CIALIS

At the time of love making, you and your partner can relax and take your time to choose the moment that's right for both of you. In addition, discuss your health status with your doctor, and if you want to be ready when the moment is right, be sure to ask about 36-hour CIALIS.

Cialis was first introduced in February 2003 and it was approved by the FDA on November 21, 2003. After it is ingested, cialis works by enhancing the effects of one of the chemicals that the body normally releases into the penis during sexual arousal. This allows an increase of blood flow into the penis. An erection is the result of this increase in blood flow.

Before Your First Dose

There are a few things you need to know before taking your first dose:

CIALIS Dosage	Qty	Price
20mg	3	$89.00
20mg	4	$99.00
10mg	5	$107.00
20mg	5	$109.00
10mg	10	$183.00
20mg	10	$185.00
10mg	20	$313.00
20mg	20	$315.00
10mg	30	$436.00
20mg	30	$438.00
10mg	60	$847.00
20mg	60	$849.00

• Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems.
• Women and Children and adolescents under 18 years of age should not use.
• Conditions in which sexual activity is not advisable, for example severe heart disorders.
• Angina not well controlled by medical treatment (unstable angina).
• People with angina that occurs during sex.
• People who have had a heart attack in the last three months.
• People who have had a stroke in the last six months.
• People with mild to severe heart failure in the last six months.
• Abnormal heart beats (arrhythmias) not controlled by treatment.
• Uncontrolled high blood pressure (hypertension).
• Low blood pressure (hypotension).
• Rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption.
• People taking any form of nitrate medications, e.g. glyceryl trinitrate.
• This medicine is not recommended for people who 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.

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.

If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Side Effects of Cialis

If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Cialis. Stop using Cialis and get emergency medical help if you have sudden vision loss. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Cialis and call your doctor at once if you have any of these serious side effects:

• Chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling.
• Irregular heartbeat.
• Swelling in your hands, ankles, or feet.
• Shortness of breath.
• Vision changes.
• Feeling light-headed, fainting.
• Penis erection that is painful or lasts 4 hours or longer.

Continue taking Cialis and talk with your doctor if you have any of these less serious side effects:

• Warmth or redness in your face, neck, or chest.
• Stuffy nose.
• Headache.
• Upset stomach.
• Back pain.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Warning:

• Unless your doctor or pharmacist tells you otherwise, you should avoid drinking grapefruit juice while taking this medicine, as it may increase the level of this medicine in your blood and hence increase the risk of side effects.
• If your erection lasts longer than 4 hours (priapism), consult a doctor immediately. Treatment of this condition should not be delayed more than 6 hours, as this can cause damage to the erectile tissue in the penis and irreversible erectile dysfunction.
• This medicine may cause dizziness and so may affect your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your performance.
• If this medicine is taken with alcohol there is an increased risk of a drop in blood pressure that might make you feel dizzy. In addition, alcohol can impair sexual performance.
• This medicine should not be taken more than once a day, and it is strongly recommended that you don't use it every day. This is because the long-term safety of using this medicine every day for long periods of time has not been established, and also because the effect usually lasts for longer than one day.