EXTRA SUPER CIALIS

Active Ingredient: Tadalafil Dapoxetine

Extra Super Cialis is used in the treatment of Erectile Dysfunction with Premature Ejaculation. Extra Super Cialis 100mg contains Tadalafil 40 mg and Dapoxetine 60 mg.

Common use

Cialis is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis. It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cialis has no effect when sexual stimulation is absent. Cialis improves erection and lets achieve a successful sexual intercourse. The drug acts during 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.

Dosage and direction

The recommended dose of Cialis is 20 mg it should be taken at least 16 minutes before the sexual activity. The effect persists during 36 hours. Take Cialis once daily and do not exceed the recommended dose.

Precautions

It is preferable not to use Cialis with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Cialis if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.

Contraindications

Cialis is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.

Possible side effects

Most usual side effects of Cialis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.

INDICATIONS

Extra Super Cialis is indicated for the treatment of erectile dysfunction.

INSTRUCTIONS

Use Extra Super Cialis as directed by your doctor.

Take Extra Super Cialis by mouth with or without food.

For use as needed: Take Extra Super Cialis at least 30 minutes before sexual activity, as directed by your doctor. Extra Super Cialis may work for up to 36 hours after you take it.

For daily use: Take Extra Super Cialis regularly at about the same time each day.

Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Extra Super Cialis.

For use as needed: If you miss a dose of Extra Super Cialis and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. For daily use: If you miss a dose of Extra Super Cialis, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

DOSAGE

Please take the medication exactly as prescribed by your doctor.

STORAGE

Store Extra Super Cialis at 77 degrees F (25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Extra Super Cialis out of the reach of children and away from pets.