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What is Cialis? 

Cialis (tadalafil) is an expensive drug used to treat erection problems in men. It may also be used to treat the enlargement of the prostate gland. This drug is slightly more popular than comparable drugs. It is available in both brand and generic versions. Cialis is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost.

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How long will work after taking Cialis?

Cialis (tadalafil) will kick in about 30 minutes after taking it, though it may take longer for some people. On average, it can take up to 2 hours for full effect.

What's the difference between Cialis and Tadalafil?

Cialis and tadalafil contain the same active ingredient. They're both used to treat erectile dysfunction; the only difference is tadalafil is the generic version.

Typical dosing for Cialis (tadalafil)

• Cialis (tadalafil) is typically taken as a 10 mg dose about 30 minutes before sexual activity when needed. The dose can be adjusted anywhere from 5 mg to 20 mg depending on response Cialis (tadalafil) should not be taken more than once a day at any dose.
• For people taking Cialis (tadalafil) daily, the usual dose is 2.5 mg to 5 mg by mouth once a day. This does not have to be timed based on sexual activity.

Interaction with other medicinal products and other forms of interaction

Enzyme-inducing agents may decrease and enzyme-inhibiting drugs may increase testosterone levels. Therefore, adjustment of the dose of Sustanon 250 may be required.

Insulin and other anti-diabetic medicines:

Androgens may improve glucose tolerance and decrease the need for insulin or other anti-diabetic medicines in diabetic patients (see section 4.4).

Patients with diabetes mellitus should therefore be monitored especially at the beginning or end of treatment and at periodic intervals during Sustanon 250 treatment.

Anti-coagulant therapy:

High doses of androgens may enhance the anticoagulant action of coumarin type agents (see section 4.4). Therefore, close monitoring of prothrombin time and if necessary a dose reduction of the anti-coagulant is required during therapy.

ACTH or Corticosteroids:

The concurrent administration of testosterone with ACTH or corticosteroids may enhance oedema formation therefore these active substances should be administered cautiously, particularly in patients with cardiac or hepatic disease or in patients predisposed to oedema (see section 4.4).

Laboratory test interactions:

Androgens may decrease levels of thyroxine-binding globulin, resulting in decreased total T4 serum levels and increased resin uptake of T3 and T4. Free thyroid hormone levels remain unchanged, and there is no clinical evidence of thyroid dysfunction.

Tadalafil Background:

Tadalafil 40 mg is approved in the United States, Canada, and Japan as a once-daily therapy to improve exercise ability in patients with pulmonary arterial hypertension (PAH).

The pulmonary vascular lumen is decreased in PAH as a result of vasoconstriction and vascular remodeling, resulting in increased pulmonary artery pressure and pulmonary vascular resistance. Tadalafil causes pulmonary artery vasodilation, and inhibits vascular remodeling, thus lowering pulmonary arterial pressure and resistance. Right heart failure is the principal consequence of severe pulmonary arterial hypertension.

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