What is tadalafil 20mg?

• Tadalafil 20mg, sold under the name Generic Cialis, relaxes muscles and increases blood flow to particular areas of the body.
• Tadalafil 20mg is used to treat erectile dysfunction (ED, impotence).
• Tadalafil 20mg may also be used for purposes other than those listed in this medication guide.

Why is generic cialis (tadalafil 20mg) so cheap?

• Unlike generic tadalafil and other generic drugs, a large part of the costs incurred by original manufacturers of brand name Cialis are for research and development and advertising. The expense of obtaining FDA approval alone in the U.S. is enormous. Manufacturers of generic drugs do not have to absorb or recover these costs. Consequently, significant cost savings can be passed along to you!

Should I have a prescription to buy generic cialis from you?

• No, you need not. We do not require any prescription from our customers. However we would strongly recommend you to consult your doctor before you buy tadalafil 20mg. You may have some diseases contra-indicated for taking generic cialis and your doctor will advise you what you can or cannot take.

What should I do to buy cheap generic cialis (tadalafil 20mg) from you?

If you wish to buy generic cialis from us you are to do the following:

1. Choose the product you are to purchase by clicking "buy now" button
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3. Click "Checkout"
4. Fill in the order information required
5. Check all the fields, pills quantity and press on "Submit" button
6. If the order is accepted you will see the notification on the screen and the order confirmation message will be automatically sent to the email address you specify. This message is very important, in case you do not receive it within 10 minutes, let us know and we will resend it once again. This message can be downloaded from your account section (Check Your Bonus).

What should I discuss with my doctor before I buy cheap generic Cialis (tadalafil 20mg)?

• Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before you buy cheap generic cialis, we recommend you to tell your doctor if you have:
  • heart disease or heart rhythm problems;
  • a recent history a heart attack (within the past 90 days);
  • a recent history of stroke or congestive heart failure (within the past 6 months);
  • angina (chest pain);
  • high or low blood pressure;
  • liver disease;
  • kidney disease (or if you are on dialysis);
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • a bleeding disorder such as hemophilia;
  • a stomach ulcer;
  • retinitis pigmentosa (an inherited condition of the eye);
  • a physical deformity of the penis (such as Peyronie's disease); or
  • if you have been told you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use tadalafil or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• Although cheap cialis (tadalafil 20mg) is not for use in women, it is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• You may need a lower dose of generic cialis if you are older than 65. Follow your doctor's instructions.

How should I take tadalafil 20mg?

• Take each dose of cheap generic cialis with a full glass of water.
• Avoid taking High-fat food before taking generic cialis as it may cause the medicine to take more time to start working.
• Tadalafil 20mg is usually taken only when needed, 30 - 60 minutes before sexual activity. Tadalafil can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
• Do not take generic cialis more than once a day. Allow 24 hours to pass between doses.
• Store tadalafil 20mg pills at room temperature away from moisture and heat.

What happens if I miss a dose of tadalafil 20mg (cheap generic cialis)?

• Since tadalafil is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of tadalafil 20mg (cheap generic cialis).
• Symptoms of a tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking generic tadalafil 20mg?

• Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
• Grapefruit and grapefruit juice may interact with tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

What are the possible side effects of cheap generic cialis?

• Tadalafil 20mg has been used in approximately 15,000 men participating in clinical trials, and over 8 million men wordwide (primarily in the post-approval/post-marketing setting). The most common side effects when using cheap generic cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects reflect the ability of PDE5 inhibition to vasodilate (cause blood vessels to widen) and usually go away after a few hours. Back pain and muscle aches can occur 12 to 24 hours after taking the drug, and the symptom usually disappears after 48 hours.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of tadalafil.
• Stop using tadalafil and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using tadalafil and call your doctor at once if you have any of these serious side effects:
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • irregular heartbeat;
  • swelling in your hands, ankles, or feet;
  • shortness of breath;
  • vision changes;
  • feeling light-headed, fainting; or
  • penis erection that is painful or lasts 4 hours or longer.
• Continue taking tadalafil and talk with your doctor if you have any of these less serious side effects:
  • warmth or redness in your face, neck, or chest;
  • stuffy nose;
  • headache;
  • upset stomach; or
  • back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What drugs may interact with generic cialis (tadalafil 20mg)?

Do not take tadalafil if you are taking the following medications:

• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Tadalafil (cheap generic cialis) may also interact with the following medications:

• alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate.
• bosentan
• certain antibiotics such as clarithromycin, erythromycin, troleandomycin
• certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
• cimetidine
• cisapride
• diltiazem
• grapefruit juice
• medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
• mibefradil
• nicardipine
• certain medicines for the treatment of HIV infection or AIDS
• quinidine
• rifabutin, rifampin or rifapentine
• some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
• verapamil

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.