Cialis Professional

Active Ingredient: Tadalafil Citrate

Dosage Form: 20mg, 40mg

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Shipping Options: Airmail (10 – 21 days); EMS Trackable (5-9 days);

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Cialis Professional has a strengthened formula of tadalafil, which increases the effectiveness of the drug. Besides, it is considered that Cialis Professional can help get an erection within the period exceeding 36 hours.

Active ingredient: tadalafil. By making an order, you confirm that you are familiar with this active substance and know how to take it correctly. A doctor’s consultation is recommended before you start the treatment. At occurrence of any unwanted effects, seek medical help.

Properties

Cialis Professional is manufactured in the form of sublingual pills. Due to this, the speed of tadalafil absorption into the blood flow is higher. Thus, a man can already get an erection in 20 minutes.

The mechanism of Cialis Professional action is based on inhibiting PDE5. Such an effect stimulates the growth of the cGMP levels, and thus helps the penile blood vessels to dilate. Together with the relaxation of the corpora cavernosa in the penis, the inflow of blood to the organ gets better, and men can achieve and preserve a firm erection up to the end of the intercourse. However, it is impossible to make the penis erected without sexual stimulation.

Dosage and administration

Cialis Professional can be purchased in two dosage strengths: 20mg and 40mg. The medication is to be taken only prior to anticipated sexual intercourse. It needs from 15 to 30 minutes to start working, yet some men can feel the effect in about an hour. The drug can be taken regardless of meals.

Depending on the patient’s response to the medication, the duration of its action can vary from 36 to 48 hours. Therefore, spontaneous sex is possible anytime within 2 days after the pill intake. Please, consult a doctor before using Cialis Professional as some patients may need lower doses of tadalafil to cope with ED.

Interaction with other drugs

Various unwanted reactions are possible when Cialis Professional is combined with some other medications. That’s why you have to inform your healthcare provider about any medications you are going to use when on Cialis Professional. Avoid the following drugs:

• Nitrates;
• Calcium channel blockers;
• Some oral antifungals;
• HIV-protease inhibitors;
• Macrolide antibiotics;
• Alpha-blockers;
• Riociguat;
• Antihypertensives.

Intake with caution

Some major health problems may affect the way a person reacts to Cialis Professional. To avoid any serious side effects, tell your attending doctor if you have heart disease or elevated blood pressure. Individuals with kidneys or liver issues may need their dose to be adjusted depending on the severity of the illness. Cialis Professional is not recommended for men with severe renal or hepatic impairment.

Though rarely, tadalafil can cause a painful erection or an erection that doesn’t go away for more than 4 hours. The incidence of priapism is higher among the patients suffering from blood cell disease and bleeding disorders. Therefore, a doctor’s consultation is obligatory for these men. In case an erection is painful or lasts for too long, seek emergency medical help.

Alcohol is considered safe with Cialis Professional but it is still recommended to limit its dose to not more than 3 drinks a day to avoid any adverse effects.

Contraindications

Cialis Professional is strictly contraindicated in men suffering from:

• An allergy to tadalafil;
• Uncontrolled high blood pressure;
• Deformations of the penis;
• Severe kidneys or liver disease;
• Peptic ulcer;
• Heart failure, heart attack or stroke in anamnesis;
• Severe cardiovascular ailments, which make physical strain dangerous to life and health;
• Low blood pressure (lower than 90/50mmHg).

This medication should never be used by women or children. Grapefruit juice is not recommended when on Cialis Professional because it can elevate the levels of tadalafil in the blood to dangerous levels and provoke an overdose.

Side effects

Because of high doses of tadalafil present in Cialis Professional tablets, it is more likely to cause side effects than the pills with lower tadalafil concentrations. Still, the bulk of the reactions are mild and disappear soon after the effect of the drug wears off. Most common reactions to Cialis Professional are the following:

• Facial flushing;
• Nasal stuffiness;
• Myalgia;
• Back pain;
• Pain in the extremities;
• Headache.

Among the rarer reactions there are redness of the eyes, conjunctivitis, chest pain. It is advised to turn to the doctors once any serious reactions occur.

Overdose

It is not advised to take more than 20mg of tadalafil per day unless another dosing regimen is prescribed by your doctor. In case of an overdose on Cialis Professional, go to the nearest clinic. Usually, symptoms of an overdose are no different from the common adverse effects. Symptomatic treatment should be applied to improve the patient’s condition.

Missed dose

Cialis Professional is not intended for daily intake. Consequently, no possibility to miss a dose exists.

Storage

Keep the medication at 15-30°C in the original package. Make sure children and animals can’t reach the pills.

Toxicity

Tadalafil has no toxic impact on the human organism if taken at recommended doses. Still, isolated cases of hepatotoxicity have been reported.