Description

Cialis 20 mg Effects
Cialis 20mg is generic, which successfully fights erectile dysfunction, which was caused by physiological or psychological reasons. Also, it can help men with spinal cord injuries. The drug acts for a long time, but softly, so it is suitable for both young and old men. A long duration of action allows you to drink tablets unnoticed and do not plan sex by the hour. 20 milligrams is the standard dosage that is suitable for most men, so it makes sense to buy at once 20 tablets or even more (in that way you will spare on shipping).
Cialis 20 mg 20 tabs will be an excellent acquisition for those who use the drug often, as well as for those who rarely resort to such medications. Often, this drug is used as “insurance” by those men who are not confident in their abilities (for example, after a long period without sex).
How Does It Work?
Cialis starts to act in 20-40 minutes after intake, but its effect is noticeable only during sexual arousal. Thanks to this, you should not be afraid of a surprise erection at the wrong time. During sexual excitement in the body of man begins to develop nitric oxide, which reacts to tadalafil – the main active substance of Cialis.
Under the influence of nitric oxide, tadalafil relaxes the muscles of the penis, increases blood circulation and ensures the filling of spongy and cavernous bodies with blood at maximum level. It also inhibits PDE5 (phosphodiesterase 5) enzymes, which stop the erection.
After ejaculation, the erection disappears naturally.
Using of Generic Cialis

You can take pills at any time of the day, at least in one hour before sex. Meals do not play a role, but fatty foods can slow the effect of the drug (up to an hour and a half).
Can You Take Pills Daily?
Since Cialis acts up to a day and a half, it is not necessary to take it daily. This allows men always be ready for sexual intercourse and not to spend extra money. In some cases, man can still want to use Cialis daily. This can increase the risk of side effects, since tadalafil will not be excreted from the body completely. In this case, it is desirable to reduce the dosage as much as possible. The doses of 5 mg and 2.5 mg are the best for daily intake.
Side Effects and Warnings

The main contraindications include:
- type 2 angina pectoris;
- individual intolerance to tadalafil;
- propensity to priapism;
- uncontrolled pressure surges;
- severe heart disease;
- renal or hepatic insufficiency;
- hypotension;
- arrhythmia;
- oncological diseases of blood;
- severe anemia.
It is necessary to have a preliminary consultation with a specialist if you have any chronic illnesses.
As for the side effects, Cialis, like any other medicine, is not without them. The unique dangerous side effect is priapism. This is when painful erection lasts more than four hours. If priapism occurs, seek medical help immediately. Fortunately, priapism is a very rare phenomenon.
The most common side effects include:
- reddening face and neck;
- dizziness;
- nausea and violation of the stomach;
- muscle pain;
- headache.
If you have noticed any side effects, stop taking the medication immediately. After tadalafil is excreted from the body, negative symptoms will disappear.
If side effects occur all the time, then switch to the drugs based on sildenafil (Viagra, Kamagra, Viagra Soft, etc.), vardenafil (like Levitra, Super Zhewitra) or avanafil (for example, Stendra).
About Interaction

Tadalafil can be combined with a small amount of alcohol – no more than 2-3 cl of ethyl alcohol.
As for medicines, there are no special restrictions. There is a small list of drugs that cannot be combined with it:
- medicines containing nitrates;
- some antifungal drugs;
- erythromycin and some other antibiotics;
- alpha and beta-blockers;
- inhibitors that are used in the treatment of AIDS and HIV.
Any long-term medication can negatively affect the work of internal organs, in particular – the liver. If you regularly take any medications, tell your doctor about it before using Cialis.
Users’ Reviews
Are generics worth to be trusted? Many people ask this question, so they cannot believe that a medicine with a low cost can be same effective as the expensive brand mean. Read the reviews of people who have already bought generic Cialis and greatly improved their sex life.
Where to Buy Cheap Cialis 20mg 20 Tabs in the USA?

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