A prolonged erection is one that lasts more than 4 hours. And priapism is a painful erection that lasts more than 6 hours. Both conditions are considered emergencies and need to be treated right away to prevent long-term damage. So if you’ve had prolonged erections or priapism in the past, tell your doctor before you take Cialis. They may have you carefully monitor your condition after taking Cialis. Blood cell problems can include sickle cell anemia and blood cancers such as multiple myeloma or leukemia.

Region Average Price (USD) per Tablet Purchasing Options Note
US $20 - $30 Pharmacies, online suppliers Prescription required
Europe €15 - €25 Local pharmacies, online pharmacies Varies by country
Asia $10 - $20 Online pharmacies, local markets Verify authenticity
Online (Global) $10 - $40 Major online retailers Beware of counterfeit products

If you have a blood cell problem, tell your doctor before taking Cialis. You may be at an increased risk for developing a long lasting erection when taking the drug. Erections lasting longer than 4 hours can be dangerous and may cause permanent damage. Your doctor may recommend a low dose of Cialis if you have blood cell problems. If you’ve had an allergic reaction to Cialis or buy cialis over the counter any of its ingredients, you should not take Cialis.

  • Some users experience temporary vision disturbances.
  • Cialis 20mg may reduce blood pressure temporarily.
  • It's important to stay hydrated while using the medication.
  • Avoid using Cialis if you have severe liver or kidney issues.
  • Discuss any contraindications with your healthcare provider.

Ask your doctor what other medications are better options for you. It’s not known if Cialis is safe to take during pregnancy. For more information, please see the “Cialis and pregnancy” section above. It’s not known if Cialis is safe to take while breastfeeding. For more information, please see the “Cialis and breastfeeding” section above. Note: For more information about the potential negative effects of Cialis, see the “Cialis side effects” section above.

What should I do if I forget a dose?

You may be at an increased risk for developing a long-lasting erection if you take the drug. Blood may become trapped in the penis and lead to an erection lasting longer than 4 hours, which can be dangerous and cause lasting damage. Your doctor will probably have you take a low dose of Cialis or use the medication with caution. History of erections lasting longer than 4 hours. If you have a history of prolonged erections or priapism, you may be at an increased risk for developing them while taking Cialis. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Reminder: A valid doctor’s prescription is required to purchase this product. Book a consultation with one of our doctors to discuss your needs and get expert advice.

  • Cialis 20mg is sometimes prescribed for pulmonary hypertension.
  • The medication can cause dizziness or fainting in some cases.
  • It is important to complete the full course prescribed.
  • Notify your doctor if you experience vision changes.
  • Emergency medical help should be sought if adverse reactions occur.

Cialis Tadalafil 20mg is used to treat men who have trouble getting or maintaining a firm erection for sexual activity.

Condition Caution or Avoid Use Reason
Nitrate medication use Do not take together Risk of severe hypotension
Severe liver impairment Consult doctor before use Metabolism issues
Severe kidney impairment Dose adjustment needed Altered drug clearance
Heart disease Medical evaluation recommended Potential cardiovascular risk

It contains tadalafil, which is part of a group of medicines called phosphodiesterase type 5 inhibitors. Tadalafil helps relax blood vessels in the penis after sexual stimulation, allowing increased blood flow and improved erectile function. It's essential to understand that Tadalafil doesn't work without sexual stimulation. Foreplay with your partner is still necessary, just as it would be without taking medicine for erectile issues. Hati Health is your digital health companion that connects you with trusted clinics and doctors across the Philippines. We make booking appointments and accessing healthcare simple and convenient, all through our growing network of 100+ partners. We work with a growing network of trusted clinics nationwide, making it convenient to find quality care wherever you are. Just share what service you need and your location—we'll show you all the available options nearby. Hati Health is for everyone — women, men, and all genders, from children to adults. We cover a wide range of health needs, from diagnostics and vaccines to women's health, men's health, sexual health, and family care. We offer flexible payment options including GCash, credit/debit cards, and bank transfers, with installment plans through BillEase and GoTyme. While we don't accept insurance yet, our affordable prices are often lower than HMO networks, and we're working on future partnerships. You can reach us through our support chat on the website, Messenger or email us at [email protected]. Our team is here to assist you. Cialis (Tadalifail 20mg) is a prescription only medicine used for the treatment of Erectile Dysfunction (ED) in adult men, a condition which implies difficulties in getting or keeping an erection.

Product Dosage Quantity + Bonus Price
Cialis Original20mg48 + 4 Pills224.69€ 213.99€
Cialis Black80mg90 + 6 Pills207.88€ 197.98€
Cialis Generic2.5mg10 Pills28.51€ 27.15€
Cialis Professional40mg30 Pills148.94€ 141.85€
Cialis Professional20mg60 + 2 Pills183.83€ 175.08€
Cialis Generic20mg10 Pills31.49€ 29.99€
Cialis Professional20mg270 + 6 Pills623.07€ 593.40€
Cialis Generic10mg180 + 8 Pills236.88€ 225.60€
Cialis Generic2.5mg60 + 4 Pills83.43€ 79.46€
Cialis Soft Tabs20mg180 + 8 Pills353.17€ 336.35€

Cialis can only be taken by adults aged 18 years and over.

How Cialis 20mg Tablet 1s works

Taking Cialis when you have vision loss may increase your risk of vision side effects. Your doctor may recommend a different medication than Cialis. If you have retinitis pigmentosa (a genetic eye condition that may cause vision loss), you should not take Cialis. It’s possible that Cialis may increase your risk of bleeding. So if you have a history of stomach ulcers, taking Cialis may increase your risk of developing bleeding ulcers.

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(Stomach ulcers are sores in the lining of your stomach or intestine, and they may bleed.) Talk with your doctor before taking Cialis if you have a history of stomach ulcers. Cialis may increase your risk of bleeding. If you have a history of bleeding problems, such as hemophilia, taking Cialis may further increase your risk for bleeding. Talk with your doctor before taking Cialis if you have a history of bleeding problems. If you have a deformed penis or a history of Peyronie’s disease (a curved penis), tell your doctor before taking Cialis. Do not take Cialis if you also take medicines called nitrates often prescribed for chest pain. Tabs 2.5mg—2×15 (blisters); 5mg—30, 2×15 (blisters); 10mg, 20mg—30 If concomitant with finasteride to initiate BPH treatment, such use is recommended for up to 26 weeks. ≥18yrs: 5mg once daily (taken at same time each day). Renal impairment: CrCl 30–50mL/min: initially 2.5mg; may increase to 5mg/day.

Related/similar drugs

During your treatment, they may have you monitor your blood pressure more often to make sure it doesn’t become too high or too low. Cialis may increase your risk of stroke, especially if you have a history of stroke. In studies done after Cialis was approved, some people with a history of heart problems had strokes during Cialis treatment. If you have a history of stroke, be sure to talk with your doctor before taking Cialis. They’ll be able to determine whether the medication is safe for you.

Erectile Dysfunction

If you have a history of liver problems, such as hepatitis or liver failure, your body may not break down Cialis quickly enough. This means that the drug can build up in your system, which may increase your risk of side effects from the medication. If you have liver problems, be sure to talk with your doctor before taking Cialis. They may have you start with a low dose. If you have kidney problems, such as chronic kidney disease, your body may not be able to get rid of Cialis as quickly as it should.

Benign prostatic hyperplasia explained

This means that the medication may build up in your body, which can cause serious side effects. If you have kidney problems, tell your doctor before you take Cialis. They may have you start with a low dose of the medication. If you have any history of vision loss, talk with your doctor before taking Cialis. This vision loss may include having vision conditions such as non-arteritic anterior ischemic optic neuropathy (NAION). CrCl <30mL/min or hemodialysis: not recommended. Concomitant potent CYP3A4 inhibitors (See Interactions): max 2.5mg/day. Cardiovascular disease (eg, MI within 90 days, unstable angina or angina during intercourse, NYHA Class 2 or greater HF or stroke within 6 months; hypotension [<90/50mmHg], uncontrolled hypertension or arrhythmias, severely impaired autonomic BP regulation, LV outflow obstruction), severe hepatic impairment, hereditary degenerative retinal disorders including retinitis pigmentosa: not recommended. Underlying non-arteritic anterior ischemic optic neuropathy risk factors. Advise patients to discontinue if sudden vision or hearing loss occurs.

Uses of the Cialis 20 mg Tablets

But animal studies don’t always predict what will happen in humans. If you have questions about Cialis and breastfeeding, talk with your doctor. Before taking Cialis, talk with your doctor about your health history. Cialis may not be right for you if you have certain medical conditions or other factors affecting your health. Sexual activity has an impact on your heart function.

Canadian Brand Name

So if you have a history of heart problems, such as heart attack or an irregular heart rhythm, talk with your doctor before taking Cialis. They’ll be able to tell you if your heart is healthy enough for you to have sex. And if you have symptoms such as chest pain or an irregular heartbeat while taking Cialis, you should stop any sexual activity and see a doctor as soon as possible. If you have pulmonary hypertension (a type of high blood pressure in your lungs), talk with your doctor before taking Cialis. In some cases, you may be taking a medication called riociguat (Adempas) to treat your pulmonary hypertension.

Clinical monitoring

And taking this medication along with Cialis may cause your blood pressure to become dangerously low. You should not take Cialis if you’re taking riociguat for pulmonary hypertension. Cialis can cause both high blood pressure and low blood pressure. So if you already have either of these conditions, Cialis may make it worse. If you have a history of blood pressure problems, tell your doctor before you take Cialis. Patients for whom sexual activity is inadvisable or contraindicated. Hypotension with nitrates, GC stimulators, other antihypertensives, alcohol (≥5 units). Potentiated by CYP3A4 inhibitors (eg, ketoconazole, itraconazole, protease inhibitors, erythromycin, grapefruit juice). Concomitant α-blockers: not recommended; discontinue at least 1 day prior to therapy.