Cialis also known as Tadalafil can be used to treat male sexual function problem such as impotence or erectile dysfunction. It is used in conjunction with sexual stimulation and works by increasing blood flow to the penis which helps a man get and keep an erection. It is similar to Viagra and Levitra. Cialis does not lead to sexual arousal. It should be used with caution, and only under medical supervision. Tadalafil is also used for the treatment of pulmonary arterial hypertension under the name Adcirca.

Buy Cialis pills in South Africa

It is recommended to take Cialis 30 minutes prior to sexual activity. Generally, the effects of Cialis last 24 – 36 hours, after taking it. Most often, Cialis starts affecting the body 30 minutes after you take a does but there are other factors that can affect how long Cialis stays in your system Cialis should not be taken more frequently than once every 24 hours. The first dose should be 10 milligrams at least 30 minutes before sexual activity. Dosage may be adjusted after that, depending on how the individual responds. The maximum dose should not exceed 20 milligrams. Patients who expect to be sexually active at least twice a week can take a daily dose of 2.5 to 5 milligrams depending on the individual reaction. This medication should not be used by patients under the age of 18.

Cialis is a medication with potentially serious adverse effects. It should only be obtained under medical supervision and always bought from a reputable source. Taking Cialis along with a nitrate medication can cause serious and sudden drops in blood pressure or hypotension. Anyone taking a nitrate drug should not use tadalafil.

If any of the following symptoms occur during sexual activity immediate medical assistance should be sought as they could be a sign of a serious complication.

• Dizziness
• Nausea
• Numbness, chest, neck, or jaw pain or tingling.

If an erection lasts for more than 4 hours it can damage the penis so medical assistance is necessary.

In rare cases, Cialis can undermine the blood flow to the optic nerve of the eye. This can cause sudden loss of vision. Patients with hypertension, diabetes, high cholesterol and pre-existing eye problems are more likely to experience this, as well as patients with heart disease.

People should not take Cialis without a doctors agreement if they have:

• Angina, heart rhythm problems, or any kind of heart disease
• High or low blood pressure
• Congestive heart failure or stroke within the last 6 months
• Myocardial infarction within the last 3 months
• Leukemia, sickle cell anemia, multiple myeloma, hemophilia or another blood disorder
• Liver or kidney disease
• Stomach ulcers
• Retinis pigmentosa
• Peyronie’s disease or any structural deformity of the penis

Other health conditions for which they have been advised not to have sexual intercourse
Cialis is available by prescription and should be used under the supervision of a medical professional. It is not always advisable to purchase Cialis online due to the possibility of counterfeit taladalfil tablets. The FDA issued a warning in 2015 about counterfeit tadalafil tablet that had become available in the U.S.A.

In South Africa, Cialis can be purchased as Tadalafil through online pharmacies without a prescription. Cialis is available in 10, 20 , 40, 60 and 80mg tablets. Price begin approximately $1.88 per tablet when purchased in packets from 2- 360 pills. Shipping is available from the following manufacturers:

• Samok Overseas
• Dharam Distributors
• Aurochem Laboratories
• Sunrise Remedies
• Fortune Healthcare