Man’s pride in man’s strength. But, unfortunately, are often many men, this is the force becomes one of the great weaknesses. However, you should not despair – modern medicine has invented a lot of drugs, designed to restore the man his power, and together with it – and pride.
We offer you to buy Tadalafil – a great drug, the effects of which can last for almost 36!!! hours. Act starts faster than Viagra. Buy Tadalafil, which affects the substance in a man’s body, which oppose the relaxation of vascular walls. As soon as the vessels to relax, the blood supply to the penis is being established. Tadalafil 20 mg can be taken with alcohol, but not earlier than 18 years.
However, Tadalafil 20 mg may have contraindications. These include:
- - taking of Tadalafil 20 mg during treatment with preparations containing any organic nitrates;
- - presence of contraindications in patients with the diseases of cardiovascular system in sexual activity (myocardial infarction, which occurred in the patient in the last three months, the unstable stenocardia, the occurrence of attacks of angina during sexual intercourse, chronic heart insufficiency of II-IV class NYHA, uncontrolled arrhythmias, hypotension, uncontrolled arterial hypertension, ischemic stroke within the last half a year);
- - loss of vision due to anterior ischemic optic nerve neuropathy (regardless of the connection with the reception of PDE5 inhibitors);
- - simultaneous reception doxazosin, as well as drugs for treatment of erectile dysfunction;
- - frequent use (more than two times in seven days) in patients with chronic renal insufficiency ( creatinine less than thirty ml/min);
- - deficiency of lactase, lactose intolerance, glucosegalactose malabsorption;
- - use of Tadalafil 20 mg in children and adolescents up to the age of majority;
- - hypersensibility to components of this remedy.
The caution should be applied Tadalafil 20 mg in men with severe hepatic insufficiency (a class With the child-Pugh), since the data on the use of drugs in this category of patients isn’t available; for men taking alpha-blockers, because simultaneous use may lead to symptomatic arterial hypotension; in patients with deformation of penis (plastic induration, cavernous fibrosis, angular curvature), or in men with a predisposition to priapism (with multiple myeloma, sickle cell anemia, or leukemia); simultaneously with strong inhibitors of CYP3A4 isoenzyme (ritonavir, sacvinavir, ketoconazole, itraconasole, erythromycin), with hypotensive means.
- Tadalafil 20 mg use in pregnancy and breastfeeding
- Tadalafil 20 mg isn’t intended for use in female-patients.
- You should also carefully examine Tadalafil Side effects.
- Most common Tadalafil Side effects: headache (11%), dyspepsia (7%).
- But you have nothing to fear; Tadalafil Side effects usually appear in a small extent or medium severity and in a consequence will diminish with continued use of the product.
- The following symptoms may occur: back pain, nasal congestion, tides blood to a person, muscle pain.
- Rarely: conjunctival hyperemia, dizziness, swelling of the eyelids, pain in the eyes.
Not very often: hypersensitivity reactions (including skin rashes, hives, and swelling of the person, the syndrome of Stevens-Johnson, exfoliative dermatitis); arterial hypotension (in patients who had already been antihypertensive agents), syncope, and hypertension; pain in the abdomen and esophageal reflux; hyperhidrosis (high sweating); priapism and delay penis; blurred vision, ischaemic optic neuropathy, occlusion of the veins of the retina, a violation of fields of view.
There are also special instructions using Tadalafil 20 mg.
Diagnostics of erectile dysfunction includes identification of the potential main reason, the corresponding medical examination and definition of tactics of treatment.
Sexual activity always has the possibility of negative consequences for the patients with cardiovascular diseases. Consequently, treatment of erectile dysfunction, inclusive of Tadalafil 20mg medication, shouldn’t be performed in men with such heart disease, in whom sexual activity isn’t recommended.
Tadalafil (as well as other PDE5 inhibitors) has a system vasodilatory characteristic s that can lead to a transitory reduction of AP.
Before prescription of Tadalafil doctors should consider the problem carefully, whether patients with a cardiovascular disease will be exposed to undesirable influence at the expense of such vasodilating effects.
The safety and efficacy of combination of Tadalafil with other kinds of treatment of the violations haven’t been studied. Thereby, since of this reason, the use of such combinations isn’t recommended.
Efficacy of Tadalafil in patients, who underwent surgery on the organs of small pelvis or radical prostatectomy, is unknown.
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