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PEOPLE CHOICE WITH ROYAL KING PHARMACY.

       ROYAL KING PHARMACY      

Cialis

$32.00 $37.00

Marketed under the name Adcirca and given in higher doses to treat pulmonary hypertension. PDE5 inhibitors block the enzyme PDE5 which exists in some smooth muscle tissues in the body. These medications stop the PDE5 enzyme from degrading cGMP, a nucleotide that acts to relax smooth muscle tissues. Relaxed smooth muscle tissue enhances the propensity for erectile function. Cialis differs from other PDE5 inhibitors like Viagra and Levitra in that it has a longer half-life of up to 17.5 hours and may function in the body for up to 36 hours. This is convenient as it is not required to schedule sexual activity as is necessary with some other medications. This is how Cialis has earned the nickname “the weekend pill”. Cialis should not cause an erection without direct sexual stimulation of the penis.

HOW TO USE AND PRECAUTION

You are allergic to tadalafil or any of the ingredients in the Cialis tablets. You are taking or have recently taken nitrates such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Imdur, ISMO), and nitroglycerin (Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat). Ask your doctor if you are not sure whether any of your medications contain nitrates.  You are taking street drugs containing nitrates such as “poppers”.  You are taking alpha blockers, other erectile dysfunction medications, antifungals, HIV protease inhibitors, cholesterol medication, high blood pressure medications, other medications for erectile dysfunction, other medications or treatments for PAH, depression or anxiety medication and any other medications you might be taking. You are taking St. John's wort. You smoke. You have ever had an erection that lasted more than 4 hours. You have recently had diarrhea, vomiting, not been drinking enough fluids, or sweating a lot which may have caused dehydration. You have or have ever had pulmonary veno-occlusive disease. You have any condition that affects the shape of the penis.  You have or have ever had diabetes, high cholesterol, high or low blood pressure, irregular heartbeat, a heart attack or heart failure, angina (chest pain), a stroke, ulcers in the stomach, a bleeding disorder, blood circulation problems, blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia, or heart, kidney, or liver disease.  You or any of your relatives have or have ever had an eye disease such as retinitis pigmentosa or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. You are a woman and you are taking Cialis to treat PAH, tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding.  You have ever experienced chest pain during sexual activity. 

What special dietary instructions should I follow?

 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking Cialis. If you have surgery or heart problems, tell the doctor or dentist that you are taking Cialis. Ask your doctor about the safe consumption of alcoholic beverages while you are taking Cialis. Alcohol can make the side effects worse

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