Cialis Soft

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Cialis Soft contains tadalafil prescribed for the treatment of erectile dysfunction. The expressed result of its action can be found much faster. The high effectiveness of this drug is achieved due to the specific features of use. Instructions for Cialis Soft use contains important and useful information for consumers about the properties, composition and product effect on the male body.

Indications

Cialis Soft is prescribed to patients with a diagnosis of erectile dysfunction. Tablets are used in disorders’ treatment of varying severity and etiology.

How fast the effect starts?

Tadalafil is superior to other PDE5 inhibitors in speed of action. The effect of Cialis Soft starts 15-30 minutes after administration. The exact time depends on the individual body characteristics. In some cases, patients get a steady erection within 10 – 20 minutes after administration.

The time of the drug onset also depends on food and drinks. Alcohol and fatty foods can slow down the reaction. But, in any case, you should get a stable erection 30 minutes after taking it.

Dosages

Doctors recommend starting therapy with Cialis Soft with 20 mg. If the desired effect is achieved, reduce the dosage to 10 mg. If nothing happens, gradually increase it. But in no case do not exceed the maximum dosage of 20 mg per day.

Overdose

According to the results of clinical studies, it was found that a single dose of tadalafil at a dose of 500 mg to a healthy man and multiple doses of tadalafil to 100 mg per day taking by a man with erectile dysfunction provokes the same adverse reactions as lower drug doses. In case of accidental drug overdose, symptomatic treatment is necessary. Excretion of tadalafil by hemodialysis is ineffective.

Side effects

Rare side effects are:

  • swelling of the eyelids, impaired vision, non-arterial anterior ischemic optic neuropathy, occlusion of the vessels of the retina;
  • sudden hearing loss;
  • myocardial infarction, ventricular arrhythmias, unstable angina;
  • nosebleeds;
  • urticaria, Stevens-Johnson syndrome, exfoliative dermatitis;
  • prolonged erection, priapism;
  • facial edema;
  • sudden cardiac death, stroke;
  • fainting;
  • ischemic attack;
  • migraine;
  • epileptic seizures;
  • transient amnesia.

Uncommon side effects are:

  • hypersensitivity reactions;
  • blurred visual perception;
  • pain in the eyeball, palpitations;
  • tachycardia;
  • decreased blood pressure (in patients who have already taken antihypertensive drugs);
  • increased blood pressure;
  • nasal congestion;
  • shortness of breath;
  • abdominal pain;
  • gastroesophageal reflux;
  • rash;
  • hyperhidrosis (excessive sweating),;
  • chest pain.

Common side effects from taking Cialis Soft are:

  • headache;
  • dizziness;
  • dyspepsia;
  • back pain;
  • myalgia.

Contraindications

  • not take the drug together with drugs that contain any nitrates;
  • not take the drug to people under 18 years of age;
  • cardiovascular diseases: myocardial infarction during the last three months (90 days), the occurrence of angina pectoris attack during sexual intercourse, unstable angina pectoris, uncontrolled arrhythmia, chronic heart failure, ischemic stroke in the last 6 months, arterial hypotension (blood pressure less than 90/50 mmHg), uncontrolled arterial hypertension;
  • concomitant use with medications that are intended to treat erectile dysfunction, as well as doxazosin;
  • loss of vision due to non-arterial anterior ischemic optic neuropathy;
  • lactose intolerance, lactase deficiency, gluco-galactose malabsorption;
  • frequent intake (more than 2 times a week) in patients with chronic renal failure;
  • individual hypersensitivity to the drug components.

Drug interactions

With the combined use of Cialis Soft with organic nitrates, there is a risk of hypotension, which in some situations is life-threatening. It is contraindicated to take tadalafil together with tetranitrate, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, pentaerythritol tetranitrate.The level and toxicity indicators increase with a single dose with indinavir, itraconazole, erythromycin, ritonavir, nizoral, ketoconazole, sporanox. Doctors’ reviews confirm that a preliminary consultation with the attending physician helps avoid negative reactions.

Additional dose adjustment of Cialis Soft is necessary when taking ketoconazole, itraconazole, prazosin, phenoxybenzamine, saquinavir, urapidil, bunazosin, nelfinavir, atazanavir, indinavir, doxazosin, telithromycin, terazosin, erythromycin.