Buy Cialis 20mg Online Usa: Medical Questions Answered

1. Where can you buy Cialis online, and what should you be aware of?

Cialis is available from online pharmacies, but it's important to choose licensed and reputable websites. Avoid offers that seem too cheap and check for certifications and contact details. In the U.S. and many EU countries, Cialis is only available by prescription (FDA - Information about Tadalafil).

2. What is Cialis and how does it work?

Cialis (Tadalafil) is a phosphodiesterase type 5 (PDE5) inhibitor. It relaxes the smooth muscle of blood vessels in the penis, increasing blood flow and improving erection in response to sexual stimulation.

3. What is Cialis used for?

Cialis is prescribed for:

• erectile dysfunction (ED),
• symptoms of benign prostatic hyperplasia (BPH),
• and combined conditions.

4. How does Cialis differ from Viagra and other alternatives?

Cialis has a longer duration of action - up to 36 hours, while Viagra typically lasts 4 - 6 hours. It can also be taken with or without food, offering more flexibility.

5. What doses of Cialis are available, and how should it be taken?

Cialis is available in 2.5 mg, 5 mg, 10 mg, and 20 mg tablets.
There are two main dosing regimens:

• As needed: 10 - 20 mg taken 30 - 60 minutes before sexual activity. This is the most common form of use. The effect lasts up to 36 hours, which is why Cialis is sometimes called "the weekend pill." It's important not to exceed one dose per 24 hours.
• Daily use: 2.5 - 5 mg taken once a day at the same time. This option is ideal for men who prefer spontaneous sexual activity without the need to plan ahead. Steady levels of the drug are maintained in the body, ensuring readiness at any time.

Patients should start with the lowest effective dose, especially if they have health conditions or take other medications. Only a healthcare provider can determine the optimal dose.

Video: How Does Cialis Work?

6. What side effects are possible with Cialis?

Common side effects include:

• headache,
• facial flushing,
• indigestion,
• muscle or back pain.

7. Who should not take Cialis?

Cialis is contraindicated in men:

• taking nitrates,
• with severe heart conditions,
• with serious liver or kidney disease,
• or with an allergy to tadalafil.

8. Is Cialis safe to take with alcohol or other medications?

Cialis is generally well-tolerated, but combining it with certain substances can increase the risk of side effects.

Moderate alcohol consumption (1 - 2 drinks) usually does not cause problems. However, excessive drinking can lead to dizziness, low blood pressure, and fainting - especially when combined with Cialis, which also affects blood vessels.

Cialis must not be used with nitrate medications (for chest pain or heart disease), as this combination can cause a dangerous drop in blood pressure. It should also be avoided with certain alpha-blockers (used for blood pressure or prostate problems) unless supervised by a doctor.

In all cases, patients should inform their physician of all medications they take - including herbal supplements and over-the-counter drugs.

9. Can Cialis be taken every day?

Yes. A daily dose of 5 mg is approved for continuous use in men with regular sexual activity. However, a doctor must evaluate this approach, especially in patients with chronic conditions.

10. How effective is Cialis according to patients and doctors?

Clinical trials show that Cialis is effective in 80 - 85% of men with ED. Patients appreciate the long action window and flexibility. Urologists often recommend it as a well-tolerated treatment (Wikipedia - Tadalafil).

11. Are there generic versions of Cialis, and are they safe?

Yes. After the patent expired, generics like Vidalista, Tadarise, and Apcalis entered the market. They are effective and safe when purchased from licensed and registered sources.