Tadalafil 20mg Tablets (Generic Cialis)

Tadalafil tablets are the unbranded, generic version of the well-known Erectile Dysfunction (ED) medication Cialis. Tadalafil tablets tackle ED by increasing the flow of blood to your penis, helping you to both achieve, and maintain, an erection. Because of the expiration of the Cialis patent, Tadalafil (Generic Cialis) is now available for sale in the UK as a cheaper form of ED medication.

Tadalafil tablets begin to take effect 30-60 minutes after they have been administered. Once one tablet has been taken, it is then effective for up to 36 hours. This led to Tadalafil tablets being called ‘the weekend pill’, as it lasts for much longer than traditional ED pills like Viagra.

The active ingredient of Generic Cialis tablets is the drug Tadalafil. Tadalafil helps to increase the flow of blood to your penis by preventing the chemical Phosphodiesterase type 5 from acting within your body.

This keeps your blood vessels dilated for longer than they would be normally, which then makes it easier for the blood to reach your penis — effectively getting and keeping an erection.

Tadalafil tablets do not work without sexual stimulation — they will not produce an erection without you being sexually stimulated or ‘turned on’. This is because the drug Tadalafil enhances the chemical messages responsible for producing an erection; it does not, and cannot, fully replace or replicate these messages.

There are many causes of ED and it affects men of all age and health levels. However, ED has been reported to be a symptom of early stage diabetes, high blood pressure, and poor circulation, while it is also more common in men who are smokers and/or overweight.

ED can also be caused by stress, smoking, alcohol and fat consumption, and cycling for over 3 hours a day.

Failing to treat ED can lead to stress, anxiety, depression, and difficulties in your close relationship(s).

In addition to Generic Cialis/Tadalafil tablets, there are a further ED seven medications that you can purchase online from The Independent Pharmacy. These are:

• Viagra tablets (25mg, 50mg, 100mg)
• Sildenafil tablets: low cost generic Viagra (25mg, 50mg, 100mg)
• Cialis tablets (2.5mg, 5mg, 10mg, 20mg)
• Levitra tablets (5mg, 10mg, 20mg)
• Spedra tablets (50mg, 100mg, 200mg)
• Vitaros cream

No combination of Viagra/Sildenafil, Cialis, Levitra, Spedra or other ED treatment should be used at the same time – you should leave a break of up to 24 hours (36 hours for Cialis/Generic Cialis Tadalafil).

There are also a series of Non-Prescription Alternatives available for treating ED. These include:

• Changes to your diet (such as reducing your alcohol and fat consumption)
• Counselling
• Lowering your stress levels
• Stopping Smoking
• Vacuum Devices (Penis Pumps).

You must take the following warnings into consideration when you are taking Tadalafil:

• You should not take more than 1 Tadalafil tablet per day
• Tadalafil tablets can cause dizziness, which could affect your ability to drive or operate machinery safely. You must not drive or operate machinery until you are aware of the effect the medication will have on you.
• If taken in conjunction with alcohol, Tadalafil tablets could cause a drop in your blood pressure. Consuming alcohol while taking Tadalafil tablets may also impair your sexual performance.
• If taken in conjunction with alcohol, Tadalafil tablets could increase the level of the medication within your bloodstream. This would in turn increase the risk of you experiencing the associated side effects,
• If while taking Tadalafil tablets you have an erection which lasts for over 4 hours, then you must consult a doctor immediately. If you delay receiving treatment for a prolonged erection (priapism) for over six hours, this could cause damage to the erectile tissue in the penis and irreversible ED.
• If when taking Tadalafil tablets you experience a partial decrease or loss of vision in one or both eyes, you must cease taking the medication and consult your doctor immediately.

You should take Tadalafil tablets with caution in the following cases:

• If you have decreased kidney function
• If you have decreased liver function
• If you have a disease involving the heart and blood vessels (cardiovascular disease)
• If you have a physical abnormality of the penis, such as severe curvature, scarring or Peyronie's disease
• If you have a condition such as sickle cell disease, bone marrow cancer (multiple myeloma) or leukaemia, in which there is an increased risk of prolonged erections
• If you are taking medicines for high blood pressure. These medications include:
  • Alpha-blockers
  • 5-alpha Reductase Inhibitors
  • Ketoconazole Tablets
  • Protease Inhibitors
  • Phenobarbital
  • Phenytoin
  • Carbamazepine
  • Rifampicin
  • Erythromycin
  • Clarithromycin
  • Itraconazole

Tadalafil tablets should NOT taken by the following persons, or if the below circumstances are true for you:

• Women
• Children and adolescents under 18 years of age
• Conditions where sexual activity is not advisable, for example severe heart disorders
• You have an angina which is not well controlled by medical treatment (an unstable angina)
• You have an angina that occurs during sex
• You have had a heart attack in the last three months
• You have had a stroke in the last six months
• You have had mild to severe heart failure in the last six months
• You have an abnormal heartbeat (arrhythmias) not controlled by treatment
• You have uncontrolled high blood pressure (hypertension).
• You have low blood pressure (hypotension)
• You are taking any form of nitrate medications, e.g. glyceryl trinitrate (see end of fact sheet for more examples)
• If you have ever experienced an eye condition called non-arteritic anterior ischemic optic neuropathy (NAION). This condition causes a sudden, partial decrease or loss of vision in one or both eyes due to damage to the optic nerve. It can be temporary or permanent. Talk to your doctor if you have ever experienced this
• You have hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption (Tadalafil tablets contain lactose)
• You have severely decreased kidney function or kidney failure.

Take ONE Tadalafil tablet per day – no more than one. You should not repeat the dose, or take another ED treatment, within a 36-hour period.

Tadalafil tablets are designed on an ‘as required’ basis, which means that you should only take them when you believe that you require help in achieving and maintaining an erection.

Tadalafil tablets can be taken either with or without food, but should be taken orally, with water, and swallowed whole when you take them.

Tadalafil tablets contain 10mg or 20mg (depending on the strength) of Tadalafil as the active ingredient.

The inactive ingredients contained in Tadalafil tablets are:

• Lactose Monohydrate
• Croscarmellose Sodium
• Hydroxypropylcellulose
• Microcrystalline Cellulose
• Sodium Lauryl Sulfate
• Magnesium Stearate

Please be aware that medication affects people who are taking it in different ways – people who take Tadalafil tablets will not necessarily experience any of the known side effects listed below.

Below are some of the known and associated side effects that come from taking Tadalafil tablets:

• Back pain
• Flushing
• Headache
• Heartburn (reflux)
• Indigestion (dyspepsia)
• Nasal congestion
• Pain in the muscles (myalgia)

Uncommon frequency: Affects between 1 and 10 people out of every 1000.