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generic cialis online india

generic cialis online india

Indications:
erectile dysfunction (ED);
symptoms of lower urinary tract in patients with benign prostate hyperplasia;
erectile dysfunction in patients with lower urinary tract symptoms on the background of benign prostatic hyperplasia.

Contraindications:
hypersensitivity to tadalafilu or to any substance included in the composition of the product;
preparations containing any organic nitrates;
use in individuals to 18 years;
contraindications to sexual activity in patients with diseases (myocardial infarction within the last 90 days, unstable angina, the emergence of attack of angina pectoris during intercourse chronic heart failure II-IV class NYHA classification, uncontrolled arrhythmia, arterial gipotenzia (BP less than 90/50 mm Hg), uncontrolled arterial hypertension, ischemic stroke within the past 6 months);
loss of vision due to nearterial?noj of the anterior ischemic neuropathy optic nerve (regardless of the reception of PDE-5 inhibitors);
simultaneous reception doksazosine, as well as for the treatment of erectile dysfunction;
frequent (more than 2 times per week) in patients with chronic renal insufficiency (Cl creatinine 30 mL/min);
lactase deficiency, lactose intolerance, glucose-galaktoznaa malabsorption.
Caution: because there is no data for patients with severe hepatic insufficiency (class with Child-Pugh classification), caution should be exercised when prescribing medication Cialis this group of patients.

Caution must be exercised when prescribing medication Cialis patients receiving Alpha1-adrenoceptor antagonists, because simultaneous use can lead to symptomatic arterial hypotension in some patients. The study of clinical pharmacology from 18 healthy volunteers who received single dose of cialis, was observed symptomatic arterial hypotension with the simultaneous introduction of tamsulosin al?fa1A-adrenoblocker (see. "Interaction").

generic cialis online india

Diagnosis of erectile dysfunction should include identification of the potential root cause, appropriate medical examinations and determining treatment tactics.

Cialis should be used with caution in patients with a predisposition to priapizmu (with sickle cell anemia, multiple myeloma, or leukemia) or with anatomical deformation of the penis (angular curvature, cavernous fibrosis or Peyronie's disease). You should also use caution while receiving with powerful inhibitors izofermenta CYP3A4 (ritonavir, saquinavir, ketoconazole, itraconazole, erythromycin), hypotensive means. Use in pregnancy and breastfeeding:
Medication Cialis is not intended for use in women. Side effects:
The most frequent undesirable phenomena in patients with ED are headache and neuralgia, as well as back pain, mialgia, tides blood to a person, zalojennosti nose.

The most frequent undesirable phenomena in patients with Ed/BPH are headache and neuralgia, pain in the extremities, gastroesophageal reflux, myalgia.

Immune system: infrequent 0.1%) 1 hypersensitivity reactions.

From the nervous system: very common 10%) headache; frequently 1% 10%), dizziness; rarely 0.01%, 0.1%), stroke (including acute violation of cerebral circulation on gemorragiceskomu type), obmorok1, transient ischemic ataki1, migren?3, an epileptic fit, transient amnesia.

On the part of organs of vision: infrequently 0.1%) 1 blurred vision, pain in the eyeball; rarely 0.01%, 0.1%) breach fields of vision, swelling of the eyelids, injection of receptacles eyeball sclera, nearterial?naa anterior ischemic optic neuropathy (NAPION) 3, vascular occlusion setcatki3.

Of the organ of hearing and labyrinth disorders: rare 0.01 0.1%), sudden loss of sluha2.

By SSS: infrequently 0.1%) 1 palpitations, tachycardia, a decline ad (in patients who already were taking antihypertensive), raising HELL; rarely 0.01 0.1%), myocardial infarction, ventricular ritma3 violations, unstable stenokardia3.

Respiratory system: rarely 0.1%) 1 nasal congestion, shortness of breath; rarely 0.01 0.1%), nosebleeds.

On the part of the DIGESTIVE TRACT: frequently 1%) 10 neuralgia; infrequently 0.1%) 1 stomach pain, gastroesophageal reflux.

From the side of the skin and subcutaneous tissue: infrequently 0.1%) 1 rash, Hyperhidrosis (excessive sweating); rarely 0.01 0.1%), urticaria, syndrome Stevens-Dzonsona3, exfoliative dermatit3.

By Musculoskeletal and connective tissue: frequently 1%) 10 back pain, myalgia.

From the genital organs and breast cancer: rare 0.01, 0.1%) long erection, priapizm3.

General Disorders: infrequent 0.1%) 1 sore grudi1; rarely 0.01 0.1%), swelling of the face
General Disorders: infrequent (? 0.1%) 1 < sore grudi1; rarely (? 0.01 0.1%), < lica3 swelling, sudden cardiac smert?1, 3.

1 have been observed in patients previously with cardiovascular risk factors. However, it is not possible to determine whether these phenomena directly from these risk factors, tadalafilom, sexual arousal or a combination of these or other factors.

2 on sudden hearing loss has been reported in a small number of cases of postmarketingovyh and clinical research when applying all PDE-5 inhibitors, including tadalafil.

3 adverse reactions found during postmarketingovyh studies is not observed in the placebo-controlled clinical studies.

Overdose:
The one-time appointment of healthy individuals in cialis dose to 500 mg and patients with Ed — repeatedly up to 100 mg/day, unwanted effects were the same as when applying the lower doses.

Treatment: in the case of an overdose should be carry out standard symptomatic treatment. In gemodialise tadalafil practically is not displayed.

Dosage and administration:
Inside.

The drug Cialis ® for reading ED. For patients with frequent sexual activity (more than 2 times per week): recommended daily intake frequency, 1 times per day 5 mg at the same time, regardless of the meal. Daily dose can be reduced to 2.5 mg depending on individual sensitivity.

For patients with infrequent sexual activity (2 times per week): recommended use of the drug Cialis ® at a dose of 20 mg, just before sexual activity, according to the instructions on the medical use of the drug. The maximum daily dose Cialis ® is 20 mg.

The drug Cialis ® for BPH indication or ED/BPH. The recommended dose of Cialis ® when applying 1 time per day is 5 mg; the drug should be taken at approximately the same time of day, regardless of the time of sexual activity. Duration of treatment set individually by a doctor. In patients with renal insufficiency light gravity (Cl creatinine from 51 to 80 mL/min) and moderate (Cl creatinine from 31 to 50 mL/min) dose adjustment is not required.

In patients with severe degree of renal failure (Cl creatinine < 30 mL/min and hemodialysis): application of Cialis ® 1 times per day is not recommended.