CIALIS 20

CIALIS 20 is the original brand-name medication that revolutionized the treatment of erectile dysfunction (ED) thanks to its active ingredient, Tadalafil (20 mg). It gained worldwide fame as "the weekend pill" due to its unprecedentedly long duration of action – up to 36 hours. This is the standard maximum dosage, designed for men who value spontaneity and want to be ready at any moment over a day and a half.

How CIALIS 20 works: Mechanism of action

The mechanism of CIALIS 20 is based on the selective inhibition of PDE5.

1. Stimulation is required: It is crucial to understand that CIALIS 20 is not an aphrodisiac. It does not cause an erection on its own; it only creates the ideal physiological conditions for one. Natural sexual arousal is necessary for it to work.

2. Vessel relaxation: Upon arousal, Tadalafil blocks the PDE5 enzyme, allowing the smooth muscles in the blood vessels of the penis to relax.

3. The Result: Blood fills the corpora cavernosa without obstruction, causing a powerful, natural erection.

4. Duration: The main difference from Sildenafil is its half-life. CIALIS 20 remains active in the system for up to 36 hours.

Instructions for use for CIALIS 20

Proper administration is key to effectiveness.

• Dosage: 20 mg (1 tablet) is the maximum single dose.

• For Beginners: The medical standard is to start with 10 mg (half a tablet). The 20 mg dose is for those who find 10 mg insufficient.

• Timing: Take the tablet at least 30-40 minutes before planned sexual activity.

• Food and Alcohol: A huge advantage of CIALIS 20 is that its effectiveness is not affected by fatty food. You can take it after dinner. Moderate amounts of alcohol are permissible, but heavy drinking will reduce erection.

• Frequency: Due to its long duration (36 hours), do not take the drug more often than once every 48 hours.

Indications for Tadalafil use

CIALIS 20 is indicated for the treatment of erectile dysfunction (the inability to achieve or maintain an erection) in adult men. (Lower doses, 5 mg, are also used for daily ED therapy and to treat BPH – benign prostatic hyperplasia).

Contraindications to CIALIS 20: Important information

This is the most critical section. It is strictly forbidden to take CIALIS 20 if you have:

• Nitrate Use! Any nitric oxide donors (Nitroglycerin, isosorbide mononitrate, etc.). This combination is FATALLY DANGEROUS and causes a fatal drop in blood pressure.

• Severe heart disease: A recent heart attack or stroke (in the last 3-6 months), severe heart failure.

• Severe liver or kidney failure.

• Hypotension: Persistently low blood pressure.

• An allergy to Tadalafil.

• NAION: A history of vision loss from non-arteritic anterior ischemic optic neuropathy.

Possible side effects

The side effects of Tadalafil are slightly different from Sildenafil.

• Common: Headache, dyspepsia (indigestion), flushing.

• Characteristic of Tadalafil: Back pain and muscle aches (myalgia). This effect is not dangerous and usually passes within 12-48 hours.

• Changes in color vision ("blue haze"), unlike Sildenafil, are very rare with CIALIS 20.

CIALIS 20: A doctor answers common questions

Question: Will my erection last for 36 hours? Answer: No. 36 hours is the "window of opportunity." An erection will only occur when you are aroused. The rest of the time, your penis will be in a flaccid state.

Question: What is better: CIALIS 20 (Tadalafil) or Viagra/Cenforce (Sildenafil)? Answer: It's like a marathon runner vs. a sprinter. Sildenafil (4-6 hours) is powerful but short-acting and is best taken on an empty stomach. CIALIS 20 (up to 36 hours) is ideal for spontaneity, can be taken after food, and lasts 6 times longer.

Question: Can I split the CIALIS 20 tablet? Answer: Yes. Splitting a 20 mg tablet is a medically sound way to get the starting dose of 10 mg.

Conclusion: CIALIS 20 is the choice for men who value spontaneity and do not want to plan sex "by the clock." It is the "long-duration" drug for a confident weekend.