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Pharmaceutical Cialis 20mg x 100

Original price was: £200.00.Current price is: £124.99.

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Classification of Pharmaceutical Cialis 20mg x 100

Pharmaceutical Cialis 20mg x 100 contains tadalafil, a prescription medication classified as a phosphodiesterase type-5 (PDE5) inhibitor. In the United States, Cialis is FDA-approved for the treatment of erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and ED when it occurs together with BPH.

The 20mg tablet is an FDA-approved Cialis strength and is primarily used for as-needed treatment of erectile dysfunction. Because tadalafil can interact with medicines that affect blood pressure, including nitrates, it should be used according to a healthcare professional’s prescription and the approved prescribing information.

What is Pharmaceutical Cialis 20mg x 100?

Pharmaceutical Cialis 20mg x 100 refers to a package containing 100 tablets labeled at 20mg of tadalafil each. Tadalafil is the active ingredient responsible for Cialis’s PDE5-inhibiting activity and its effects on blood flow during sexual stimulation.

The 20mg strength is an approved tablet strength for as-needed treatment of ED. It is not the standard strength used for once-daily Cialis treatment. FDA-approved once-daily regimens use lower strengths depending on the medical indication.

Cialis does not directly increase sexual desire. Sexual stimulation is necessary for tadalafil to produce its intended erectile effect.

Dosage of Pharmaceutical Cialis 20mg x 100

For FDA-approved Cialis used as needed for erectile dysfunction, the usual recommended starting dose for most patients is 10mg before anticipated sexual activity. Depending on effectiveness and tolerability, a healthcare professional may increase the dose to 20mg or reduce it to 5mg. Cialis should not be taken more than once per day when used as needed.

The 20mg tablet should therefore not automatically be considered the appropriate starting dose for every patient. Kidney function, liver function, age, other medicines, and overall health can influence the appropriate tadalafil regimen.

Cialis may be taken with or without food. Patients should follow the dosage prescribed by their healthcare professional rather than independently changing the dose or frequency.

How Does Pharmaceutical Cialis 20mg x 100 Work?

Tadalafil works by selectively inhibiting the PDE5 enzyme, which normally breaks down cyclic guanosine monophosphate (cGMP). During sexual stimulation, nitric oxide signaling increases cGMP within penile tissue. Tadalafil slows the breakdown of cGMP, supporting smooth-muscle relaxation and increased blood flow to the penis.

This pharmacological activity supports the normal erectile response when sexual stimulation occurs. Cialis does not independently create an erection or act as an aphrodisiac.

Benefits of Pharmaceutical Cialis 20mg x 100

The primary established therapeutic benefit of Cialis is the treatment of erectile dysfunction. Tadalafil can help eligible adult men achieve and maintain an erection adequate for sexual activity when sexual stimulation is present. Cialis is also approved for BPH-related symptoms at the appropriate dosing regimen.

Potential therapeutic benefits include:

  • Supports erectile function in adult men with ED
  • Promotes penile blood flow during sexual stimulation
  • Helps achieve and maintain an erection
  • Provides an established PDE5 inhibitor treatment option
  • May support treatment of BPH symptoms when prescribed at the appropriate regimen

For as-needed ED treatment, the FDA prescribing information states that tadalafil can improve erectile function compared with placebo for up to 36 hours following dosing.

When Should You Take Pharmaceutical Cialis 20mg x 100?

When Cialis is prescribed for as-needed treatment of erectile dysfunction, it is taken before anticipated sexual activity. The FDA-approved starting dose for most patients is 10mg, while 20mg may be prescribed when the response to 10mg is inadequate and the higher dose is tolerated.

Cialis may be taken with or without food. It should not be taken more than once per day when used as needed.

The 20mg strength should be used only according to the instructions provided by a healthcare professional. Once-daily Cialis for ED or BPH uses different dosing regimens and should not be substituted with 20mg tablets.

When Should You Not Take Pharmaceutical Cialis 20mg x 100?

Cialis should not be taken with organic nitrates, including nitroglycerin, because tadalafil can significantly increase the blood-pressure-lowering effects of nitrates. This combination can cause potentially dangerous hypotension. Tadalafil is also contraindicated with guanylate cyclase stimulators such as riociguat.

People with a known serious hypersensitivity to tadalafil should also avoid Cialis.

Medical evaluation is particularly important for individuals with:

  • Significant cardiovascular disease
  • Low blood pressure
  • Uncontrolled hypertension
  • Severe kidney impairment
  • Severe liver impairment
  • A history of prolonged erections
  • Current alpha-blocker therapy
  • Use of antihypertensive medicines
  • Use of potent CYP3A4 inhibitors

What is the Mechanism of Pharmaceutical Cialis 20mg x 100?

Tadalafil selectively inhibits PDE5 and allows cGMP activity to remain available for longer during sexual stimulation. Increased cGMP promotes relaxation of smooth muscle in the corpus cavernosum, supporting increased penile blood flow and erection formation.

The same mechanism explains important medication interactions. Combining tadalafil with nitrates can produce excessive blood-vessel relaxation and a potentially dangerous reduction in blood pressure.

Tadalafil can also interact with alpha-blockers, antihypertensive medicines, and substantial alcohol consumption, potentially increasing the risk of hypotension or dizziness.

Uses of Pharmaceutical Cialis 20mg x 100

Cialis has several FDA-approved indications when prescribed according to the appropriate regimen:

  • Treatment of erectile dysfunction
  • Treatment of the signs and symptoms of benign prostatic hyperplasia
  • Treatment of ED and BPH occurring together

The 20mg tablet is an approved strength for as-needed treatment of erectile dysfunction. Lower strengths are used for once-daily treatment depending on the medical indication.

Cialis is not intended to increase libido, treat infertility, prevent sexually transmitted infections, or provide contraceptive protection.

Warnings and Precautions for Pharmaceutical Cialis 20mg x 100

Cialis has important cardiovascular and drug-interaction considerations. Patients whose cardiovascular condition makes sexual activity inadvisable should receive appropriate medical evaluation before using tadalafil.

Important precautions include:

  • Never combine Cialis with nitrates.
  • Do not combine tadalafil with other PDE5 inhibitors unless specifically directed by a healthcare professional.
  • Tell your healthcare professional about all prescription and nonprescription medications.
  • Use caution with alpha-blockers and antihypertensive medicines.
  • Avoid substantial alcohol consumption.
  • Seek emergency medical attention for an erection lasting more than four hours.
  • Seek prompt medical attention for sudden vision loss.
  • Seek prompt medical attention for sudden hearing loss.

The FDA prescribing information also specifies dose restrictions for patients taking potent CYP3A4 inhibitors because these medicines can increase tadalafil exposure.

Side Effects of Pharmaceutical Cialis 20mg x 100

Common adverse reactions associated with tadalafil include:

  • Headache
  • Indigestion
  • Back pain
  • Muscle aches
  • Nasal congestion
  • Flushing
  • Pain in the limbs
  • Dizziness

These reactions are associated with tadalafil’s pharmacological effects and may be more noticeable in some patients. The FDA prescribing information identifies headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in a limb among the most common adverse reactions.

Serious symptoms require immediate medical attention. These include an erection lasting more than four hours, sudden vision loss, sudden hearing loss, severe chest pain, fainting, or significant cardiovascular symptoms.

Storage for Pharmaceutical Cialis 20mg x 100

Store Cialis according to the manufacturer’s labeled storage requirements. Keep tablets in their original packaging and protect them from excessive heat and moisture.

Keep the medication away from children and pets. Do not use tablets that are expired, damaged, or have an unusual appearance.

The current U.S. prescribing information identifies Cialis as a prescription medicine and lists tadalafil tablet strengths of 5mg, 10mg, and 20mg in the current formulation.

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Frequently Asked Questions

1. What is Pharmaceutical Cialis 20mg x 100?

Pharmaceutical Cialis 20mg x 100 refers to a package containing 100 tablets labeled at 20mg of tadalafil each. Cialis is a PDE5 inhibitor prescribed for erectile dysfunction and certain BPH-related indications.

2. Is Cialis 20mg FDA-approved?

Yes. Cialis is FDA-approved, and 20mg is an approved tablet strength. The 20mg strength is used for as-needed treatment of erectile dysfunction.

3. Is 20mg Cialis the usual starting dose?

No. The usual starting dose for as-needed ED treatment is 10mg. Depending on effectiveness and tolerability, a healthcare professional may increase the dose to 20mg or decrease it to 5mg.

4. Can Cialis 20mg be taken with nitrates?

No. Tadalafil should not be combined with organic nitrates because the combination can cause a potentially dangerous reduction in blood pressure.

5. How long can Cialis help with erectile function?

For as-needed treatment, FDA prescribing information states that Cialis can improve erectile function compared with placebo for up to 36 hours after dosing. Sexual stimulation is still required for an erection.