Buy Cialis without prescription, information and price

Cialis (Tadalafil) is a drug used to treat erectile dysfunction in adult men, marketed since 2003 by the laboratory Lilly and well accepted by the male population. It is taken 30 to 60 minutes before sexual intercourse, and has an effect that can last up to 36 hours. It can be used for any degree of sexual dysfunction, but the duration of its effect makes it ideal for persistent cases. Before beginning to take it, know here its mechanism of action, form of administration, prices, doses, contraindications, adverse reactions, and everything you need to know.

About Cialis: Cialis (Tadalafil) is a drug used to treat Erectile Dysfunction (ED) in adult men.

What is Cialis? Cialis has the active ingredient Tadalafil, a drug belonging to the group of phosphodiesterase 5 inhibitors to treat erectile dysfunction. It acts mainly by increasing blood flow to the vessels of the corpora cavernosa of the penis, achieving a satisfactory erection. It has a different structure to similar drugs in this group such as Sildenafil (Viagra) and Vardenafil (Levitra), which gives it a longer duration of action and preference from a large number of patients.

Laboratory: Lilly.

Administration: The form of administration is oral, through a film-coated tablet 30 minutes before sexual activity, with a glass of water.

Available presentation: Film-coated tablets of 2.5 mg, 5 mg, 10 mg, 20 mg and 40 mg, in boxes containing from 10 to 360 tablets.

Price per tablet: The price may vary depending on factors such as the concentration of the tablet, and the amount of tablets present in the box.
Price of Cialis 2.5 mg: Prices ranging from € 1.19 to € 2.89 per tablet, in boxes from 10 to 360 tablets.
Price of Cialis 5 mg: Prices ranging from € 1.82 to € 3.46 per tablet, in boxes from 10 to 360 tablets.
Price of Cialis 10 mg: Prices ranging from € 1.91 to € 4.54 per tablet, in boxes from 10 to 360 tablets.
Price of Cialis 20 mg: Prices ranging from € 2.10 to € 6.36 per tablet, in boxes from 10 to 360 tablets.
Price of Cialis 40 mg: Prices ranging from € 3.57 to € 6.45 per tablet, in boxes from 10 to 120 tablets.
Initiation of action: Can be taken 30 to 60 minutes before sexual activity, but cases of satisfactory erections have been reported as soon as 16 minutes after ingestion.
Duration of action: Its effects may last up to 36 hours after ingestion.

Alteration with meals: Cialis can be taken with or without food, as these do not affect its absorption.

Side effects: Frequent adverse reactions that may occur with taking Cialis include headache, facial redness, nasal congestion, abdominal discomfort, and back or limb pain.

Other less frequent side effects that may occur with Cialis are: dizziness, allergic reactions, blurred vision, tachycardia, high or low blood pressure, nausea or vomiting, and prolonged erections, among others.

How does Cialis work?

Cialis is a phosphodiesterase 5 inhibitor used to treat erectile dysfunction. It acts through a chemical mechanism that enhances the dilation of blood vessels in the cavernous bodies of the penis, thus increasing blood flow and achieving erection.

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Why switch to Cialis?

With years of experience in the market, many satisfied patients and duration of action that exceeds the other drugs in its group, Cialis is a safe and well tolerated option for the treatment of erectile dysfunction in adult men.

According to several studies, many patients prefer Cialis because it is the only one that guarantees a duration of up to 36 hours. In addition, considerable improvement has been reported with its daily use at doses of 5 mg in patients with persistent erectile dysfunction or difficult to manage, in cases that have been authorized and monitored by the treating physician.

How to use and dosage of Cialis:

Cialis is used 30 to 60 minutes before sexual intercourse, by taking one tablet orally with a glass of water. Cases of satisfactory erections have been reported as soon as 16 minutes after taking the medication.

The initial recommended dose for erectile dysfunction is one tablet of its average presentation of 10 mg, 30 minutes before activity. The dose can be decreased to 2.5 mg or 5 mg presentations, or increased to 20 mg or 40 mg presentations, as needed and tolerated by the patient, and as authorized by the physician.

Cialis has an effect duration of up to 36 hours in the body, so its daily intake is not recommended in cases of mild or moderate erectile dysfunction. However, studies have been performed with daily single-dose of 5 mg in patients with persistent erectile dysfunction or difficult to manage with satisfactory results.

Is Cialis effective every time it is taken?

Cialis has a high percentage of successful penetration after taking (more than 70% of cases), so its effectiveness is considerable.

Undesirable effects that could occur with Cialis:

Cialis is generally well tolerated, but like all medications, there are possible undesirable effects that could occur with taking it. Frequent adverse reactions (1 per 100 cases) may include: headache, facial redness, upset stomach, back or limb pain.

Rare adverse effects (1 per 1000 cases) may include: hypersensitivity reactions, dizziness, blurred vision, eye pain, tachycardia or palpitations, hypotension or hypertension, shortness of breath, nosebleed, abdominal pain, nausea or vomiting, reflux, skin rash, blood in the urine, prolonged erections, chest pain, generalized swelling, fatigue.

Some very rare adverse reactions (1 per 10,000 to 100,000 cases) that have been reported are: mucosal edema, stroke, fainting, migraine, convulsions, transient amnesia, vision field defects, eyelid swelling, ocular redness, anterior non-arteritic ischemic optic neuropathy, retinal vascular obstruction, hearing loss, myocardial infarction, unstable angina pectoris, ventricular arrhythmia, urticaria, generalized sweating.

Contraindications: Cases in which Cialis should not be taken

  • Patients with hypersensitivity to the active ingredient or any of the components of the formula.
  • Patients who are taking any form of nitrates.4History of cardiovascular disease in which sexual activity is discouraged.
  • History of myocardial infarction in the 90 days prior to taking.
  • Patients with unstable angina, or that is triggered by sexual activity.
  • Patients with class II or greater heart failure in the 6 months prior to taking.
  • Patients with hypotension (blood pressure less than 90/50 mmHg).
  • Patients with arrhythmias or uncontrolled hypertension.
  • History of stroke in the 6 months prior to taking.
  • History of vision loss in one eye as a result of anterior non-arteritic ischemic neuropathy, regardless of whether or not the episode occurred as a result of previous exposure to another phosphodiesterase 5 inhibitor.
  • Patients taking riociguat (guanylate cyclase stimulator), as joint administration with Cialis may potentially produce symptomatic hypotension.
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Interactions of the drug Cialis with other substances:

There are drugs that, due to their metabolism, can increase or decrease the blood concentrations of Cialis, and with it, its adverse reactions and effects. These drugs are:

  • Cytochrome P450 inhibitors such as Ketoconazole, itraconazole, saquinavir, erythromycin, clarithromycin.
  • Grapefruit juice.
  • Anticonvulsant medications, such as phenytoin, phenobarbital, and carbamazepine.
  • Alpha-blockers and other antihypertensive drugs, of which the physician must evaluate the risks and benefits before authorizing their joint use.

Fertility, pregnancy and breastfeeding.

There have been no studies of the effects of Cialis on fertility in humans, however isolated cases of decreased sperm count were reported in some individuals.

The use of Cialis in pregnant women is not recommended.

Traces of Cialis have been found in breast milk after breastfeeding, so it is contraindicated in lactation.

Overdose

The effects of Cialis overdose are similar to those seen with more serious adverse reactions at lower doses.

In case of higher than recommended intake, usual supportive measures should be taken and the emergency service should be contacted.

FAQ (Frequently Asked Questions)
Why should patients consult a doctor before taking erectile dysfunction treatment for the first time?
All drugs used to treat erectile dysfunction have indications, posology, contraindications, adverse risks and warnings that must be evaluated on a case-by-case basis by the physician; for this reason, most of them require a prescription.

What is the difference between Cialis and Viagra?

Cialis (Tadalafil) and Viagra (Sildenafil) belong to the same group of drugs, called phosphodiesterase 5 inhibitors, used to treat erectile dysfunction. However, they have important differences, such as their duration of action (Cialis lasts up to 36 hours, while Viagra 4 to 6 hours).

Is Cialis stronger than Viagra?

In terms of effectiveness, it cannot be said that one is stronger than the other, as their rates of satisfactory penetration after taking it are quite similar. However, as far as the duration of its effect is concerned, Cialis has the advantage with up to 36 hours of effect, compared to a maximum of 6 hours with Viagra.

What dose is recommended to start taking Cialis?

The initial recommended dose to start treatment with Cialis is a film-coated tablet taken orally of its average presentation of 10 mg, 30 to 60 minutes before sexual activity. This dose may be decreased to 2.5 mg or 5 mg, or increased to 20 mg, depending on the effects and tolerability of the patient.

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Is there a generic for Cialis?

Yes, there is currently a generic version of Cialis.

Why does the price vary so much?

The laboratories producing the drug sell to Cialis pharmacies at an established average price, but once this process is complete, each pharmacy is responsible for setting the purchase price to the general public. In addition, depending on the new modalities with which the patient decides whether to buy Cialis online or buy Cialis at the pharmacy, prices may change due to shipping costs, medical consultation, and other factors.

How long does the effect of Cialis last and how often can I take it?

Cialis has the longest duration of effect among the medications in your group, with up to 36 hours of action. Its continuous daily use may be evaluated by the doctor, but it is not recommended at an average dose of 10 mg; initially it is stipulated to be taken as needed, or with a maximum of two to three times per week.

Can I drink alcohol if I took Cialis?

No significant interaction has been proven between alcohol intake and Cialis intake. It should be noted that alcohol alone may cause erection delay in some patients.

Can I take Cialis with other medications?

Cialis has some important interactions with other substances, so before starting to take it is advisable to see a doctor to evaluate each particular case.

It is not recommended to take Cialis with other phosphodiesterase 5 inhibitors, or any other treatment for erectile dysfunction.

Can Cialis cause spontaneous or unwanted erections?

Cialis is only effective with sexual stimulation after ingestion, so it does not usually produce spontaneous or prolonged erections.

Can I split the Cialis so as not to take the whole tablet?

It is not recommended to start any tablet of Cialis, as the resulting concentration in each fragment may be inaccurate.

Do I need a prescription to buy Cialis or can I buy it without one?

Usually, to buy Cialis at pharmacies, you need a prescription signed by the doctor. However, with the new way of buying Cialis online, the process has been optimized and accelerated, and it is not always necessary to have a prescription for cheap Cialis.

Is Cialis less expensive online than in the pharmacy?

There are cases where even including shipping costs, buying Cialis online is more affordable than buying Cialis in a pharmacy. The prices of the medical consultation needed to buy cheap Cialis with a prescription can add a cost that is not when it comes to buying Cialis online.

What should I do if Cialis doesn’t work for me or becomes ineffective over time?

If Cialis stops working or is not effective with the initial dose, the ideal is to see a doctor, who will probably modify or increase the dose progressively until it is adjusted to each particular case. Never add another phosphodiesterase 5 inhibitor or take another treatment for erectile dysfunction together with Cialis; this does not enhance the effect and can lead to serious adverse reactions.