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Everyday doctors worldwide prescribe medications for Erectile Dysfunction treatment, encouraging men, giving them hope to restore their sexual life.

ED medications are called the most successful drugs ever created. Medical treatment of ED is one of the most popular methods giving good results even in very severe cases of the disease.

Medical science is constantly producing new drugs and offering innovative methods to treat impotence in men.  After a great success of Viagra, GlaxoSmithKline created Levitra and Eli Lilly and Company introduced Cialis 20mg which was approved by Food and Drug Administration in 2003 after several clinical trials.

For most men problems in bed usually lead to anxiety and self-esteem problems. Causes of erectile dysfunction can be different from physical disorders to psychological problems.

Lots of drugs widely used to treat depression or stress or other conditions have serious side effects causing impotence in men. Antidepressants sometimes make getting erections impossible.

Before the era of ED drugs the common treatment methods for ED were penile implants, penile injections, vacuum pumping and insertion of a suppository into male’s urethra.

The medications for ED treatment have prolonged sexual life for men and make the sexual relationships between partners stronger. Millions of people both men and women are encouraged by the success which ED medications have demonstrated.

Of course these medications have side effects and contradictions like any other treatment methods. Before starting treatment with ED medications visit your doctor and tell him about your problem.

 Generic Cialis 20mg

Cialis is indicated to treat mild, moderate and severe forms of ED in men. Cialis enhances the effect of nitric oxide (which is necessary for normal erection process) by inhibiting PDE5 in the corpus cavernosum of the penis.

This has a result in vasodilation, increased blood inflow into penis and makes possible natural erection upon sexual stimulation.

The drug is rapidly absorbed in blood with Tmax within 30 min to 6hours. Food has no influence on the rate and extent of tadalafil absorption.

The volume of distribution of the drug is approximately 63L. tadalafil is 94% protein bound.

Tadalafil is metabolized by CYP3a4 to a catechol metabolite and then to methylcatechol glucuronide. The drug is eliminated 17.5 hours after oral intake.

The drug is excreted mainly in the feces and in the urine.

Cialis (Tadalafil) taking instructions and proper storage

Tadalafil medication should be taken as your doctor ordered to you. Take the exact prescribed dose for you; it is based on your individual health status and medications you may be taking. Never enlarge your dose without first consulting with your doctor. Cialis is to be used orally with water, regardless from food.

A patient should be sexually stimulated to get Cialis start working. Cialis may be taken as needed or daily, this depends on your preferences, dose adjustment and other factors.

Do not take the other dose of Cialis 20mg until 24hours pass.

Store Cialis at room temperature away from moisture and heat. Keep your medication away from children and pets. Never share your medication with other people even if they have the same symptoms as you.

Tadalafil 20mg

Cialis is drug for treatment ED which worked extremely well for me. When I came to urologist and tell him my history, he recommended to me try excellent medicine-Cialis. I used it without water and meal, after 30 minutes I and my girlfriend had good time (my erection was so hard!). But I experienced a mild headache and some nasal stuffiness the next day.  The urologist recommended to cut pill of Cialis and take half of pill and after I took 25mg of Cialis 20mg the side effects virtually disappeared …
I guarantee effect of this drug, if it does (and the urologist tells me that this drug is almost always effective), you will be the happiest man, if buy Cialis 20 mg now! Good luck!!

Understanding impotence causes

Impotence is a part of ageing – most men think so. Still world statistics provide sad facts – more and more young men experience ED problem and have to carry its burden. Of course, impotence is more common in adult men, particularly in those who are older 50 years of age. Unfortunately no one is immune to erectile difficulties. Even in the age of 35-30 years of old men can develop ED. It was estimated that about 72 % of all impotence cases is because of diabetes and atherosclerosis and other related conditions. The rest is due to emotional causes, use of certain drugs and alcoholism.

To achieve a strong erection an organism of a healthy man should start and successfully complete a very complex process which involves the coordinated work of different body systems, nerves, the brain, blood and the penis.  The damage of the blood vessels, the clots inside them, nervous system or blood system problems can make the whole erectile process impossible. And a man starts experiencing erectile problems. Emotional factors such as anxiety, stresses, depression, anger and others can also result in male impotency. Still these causes can be completely cured and the sexual function can be fully restored.

Another thing is ED caused by physiological causes. Sometimes, the cause of impotence cannot be cured or it has already heavily damaged sexual function of a male. Still, even severe cases of impotence can be helped. ED is treatable and can be fixed with simple lifestyle changes, proper treatment of the underlying cause and medical options for the problem itself.

The treatment procedures can give a helping hand in keeping general as well as sexual health.

Erectile Dysfunction Treatment

The male population has different views as for the types of medicine helping in ED. The modern methods are to take the medicine orally, to insert a medical device into the urethra, or make the injections into the penis. The first method usually includes the drugs called phosphodiesterase (PDE) type 5 inhibitors. These are as follws:

•sildenafil (Viagra)

•tadalafil (Cialis 20ьп)

•vardenafil hydrochloride (Levitra, Staxyn)

•avanafil (Stendra)

Generally they are taken orally about one hour prior the sexual intercourse and should not be used more than once a day. The exception is Cialis 20mg, that may be taken up to 36 hours before sexual activity. All the medicines should be swallowed except Staxyn that is to bedissolves in the mouth. The main ingredients PDE-5 inhibitors unbrace smooth muscles of the penis, as a result the blood flow to the area is increased and this makes the penis become erect within sexual intercourse. About 80% of the patients who use PDE-5 inhibitors have stable and prolonged erections. But if you have noticed that your erection is less than four hours, you should look for emergency medical help. The patients taking PDE-5 inhibitors may have some side effects that are usually soft. These may be headache, stuffiness of the nose, flushing, paint in the muscles, and rarely a blue-green shading of your face during for a short time. The patient should not take PDE-5 inhibitors in case of nitrate drugs taking, such as nitroglycerin medicine against the heat troubles. As taking these inhibitors can evoke a dangerous blood pressure drop. We should also warn the men who take alpha-blockers for prostate problems or blood pressure. You should always inform your doctor about all the details of the medical history and medicines you are currently taking, including over-the-counter and non-prescription drugs, and supplements and even herbs.

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Cialis20mg original, still known under the nickname of the end weekend pill is a drug like Viagra Pfizer that helps male victims from small erection to improve the quality of their erection. It is distinguished from the viagra not only by the long-term effectiveness and also because it is possible to buy cialis20mg original online.

Cialis 20mg original is marketed by lilly lycos Labs, its basic molecule is tadalafil. This molecule like other drugs of the same family this component is designed to neutralize the action of the enzyme PDE-5 which reduces blood flow to the penis. The component penetrates gently in the body, and 30 to 50 minutes after the capture, the desired effects are already visible i.e. farm erection. In addition to its cheap price cialis is that its duration of action is very long. With only a pill man will be able to multiple reports this for nearly 24 hours, from which the nickname the weekend pill. Contrary to what many think this does not mean that the man will be erect for 24 hours, no. So the drug gives the desired effect the man must be sexually stimulated. A pill of cialis contains 20mg dose, it can be divided into two. Moreover it is recommend to always start with a small dose can be increased gradually. However the maximum daily dose is 20mg and must not be exceeded. Among the three medications against the weak erection cialis is by far the most popular and the most buying in France. Pharmacy you can buy cialis generic online .cialis20mg05

However because of contraindications due to this drug buy cialis in france at the moment requires the submission of an order, however in other countries the purchase of cialis is done without prescription and especially cheap.

If cialis facilitates the obtaining of better erection, its use still can cause side effects in some patients.

Side effects of the original cialis

The use of this type of medication if it is not Controller can lead to serious complications. Some individuals of side effects can appear when using cialis. These likely effects are: hot flashes, muscle pain, nasal congestion, stomach pains. Before being put on the market its laboratory designer a long time working to reduce the appearance of side effects, so use cialis does not risk of cardio-vascular accident. Generally these effects when they appear are benign is quickly disappear alone. Nevertheless before making use of this medication a doctor’s advice is necessary beforehand.cialis20mg12546

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Can I buy cialis online in France without a prescription?

There are many men who are still unable to acquire drugs for erectile dysfunction, this is because of the often too expensive price of drugs of this type in pharmacy. Buy cialis pharmacy for example in France is very expensive. In order to cheaply buy their medicine, many are these men who opt for online purchase. Indeed buy is much less expensive and above all less embarrassing. It is therefore possible to buy original cialis cheap online. While buying online is cheaper, but remains all the same risk. By buying online it may fall on a fake pharmacy still buy drugs of very poor quality or have concerns at the level of customs. Buying medicines online such cialis is not yet fully regulate in France where great caution before considering its purchase on the internet. Certainly one can buy cialis20mg online but great caution is required. Before considering to make use of the cialis 20 mg the advice of a physician is still ofcialis original

Cialis20mg (tadalafil)

Cialis20mg Description

Cialis20mg is the brand name of the drug Tadalafil that is used for treating erectile dysfunction or impotence. The drug is for oral consumption, in the form of pills that are coated. This is a prescription drug; therefore it is not available over the counter. Every pill of Cialis comprises of a combination of croscarmellose sodium, iron oxide, magnesium stearate, hydroxypropyl cellulose, lactose monohydrate hypromellose, sodium lauryl sulfate,titanium dioxide, triacetin and microcrystalline cellulose. The drug can be stored at normal room temperature. Cialis received FDA recognition in November 2003 and is being commercially produced since then.

Conditions Treated by Cialis20mg

Cialis or Tadafil is recommended for the treatment of impotence, which in medical terms is called erectile dysfunction or ED. The drug is used as a performance-enhancing drug in intensive sports also. Additionally the drug is also sold by another brand name called Adcirca for controlling high blood pressure. This drug should be taken only with a proper prescription as it can have unhealthy consequences.

Cialis20mg Dosage Information

a.) Typical Dosage Recommendations

As is the case in most prescription drugs, Cialis needs to be taken with medical guidance and also in the prescribed quantity. The dosage is carefully derived by the doctor after a careful review of the patient’s problem and medical history. Hence the patient should not attempt to make any modifications in it by himself. Cialis needs to be taken before sexual intercourse. The medicine does not have to be taken with food. Usually a standard dose of 10mg is prescribed to most patients. However depending on individual needs, the dose could be doubled up to 20mg. If need be the dosage could be reduced by 5mg. But all these changes can take place only under medical supervision. Not more than one pill must be taken within 24 hours.

b.) Missing A Dose

Cialis is not given on a fixed schedule. Although it is a prescription drug, it is linked with sexual intercourse. Hence each time intercourse is planned the drug needs to be taken. Thus the issue of missed dose is not applicable here.

c.) Overdosing

The precise reason why Cialis is not for self-administration is because over dosage can be harmful. To detect an overdose look for typical signs such as pain in the chest, a feeling of giddiness or vomiting sensation. The heart beats could also suddenly uneven. When any of these happen, immediate medical help should be sought.

Cialis20mg Warnings

There are some common warnings for most medications that need to be kept in mind. Firstly, medicines like Cialis must be stored at the prescribed temperature. Cialis must be stored at room temperature, therefore do not keep it in the refrigerator or in the bathroom where the temperature tends to fluctuate. Cialis is a prescription degree that can cause side effects. Hence it should never be shared between different individuals. Further, those patients who have a history of liver dysfunctions and disease, kidney problems, heart related problems, optical disorders or hypertension should be highly cautious before taking Cialis. Mostly in such cases, the drug is simply not recommended as the risks can outweigh the benefits from the drug. Also it must be clear that Cialis is only meant for erectile dysfunction patients not other sexual problems such as loss of libido or any sexual infections. The drug does not provide protection against sexually transmitted illnesses; furthermore those who have been advised against sexual activity should not take the drug at all.

Cialis20mg Side Effects

As stated earlier, Cialis is a potent drug that affects on the biochemical processes in the body, therefore some side effects are likely. However none of them should be easily dismissed. Ideally the patient should not suffer from any side effects. If at all any symptoms are observed, the medication should be stopped and due medical advice needs to be taken immediately. If patient experiences a sudden tingling in the chest or a pain or giddiness, and a numb feeling during sexual intercourse then it is a cause for worry. This indicates intolerance to Cialis and a doctor should be consulted immediately. Following are other major side effects that can occur:

  • Swelling of limbs
  • Numb sensation
  • Heaviness in the chest accompanied by pain in the shoulder and arm region
  • Uneasiness and nausea-like feeling
  • Problems related to eyesight
  • Any changes in hearing abilities, experiencing some sounds in the ears
  • Changes in the heartbeat rhythm
  • Painful erection

In addition to the above, there are other minor symptoms also:

  • Stomach being upset
  • Blocked nose or other cold like symptoms
  • Sudden warm gushing feeling in the face or upper body near chest
  • Memory related changes
  • Aches and pains in muscles and the back

These are some of the known side effects of the drug. However, since every individual’s body is unique, it is possible that some people might experience some other symptoms of intolerance. Therefore any unexpected, unpleasant experiences after taking the drug should be reported to the doctor.

Possible Drug Interactions With Cialis20mg

There are some drugs that interact adversely with Cialis’ These include drugs prescribed for:

  • Alpha-Adrenergic Blocker Drugs:
    • prazosin (Minipress)
    • terazosin (Hytrin)
    • Cardura (doxazosin)
  • Anti-depressant medication such as:
    • sertraline (Zoloft)
    • escitalopram (Lexapro, Cipralex)
    • buproprion (Wellbutirn)
    • citalopram (Celexa)
    • fluoxetine (Prozac, Sarafem)
    • milnacipran (Savella)
    • mirtazapine (Remeron)
    • venlafaxine (Effexor)
    • venlafaxine XR (Effexor XR)
    • paroxetine (Paxil, Seroxat)
    • duloxetine (Cymbalta)
  • Antifungal medications such as:
    • fluconazole (Diflucan)
    • itraconazole (Sporanox)
    • ketoconazole (Nizoral)
  • Antibiotic medications such as:
    • ciprofloxacin (Cipro)
    • dapsone
    • erythromycin (Ery-Tab)
    • erythromycin (Erythrocin)
    • levofloxacin (Levaquin)
    • norfloxacin (Noroxin)
    • rifampin (Rifadin)
    • rifampin/isoniazid/pyrazinamide (Rifater)
    • rifampin/isoniazid (Rifamate)
  • NSAID’s
    • Voltaren (diclofenac)
  • Tuberculosis treatment regime. These specifically include:
    • rifampin (Rifadin)
    • ethambutol (Myambutol)
    • pyrazinamide
    • isoniazide
  • HIV or AIDS medications such as:
    • efavirenz (Sustiva)
    • efavirenz/emtricitabine/tenofovir (Atripla)
    • tenofovir (Viread)
    • emtricitabine (Emtriva)
    • atazanavir (Reyataz)
    • ritonovir (Norvir)
    • darunavir (Prezista)
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