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Cialis is most commonly used to treat erectile dysfunction and impotence, which is when a man struggles to maintain an erection or cannot get erect at all. It's also sometimes prescribed for an enlarged prostate. Tadalafil is the active ingredient of Cialis. It improves blood flow to the penis so that a man can get an erection for sexual activity. Depending on how your doctor prescribes the medication, you might take it as needed before sex or every day. If you take it as needed, the effects may last up to 36 hours.

Common use
Cialis is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis. It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cialis has no effect when sexual stimulation is absent. Cialis improves erection and lets achieve a successful sexual intercourse. The drug acts during 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.

Dosage and direction
The recommended dose of Cialis is 20 mg it should be taken at least 16 minutes before the sexual activity. The effect persists during 36 hours. Take Cialis once daily and do not exceed the recommended dose.

Precautions
It is preferable not to use Cialis with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Cialis if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.

Contraindications
Cialis is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.

Possible side effects
Most usual side effects of Cialis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.

Drug interactions
Co-administration with medications containing organic nitrates may cause severe hypotension which is dangerous in some cases. Avoid taking Calis with medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate. Levels and toxicity of Cialis are increased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Inform your doctor if you are taking Atazanavir, Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, Urapidil as your Cialis dose may require correction.

Missed dose
Missed dose is not supposed if Cialis is taken for treatment of erectile dysfunction as it s used when needed.

Overdose
Overdose of Cialis causes symptoms described as side effects. Seek for immediate medical help if you by your opinion you took too much of this medication.

Storage
Store at room temperature away from moisture, sunlight, kids and pets in a tight container.

Disclaimer
We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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Dear Support Team, Finally, my package has arrived. This was the longest wait but that aside, happy my package is in safe hands Strange it's not traceable since day one Hope this is not the case again in the near future Thank you,

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When it comes to ordering stuff online, what I value most is the speed of delivery. Every time I order Cialis 10 mg at this pharmacy, the delivery is so fast, I barely have time to make reservations at my favorite restaurant and invite a woman out. They are great in many other ways, like they offer really cheap prices and are ready to help you 24/7, but like I said, the speed of delivery is what matters the most to me.

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I finally found the best pharmacy to order Cialis 20 mg from, and I am sure you will be able to say the same after you place your first order with them. I find it very convenient to buy Cialis 20 mg here because the price is reasonable, plus you are sure you will be taken the best care of as a customer. If you want to see what online shopping for efficient medications is all about, this pharmacy is just what you have been looking for.

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If you want best service and fast delivery, this is the pharmacy for you to come to. I get my Cialis 20 mg here and am not planning to go anywhere else as long as I get everything I need in the same place. They do the fastest deliveries you could imagine, which is crucial if you already have plans but no decent erection to look forward to.

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If your goal is to keep your sex life going, Cialis 40 mg is the best choice. This is the most common dosage, so I decided to start with it not to waste my time. I am happy to say there were no side effects of any kind, and the medicine works beautifully. There is no reason for me to try a lower dose, because this one gets the job done without causing any side effects, plus this pharmacy offers really great deals that make the treatment affordable.

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With Cialis 20 mg I always get very hard erections that really last. This is an excellent product that does everything it should, and I am sure this is because I purchased it at this very pharmacy. I am pretty sure because I've heard of cases when people got nasty side effects after purchasing stuff online. This pharmacy is legit, it works with reliable drug manufacturers and I have no complaints.

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I thought I would never be able to have sex normally again when I was diagnosed with erectile dysfunction, because my insurance does not cover this. It was a relief to find out I could afford the treatment by shopping for Cialis 20 mg at this wonderful online pharmacy. I order Cialis 40 mg here and break every pill in half to make it Cialis 20 mg, that way it's even more affordable. Oh and my wife could not be happier!

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Your order will be packed safe and secure and dispatched within 24 hours. This is exactly how your parcel will look like (pictures of a real shipping item). It has a size and a look of a regular private letter (9.4x4.3x0.3 inches or 24x11x0.7cm) and it does not disclose its contents

Country	Shipping method	Delivery time	Price
	Delivery	14-21 days	10$	Tracking# available in 4 days
Delivery	9-14 days	30$	Tracking# available in 2 days

Shipping worldwide
Confidentiality and anonymity guarantee
Safe and secure

Discrete looking packages
Dispatch orders within 24 hours
100% success delivery

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