Sexual health of each man is very necessary thing of every family. And not only of family as it know disorder of sexual health leads to big problems. But now from this problem you can dispose very fast and easy because Cialis exists. Cialis is rather new but already popular remedy that used in treatment of erectile dysfunction. Cialis acts very safe and well on process of appearing of erection due to this every man can normalize his sexual health very quick. Earning of Cialis ensures you safe and full erection.

Cialis has very strong action, that’s why most of the time it using for treatment of erectile dysfunction. It explains that Cialis has number of pluses which are typical only for this remedy and due to this; it is easy to get such strong action. One of pluses Cialis is duration of action, something about 36 hour’s unstoppable work. In continuous of days you will be absolutely active and you won’t get problems with erection because due to Cialis problems can’t exist.

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Cialis is not a simple remedy for treatment of impotency. It is very effective and strong drug that helps very fast to restore erection of man and to continue it more than 24 hours. Cialis acts almost in all cases of erectile disorder and even it good for men which suffering sugar diabetes. Cialis can get a good result and its using doesn’t have side effects. This is a positive case of drug because in most of cases it is side effects which made the using of drug impossible but with Cialis there is no such problems.

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Cialis is modern remedy that became famous due to his strong properties in treatment of erectile dysfunction. Due to Cialis, now every man can liquidate the erectile dysfunction and to restore his normal life. It is Cialis has such properties that its duration overlimits 24 hours and beginning of action appears after 15 minutes after using of medicine. Cialis very effective due to active substance Tadalafil that occurs helps to get such strong and effective action. Cialis is new help of man, due to its treatment of erectile dysfunction is not a problem.

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Cialis is allowed to every man because it such medicine that ensures strong and long erection. Cialis is very effective remedy and it acts purposefully and improves quickly erection. Under action of Tadalafil - active component of Cialis, men gets relax of penis’s muscles, flow of blood to penis is increasing and main action appears. Progress goes in natural way same as in organism. Cialis helps only to normalize this progress. Due to this, each man can have healthy erection. Product form Tablets are film-coated. Composition 1 tablet, film-coated, contains: 20 mg of tadalafil. Excipients: lactose monohydrate, giproloza (hydroxypropyl cellulose), croscarmellose sodium, microcrystalline cellulose, magnesium stearate, sodium lauryl sulfate. Cover structure: opadry II Yellow - lactose monohydrate, hypromellose, titanium dioxide, triacetin, dye yellow iron oxide. Packaging In the package 1, 2, 4, 14 and 28 units. pharmachologic effect Cialis is a treatment for erectile dysfunction (impotence, erectile dysfunction) in men and is included in the group of drugs, which are called inhibitors of PDE5 (phosphodiesterase type 5). The drug dilates the blood vessels of the penis during sexual arousal. Resulting in increased blood flow to the penis, and this, in turn, promotes onset stable erection. Cialis, indications

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Erectile disfunction. Contraindications - Simultaneous administration of drugs containing any organic nitrates. - The age of 18. - Hypersensitivity to the drug. Dosing and Administration The drug is taken orally. The maximum recommended dose is 20 mg. The maximum recommended frequency of admission - 1 times / day. Cialis take at least 16 minutes before anticipated sexual activity. Patients can perform attempt intercourse at any time within 36 hours after dosing in order to determine the optimal response time to the drug. Side effects

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Side effects are usually mild or moderate in severity, transient and decreases with continued dosing. The most frequent: headache (11%), dyspepsia (7%). Possible: back pain, myalgia, nasal congestion, flushing. Rare: swelling of the eyelids, eye pain, conjunctival hyperemia. dizziness. Very rare: hypersensitivity reactions (which include rashes, hives, and swelling of the face, Stevens-Johnson syndrome, and exfoliative dermatitis), hypotension (in patients who are already taking antihypertensive agents), hypertension and syncope, abdominal pain and gastroesophageal reflux, hyperhidrosis ( excessive sweating), priapism and delayed erection, blurred vision, nearterialnaya anterior ischemic optic neuropathy, retinal vein occlusion, a violation of the visual fields. Cardio-vascular system: in patients with cardiovascular risk factors - myocardial infarction, sudden cardiac death, stroke, chest pain, palpitations and tachycardia, but it is impossible to pinpoint whether these phenomena directly with these risk factors, to tadalafil, with sexual stimulation, or a combination of these or other factors. special instructions

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Care should be taken in the appointment of Cialis to patients taking ?1-blockers such as doxazosin, as the simultaneous use, in some cases may lead to symptomatic hypotension. In clinical pharmacology studies in 18 healthy volunteers who received a single dose of tadalafil showed no symptomatic hypotension while the introduction of ?1-adrenergic blocker tamsulosin. The treatment of Cialis in patients with renal insufficiency moderately (CC 31 to 50 mL / min) were more common back pain compared to patients with renal insufficiency, mild (creatinine clearance 51 to 80 mL / min) and healthy volunteers . Patients with CC ? 50 mL / min, the drug should be used with caution. Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, treatment of erectile dysfunction, including using Cialis, you should not hold for men with heart disease, in which sexual activity is not recommended. It should take into account the potential risk of complications in sexual activity in patients with diseases of the cardiovascular system: myocardial infarction within the last 90 days, unstable angina or angina occurring during sexual intercourse, chronic heart failure (II functional class and higher classification NYHA) that developed during the last 6 months, uncontrolled cardiac arrhythmias, hypotension (blood pressure less than 90/50 mm Hg), or uncontrolled hypertension, stroke, myocardial in the last 6 months. Caution should be used Cialis for patients with a predisposition to priapism (eg in sickle-cell anemia, multiple myeloma or leukemia), or in patients with anatomical deformation of the penis (for example, angulation, cavernous fibrosis or Peyronie's disease). The patient should be informed of the need for immediate treatment to the doctor in the event of an erection, continued for 4 hours or more. Delays in treatment of priapism leads to tissue damage of the penis, as a result of this loss may occur long-term potency. Against the background of Cialis cases of priapism were reported. The safety and efficacy of a combination of Cialis with other treatments for erectile dysfunction have not been studied. Therefore, the use of such combinations is not recommended. As with other PDE5 inhibitors, tadalafil has systemic vasodilator properties, which may lead to a transient decrease in blood pressure. Before the appointment of Cialis, physicians should carefully consider the question - not whether the patients with their existing cardiovascular disease subjected adversely affected by such vasodilatory effects. Patients with impaired hepatic function a special dose adjustment is required. Because there are no data from controlled clinical trials on the safety and efficacy of Cialis in patients with severe hepatic impairment, use the drug in these patients should be with caution and only when absolutely necessary. Patients with impaired renal function (creatinine clearance (creatinine clearance)> 30 ml / min), a special dose adjustment is required. The treatment of Cialis in patients with renal insufficiency moderately (CC 31 to 50 mL / min) were more common back pain compared to patients with renal insufficiency, mild (creatinine clearance 51 to 80 mL / min) and healthy volunteers . Patients with KK?50 ml / min, the drug should be used with caution. Because there are no data from controlled clinical trials on the safety and efficacy of Cialis in patients with severe renal insufficiency (KK?30 ml / min) use the drug in these patients should be with caution and only when absolutely necessary. Cialis is not used in patients younger than 18 years.