Generic Cialis

Being a controlled medication, it is available only in registered pharmacies or physician clinics licensed to dispense medication. You can obtain the drug from online portals while ensuring the authenticity and reputation of the site you are ordering from.

The price of the medication is not a constant factor but varies based on the following factors.

1. The version you have ordered. Generic versions are cheaper than brand versions
2. The dosage advised by the physician. Depending on your condition, you can be advised the medication daily or less frequently, that subsequently will affect the cost.
3. The site of obtaining the medication. Online portals are often considered a cost-effective way of getting the medication.
4. Duration of usage. Longer duration of use will increase the overall cost of purchase.

For conditions of erectile dysfunction, you should not take more than one tablet of 20 mg once in 24 hours. If you miss a dose, you can use it the next day at the same time instead of overdosing on the medication to make up for the missed dose. Researchers have observed that one dose of 20mg strength lasts 36 hours, and you need not use it daily.

Being a prescription medication, the drug in general is not available for sale over the counter. You need a prescription diagnosing your sexual problem to avail the medicines from pharmacies or online counters dispensing the medication.

The medication does not increase your penis size. But it increases the blood flow to the area. It relaxes the muscles around the penile region resulting in a prolonged erection period that a few users perceive as having an enlarged penis.

You should avoid taking the two together for the user’s safety. Both are PDE-5 inhibitors used in the treatment of erectile dysfunction. Using the two together can lead to overdosing symptoms, resulting in hypotension, dizziness, lightheadedness and heart palpitations.

The medication is contraindicated with alcohol, as alcohol can negate the therapeutic effects of the medication and cause delayed erectile episodes. Additionally, the use of alcohol with the medication can cause flushing and headaches and slow down the blood flow to the penis, giving rise to discomfort to the user.

It takes the medication approximately 30 minutes to start working and around 2-6 hours to peak plasma concentrations in the system. The effects of the drug are felt for 24-36 hours till the completion of its half-lives, after which it is removed from the body in the form of metabolic wastes. Factors like the patient’s age, drug ingestion with rich meals and drug interaction with other medications can prolong the peak onset period.

Using the medication can cause your lower esophageal sphincter, or the part of your body controlling the flow of your stomach contents, to relax, giving rise to heartburn as stomach acid travels from the stomach upward to the esophagus. Using over-the-counter antacids can take care of the heartburn side-effect effectively.

 It is usually advised to use 20mg of the drug no more than once in 24 hours for safety reasons. The duration of usage of the medication depends on

1. The treatment plan of the medical practitioner
2. The intensity of your erectile dysfunction
3. Your tolerance to the medication and its ensuing side-effects
4. Other systemic conditions in the body like heart, lungs or liver disorders