Cialis (Tadalafil) tablets 20 mg for erectile dysfunction

What are Cialis tablets 20 mg?

The active principle of Cialis tablets is tadalafil, an inhibitor of an enzyme called PDE-5. It aids to ease off the penile arteries and the calm muscles of the cavernous body. This helps to increase blood flow in the penis and induce an erection.

Cialis tablets do not affect the sexual desire itself, and the erection does not occur without sexual stimulation. This medicine doesn't provoke any uncomfortable situations, it just helps to get and to keep an erection when you need it. 

Active principles: tadalafil

Amount: 20 tablets

Maker: Nippon Shinyaku Co., Ltd., Kyoto, Japan

Indications: erectile dysfunction

How to take

• Adults should take 0.5 tablet (10 mg of the active principle) at a time, once a day about 1 hour before suggested sexual activity. If the effect is insufficient and well-tolerated, the dose may be increased to 1 tablet (20 mg) at a time. Take the next dose with at least 24 hours apart.
• For patients with mild-to-moderate hepatic disorder 0.5 tablet (10 mg) is a maximum daily dose. Patient should take it about 1 hour before suggested sexual activity, with the next dose at least 24 hours apart.
• Patients with moderate renal disorder should start with taking 5 mg of the active ingredient at a time, once a day about 1 hour before suggested sexual activity, with the next dose at least 24 hours apart. The dose may be increased to 10 mg, but it is the maximum dose, in this case the next dose should be at least 48 hours apart.
• For patients with severe renal disorder 5 mg is a maximum daily dosage. Take it about 1 hour before suggested sexual activity, with the next dose at least 24 hours apart.

Contraindications: do not use for the following patients:

• patients with cardiovascular disorder, unstable angina, arrhythmia, hypotension, hypertension, hepatic disorder, retinitis pigmentosa,
• patients with a history of angina during sexual activity,
• patients with a history of myocardiac infarction in latest 3 months,
• patients with a history of cerebral infarction/intracranial hemorrhage in latest 6 months.

Important information

Never  take the double dose of this medicine.

Avoid drinking grapefruit juice, as it may intensify the effects and the side effects of the medicine.

As this medicine may cause dizziness, a patient needs to take care when working at heights, driving a car, or operating dangerous machinery.

If an allergic reaction occurs, patient needs to stop using the medicine and consult with their doctor. If patient is taking any other medication or treatment, they should consult with their doctor in advance.