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With age, not all the time a man can feel himself as powerful as he was in his 20's. But desire remains the same. What kind of  medine could be useful for men with erectile dysfunction?

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Generic Tadalafil 20mg. Buy Tadalafil Online

With age, not all the time a man can feel himself as powerful as he was in his 20's. But desire remains the same. What kind of  medicine could be useful for men with erectile dysfunction?

One of the medications that is useful for erectile dysfunction is Tadalafil 20mg, PDE5 inhibitor. The name of active ingredient of this medicineis Tadalafil. It stands on the third place by popularity after Sildenafil and Vardenafil. In order to get this remedy in the pharmacy, you will need a prescription from your doctor. One pill would be enough to keep a man in a good sexual condition for 36 hours, that is the reason for the nickname it gained "Weekend Pill". Today men can also use a new everyday Tadalafil 20mg that has a smaller dosage and allows a man to be ready at any needed time. Furthermore, in May, 2009 Tadalafil 20mgwas approved in USA as a medication useful for pulmonary hypertension treatment.

Despite of all good sides of Tadalafil 20mg , it still remains a medicine and should be taken with caution. For your own safety, consult your personal doctor, before starting taking Tadalafil 20mg in order to avoid possible unpleasant moments.

How generic Tadalafil 20mg works? Generic Tadalafil 20mg like a brand Tadalafil 20mg contains the active ingredient Tadalafil. Brand Tadalafil 20mg and Generic Tadalafil 20mg are almost the same medicines which works the same. The difference between these two medicines usually consists in shape, color of the tablets, the amount of adjuvant substances. In general these are particularly the same medicines.

Many people wonder about the way generic Tadalafil 20mg works. The medicine blocks the  enzyme called PDE5. This enzyme break down cyclic GMP.  By blocking this enzyme Tadalafil 20mg enhances the effect if nitrogen oxide which binds to certain receptors on the cells of the cavernous tissue of the penis and contributes to the relaxation of the smooth muscles.

When PDE5 is blocked, the arteries located in the penis are able to open wider. This allows more blood to flow into the penis. An important aspect is that Tadalafil 20mg does not work without sexual stimulation. The action of the medicine can be seen almost in 30 minutes after its administration and lasts for 36 hours.

How well does generic Tadalafil 20mgwork?

From the time Tadalafil 20mg appeared at the market, it has gained a good reputation of a medicine that really helps! In most of the cases the medicine appeared to be helpful leaving both partners satisfied. However there are cases of medicine failure, but it depends on a person's general health and other unique aspects. It is important to always remember that a doctor is the best advisor in cases of medicine use. Be aware that Tadalafil 20mg does not works without sexual excitement. In rare cases decreased libido may be the main cause why Tadalafil 20mg was ineffective for you.
Generic Tadalafil 20mg warnings and precautions

Tadalafil 20mg can be administered only after your doctor's permission. You should be sure that you are healthy enough to have  sexual activity.

Generic Tadalafil 20mg must not be taken in combination with nitrate medicines which are used for angina treatment. Some of such medications are: Minitran,  Transderm-Nitro,  Nitro-Dur, Nitromint and others. It is also not allowed to take Tadalafil  together with recreational medicines among which is amyl nitrate. This may lead to a dangerous blood pressure decrease, stroke, heart attack or fainting.

Tadalafil 20mg should be taken with caution in patient's which take alpha-blocker like doxazosin, as the concomitant application of Tadalafil 20mg and these medication may result in severe drop of blood pressure in some category of patients.
Generic Tadalafil 20mg should not be taken in women and patients under 18 years of age. Tadalafil 20mg is not expected to be harmful for pregnant women and unborn babies. Nevertheless, it is advisable to consult a doctor in case the woman is pregnant or plans to become a mother. It is still unknown whether generic Tadalafil 20mg can harm a nursing baby or if it can pass into breast milk.

Tadalafil 20mg is not allowed in combination with a big quantity of alcohol, for it may lead to such side effects like dizziness or hypotension. You should also be aware that this medicine does not protect you from sexually transmitted diseases.

In addition, before taking generic Tadalafil 20mg, consult your personal doctor if you have the following: heart diseases, previous experienced heart attacks, recent strokes, chest pain, hypertension or hypotension, liver diseases, kidney diseases, anemia, stomach ulcer, if you are not allowed to have sexual act for some health reasons.

You should inform your doctor about all of the health problems which suffer from. Generic Tadalafil 20mg should be indicated with a bid caution in patients with:

Anatomical deformation of the penis, gastrointestinal infections, blood diseases, priapism or a history of priapism,

The recommended maximal dose of Tadalafil 20mg is 20mg. The medication should be taken just ahead of sexual intercourse (nearly 20 minutes before sexual intercourse). The medication works for 36 hours and therefore allows to have several sexual intercourses. You should not generic Tadalafil 20mg more than one tablets daily.
In patients with liver and kidney diseases a doctor may prescribe 10mg daily.

What are the side effects of generic Tadalafil 20mg?
Most common ones are headaches dyspepsia (11 and 7% of patients). In rare cases people experienced muscle and back aches, nasal congestion, hot flashed. These side effects are usually related to the fact that the enzyme PDE5 is found at the face skin and nasal mucous lining,

In rare cases generic Tadalafil 20mg may cause - edema of the eye lid, eye pain, hyperemia of the conjunctiva, dizziness.

In very rare cases- reactions of hypersensitivity (hives, edema of the face, dermatitis), low blood pressure, hyperhydrosis, priapism, neuropathy of the vision nerve, vision disorders.

In cases the erection lasts more than 4 hours, seek medical help immediately.

Which medicines should not be taken with generic Tadalafil 20mg?

  1. Alohol. Concomitant application of alcohol increases the risk of Tadalafil 20mg side effects. Alcohol when taken with generic Tadalafil 20mg may cause dizziness, sudden drop in blood pressure, headache
  2. Alpha blockers or benign prostatic hyperplasia (BPH) medicines. Tadalafil 20mg and alpha blocking in concomitant application may cause low blood pressure manifested in dizziness, fain and lightheadedness.
  3. Blood pressure medications when used with generic Cilis may cause extremely low blood pressure. In this cases your doctor may recommend you to lower the dose for you.
  4. Antifungals (antimycotics). Antifungals may increases blood levels of generic Tadalafil 20mg and thus can increase the risk of Tadalafil 20mg side effects. In this cases the Tadalafil 20mg dose should be 10mg.
  5. Erythromycin- macrolide antibiotic which may changes the metabolism of the medication.
  6. Grape fruit juice. Do not take grapefruit juice in combination with Tadalafil 20mg . Grape fruit juice may changes the way how your organism metabolize Tadalafil 20mg.
  7. Nitrates. Tadalafil 20mg should not be taken with nitrates like nitroglycerin. Their concomitant application may lead to extremely low pressure - a life-threatening condition.
  8. Antiviral medication like ritonavir or indinavir (AIDS treatment medicines). These medicines may change the metabolism of generic Tadalafil 20mg in your organism and significantly increase the chance of generic Tadalafil 20mg side effects (you are more likely to experience faint, low blood pressure, prolonged and painful erection if you take Tadalafil 20mg and these antiviral agents.  
  9. Xantines like theophylline. Combination of Tadalafil 20mg and theophylline increases the risk increased heart rate.

This list of medications may not include all of the medicine interaction with Cilis, Please inform you doctor about all medical preparation you are currently taking including OTC, herbal and Rx preparations.

Production form
Generic Tadalafil 20mg is available in the form of tablets 10mg and 20m N2, N4, N10. Generic Tadalafil 20mg we provide usually comes in blisters N10 and is manufactured by well known Indian manufacturer Intas Pharmaceuticals.

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