What should I do when I forget to use Cialis?

The maximum recommended daily dose of 시알리스 is 20 mg, taken before sexual intercourse and independent of meals. Therefore, its use is on demand.

If in doubt, seek advice from your pharmacist or doctor or dentist.

What precautions should I take when using Cialis?

Cialis should be given with caution to patients who have one of the following health conditions:

Heart problems such as angina ( chest pain ), heart failure , irregular heartbeat or having had a heart attack ; low blood pressure or uncontrolled high blood pressure ; stroke, liver problems, problems with the kidneys or requiring dialysis, stomach ulcers, bleeding problems, deformity of the penis or Peyronie's disease; conditions that predispose to priapism (erection lasting more than four hours), such assickle cell anemia , multiple myeloma, or leukemia . Also remembering that sexual activity may be discouraged in patients with severe heart disease, as well as physical exercise in general. The doctor should always be informed about the heart problems of the patient with ED and then he will decide what is the most suitable treatment for ED. The use of 시알리스 구입 with other phosphodiesterase 5 (PDE5) inhibitors or with ED treatments has not been studied and is therefore not recommended. The combination of tadalafil and drugs that stimulate the enzyme guanylate cyclase (a substance that, among other actions, leads to dilation of blood vessels), such as riociguat , is not recommended, as it can cause hypotension .symptomatic (low blood pressure).

Rare cases of vision loss have been reported in men taking erectile dysfunction medications, including Cialis. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (interruption of blood flow to the optic nerve). An increased risk of acute non-arteritic anterior ischemic optic neuropathy was suggested from analysis of observational data in men with ED within 1 to 4 days of the PDE5 inhibitor use episode. People who have diabetes , high blood pressure, high cholesterol , heart disease and smokers have a higher risk of having this eye disease. If you experience a change in vision during treatment with Cialis, stop taking the medicine and see your doctor.

Physicians should advise patients to discontinue use of PDE5 inhibitors, including tadalafil, as well as to seek expert advice in cases of sudden decrease or loss of hearing. These events, which may be accompanied by tinnitus and vertigo, have been reported in temporal association with the introduction of PDE5 inhibitors, including tadalafil. It is not possible to determine whether these events are directly related to the use of PDE5 inhibitors or to other factors.

시알리스 구매 is not indicated for use in women. There are no studies of tadalafil in pregnant women (Category B).

This medicine contains lactose. Therefore, it should be used with caution in patients who are lactose intolerant .

The effectiveness of this drug depends on the functional capacity of the patient.