Common uses: This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use "safe sex" practices such as latex condoms. Contact your doctor or pharmacist for more details.

Chemical Name: TADALAFIL (tah-DA-la-fil)

[Cialis]. Medications should only be taken in accordance with the advice of your medical professional.

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Cautions: DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. THIS MEDICINE MAY RARELY CAUSE DIZZINESS OR VISION CHANGES. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. TO MINIMIZE DIZZINESS OR LIGHTHEADEDNESS, sit up or stand slowly when rising from a seated or lying position. Alcohol may increase your risk for side effects, including headache, dizziness, or lightheadedness. AVOID EXCESSIVE AMOUNTS of alcohol when using this medicine. Ask your doctor or pharmacist for more information. DO NOT EXCEED THE RECOMMMENDED DOSE without checking with your doctor. Your dose is based on your medical condition, response to therapy, and the other medicines you are taking. SEXUAL ACTIVITY may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any serious side effects while having sex, stop having sex and tell your doctor immediately. These side effects include severe dizziness, fainting, chest pain, or nausea. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the side effects of this medicine. THIS MEDICINE SHOULD NOT BE USED IN WOMEN OR CHILDREN.

Before using: Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking or using any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or any "nitric oxide donor" medicine, or recreational drugs called "poppers" containing amyl or butyl nitrate because very serious interactions may occur. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist before taking this medicine. DO NOT TAKE THIS MEDICINE if you are taking certain alpha-blocker medicines such as alfuzosin, doxazosin, prazosin, or terazosin. If you are taking any of these medicines, contact your doctor or pharmacist before taking this medicine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking any other medicine for erectile dysfunction; certain antifungal medicines such as itraconazole or ketoconazole; macrolide antibiotics such as clarithromycin or erythromycin; medicine for high blood pressure; or HIV protease inhibitors such as ritonavir or indinavir. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including penis problems; history of painful or prolonged erection; any heart problems; kidney problems; stomach ulcers; bleeding problems; blood cell problems such as sickle cell anemia, leukemia, or myeloma; eye diseases, especially retina diseases such as retinitis pigmentosa; uncontrolled high blood pressure; or allergies. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of angina or chest pain, heart attack, stroke, low blood pressure, severe liver problems, or if you have been told by your healthcare provider to not have sexual activity because of certain health problems. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions: Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. TAKE THIS MEDICINE by mouth as needed before sexual activity as directed by your doctor. DO NOT TAKE THIS MEDICINE more often than once daily. If you are taking certain other medicines you may only be able to take this medicine one time every two or three days. Contact your doctor or pharmacist for more information. This medicine may be taken on an empty stomach or with food. STORE THIS MEDICINE at room temperature 77 degrees F (25 degrees C) in a tightly-closed container, away from heat and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted.

Drug interactions: Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

Possible side effects: SIDE EFFECTS that may occur while taking this medicine include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, back pain, muscle pain, or vision changes such as trouble telling the difference between blue and green or seeing a blue tinge to objects. If these continue or are bothersome, check with your doctor. In the unlikely event that you have a painful or prolonged erection (lasting more than 4 hours), stop using this medicine and seek immediate medical attention or permanent problems may occur. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Additional information: If your symptoms do not improve or if they become worse, check with your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed, since they may have a problem that is not effectively treated with this medicine, or they may have a condition that is complicated by this medicine. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

If you take too much: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include back pain, muscle pain, and abnormal vision.

20 mg 1 capsules

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From a physician's point of view, generic drugs are better than branded prescription medications, for their chemical composition and way of taking are maximally well studied. Means generic drugs are more reliable and safe drugs. Accordingly, risks of eventual side effects are set up to the minimum for the manufacturer. Purchase brand name and generic medicines like Cialis at discount prices when compared to regular pharmacy stores. Only take medications in accordance with the advice of your doctor or medical professional and you must only take Brand Name and Generic Medications if you are in possession of a valid prescription.

[Cialis]

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If a generic is proposed to you?

If you ordered with the online drug store, for example generic viagra, do not be surprised to receive medications with a different name. Since generic are bioequivalent (made of the same active chemical elements) to branded pills, but just named differently. Popular and known drugs are manufactured by pharmaceutical companies-inventors, and generic are manufactured by other companies, after patent terms are out.

From a physician's point of view, generic drugs are better than branded prescription medications, for their chemical composition and way of taking are maximally well studied. Means generic drugs are more reliable and safe drugs. Accordingly, risks of eventual side effects are set up to the minimum for the manufacturer.

The FDA (Food and Drug Administration) controls the quality of all medications. Before allowing any manufacturer to start clinical tests generics or prescription medications must be registered at the FDA. More over pills can be on sale only they were approved. The methods of control used by the FDA are so strict that not more 1/5 of drugs are approved.

Who manufactures generic drugs?

Make sure to first know who manufactures the prescription medications, you intend to purchase. For example, if the generic viagra, proposed by the online drug store, is manufactured in India, means it is a quality and good generic. It is known that India — is the biggest and reliable manufacturer of generics. Large parts of generics are made in India. Among them we can name drugs for depression, prescription diet pills, sleeping pills, blood pressure medication, birth control pills, pain medication, slimming pills, asthma medication, impotence medication, stop smoking medication, arthritis medication and many other pills.

How much high quality prescription drugs and generics cost?

Be aware of purchasing too cheap prescription drugs. Keep in mind the fact that no one will sell regardless of the profits! That's why any reliable online drug store will never sell quality medication at the same prices it purchases pills from manufacturers. Thus more the online drug store, whose prices for drugs are closed to the prices proposed by other stores. If you find a site where prices are considerably lower than usual — do not hurry to purchase. More probably, you do will receive poor quality prescription medications and do will loose your money.

However show attention when purchasing generic and not branded pills! Thus manufacturing and advertising generics is substantially less expensive than doing the same with branded pills, that's why generics are always cheaper! A generic can cost 10, 20 or even 50 times lower than its equivalent branded drug. That's why prices for one generic must be compared only to the prices for another generic, and to the ones for branded pills. If you find on an online drug store generic at a quite lower price than on other stores — make the choice in favor of the usual, common price which justifies itself.