Generic Cialis (Tadalafil) 20mg

Description

Buy Canadian Cialis Online 20mg

Cialis blocks cyclic guanosine monophosphate (cGMP) very effectively and selectively at the phosphodiesterase type 5 (PDE 5) level. When sexual excitement produces local nitric oxide release, Cialis inhibiting PDE 5 causes an increase in cGMP levels in the cavernous body of the penis. It produces arterial smooth muscle relaxation and increased blood flow to the penile tissues, resulting in erections. Buy Canadian Cialis Online From Kens Pharmacy

When sexual excitement is not there, Cialis has no effect. Cialis enhances erections and allows for a satisfying sexual encounter. The medicine works for 36 hours. If sexual arousal is present, the impact appears even 16 minutes after taking the medicine.

Dosage and direction

Cialis’s suggested dose is 20 mg, and it should be taken at least 16 minutes before sexual activity. The impact lasts for 36 hours. Cialis should be used once daily, and the suggested dose should not be exceeded.

Precautions

Cialis should not be taken with grapefruit juice, alcoholic beverages, or smoke. If you smoke and use Cialis at the same time, you may develop NAION (sudden optic nerve-related vision loss). If you have an abnormal penis, including a curved penis and birth defects of the penis, or if you have a history of coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess lipids in the blood), sickle-cell anemia, liver or kidney failure, inform your doctor before taking Cialis.

Contraindications

Cialis is contraindicated in patients who are using any type of organic nitrate, either routinely or occasionally, because it has the potential to increase the hypotensive effect of nitrates. Buy Canadian Cialis Online From Kens Pharmacy

Possible side effects

Cialis commonly causes facial flushing (reddening), headaches, stomach trouble, diarrhea, flu-like symptoms, and nausea. Low blood pressure, hazy vision, changes in color vision, and abnormal ejaculation may occur in more unusual cases. Prolonged erections, often known as priapism (painful erections that last more than 6 hours), are also conceivable. If your erection lasts more than four hours, get immediate medical attention since it may permanently harm your penis. Cialis has been linked to an increase in heart issues in people with pre-existing heart disease.

Drug interactions

Co-administration with organic nitrate-containing drugs may result in severe hypotension, which can be fatal in some situations. Calis should not be taken with Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, or Pentaerythritol Tetranitrate. Erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan), and ritonavir (Norvir) raise Cialis levels and toxicity. Inform your doctor if you are taking Atazanavir, Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, or Urapidil, as your Cialis dose may require correction.

	100% successful delivery		Confidentiality and anonymity guarantee
	Safe and secure		Discrete looking packages
	Dispatch orders within 24 hours		Shipping Worldwide