Generic Cialis (Tadalafil)
Cialis
Cialis is most commonly used to treat erectile dysfunction and impotence, which is when a man struggles to maintain an erection or cannot get erect at all. It's also sometimes prescribed for an enlarged prostate. Tadalafil is the active ingredient of Cialis. It improves blood flow to the penis so that a man can get an erection for sexual activity. Depending on how your doctor prescribes the medication, you might take it as needed before sex or every day. If you take it as needed, the effects may last up to 36 hours.
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Product Description
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Common use

Cialis Super Active is an offer of advanced new generation formulation with the shortest activation time and most prolonged time of action to treat erectile dysfunction. Besides active substance tadalafil gelatin makes the pill to reach its full effects in a few minutes. Take Cialis Super Active 5-7 minutes before sexual activity. The prolonged action lasts 50-55 hours and erection can appear any time during this period if there is sexual stimulation. The medicine is easily absorbed without harm to gastrointestinal track. It naturally increases testosterone levels, possess enhanced vasodilating effect, increases sperm production and sexual arousal, stamina, and response to stimulation. The medication can be safely used by young and old alike.



Dosage and direction

Dose of 20 mg is taken 5-7 minutes before sexual intercourse. Take when needed according to recommendations of your doctor. Do not take more than one pill a day.



Precautions

Alcohol, hot weather, exercise, or fever may increase adverse reactions of your body to Cialis Super Active. Do not use other medicines for erectile dysfunction together with Cialis Super Active. Cialis Super Active may cause more severe adverse reactions in the elder patients. Inform your doctor if there are painful or prolonged erection in your history, you currently suffer with kidney diseases, stomach ulcers, blood cell problems such as sickle cell anemia, leukemia, or myeloma.



Contraindications

Do not take this drug if you are hypersensitive to its components, suffer from you severe liver problems or have retinitis pigmentosa (hereditary degenerative eye disease), severe problems with blood or heart such as unstable angina, angina during sexual intercourse, heart failure, irregular heartbeat, uncontrolled high blood pressure, low blood pressure, a heart attack or stroke in history, currently taking nitrates in any form as well as poppers (amyl nitrate, butyl nitrate), or if your doctor did not advise you sexual activity due to your heart problems.



Possible side effect

The most frequent side effects of this medicine are dizziness, drowsiness, lightheadedness, fainting, fast heartbeat, and low blood pressure, or blurred vision. Less serious symptoms include heartburn, mild back or muscle pain, upset stomach, running nose. In some people this medication causes priapism, a condition when erection lasts more than four hours. Such prolonged erections may be very dangerous and lead to permanent damage to your penis. Contact your health care advisor the soonest if you experience this.



Drug interaction

Concomitant use with any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside , any 'nitric oxide donor' medicine, or recreational drugs called "poppers" which also contain nitrates such as amyl or butyl nitrate is contraindicated. Life threating conditions may be caused by co-administration of Cialis Super Active with certain alpha-blocker drugs such as alfuzosin, prazosin, terazosin, or doxazosin. Dose correction is needed if this medication is co-administered with other drugs for erectile dysfunction, certain antifungal medicines such as itraconazole or ketoconazole, macrolide antibiotics such as clarithromycin or erythromycin, other antibiotics such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir), medicine for high blood pressure, or HIV protease inhibitors such as indinavir (Crixivan) and ritonavir (Norvir).



Missed dose

Take when needed. Missed dose is not supposed.



Overdose

Immediately seek professional medical help if you experience severe chest pain, fainting, prolonged erection, dizziness, persistent vision changes, persistent back or muscle pain.



Storage

Store in a dry tight container away from sunlight at room temperature between 68-77 F (20-25 C) away from children and pets.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

Antibiotics

Antibiotics is one of most prescribed group of medications. Antibiotics are antibacterial (antimicrobial agents) that kills bacteria(bactericidal) or stop the growth of the bacteria(bacteriostatic action).

Antibiotics are used to treat bacterial infections and are not indicated for the viral infections. Currently there is a big variety of antibiotics available. All the antibiotics are divided into two main groups according to the action mechanism:

  • Antibiotics with bactericidal action(penicillins, cephalosporins, aminoglycoside)
  • Antibacterial with bacteriostatic action(macrolides, tetracyclines)

Penicillins and cephalospororins are the most prescribed group of antibiotics. They belong to half-synthetic beta lactam antibiotics. These antibiotics work by inhibiting the enzymes responsible for the production of peptidoglycan. Peptidoglycan is a biopolimer that is a main structural component of the bacterial cell wall. The blockage of peptidoglycan synthesis leads to the lysis of the microorganisms.

Another group of preparations are aminoglycosides. However, these antibiotics are prescribed in rare cases. The most of aminoglycosides possesses nephrotoxicity, ototoxicity and cab cause neuromuscular blockage. Bactericidal action of aminoglycosides is related to the interfering with the synthesis of proteins on the ribisomes in the microbial cells. When aminoglycosides are used with penicillins and cephalosporins the sinergism against gram-positive and gram-negative microorganisms is observed.

Among all bacteriostatic antibiotics macrolides and tetracyclines are the most indicated groups. Therapeutic effect of macrolides is associated with inhibiting the synthesis of proteins on the ribosomes in the microbial cell. As usual macrolides exert bacteriostatic action, however in high amounts are able to exert bactericidal action on some microorganisms. Besides antibacterial action, some macrolides possesses immunomodulatory and anti-inflammatory action.

Another group of bacteriostatic antibiotics are used less frequently as many microorganisms became resistant to the this type of antibiotics. Bacteriostatic effect of the tetracyclines is associated with inhibiting the synthesis of proteins. Tetracycline are indicated in clamydia infections, rickettsial disease, some zoonosis, severe acne.

Antibiotics are indicated and used only in the cases of the bacteria is sensitive to the antibiotics. There some specific tests like antibiogram that will help to determine the right antibiotic and corresponding dose.