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Tadalafil 20mg

Experience long-lasting performance with Tadalafil 20mg. Known for its extended effectiveness up to 36 hours, it allows for greater spontaneity and confidence in your intimate moments.

Product Details:

• Extended Duration:Effects last up to 36 hours, allowing for spontaneity.
• Powerful Dosage:Each tablet contains 20mg of Tadalafil for reliable results.
• Convenient:Take as needed for long-lasting performance.

Benefits:

• Greater Flexibility:Enjoy intimate moments without the need to time your medication.
• Boosted Confidence:Feel secure in your ability to perform whenever the moment arises.
• Reliable Results:Trust in a proven solution for dependable performance.

How It Works:

• Take as Needed:Consume one tablet before anticipated sexual activity.
• Enjoy Results:Benefit from prolonged effectiveness, supporting spontaneous intimacy.
• Follow Guidelines:Adhere to the recommended dosage and usage instructions for optimal results.

Experience long-lasting confidence with GoRocky's Tadalafil 20mg. Trust in our extended-effect solution to enhance your performance and improve your intimate moments.

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Take one tablet as needed before sexual activity and avoid prolonged use if side effects occur. Always take the medication at the same time each day to avoid potential side effects.

For optimal results, make sure to:

• Avoid taking with other medications for optimal results.
• Take only one pill in your morning
• Avoid taking with other medications after the first drowsiness episode.

Why you should use GoRockyPh:

• Improve your sexual performance.
• Loss no medication but talk to your doctor.
• Enhanced convenience.
• Greater flexibility.

Get back to your regular life with GoRockyPh's Tadalafil 20mg. Trust in its extended-effect solution to improve your sexual health and improve your intimate performance.

What is Tadalafil (Cialis)?

Tadalafil is used to treat erectile dysfunction or impotence. This type of erectile dysfunction involves difficulties with a man's ability to get or keep a hard erect penis sufficient for able can you. It works by allowing men to manually produce the erection by which they achieve and sustain an erection when sexually stimulated.

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. It works by relaxing blood vessels and thereby allowing for increased blood flow which treats erectile dysfunction. Men can achieve sexual stimulation with the ability to achieve and sustain the desired erection when sexually aroused.

Cialis Features

Tadalafil is also used to treat symptoms of benign prostatic hyperplasia (BPH) which is a common obstructive condition affecting men. This condition affects both those who meet the International Prostate Symptom Score (IPSS) and those who do not. BPH is one of those conditions which can be treated with Tadalafil. The medication helps reduce the frequency of erections and helps improve erections in men with BPH symptoms.

Tadalafil is a generic version of Cialis. B6Fin is the active ingredient in BPH medication. B6Fin is the active ingredient in tadalafil. B6Fin contains the active ingredient Tadalafil.

Tadalafil is a prescription medication. You will need to talk to a pharmacist or doctor to request a request for a generic form of Tadalafil.

Cialis Side Effects

Tadalafil is a moderate dosage of Cialis. It comes in two types of tablets:

• Soft tablets which are passed through a blowtorch or thinners.
• Intra- or Soft-sterdam thinners.

Like all medications, this medicine can cause side effects. These are not complete and may affect your ability to have a spontaneous erection.

Patients who have experienced side effects after taking Tadalafil may:

• experience symptoms like sudden vision loss or a sudden increase in blood pressure.
• experience side effects such as nasal congestion.
• or allergic reactions.

Patients who experienced a side effect after taking Tadalafil may experience:

• nasal congestion.
• or

The following list is not all possible side effects of Tadalafil. If you have any questions, ask your doctor or pharmacist before taking this medicine.

Patients who experienced any side effects after taking this medicine may be asked to report side effects immediately.

Can I take Tadalafil with my ED Medication?

Tadalafil can be taken with or without food. However, it is better to take it at a fixed time than to take a variable dose of this medicine.

Tadalafil and Mental Health

The most common side effects of Tadalafil are:

• Headache.
• Blurred vision.
• Stuffy nose.
• Indigestion.
• Back pain.
• Muscle aches.
• Nasal congestion.
• Loss of vision.
• Dizziness.
• Flushing.
• Tenderness of the skin.

If you notice any of these less common side effects, you should seek medical help right away:

• Sudden vision loss or an erection that is not fully formed.
• Chest pain.
• Shortness of breath.
• Rash.
• Itching.
• Soreness or a feeling that your face has become dry.
• A runny or stuffy nose.

Patients who have experienced sudden vision loss after taking Tadalafil should contact their doctor:

• who has prescribed medication for his/ her ED.
• who has prescribed medication for his/ her mental health condition.
• who is pregnant.

Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

• Ketoconazole, itraconazole (used to manage fungal infection)
• Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
• Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
• Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
• Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.

‍

If you are taking Cialis or tadalafil for blood pressure, be sure to tell your doctor to do not take this medication with other drugs that may affect its heartbeat, such as: -certain types of medications that temporarily alter the heartbeat (Qoliq, KamagraPatent, Staxyn)

• : Thisok sometimes predisposes individuals to chest pain, especially if they are also taking a alpha-blocker or other blood pressure medication.
• Albuterol: While but not every time, certain medications such as alfuzosin, finasteride (Norlongine), and b-blockers can amplify tadalafil's effects, yet not everyone will experience chest pain or any side effects with Cialis.
• : Though not a direct interaction, combining Cialis with certain caffeine-containing beverages might worsen side effects, like headaches or increase heart rate in sensitive individuals.

C.

Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

• Ketoconazole, itraconazole (used to manage fungal infection)
• Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
• Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
• Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
• Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.

__END_of_ential_ion

1. If you are taking nitrates (e.g., isosorbide nitro, nitroglycerin), please tell your doctor.Nitrates can cause a dangerous drop in blood pressure that can cause a heart attack or a stroke, leading to severe dizziness, fainting, or even heart attack or stroke. However, they are not experienced any different. Contact your doctor if you are experiencing any symptoms with dizziness, lightheadedness or dizziness-related side effects.
2. If you are taking alpha-blockers (e.g., pomax or terazosin), please tell your doctor.These medications can raises blood pressure by inhibiting a common blood-pressure-lowering enzyme. This can amplify side effects, such as headaches, dizziness, or fainting.
3. If you are taking medications used to treat chest pain (Ex. codeine or ibuprofen), please tell your doctor.