General Use

Cialis Super Active is an advanced formulation of the latest generation with the shortest activation time and the longest duration of action for the treatment of erectile dysfunction. In addition to the active ingredient tadalafil, gelatin ensures that the pill reaches its full effect within minutes. Take Cialis Super Active 5-7 minutes before sexual activity. The prolonged effect lasts 50-55 hours, and an erection can occur at any time during this period if there is sexual stimulation. The drug is easily absorbed without harm to the gastrointestinal tract. It naturally increases testosterone levels, improves the vasodilator effect, enhances sperm formation and sexual arousal, stamina, and response to stimulation. The drug can be safely used by both young and elderly people.

Dosage and Use

The dose of 20 mg is taken 5-7 minutes before intercourse. Take as needed according to your doctor's recommendations. Do not take more than one pill per day.

Precautions

Alcohol, warm weather, exercise, or fever may worsen your body's side effects from Cialis Super Active. Do not use other medications for erectile dysfunction together with Cialis Super Active. This medication may cause more serious side effects in older patients. Inform your doctor if you have a history of painful or prolonged erections, currently suffer from kidney disease, stomach ulcers, blood cell problems such as sickle cell anemia, leukemia, or myeloma.

Contraindications

Do not take this medication if you are allergic to its ingredients, have severe liver problems or retinitis pigmentosa (a hereditary degenerative eye disease), severe blood or heart problems such as unstable angina, angina during sexual activity, heart failure, irregular heartbeat, uncontrolled high blood pressure, low blood pressure, a history of heart attack or stroke. Do not use nitrates or recreational drugs such as poppers (amyl nitrate, butyl nitrate), or if your doctor has advised against sexual activity due to heart problems.

Possible Side Effects

The most common side effects of this medication are:

• Dizziness
• Drowsiness
• Fatigue
• Fainting
• Fast heartbeat
• Low blood pressure
• Blurred vision

Less severe symptoms include heartburn, mild back or muscle pain, upset stomach, and a stuffy nose. Some people may experience priapism, a condition in which the erection lasts longer than four hours. Such prolonged erections can be very dangerous and lead to permanent damage to your penis. Contact your healthcare provider as soon as possible if you experience this.

Drug Interactions

Concurrent use with any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside, any 'nitric oxide donor' medications, or recreational drugs that also contain nitrates such as amyl or butyl nitrate is contraindicated. Life-threatening conditions may occur when Cialis Super Active is used concurrently with certain alpha-blockers such as alfuzosin, prazosin, terazosin, or doxazosin. Dose adjustment is necessary when this medication is combined with other erectile dysfunction medications, certain antifungal drugs 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), medications for high blood pressure, or HIV protease inhibitors such as indinavir (Crixivan) and ritonavir (Norvir).

Missed Dose

Take as needed. A missed dose is not applicable.

Overdose

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

Storage

Store in a dry, well-closed container, protected from sunlight at room temperature between 68-77 °F (20-25 °C), out of reach of children and pets.