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free samples cialis

free samples cialis

Indications:

Treatment of dysfunction characterized by the inability to achieve or maintain an erection of the penis sufficient for satisfactory sexual intercourse.

Sildenafil is effective only when sexual stimulation. Contraindications:
hypersensitivity to sildenafilu or any other component of the drug;
use in patients receiving either permanently or intermittently nitric oxide donors, organic nitrites or nitrates in any form because sildenafil increases gipotenzivne effect of nitrates (see "interactions");
joint application with other agents for the treatment of erectile dysfunction (safety and efficacy of the drug cialis with a joint application is not examined, see "special instructions"), so the use of such combinations is not recommended;
not intended for use by a registered indication in children under 18 years of age;
not intended for use by a registered indication.
With caution:

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anatomical deformation of the penis (angulacia, cavernous fibrosis or Peyronie's disease) (see "special instructions");
disease predisposing to the development of priapizma (sickle cell anemia, multiple myeloma, leukemia, trombozitemia) (see "special instructions");
disease causing bleeding;
worsening ulcers;
hereditary Retinitis Pigmentosa (see "special instructions");
heart failure, unstable angina, migrated in the last 6 months of myocardial infarction, stroke or zizneugrozausie arrhythmia, arterial hypertension (BP 170/100 mmHg) or hypotension (BP 90/50 mmHg) (see "contraindications").

Use in pregnancy and breastfeeding:
Registered indication the product is not intended for use in women. Side effects:
Usually the side effects of the drug cialis to weakly or moderately expressed and are of a transitory nature.

free samples cialis

In studies using a fixed dose shows that some adverse events frequency increases with dose.

When using the drug cialis in doses exceeding recommended, adverse events were similar with the above, but usually have met more often.

Violations of the general condition: reactions of hypersensitivity (including skin rash).

Changes in the CENTRAL NERVOUS SYSTEM and peripheral nervous system: seizures.

Changes in the SSA: tachycardia, a decline ad, fainting, nasal bleeding.

Gastrointestinal disorders: vomiting.

Changes on the part of the organ of vision: eye pain, eye redness/skler injections.

Violations by the reproductive system: prolonged erections and/or priapism. Overdose:
Symptoms: the one-time admission drug cialis dose to 800 mg adverse events were comparable with those in the employment drug in lower doses, but met frequently.

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Treatment: symptomatic. Hemodialysis is not speeding up clearance of sildenafil because the last actively binds to plasma proteins and not report the news. Dosage and administration:
Inside, approximately 1 hour before sexual activity.

The recommended dose for most adult patients is 50 mg. Taking into account efficiency and endurance dose can be increased to 100 mg or decreased to 25 mg. The maximum recommended dose of 100 mg. Maximum recommended frequency of use is 1 times per day.

Violations of the kidney. In mild and moderate degree of renal failure (Cl creatinine 30-80 mL/min) dose adjustment is not required, when severe renal insufficiency (Cl creatinine 30 mL/min) dose sildenafil should be reduced to 25 mg.

Violations of the liver. Because the excretion of sildenafil is disturbed in patients with liver damage (in particular with cirrhosis), dose of the drug cialis should be reduced to 25 mg.

Joint application with other HP

When coupled with the use of ritonavir the maximum single dose of the drug cialis should not exceed 25 mg, and frequency of use is 1 times in 48 hours (see "interactions").

When coupled with the use of inhibitors izofermenta zitohroma CYP3A4 (erythromycin, saquinavir, ketoconazole, itraconazole), the initial dose of the drug cialis should be 25 mg (see "interactions").

To minimize the risk of postural hypotension in patients receiving ?-adrenoceptor antagonists, the admission of the drug cialis should be started only after hemodynamic stabilization in these patients. You should also consider the feasibility of reducing the starting doses of sildenafil (see "special instructions" and "interactions").

Elderly patients. cialis dose adjustment is not required.