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Brand Cialis

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Brand Cialis (Cialis®) is used for the treatment of male erectile dysfunction (ED). Tadalafil can not cure ED or increase patient’s sexual desire. Tadalafil is only for men with ED and should never be taken by women or children. T

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Brand Cialis, 20mg

Paquet Par comprimé Prix Commander
8 tablet x 20mg $15.59 $124.74 Achetez
12 tablet x 20mg $13.52 $162.18 Achetez
20 tablet x 20mg
Free airmail shipping
$12.48 $249.54 Achetez
32 tablet x 20mg
Free airmail shipping
$11.44 $366.02 Achetez
60 tablet x 20mg
Free airmail shipping
$10.40 $623.94 Achetez
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Ecrire un commentaire

Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know. Please let me know if you could send me the same pills every month. Excellent service! I have recommended your products to all my friends and family and they all seemed to have a great experience when ordering from you.

Michelle, Riverside, on October 11, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

I can't wait for my next order to arrive. Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know. My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. Although I had some problems with the ordering process at first, your customer support team proved to be really helpful and polite.

Mary, Dawson Creek, on September 30, 2019

5 votes de bonnes

Cette revue était utile pour vous? Y N

The delivery system is great! I received my order in exactly 10 days. Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger. Great service! My order arrived just as advertised. Please let me know if you could send me the same pills every month.

Natalie, Pasadena, on September 21, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

My friends also agree that you operate one of the best pharmacies online. The delivery system is great! I received my order in exactly 10 days. I will surely use your services again! Thanks for the fast delivery of my order.

Rachel, Reno, on September 11, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know. Because of my age, my sexual performance has slowly but surely diminished and I hate feeling like an old man. I appreciate the swift and professional delivery! From all the online pharmacies I have tried, yours is by far the best. I can't wait for my next order to arrive.

Faye, Exeter, on September 2, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

Your pills are also very high quality. I really appreciate the extra pills you include in my every order. I will continue to order from your website on a regular basis. The results were great and I continue to take them.

Jackie, Miami Gardens, on August 26, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

The results were great and I continue to take them. Thank you for restoring my youth. Please let me know if you could send me the same pills every month.

Marlene, Port Coquitlam, on August 18, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. Cheap and high quality medication will always be my first choice. I already am a regular customer of your pharmacy and I will continue to be for a long time if you keep offering great products at affordable prices. My doctor recommended the usual prescription pills for my condition but he failed to mention how expensive these were.

Tyrone, Fort Lauderdale, on August 10, 2019

5 votes de bonnes

Cette revue était utile pour vous? Y N

I feel very secure when ordering from your online pharmacy. Thanks to some of your amazing products I have regained my old sexual appetite and I feel like I'm 25 again.

Marilyn, Wilmington, on August 1, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago. Cheap and high quality medication will always be my first choice. My friends also agree that you operate one of the best pharmacies online. After ordering from several other online pharmacies, I decided to stick with your services.

Venedikt, Langley, on July 24, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

The results were great and I continue to take them. After ordering from several other online pharmacies, I decided to stick with your services.

Brandy, Independence, on July 17, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

I will continue to order from your website on a regular basis. My friends also agree that you operate one of the best pharmacies online. A friend from work told me about your website. I check your website every week because I don't want to miss any of your amazing offers.

Nancy, Lowell, on July 8, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

I share a flat with four other people and I didn't want them to know that I had ordered Viagra. Thank you. I appreciate the wide range of ED treatments that your website offers. My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city.

Kevin, Huntington Beach, on June 30, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

I share a flat with four other people and I didn't want them to know that I had ordered Viagra. I have already placed a second order. I will surely use your services again! Thanks for the fast delivery of my order.

Able, Miramichi, on June 24, 2019

4 votes de bonnes

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A friend from work told me about your website. I will continue to order from your website on a regular basis.

Angelo, Enderby, on June 17, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. Fast and secure shipping together with great prices will always be my first choice. I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels. Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time.

Sherry, Lansing, on June 9, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. I feel very secure when ordering from your online pharmacy. The pills actually have the same effects as the brand name ones but at a fraction of the cost.

Julian, Rochester, on June 2, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

Very professional service! Thanks for the bonus pills! You've just gained another regular customer. I didn't know what to expect from generic pills at first, but after trying out some of your products I was pleasantly surprised. Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time.

Nellie, Miami, on May 25, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. Fortunately I read about generic pills on the internet and decided to give them I try. Cheap and high quality medication will always be my first choice. I share a flat with four other people and I didn't want them to know that I had ordered Viagra.

Violet, Revelstoke, on May 18, 2019

5 votes de bonnes

Cette revue était utile pour vous? Y N

They help save a few extra dollars and that goes a long way these days. Thank you.

Robert, Brownsville, on May 11, 2019

4 votes de bonnes

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Thank you. Fortunately I read about generic pills on the internet and decided to give them I try.

Janice, Burbank, on May 4, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

The delivery system is great! I received my order in exactly 10 days. Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago.

Sandra, Nelson, on April 26, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time. Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger.

Amanda, Steinbach, on April 19, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels. My husband had been struggling in bed but was afraid to do anything about it so as not to upset me.

Toni, Lichfield, on April 12, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

The products we received work great and our sex life has never been better. Please let me know if you could send me the same pills every month. The delivery system is great! I received my order in exactly 10 days. Your pills are also very high quality.

Georgia, Charleston, on April 4, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

Thank you for restoring my youth. They help save a few extra dollars and that goes a long way these days. The generic ED pills really do work as advertised and have allowed me to save quite a lot of money. I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy.

Phyllis, Dieppe, on March 28, 2019

5 votes de bonnes

Cette revue était utile pour vous? Y N

Thank you! My boyfriend was really grateful when I told him I had ordered some sexual enhancement products for him. After ordering from several other online pharmacies, I decided to stick with your services. A friend from work told me about your website.

Jennie, Greenwood, on March 19, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

Fortunately I read about generic pills on the internet and decided to give them I try. I will surely use your services again! Thanks for the fast delivery of my order.

Vera, Glasgow, on March 13, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time. My husband had been struggling in bed but was afraid to do anything about it so as not to upset me.

Crystal, Sacramento, on March 5, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

I will surely use your services again! Thanks for the fast delivery of my order. Cheap and high quality medication will always be my first choice. The delivery system is great! I received my order in exactly 10 days.

Teresa, Aberdeen, on February 25, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

I am a satisfied customer and I will continue to order your products as long as you keep the prices low. I had second thoughts before ordering from your website but a friend of mine told me not to worry about it.

Courtney, Clearwater, on February 18, 2019

3 votes de bonnes

Cette revue était utile pour vous? Y N

The pills actually have the same effects as the brand name ones but at a fraction of the cost. After ordering from several other online pharmacies, I decided to stick with your services. Excellent service! I have recommended your products to all my friends and family and they all seemed to have a great experience when ordering from you. I have already recommended your site to all of my friends and they agree it is a great business.

Patsy, Little Rock, on February 10, 2019

2 votes de bonnes

Cette revue était utile pour vous? Y N

Please let me know if you could send me the same pills every month. Very professional service! Thanks for the bonus pills! You've just gained another regular customer. I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels.

Linda, Wichita Falls, on February 3, 2019

5 votes de bonnes

Cette revue était utile pour vous? Y N

I had second thoughts before ordering from your website but a friend of mine told me not to worry about it. I have already recommended your site to all of my friends and they agree it is a great business. My doctor recommended the usual prescription pills for my condition but he failed to mention how expensive these were.

Julia, Yonkers, on January 27, 2019

4 votes de bonnes

Cette revue était utile pour vous? Y N

The delivery system is great! I received my order in exactly 10 days. I had second thoughts before ordering from your website but a friend of mine told me not to worry about it. I will surely use your services again! Thanks for the fast delivery of my order. Your marketing strategies are great and I really appreciate your promotional offers.

Amanda, Paterson, on January 20, 2019

5 votes de bonnes

Cette revue était utile pour vous? Y N

Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago. Thank you! I have ordered some of your oral impotence remedies for my husband a few weeks ago and they really helped us improve our sex life.

Dean, Airdrie, on January 13, 2019

5 votes de bonnes

Cette revue était utile pour vous? Y N

Thank you for restoring my youth. The products we received work great and our sex life has never been better.

Tara, Grand Rapids, on January 5, 2019

3 votes de bonnes

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I think I have already tried out most of your promotions and I have never felt disappointed. My wife and I would like to offer you our sincere thanks.

Clarence, York, on December 29, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

Your marketing strategies are great and I really appreciate your promotional offers. After a great first order experience I have decided to place a second, more substantial order. The delivery system is great! I received my order in exactly 10 days.

Laurie, Tallahassee, on December 18, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

My husband had been struggling in bed but was afraid to do anything about it so as not to upset me. Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger. Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know.

Sharon, Richmond, on December 9, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. I appreciate the wide range of ED treatments that your website offers. My friends also agree that you operate one of the best pharmacies online. Although I had some problems with the ordering process at first, your customer support team proved to be really helpful and polite.

Joanne, Portage la Prairie, on December 1, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I didn't know what to expect from generic pills at first, but after trying out some of your products I was pleasantly surprised. The generic ED pills really do work as advertised and have allowed me to save quite a lot of money.

Greg, Brandon, on November 23, 2018

5 votes de bonnes

Cette revue était utile pour vous? Y N

Because of my age, my sexual performance has slowly but surely diminished and I hate feeling like an old man. You guys are doing a great job.

Jane, Grand Prairie, on November 15, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels. After a great first order experience I have decided to place a second, more substantial order. He is more confident in bed and we feel like a young couple again.

Paula, Rancho Cucamonga, on November 7, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

Thank you for restoring my youth. You guys are doing a great job. Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. Fortunately I read about generic pills on the internet and decided to give them I try.

Alma, Newport, on October 31, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I check your website every week because I don't want to miss any of your amazing offers. I feel very secure when ordering from your online pharmacy.

Cathy, Washington, on October 23, 2018

5 votes de bonnes

Cette revue était utile pour vous? Y N

I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy. I had second thoughts before ordering from your website but a friend of mine told me not to worry about it.

Gregor, Evansville, on October 16, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I have told all my friends about your website. Thank you! My boyfriend was really grateful when I told him I had ordered some sexual enhancement products for him. I was relieved to see just a plain paper envelope.

Sally, Kimberley, on October 7, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

My husband had been struggling in bed but was afraid to do anything about it so as not to upset me. I have told all my friends about your website. I am 100% satisfied with how it worked out and I want to congratulate you on operating such a professional service. I will order again as soon as I run out of pills.

Katie, Norwich, on September 29, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy. I didn't know what to expect from generic pills at first, but after trying out some of your products I was pleasantly surprised. I appreciate the wide range of ED treatments that your website offers. I am a satisfied customer and I will continue to order your products as long as you keep the prices low.

Regan, Winston-Salem, on September 20, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

Thank you! I have ordered some of your oral impotence remedies for my husband a few weeks ago and they really helped us improve our sex life. Please let me know if you could send me the same pills every month.

Deborah, Carrollton, on September 13, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

Thank you for restoring my youth. You guys are doing a great job. Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time.

Pauline, Pueblo, on September 4, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

I will surely use your services again! Thanks for the fast delivery of my order. You sure saved me a lot of money. You guys are doing a great job.

Deborah, St. Paul, on August 27, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

I have already recommended your site to all of my friends and they agree it is a great business. Thank you.

Mitchell, Palm Bay, on August 17, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

A friend from work told me about your website. Now impotence is just a bad memory and I intend to keep it that way by using your range of ED medication. Please let me know if you could send me the same pills every month.

Tracy, Irving, on August 9, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

You guys are doing a great job. The pills actually have the same effects as the brand name ones but at a fraction of the cost.

Kristin, Allentown, on July 30, 2018

5 votes de bonnes

Cette revue était utile pour vous? Y N

I share a flat with four other people and I didn't want them to know that I had ordered Viagra. Fast and secure shipping together with great prices will always be my first choice. I have told all my friends about your website.

Greg, Arlington, on July 21, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

You sure saved me a lot of money. Many thanks. Great service! My order arrived just as advertised. My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city.

Denise, Boston, on July 13, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

The generic ED pills really do work as advertised and have allowed me to save quite a lot of money. Your marketing strategies are great and I really appreciate your promotional offers. I check your website every week because I don't want to miss any of your amazing offers.

Howard, Portland, on July 4, 2018

5 votes de bonnes

Cette revue était utile pour vous? Y N

Fortunately I read about generic pills on the internet and decided to give them I try. Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time.

Katherine, St. Albert, on June 27, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

Your marketing strategies are great and I really appreciate your promotional offers. I have been a regular customer of your online pharmacy for a few months now and I am completely satisfied with the services you provide. Now, after 3 orders I can confidently say you do an awesome job.

Lindsey, Corpus Christi, on June 19, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

You sure saved me a lot of money. Although I had some problems with the ordering process at first, your customer support team proved to be really helpful and polite. I share a flat with four other people and I didn't want them to know that I had ordered Viagra.

Geraldine, Killeen, on June 10, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I appreciate the wide range of ED treatments that your website offers. Thanks to some of your amazing products I have regained my old sexual appetite and I feel like I'm 25 again. I feel very secure when ordering from your online pharmacy. Your pills are also very high quality.

Kyle, Portage la Prairie, on June 2, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

The generic ED pills really do work as advertised and have allowed me to save quite a lot of money. Fast and secure shipping together with great prices will always be my first choice. I am still trying to find the one that works best for me and thanks to your great offers I can continue to experiment. I can't wait for my next order to arrive.

Jo, Lewisville, on May 25, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

The delivery system is great! I received my order in exactly 10 days. My wife and I would like to offer you our sincere thanks. Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know.

Teresa, South Bend, on May 18, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

I feel very secure when ordering from your online pharmacy. You guys are doing a great job.

Var, Exeter, on May 6, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I am still trying to find the one that works best for me and thanks to your great offers I can continue to experiment. Thank you! I have ordered some of your oral impotence remedies for my husband a few weeks ago and they really helped us improve our sex life. Very professional service! Thanks for the bonus pills! You've just gained another regular customer. He is more confident in bed and we feel like a young couple again.

Ethel, Arlington, on April 28, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

I have told all my friends about your website. My friends also agree that you operate one of the best pharmacies online.

April, Cleveland, on April 18, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

The pills actually have the same effects as the brand name ones but at a fraction of the cost. I have already placed a second order.

Patsy, Toledo, on April 10, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

My husband had been struggling in bed but was afraid to do anything about it so as not to upset me. The generic ED pills really do work as advertised and have allowed me to save quite a lot of money. I will surely use your services again! Thanks for the fast delivery of my order. I didn't know what to expect from generic pills at first, but after trying out some of your products I was pleasantly surprised.

Minnie, Syracuse, on March 28, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I had second thoughts before ordering from your website but a friend of mine told me not to worry about it. My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. Your pills are also very high quality. Because of my age, my sexual performance has slowly but surely diminished and I hate feeling like an old man.

Margaret, Chesapeake, on March 17, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I appreciate the wide range of ED treatments that your website offers. Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger. I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy.

Carla, Boston, on March 11, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels. After ordering from several other online pharmacies, I decided to stick with your services. I am a satisfied customer and I will continue to order your products as long as you keep the prices low. Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time.

Ashley, Manchester, on February 24, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

My doctor recommended the usual prescription pills for my condition but he failed to mention how expensive these were. I have already recommended your site to all of my friends and they agree it is a great business.

Lindsay, Palmdale, on February 19, 2018

3 votes de bonnes

Cette revue était utile pour vous? Y N

I was relieved to see just a plain paper envelope. I had no idea generic pills work this well.

Adolph, St. Albert, on February 4, 2018

2 votes de bonnes

Cette revue était utile pour vous? Y N

Your marketing strategies are great and I really appreciate your promotional offers. Our marriage was saved when I began using some of your anti-impotence solutions. I already am a regular customer of your pharmacy and I will continue to be for a long time if you keep offering great products at affordable prices. Thank you! My boyfriend was really grateful when I told him I had ordered some sexual enhancement products for him.

Amber, Lubbock, on January 29, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. I have been a regular customer of your online pharmacy for a few months now and I am completely satisfied with the services you provide. Please let me know if you could send me the same pills every month. Although I had some problems with the ordering process at first, your customer support team proved to be really helpful and polite.

Amanda, Buffalo, on January 17, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

Now, after 3 orders I can confidently say you do an awesome job. They help save a few extra dollars and that goes a long way these days. After a great first order experience I have decided to place a second, more substantial order. I will continue to order from your website on a regular basis.

Warren, Clarksville, on January 5, 2018

4 votes de bonnes

Cette revue était utile pour vous? Y N

Brand Cialis (Tadalafil)

Brand Cialis

Cialis

Generic name: Tadalafil
Tadalafil Tablets

What are tadalafil tablets?

TADALAFIL (Cialis®) is used for the treatment of male erectile dysfunction (ED). Tadalafil can not cure ED or increase patient’s sexual desire. Tadalafil is only for men with ED and should never be taken by women or children. Tadalafil should only be taken under the healthcare provider's control.

What should I discuss with my physician prior to taking this medicine?

Please do tell your physician if you have any of the following conditions:

  • anatomical deformity of the penis, Peyronie's disease, or ever had an erection that lasted more than 4 hours
  • bleeding disorder
  • diabetes
  • frequent heartburn or gastroesophageal reflux disease (GERD)
  • heart disease, angina, a history of heart attacks, irregular heartbeat, or other heart problems
  • abnormal blood pressure
  • high cholesterol
  • HIV infection
  • kidney disease or require dialysis
  • liver disease
  • sickle cell disease
  • stroke
  • stomach or intestinal ulcers
  • eye or vision problems or a rare genetic eye disease called retinitis pigmentosa
  • an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should this medicine be used?

Take tadalafil tablets orally. You should follow the directions specified on the prescription label. This medicine should normally be taken 30 minutes to 1 hour prior to planned sexual activity. The dose should only be taken once a day; never take more than a single dose daily. Swallow the tablets accompanied with a drink of water. Tadalafil can be taken with or without meals. You should never take double or extra doses; a single doze is sufficient for the purposes. You should never change your dose without consulting with your prescriber first. Your prescriber may choose to alter your dose, depending on your body’s reaction to tadalafil. If it happens that you have kidney or liver problems or are taking certain medications that might interfere with tadalafil, your prescriber may limit your dose of the latter.

What to do if I missed a dose?

This is not applicable.

What drug(s) may interact with Tadalafil?

Do not take tadalafil if you are taking the following medications:

  • nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

    Tadalafil may also trigger possible interactions with the following:
  • alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate.
  • bosentan
  • certain antibiotics such as clarithromycin, erythromycin, troleandomycin
  • certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
  • cimetidine
  • cisapride
  • diltiazem
  • grapefruit juice
  • medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
  • mibefradil
  • nicardipine
  • certain medicines for the treatment of HIV infection or AIDS
  • quinidine
  • rifabutin, rifampin or rifapentine
  • some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
  • verapamil

    Provide your physician with a list of all the medicine, including herbs and non-prescription drugs, or dietary supplements that you are using. Do let them know if you smoke, drink alcohol, or use any of the illegal drugs or drinks with caffeine or alcohol. Some of those items may also interact with your medicine, causing undesired consequenses. Please always consult with your health care professional prior to stopping or starting any of your medicines.

What are the possible side effects from taking Tadalafil?

The following side effects should be reported to your doctor or health care professional as soon as they are noted:

  • altered hearing such as loss of hearing or ringing in the ears
  • changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them
  • chest pain or palpitations
  • difficulty breathing, shortness of breath
  • dizziness
  • eyelid swelling
  • prolonged erection (lasting longer than 4 hours)
  • skin rash, itching

    The below side effects usually do not necessarily require any medical attention (please do report them to your physician if they are recurrent or bothersome):
  • back pain
  • flushing
  • headache
  • indigestion
  • muscle aches
  • stuffy or runny nose

What should I watch for while taking Tadalafil?

If you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. Stop using tadalafil right away if you experiencing a loss of sight in one or both eyes. Contact your healthcare provider immediately.

Contact your physician immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.

If you are experiencing nausea or dizziness symptoms, chest pains or arm pains upon initiation of the sexual activity following your tadalafil use, please refrain from any further activity and inform your prescriber or health care professional immediately.

You should not drink alcohol excessively (examples, 5 glasses of wine or 5 shots of whiskey) when taking tadalafil. If consumed excessively, alcohol can increase your chances of having a headache or getting dizzy by lowering your blood pressure or increasing your heartbeat rate.
You shouldn’t alter the dosage of this medication yourself. Please inquire with your physician to determine if your dose needs to be altered.

Using tadalafil does not provide protection from HIV infection (the virus causing AIDS) or any other sexually transmitted diseases to you and your partner.

Where should I store it?

Keep it out of the children’s reach in a container that can not be opened by children.

This medicine should be stored at the room temperatures between 15 and 30 degrees C (59 and 86 degrees F). Dispose of any unused medicine after the expiry date is reached.

 

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