Cialis Soft Chewable 20 MG

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Cialis Soft Chewable 20 MG

Generic: Tadalafil Chewable Tablets 20mg

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$1.50

Cialis soft chewable is the latest dosage form containing tadalafil as active ingredient. It is directly absorbed in the blood and thus acts faster than Cialis tablets.  It is used for erectile dysfunctions (ED) in males. ED is a very common disease in males affecting about 30% of total male population. Erectile Dysfunction is impotence due to inability to obtain and keep hard, rigid penis required for sexual intercourse. ED can occur due to many reasons like stress, concomitant illness. The majority of males suffering from are above 40 years of age. The pleasant taste of Cialis soft chewable has increased compliance in this group of patients. Cialis is a selective inhibitor of PHOSPHODIESTERASE 5 (PDE5), which enhances blood flow to the penis and inhibits outflow which results in proper erection after sexual stimulation.

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MECHANISM OF ACTION

Tadalafil is a Phosphodiesterase 5 (PDE5).PDE5 (phosphodiesterase5) is an enzyme, present in the erectile tissue of the penis, vascular endothelium (walls of blood vessels) and retina of the eyes; it carries out the breakdown of cGMP. During sexual stimulation nitric oxide is released which stimulates production of cGMP. cGMP relaxes vascular smooth muscles (muscles of blood vessels)  and enhances blood flow to the penile tissues. By inhibitingPDE5, tadalafil increases the concentration of cGMP in tissues. Increased cGMP cause vasodilation, smooth muscle relaxation which results in increased blood flow to the penis and thus erection.

DOSAGE AND ADMINISTRATION

Always follow the dose mentioned by your doctor. Do not use more than 20 mg a day of CIALIS.  It has to be chewed so that it gets dissolved in the mouth. Water is not needed for administration. It directly goes into the blood stream thereby acting faster than the Cialis tablets.  Once taken its effect lasts for 36 hours. Do not use more than once a day.

INDICATIONS/USES

It makes erection possible in males suffering from Erectile Dysfunctions thus making sexual intercourse possible. It does not act as a sex stimulant. After taking Cialis soft chewable a sexual stimulation is required for erection.

SIDE EFFECTS

It is a safe drug when following all instruction to use. However some side effects like headaches, flushing, nausea, stomach upset are noticed in some patients. These side effects are not serious and usually subside with time.

In more some rare cases serious side effects like sudden hearing loss, change in vision, low blood pressure, prolonged (more than 4 hours) and painful erections may occur. If you notice any of the above effects immediately contact your health care provider. The cshances of side effects increase in patients with cardiovascular problems (problems related to heart and blood vessels).

CONTRAINDICATIONS

  • Cialis is highly contraindicated in patients taking nitrates in one or the other form. Both together (Nitrates+Cialis) can depress blood pressure to a large extent.
  • Cialis is to be used cautiously in patients of heart disease, kidney and/or liver disease, eye disease or having allergies to CIALIS. Always consult your doctor before using CIALIS
  • It is highly contraindicated to use in females and children under 18 years.

PRECAUTIONS

  • It is advised not to use tobacco/smoking, alcohol and grapefruit juice with CIALIS. It can lead to severe consequences.
  • Do not use Cialis with nitrates.
  • Do not take Cialis more than once a day.
  • Always tell your doctor if you have any deformity of penis before using Cialis.
  • Should be used only under medical supervision in males having stomach ulcers, diabetes, low or high blood pressure, cardiac (heart) disease, coronary arterial disease, blood disorders.  

DRUG INTERACTIONS

When using other medicines with Cialis chances of interaction exist. The list of drugs that can interact with Cialis is vast; few major interactions are mentioned here.

  • Nitrates like Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate.
  • Other Phosphodiesterase inhibitor like verdenafil, sildenafil
  • Antiepileptices (drugs for seizures) like carbamazepine, oxcarbazepine, phenobarbital, phenytoin, primidone
  • Tuberculosis medication like isoniazid, rifabutin, rifampin
  • Antibiotics like erythromycin, telithromycin
  • Antifungals like ketoconazole, voriconazole
  • Heart or blood pressure drugs like amlodipine, nicardipine, quinidine
  • Hepatitis C medications like boceprevir, telaprevir
  • drugs for HIV like atazanavir, fosamprenavir, indinavir, nelfinavir, nevirapine, saquinavir

STORAGE CONDITIONS

Cialis soft chewable should be stored in cool and dry place at room temperature. Keep away from the reach of children and pets. 

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