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Cialis
Generic Cialis ( Tadalafil )
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.
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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.

Zul Rahmat (15-Jan-2021)
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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Quality Of Products & Services: 5 stars out of 5
Philippe Rocher (16-Apr-2019)
Took last night for 1st time. 44 YO Male. 6' 210 lbs. Normally a 2x week sex with wife. About 30 min later, reached full effect. No headaches, no nothin’, best experience I had. My wife loved it and so did I. Quick and reliable remedy for your erectile problems, I truly recommend Cialis40mg
Quality Of Products & Services: 5 stars out of 5
David Perry (15-Apr-2019)
Last time I placed an order on this site I was satisfied by their service and low price for Cialis 10mg. I think this site deserves your attention because it contains a lot of useful information and products. I personally love to keep my stash of Cialis updated every time, that’s why I buy only from them!
Quality Of Products & Services: 4 stars out of 5
thomas roman (14-Apr-2019)
Took Cialis 10mg for the first time last month and since then I took it few more times, occasionally. It’s very effective and strong, with fast effect on your organ and the best results in bed! Stay strong with this little fellow and you will not regret it!I personally recommend this light version instead of other products!
Quality Of Products & Services: 4 stars out of 5
Leonid Rezhets (10-Apr-2019)
Fastest delivery online for my Cialis 10mg order. Placed the order this morning and the status already shows “on its way”. Can’t wait to receive my pills and I want to thank this site for their service. Truly recommend this business! I’m always satisfied by the prices, delivery times and quality of the products.
Quality Of Products & Services: 5 stars out of 5
Sebastien Pelletier (09-Apr-2019)
Although a bit suspicious about the site, I placed my first order of Cialis 40 mg on their store, due to their highly attractive price. Was impressed to receive the package in less than 20 hours and when I opened the box, a brand new, original Cialis 40 mg tube, just like I ordered! Great deal ))
Quality Of Products & Services: 4 stars out of 5
philippe lodier (09-Apr-2019)
Cialis 10mg really helped me improve my sex life with fast effect on my erectile problems and confidence I can be the man I wants to be! It’s a good quality product for such type of situations, highly reliable and safe to use. Totally recommend this version as I use it for more than 3 months
Quality Of Products & Services: 5 stars out of 5
Florent Pano (09-Apr-2019)
One of my favorite online places where I constantly buy Cialis 20 mg from. A very cool place especially if you love hunting for the best offers. Cool prices and a perfect delivery system with your own tracking number provided with every order you make! I am very glad I found this place after a long period in which I bought Cialis 20mg from all sort of obscure sites!
Quality Of Products & Services: 4 stars out of 5
Ernest Holston (09-Apr-2019)
I am very glad for choosing Cialis 20 for my condition. In the beginning I wanted to try Cialis 20mg but my doctor told me they are to light for me and that I need a stronger dose if I want good results in bed. In conclusion, take Cialis10mg only if you encounter light problems with your buddy :)..for the rest of you guys, feel confident about using Cialis 20mg, it’s highly effective
Quality Of Products & Services: 5 stars out of 5
PABLO BELLON RUIBAL (08-Apr-2019)
Initially I thought Cialis 20mg is just another pill with lots of promises but little effect. After trying other similar erection helper products, this type of Cialis was my last chance to enjoy a healthy erection. What can I say? Immediate effect for me and the hole night as the king of the bed :)))
Quality Of Products & Services: 5 stars out of 5
Mariko Browning (08-Apr-2019)
Man, this Cialis 40mg is da’bomb!!! The effect started in little over 30 min and I was feeling like I was having a hammer instead of a penis. Reliable pill, I gotta tell you, fast effect and action for more than 3 4 hours. Although not a young man anymore, managed to impress my wife like in the good old days!
Quality Of Products & Services: 5 stars out of 5
William Spang (08-Apr-2019)
I feel very secured when I buy from this site. In the past I was used with buying my Cialis 20mg either from my local Pharma store or from a very weird online place. Since I discovered these guys, I place all my Cialis 20mg orders on their page! They have the fastest service and good prices at any hour.Black Friday came with a huge 50% off on all their Cialis pills.
Quality Of Products & Services: 5 stars out of 5
Manfred Nährer (08-Apr-2019)
Was in search for Cialis 40 mg and found this place which sells original products at very good prices and they also offer quick delivery service. Quite impressed by the delivery as I received my pack of Cialis pills the next day even though I placed my order in the evening a day before the shipment!
Quality Of Products & Services: 5 stars out of 5
Ron Kirkland (06-Apr-2019)
Had my first experience with Cialis 20mg a month ago. Cool product which can easily help you with your erectile problems and a highly secured place to provide stocks all the time and some of the best prices online. I am glad I selected this online Pharma store to be the supplier for my monthly Cialis 20mg needs. I am very popular you know? :))
Quality Of Products & Services: 4 stars out of 5
Luigi Liborio Liberatore (06-Apr-2019)
The strongest cialis of all, the 40mg dose is truly amazing. Tried it few nights ago with a new girl I met! Cool experience )) the girl was impressed by my performance. Didn’t suspected a thing :P With one Cialis in my blood veins, had the greatest time with the hottie! Follow my advice and use Cialis 40mg, not the lighter forms.
Quality Of Products & Services: 5 stars out of 5
Panagiotis VALLIANATOS (04-Apr-2019)
As an avid buyer of Cialis 40 mg, I have to say that this site managed to grant me the best experience so far! Unlike other pharma stores where I used to buy Cialis from, this place is always updated with the prices and the offers. It’s a real delight to now you have a trusted source from where you can always buy original Cialis!
Quality Of Products & Services: 5 stars out of 5
arnie henderson (03-Apr-2019)
So glad I purchased Cialis 20mg from this place and not from other online Pharma store…:)) they gave me a 20% off for starters. Since it was my first order. Can’t wait to get back for another order. Next time I hope I will receive the same discount :P Totally recommend it to you guys!
Quality Of Products & Services: 4 stars out of 5
JOEL RICE (02-Apr-2019)
I think this is the only place where I found Cialis 40 mg for such a good price. Since it’s the strongest version of Cialis, you might expect higher prices. Well, this places offered me a great deal with my last order and I am very satisfied about the whole situation! Truly recommend this place to all my friend who use Cialis.
Quality Of Products & Services: 5 stars out of 5
Amir Moghaddam (02-Apr-2019)
After a very poor experience with another site, I decided to access this place and buy Cialis 20mg from them. All I can say is that the products are 100% original and my order arrived at my house in less than 48 hours. They even gave my my own tracking number even though I selected the standard delivery! Cool ))
Quality Of Products & Services: 5 stars out of 5
keith gray (02-Apr-2019)
With Cialis 40 mg you can impress any woman you like. The effect is almost instant and depending on your stature, the action may vary. I am a fully grown man, with 40 years of age, quite large with more than 100kg. A single pill of Cialis 40mg managed to get me hard and on for the whole night!!!
Quality Of Products & Services: 5 stars out of 5
Mark Valerio (02-Apr-2019)
A site with one of the best delivery system I ever experienced. Imagine you place your order in the evening and they send you the package the next day, with own tracking number as well. Insane :) I am very happy I buy my Cialis 40 mg from these guys! Truly recommend the site and all the products!
Quality Of Products & Services: 5 stars out of 5
Gilles Batteux (01-Apr-2019)
I truly appreciate the effect of Cialis 20mg not just because it takes place almost immediately but because of its long term action. On the instruction it says that the effect can last up to 36 hours. Way cooler than other pills. I tried them all and Cialis 20mg is by far the best!!! Feel free to use this pill, they are safe!
Quality Of Products & Services: 5 stars out of 5
Aarno Karimo (07-Oct-2015)
I've had wonderful experience with Cialis 10 mg. My first dosage was the 40 mg, but guess it was too high. I went from 20 to 10 just to see if it would still work for me, because they say you always need to take the minimum efficient dose. Cialis 10 mg works just perfectly: you would never guess I'm 63 by the number of women I hook up with every month.
Quality Of Products & Services: 4 stars out of 5
Gonzalo Colorado (04-Oct-2015)
If you are not sure where to order Cialis 10 mg, come to this pharmacy and place your order without any hesitations. These guys are the best at what they do, always giving you low prices and fine quality. I know I can count on them because I never had any reasons to complain, and it's been years since I placed my first order here.
Quality Of Products & Services: 5 stars out of 5
Hanna Kantokorpi (25-Sep-2015)
I love buying Cialis 10 mg at this pharmacy because they never make you wait too long. There is nothing pleasant about having to wait for your erectile dysfunction medicine for weeks, so this pharmacy makes sure you get it in just a couple of days!
Quality Of Products & Services: 4 stars out of 5
Britt Ekland (24-Sep-2015)
I am over 60 and can have sex with my wife two to four times a week with Cialis 40 mg. It could be more, but she does need to rest on some nights if you know what I mean. However, I should warn you that there are many bogus pharmacies out there, so if you have your mind set on ordering Cialis 40 mg, you'd better do it at this very pharmacy. They sell excellent quality Cialis 40 mg that's very potent and safe, so you could not find a better place.
Quality Of Products & Services: 5 stars out of 5
Belmiro Granjeia (22-Sep-2015)
With online pharmacies, the speed of delivery is always the issue, which is why I was thrilled to discover this one. They sell finest quality Cialis 40 mg and make sure you get it as soon as you need, which in my case was just a couple of days. Great job, I am definitely coming back.
Quality Of Products & Services: 5 stars out of 5
Rina Moe (14-Sep-2015)
You always need a pharmacy to come to when you want to order Cialis 20 mg, and this one seems to be the one. I had positive experience shopping for my medicine here, and the best part is that I get high quality for less money than elsewhere. They offer very convenient payment methods, always let you know when you will receive the drugs ordered and are ready to offer professional advice should you need it at some point. I know I did when I was deciding whether to take Cialis 20 mg or 40 mg.
Quality Of Products & Services: 4 stars out of 5
Virgilio Grassi (08-Sep-2015)
I find Cialis 20 mg to be the best erectile dysfunction drug out there, and I have tried quite a few ones. Viagra and Levitra did not do much for me, but Cialis worked perfectly! The 10 mg dose was weak to my taste, so I upped it to see what it would be like. I've never had harder erections in my life, and although I may just be telling myself that, I think my stamina has also improved significantly!
Quality Of Products & Services: 5 stars out of 5
Troels Anderson (23-Aug-2015)
When I was considering treatment for my ED, Cialis 10 mg seemed like the best choice. It's a dose low enough not to be causing side effects (my friend had some of those when taking Cialis 20 mg), yet higher than the minimal 5 mg dose. I gotta tell you, I love how long I can last with Cialis 10 mg, as well as the fact I can initiate sexual intercourse even a day after taking the pill!
Quality Of Products & Services: 5 stars out of 5
Chris Cook (16-Aug-2015)
I chose Cialis 10 mg after trying different dosages. The 5 mg dosage did not do anything for me, while higher doses came with side effects. Cialis 10 mg turned out to work perfectly well without causing any unwanted reactions, so here I am ordering it again, this time in bulk. I mean, it's convenient and all, but I still want to avoid spending extra time on my computer while I could be having sex.
Quality Of Products & Services: 5 stars out of 5
Per Olsen (26-Jul-2015)
Take it from someone who's been trying to cope with erectile dysfunction for a decade: there isn’t anything better than Cialis 40 mg! It's also available at lower dosages, but 40 mg is the one that gets the job done. Of course, some people may get some mild side effects at the beginning, but they go away soon, and the second or third time you take the pill, you have none at all. It's great there is a drug that can make you forget you have ED.
Quality Of Products & Services: 5 stars out of 5
Jean Gaillard (24-Jul-2015)
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.
Quality Of Products & Services: 5 stars out of 5
Jacob Samuelsen (23-Jul-2015)
I was previously taking Cialis 20 mg but was not completely happy with the firmness. Then I got Cialis 40 mg samples from this pharmacy, I think it was a bonus that came with one of the orders. I could tell the difference. Cialis 40 mg works exactly the way I imagined it would, my erections are firm and I last longer. The most exciting part is that I can take it on Friday and still be able to have sex on Sunday.
Quality Of Products & Services: 5 stars out of 5
Anita Ekberg (14-Jul-2015)
Cialis 40 mg is the perfect dosage that works for me, and I always order it at the same pharmacy. This pharmacy has really been a great place to buy from, because I always get something as a bonus and there are no questions asked. You don't see too many reliable pharmacies like that around, even though there are plenty of places selling erectile dysfunction treatments. My advice is, look no further, because you have found a great pharmacy to buy Cialis 40 mg from paying a fair price.
Quality Of Products & Services: 4 stars out of 5
Antoine Bailleul (12-Jul-2015)
I come to this pharmacy to order Cialis 10 mg and you will never see me shopping for it anywhere else. It's stupid to pay for brand Cialis at your local pharmacy, get a prescription and all that. Your insurance company won't cover it either, they think sex is a luxury you can pay for you on your own. But with prices this pharmacy offers, I don't need no insurance money to pay for the drug! Cialis 10 mg does not cost that much, yet the efficiency period is incredible!
Quality Of Products & Services: 5 stars out of 5
Arata Chiyoko (05-Jul-2015)
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.
Quality Of Products & Services: 5 stars out of 5
Mirco Martinelli (02-Jul-2015)
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.
Quality Of Products & Services: 4 stars out of 5
Blasco Rebimbas (01-Jul-2015)
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.
Quality Of Products & Services: 5 stars out of 5
Carlos Melo (29-Jun-2015)
Erectile dysfunction is no reason to get upset if you have a pharmacy like this one available. I'd definitely recommend it to everyone still in doubt, because I've been ordering Cialis 10 mg here for the last few months. I know I can trust this pharmacy because I did my research and heard nothing but the good stuff about it. I come here for excellent service and low prices for Cialis 10 mg and will keep coming for as long as this little wonder pill gets the job done.
Quality Of Products & Services: 4 stars out of 5
Anton Bauer (17-Jun-2015)
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.
Quality Of Products & Services: 4 stars out of 5
Anselm Heinefeld (14-Jun-2015)
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!
Quality Of Products & Services: 5 stars out of 5
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