Cialis is manufactured by “Lilly Pharma” and is used to treat erectile dysfunction. The active substance contained is tadalafil and belongs to the phosphodiesterase type 5 inhibitors. Cialis works only with sexual stimulation. The benefits of Cialis over other medications for impotence are that it lasts up to 36 hours. The effect occurs already after about 30 minutes after ingestion. The sex life is so uncomplicated and much more spontaneous.

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To purchase this prescription medicine, you need a doctor’s prescription. Fill in the online questionnaire. Click on “Start consultation”. One of our doctors will evaluate your information and issue you a prescription. This we forward for you to a mail order pharmacy. You will then receive the drug in a neutral packaging on the next working day by DHL express delivery to your desired address.

The effect of Cialis

The active ingredient in Cialis is called tadalafil and is an inhibitor of phosphodiesterase-5. This PDE-5 is one of the enzymes in the body and stores in the smooth vascular musculature. Therefore, it is also found in the erectile tissue of the penis. PDE-5 promotes the breakdown of cGMP, which in turn is a messenger that increases the diameter of blood vessels. Thus, if the PDE-5 is inhibited, the cGMP content in the erectile tissue remains high. Therefore, the vessel walls are more relaxed and more blood can flow into the penis. The resulting erection is more permanent and stable. The inhibitor tadalafil, however, can only act on sexual arousal. Nevertheless, Cialis affects the entire body vasodilator, so it may possibly lead to a drop in blood pressure and associated side effects such as dizziness.

Differences between Cialis and other drugs

Both Cialis and Viagra work with a very similar mechanism of action and have the same tolerability in most patients. The differences between the two are in the duration of action and in the beginning of the effect. Cialis Tadalafil reaches its highest concentration in the blood after about 120 minutes. In addition, when taking Cialis no interaction with different foods can be expected, which is the case with Viagra. In addition, the active ingredient of Viagra has broken down in the body of the man already after four hours in half. At Cialis, this process takes at least 17 hours and can even last up to 36 hours in some cases. Therefore, it is possible for Cialis, the tablet already 12 hours before sexual intercourse to take at least 30 minutes before. Among many men, Cialis is therefore also titled as a weekend pill. If you are sexually aroused during this long period, you can often get an improved erection. The sex life is so uncomplicated and much more spontaneous, since the time span is not so small as Viagra. Nevertheless, with Cialis, as with other sexual enhancers, the drug only works if you experience sexual arousal.

Commercially available dosages of Cialis

As a film-coated tablet you can get Cialis in the dimensions of 5 mg, 10 mg and 20 mg. The dosage depends on the severity of the erectile dysfunction and should only be increased to a maximum dose of 20 mg if the effect is insufficient. The usual dose is 10 mg before sexual intercourse. Other dosages and dosage forms should be discussed with the attending physician. For daily use of Cialis, a maximum dosage of 5 mg is recommended, for single revenue the dose may be 10 mg or 20 mg. In the latter case, you should take the drug about 30-60 minutes before the sexual act.

If you take Cialis twice a week or more, it is best to switch to daily intake and then only take a dose of 5 mg per day. However, any change in the intake should always be discussed with the doctor. Cialis is a prescription and is only approved for men over the age of 18 years. Special caution is advised in men with specific medical conditions, such as cardiac arrhythmia, enlarged prostate or liver and kidney disease.

What is the daily dose of cialis?

Cialis tablets with a dosage of 10 mg or 20 mg should only be taken immediately before sexual intercourse. This dose should not be taken regularly over a long period of time. If you need Cialis very often, a doctor may prescribe you a daily dose of 5 mg, provided that all health risks have been previously excluded as far as possible. In this case you should take Cialis 5 mg daily at approximately the same time of day. Depending on individual needs, the dosage can be reduced to 2.5 mg. Then take only half a tablet. If you take Cialis very frequently and regularly, you should have the health risks checked regularly by a doctor.

Female Cialis