Cialis tablets 20mg N4

Use Cialis is intended for the treatment of erectile dysfunction in adult men. The effectiveness of the drug is manifested only with sexual stimulation. How to take Cialis is taken orally at least 30 minutes before anticipated sexual activity. The effect of tadalafil can last up to 36 hours after taking the dose. The maximum recommended frequency of administration is once a day. Tadalafil 20 mg is not recommended for daily use; it is intended for use before anticipated sexual activity. Contraindications - Hypersensitivity to tadalafil or to any other component of the drug. - Concomitant use with organic nitrates in any dosage form, as tadalafil enhances their hypotensive effect. - Men with heart conditions for whom sexual activity is undesirable. - Patients with rare hereditary forms of galactose intolerance, glucose-galactose malabsorption syndrome, or Lapp lactase deficiency, due to the lactose content in the drug. - Not recommended for use in children and adolescents under 18 years of age. Use with caution in patients predisposed to priapism (e.g., sickle cell anemia, multiple myeloma, or leukemia) or with anatomical deformation of the penis (e.g., angulation, cavernous fibrosis, or Peyronie's disease). The patient should be informed of the need to seek immediate medical attention if an erection lasts 4 hours or more.