Cialis 20mg How Long Does It Take to Work

Cialis is a modern drug that allows you to solve problems with potency in most cases. It has a prolonged effect, which allows for a long time to enjoy intimacy. In order to get the expected result, you need to know how to take Cialis. You should carefully read the instructions for the drug and follow all the recommendations. Only in the case of proper use of the drug is effective and safe.

Cialis 20mg How Long Does It Take to Work

20 mg of the drug should be taken at least 30-60 minutes before the expected sexual activity. The amount of time it takes for the drug to work varies from person to person. In some men, Cialis begins to act after 16 minutes after taking the pill, but for the first time, it is recommended to take it at least an hour before sex.

Cialis is effective for 36 hours, that is, after taking it, you can achieve an erection (with sexual stimulation) at any time for 36 hours.

Drugs related to PDE-5 inhibitors are intended for continuous episodic administration. There is no definite course of Cialis, Viagra or Levitra.

Many things, such as body weight, disease, and medication intake can affect the dose of medication that a person needs. If your doctor recommends a dose other than the one listed in the article, follow the doctor’s advice.

After three months of taking “Cialis”, there is an improvement in erectile function in the form of spontaneous erections. If ED is caused by psychological problems, the improvement is due to increased confidence in their sexual abilities.

Related: How Long Does Viagra Last? How to Improve Erectile Dysfunction Without Viagra?

Is Cialis harmful?

In case of overdose-no doubt, even for perfectly healthy people. It may also be harmful if the contraindications specified in the instructions to this product or while taking a drug containing nitrates.

How long before Cialis takes effect?

The onset of tadalafil may occur 15 minutes after taking the dose, although a successful erection at this point occurs in less than 40% of men. This is why doctors do not convince patients that the drug will come very quickly because it can take up to 2 hours before a man is capable of sexual contact. Unreasonable expectations from” Cialis ” can cause feelings of anxiety or loss of confidence in the doctor, which leads to ineffective treatment.

“Cialis” does not help — what to do?

The drug works only with sexual stimulation and does not increase sexual desire. If you do not fit this drug, you can (after consultation with a urologist or andrologist) use other drugs, such as “Cialis Soft”, “Viagra”, “Levitra” or their generics (generic — a copy of the drug with the same active substance, but a different name).

A side effect of Cialis

Cialis works by relaxing smooth muscle cells, which dilates blood vessels-mainly in the penis, but also in other parts of the body. The most common side effect when taking Cialis is a headache, which occurs in 16% of men.

Other reactions include redness of the skin, upset stomach, nasal congestion, and urinary tract infections. But when the drug is used properly, these side effects are relatively mild, and most of them will disappear in a few hours.

In rare cases, men experience temporary, mild vision problems due to reduced blood flow to the optic nerve. Basically, there is a blue tint in objects, as well as increased sensitivity to light and blurred vision. However, people with pigment retinitis, a rare eye disease, should be very careful when using “Cialis”.

Repeated administration of the drug by patients with impaired erection at a dosage of up to 100 mg per day and healthy men – once up to 500 mg per day causes the same side symptoms as the use of the drug in smaller doses.

Sudden hearing loss is another rare side effect of PDE-5 inhibitors.

Who should take Cialis

The active substance of the drug-tadalafil, which is an inhibitor of phosphodiesterase. Under his influence, there is a relaxation of the smooth muscles of the cavernous bodies of the penis, thereby improving blood filling. The result is a persistent, long-lasting erection that occurs only after sexual stimulation. Cialis is indicated for men who do not have an erection or it is not strong enough to perform sexual intercourse. The drug can be used both to combat impotence of psychogenic Genesis, and to correct erectile dysfunction caused by organic causes.

Is it possible to take Cialis in somatic diseases

If you have chronic diseases of the internal organs, it is necessary to consult a doctor who will tell you how to take cialis in a particular situation and whether it is possible to do it. The instructions have a list of conditions in which to

take tadalafil is not recommended:

• individual intolerance;
• age up to 18 years old is over 65 years old;
• congenital or acquired abnormalities of the structure of the genital organs;
• unstable angina;
• recently had a heart attack;
• nitrate reception;
• decompensated diseases of internal organs;
• severe mental illness.

If you have health problems, before taking the drug should be examined. On its basis, the doctor can make a conclusion about the possibility of treatment with the drug and choose an individual dosage.

how much to take Cialis?

The drug can be used both on demand and courses.

You can use tadalafil no more than 1 time per day. With more frequent use, there will be no better effect, but there is a high probability of pronounced side effects. If erectile dysfunction is not strongly expressed, it is recommended to use Cialis only before the planned intimacy. The tablet begins to act after 40-60 minutes, and the effect persists for 1.5 days. With serious problems, it is advisable to drink the drug course, which allows you to get a lasting effect.

Cialis course

Tadalafil has a pronounced cumulative effect, so in some cases, it is recommended to use the drug for a course of up to 3 months. For this purpose, a dosage of 5 mg is used.

How to take Cialis 5 mg?

1 tablet once a day. After the end of the course of therapy, most men note an excellent effect and can achieve an erection even without the additional intake of tadalafil.

The course of the drug has the advantage: a man is ready for intimacy at any time, and should not plan it in advance, as in the occasional pill. This drug regimen is suitable for patients with high sexual activity.

How to take Cialis 20 mg?

If you have not taken this drug before, you should start with a ½ tablet. For most men, 10 mg is enough to get the desired effect. Addiction to tadalafil is not noted, so in the future, there is no need to increase the dosage.

If the minimum dosage did not have the desired effect, then the next time you should take a whole tablet 20 mg. Further increase in the dosage is not only impractical but also dangerous, because the risk of side effects increases.

If the problems with the erection are transient or sexual contacts episodic, then the reception of cialis on demand is optimal.

In the presence of chronic diseases of the internal organs, dosage may differ from the recommended in the instructions. It should be selected by the attending physician.

Pharmacotherapeutic group

Drug inhibiting phosphodiesterase type 5 (PDE-5). The action of Cialis is aimed at eliminating erection dysfunction.

Release form of the drug and its composition

Cialis is available in the form of tablets enclosed in a yellow film shell. The basis of the drug tadalafil lies in the marking of corresponding doses of 20, 5 or 2.5 mg as excipients are: lactose monohydrate, hydroxypropyl methyl cellulose (hypromellose), Na croscarmellose, microcrystalline cellulose, Mg stearate, SLS. The composition of the film includes dye iron oxide and Opadry yellow, ti dioxide, lactose monohydrate, hypromellose, triacetin.

Pharmacological action

he action of Cialis is aimed at suppressing PDE5 during sexual arousal, as a result of which in the cavernous body of the male genital organ the concentration of cyclic guanosine monophosphate increases, smooth arterial muscles relax, which promotes blood flow to the tissues of the penis, and an erection occurs.

The positive effect of Cialis is observed after 15-20 minutes after taking the pill and lasts for 36 hours only in the presence of sexual arousal.

Cialis and food intake

The drug can be used before, after or during meals. If you want the pills to work faster, you should not use them with fatty foods. This slows down the absorption of the active substance in the stomach, so the effect will come later.

The tablet should be swallowed with a small amount of liquid.

Cialis and alcohol

For many men, the question is actual: how to use Cialis in combination with alcohol and whether it is worth doing it. Usually, intimacy is preceded by a romantic evening, one of the components of which are alcoholic beverages. Will tadalafil act in this case?

Alcoholic beverages increase sexual desire but have a negative impact on potency. The more alcohol is drunk, the less pronounced will be the effect of tadalafil. If you take alcohol in a small amount, for example, drinking a bottle of beer, a glass of wine or 100 grams of vodka, then decrease the effect of Cialis will not.

But if you drink a lot, even the maximum dosage of the drug will not help to complete the evening as it would like. In addition, in combination with large doses of strong drinks, the drug creates an increased load on the cardiovascular system, which is especially dangerous for men suffering from hypertension, angina or heart failure.

The use, absorption, and excretion

The drug can be used at any time of the day, regardless of food intake and alcohol consumption. Tadalafil is rapidly absorbed, and the limit concentration in the blood is observed after 120 min.

Men with erectile dysfunction and leading an active sexual life, it is recommended to take the drug daily at the same time in a dosage of 2.5-5 mg. Patients with sexual activity no more than 2 times a week should take Cialis with a dosage of 20 mg for 15 minutes or immediately before sexual intercourse.

The effect of the drug lasts 36 hours, so repeated administration is not recommended.

The average half-life of the drug in a healthy person is 17-18 hours. Excretion occurs in the form of inactivated metabolic products, mainly with fecal masses (about 60%) and about 35% with urine.