interactions between Tadalafil and other medications, such as itraconazole, ketoconazole, and macrolide antibiotics. Cialis should not be taken with other similar medications used for ED, such as Sildenafil and Vardenafil. Cialis is stored at room temperature between 59 to 86 degrees F (15 to 30 degrees C). This medication should not be stored in the bathroom.