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NitroglycerinTadalafil Sexual Enhancement Supplements for Erectile Dysfunction        

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NitroglycerinTadalafil Sexual Enhancement Supplements for Erectile Dysfunction        

Brand Name : KANGDISEN
Model Number : Yellow tablets
Certification : GMP
Place of Origin : China
MOQ : negotiatable
Price : negotiatable
Payment Terms : T/T, MoneyGram, bitcoin, Western Union
Supply Ability : 1000,000 pills each month
Delivery Time : 3 days
Packaging Details : bottles or in blister
CAS : 171596-29-5
Biological half-life : 17.5 hours
Synonyms : Cialis, Adcirca
Molar : 389.404 g/mol
Bioavailability : Varies
Formula : C22H19N3O4
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NitroglycerinTadalafil Sexual Enhancement Supplements for Erectile Dysfunction


We can supply cialis tablets as the picture shows.


Indications:


CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.

IMPORTANT SAFETY INFORMATION FOR CIALIS® (tadalafil) tablets

What Is The Most Important Information I Should Know About CIALIS?


Do not take CIALIS if you:


  • take medicines called “nitrates” such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” like amyl nitrite and butyl nitrite.


  • take medicines called guanylate cyclase stimulators such as riociguat (Adempas®),* a medicine used to treat pulmonary hypertension as the combination may cause an unsafe drop in blood pressure.


  • are allergic to CIALIS or ADCIRCA® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing.


After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.


Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.


What Should I Tell My Healthcare Provider Before Taking CIALIS?


CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had:


  • heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack


  • pulmonary hypertension


  • low blood pressure or high blood pressure that is not controlled


  • stroke


  • liver or kidney problems or require dialysis


  • retinitis pigmentosa, a rare genetic (runs in families) eye disease


  • severe vision loss, including a condition called NAION


  • stomach ulcers or a bleeding problem


  • a deformed penis shape or Peyronie’s disease


  • an erection that lasted more than 4 hours


  • blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?


Tell your healthcare provider about all the medicines you take, especially:


  • medicines called "nitrates" which are often prescribed for chest pain


  • medicines called guanylate cyclase stimulators, such as riociguat (Adempas®), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension


  • alpha-blockers often prescribed for prostate problems


  • blood pressure medications


  • medicines for HIV or some types of oral antifungal medications


  • some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine)


  • other medicines or treatments for erectile dysfunction (ED)


  • CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio®)* with CIALIS.

How Should I Take CIALIS?


  • CIALIS should not be taken more than one time each day. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Take CIALIS exactly as your healthcare provider prescribes it.


What Should I Avoid While Taking CIALIS?


  • Do not use other ED medicines or ED treatments.


  • Do not drink too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?


The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.


Uncommon but serious side effects include:An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.


In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.


CIALIS does not:

Cure ED, increase a man's sexual desire, protect a man or his partner from sexually transmitted diseases, including HIV or serve as a male form of birth control.


CIALIS is available by prescription only.


*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.



More Information About Cialis


What is tadalafil?


Tadalafil relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.


Tadalafil under the name of Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.

Do not take Cialis while also taking Adcirca, unless your doctor tells you to.

Tadalafil may also be used for purposes not listed in this medication guide.


Important information



Some medicines can cause unwanted or dangerous effects when used with tadalafil. Tell your doctor about all your current medicines, especially riociguat (Adempas).


Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers".


Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.


Cialis: 7 Important Things You Need to Know



Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.


Stop using tadalafil and get emergency medical help if you have sudden vision loss.


Before taking this medicine


You should not take tadalafil if you are allergic to it, or:


if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).


Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers").


Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.


To make sure tadalafil is safe for you, tell your doctor if you have any of these other conditions:


heart disease or heart rhythm problems, coronary artery disease;


a recent heart attack (within the past 90 days);


a recent history (in the past 6 months) of a stroke, or congestive heart failure;


angina (chest pain), high or low blood pressure;


liver or 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.


Tadalafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra or other drugs similar to tadalafil.


Most of these people also had certain pre-existing eye problems or risk factors for blood vessel disorders (such as heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether tadalafil is the actual cause of vision loss.


This medicine is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.


It is not known whether tadalafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.


How should I take tadalafil?


Tadalafil is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.


Tadalafil can be taken with or without food.


Do not break or split a Cialis tablet. Swallow it whole.


For erectile dysfunction, take Cialis just before sexual activity but not more than once per day.

Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.


During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of tadalafil.


Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.

Store at room temperature away from moisture and heat.


What happens if I miss a dose?


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


If you take tadalafil every day and you miss a dose, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What should I avoid while taking tadalafil?


Drinking alcohol with this medicine can cause side effects.


Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.


Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.



Tadalafil side effects


Get emergency medical help if you have any signs of an allergic reaction to tadalafil: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.


Stop using tadalafil and get emergency medical help if you have:


erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis);
vision changes or sudden vision loss; or


heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.


Also call your doctor right away if you have:


ringing in your ears, or sudden hearing loss;
irregular heartbeat;


swelling in your hands, ankles, or feet;
shortness of breath;


seizure (convulsions); or


a light-headed feeling, like you might pass out.



Common tadalafil side effects may include:


headache;


diarrhea;


sinus pain, sore throat; or


muscle pain.


Tadalafil dosing information


Usual Adult Dose for Erectile Dysfunction:


Use as needed for ED:


-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity


-Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability


Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.


Once a day use for ED:


-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity


-Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability.


Once daily use for ED and Benign Prostatic Hyperplasia (BPH):


-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Use: Treatment of erectile dysfunction (ED)


Usual Adult Dose for Pulmonary Hypertension:


Adcirca (R):


-40 mg orally once a day


Comment:

Dividing the 40 mg dose over the course of the day is not recommended.


Usual Adult Dose for Benign Prostatic Hyperplasia:


Once daily use for BPH:


-5 mg orally once a day at approximately the same time


Concomitant administration with finasteride:


-5 mg orally once a day at approximately the same time, for up to 26 weeks


Comments: The incremental benefit of this drug decreases from 4 weeks until 26 weeks. The incremental benefit of this drug beyond 26 weeks is unknown.


Once daily use for ED and BPH:


-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)


What other drugs will affect tadalafil?


Tell your doctor about all your current medicines and any you start or stop using, especially:

an antibiotic or antifungal medicine;


antiviral medicine to treat hepatitis C or HIV/AIDS;


drugs to treat high blood pressure or a prostate disorder; or
seizure medicine.




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