Buy Cialis Online

Cialis (Tadalafil) Buyer and Patient Handbook in Singapore

What is Cialis?

Cialis is a tablet-form medication belonging to the phosphodiesterase-5 (PDE-5) inhibitor class, used primarily to treat Erectile Dysfunction (ED) and, in higher doses, Benign Prostatic Hyperplasia (BPH). It improves blood flow to the penis during sexual stimulation, helping men achieve and maintain an erection sufficient for intercourse. The product is approved by the Singapore Health Sciences Authority (HSA) and conforms to the same standards as FDA-approved tadalafil medicines.

Who Should Use Cialis?

• Adult men (≥18 years) experiencing consistent difficulty achieving or sustaining an erection.
• Men diagnosed with BPH who have moderate to severe urinary symptoms.
• Individuals whose condition has not improved with lifestyle changes alone.

How Does It Work?

Cialis blocks the enzyme phosphodiesterase-5, which normally breaks down cyclic guanosine monophosphate (cG-c). By preserving cG-c, the medication relaxes smooth muscle in the penile arteries, allowing them to expand and increase blood flow during sexual arousal. Think of it as widening a road so more traffic (blood) can reach its destination when you press the accelerator (sexual stimulation). Abuse potential is low, but the drug should not be taken recreationally or combined with illicit substances.

Why Choose Cialis?

• Long-acting option: A single dose can work for up to 36 hours, offering flexibility compared with shorter-acting PDE-5 inhibitors.
• Dual indication: In higher doses (20 mg, 40 mg) it also relieves BPH symptoms, reducing the need for separate medications.
• Generic availability: Affordable generic tadalafil tablets provide the same therapeutic effect as the brand, delivering cost savings without compromising quality.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

• 10 mg taken as needed before sexual activity (most common starting dose).
• 20 mg taken as needed if 10 mg is ineffective.
• 40 mg, 60 mg, 80 mg are higher-strength tablets typically reserved for BPH treatment or for men who require a daily regimen; they must be prescribed by a qualified clinician.

How to Take

1. Swallow the tablet whole with a full glass of water.
2. For as-needed use, take it at least 30 minutes before sexual activity; its effect can last up to 36 hours.
3. If using a daily regimen for BPH, take the tablet at the same time each day, with or without food.

Missed Dose

If you miss a scheduled daily dose, take it as soon as you remember unless it is within 12 hours of the next dose. In that case, skip the missed tablet and resume the regular schedule-do not double-dose.

Overdose

If you suspect an overdose (e.g., taking more than the prescribed amount), seek urgent medical attention. Symptoms may include sudden dizziness, fainting, or a rapid heartbeat.

Special Populations

• Elderly (≥65 years): Start with 5 mg daily for BPH or 10 mg as needed for ED; monitor blood pressure.
• Renal or hepatic impairment: Dose may need reduction; a healthcare professional should evaluate kidney and liver function.
• Women and children: Tadalafil is not indicated for these groups.

Lifestyle & Diet

• Alcohol: Moderate intake is generally safe, but excessive drinking can diminish the drug’s effectiveness and increase side-effects such as headache.
• Grapefruit: Avoid large quantities, as grapefruit juice can raise tadalafil levels and increase the risk of adverse reactions.

Precautions and Warnings

• Do not use Cialis if you have taken nitrates (e.g., nitroglycerin) for chest Pain, as the combination can cause a dangerous drop in blood pressure.
• Caution is advised for men with uncontrolled Hypertension, recent Heart Attack, or severe Heart Failure.
• Report any prolonged erections lasting more than 4 hours (priapism) immediately, as they require urgent treatment.

Drug Interactions

Potential Side Effects

Common Side Effects

• Headache
• Facial flushing
• Indigestion (dyspepsia)
• Nasal congestion

Less Common Side Effects

• Back Pain
• Muscle aches
• Vision changes (blurred or blue-tinted vision)

Serious Side Effects

• Sudden loss of vision (non-arteritic anterior ischemic optic neuropathy) - seek medical help.
• Prolonged erection lasting > 4 hours (priapism) - urgent care required.
• Severe chest pain or irregular heartbeat - contact emergency services.

Who Should Avoid This Medication?

• Men using any form of nitrates.
• Individuals with severe uncontrolled high or low blood pressure.
• Patients with recent (within 14 days) major cardiovascular events (heart attack, stroke).
• Those with known hypersensitivity to tadalafil or any tablet excipients.

Storage Instructions

• Keep tablets in the original container, tightly closed.
• Store at 20-25 °C (68-77 °F); avoid excess heat and moisture.
• Keep out of reach of children and pets.

Cialis Alternatives

Frequently Asked Questions

How long does Cialis stay effective?

A single dose can remain active for up to 36 hours, providing a flexible window for sexual activity.

Can I take Cialis with alcohol?

Moderate alcohol consumption does not usually interfere, but heavy drinking can lower the drug’s effectiveness and increase side-effects.

Should I take Cialis with or without food?

It can be taken with or without meals; a high-fat meal may slightly delay onset, but the overall efficacy remains unchanged.

Is daily dosing necessary for erectile dysfunction?

Daily low-dose regimens (2.5 mg or 5 mg) are an option for men who prefer spontaneous activity, but as-needed dosing is sufficient for most patients.

What should I do if I experience a painful erection lasting more than 4 hours?

Seek immediate medical attention; priapism can cause permanent tissue damage if not treated promptly.

Can Cialis be used for pulmonary arterial hypertension?

Tadalafil is approved for this indication under a different brand (Adcirca) and at a specific dosing schedule; consult a specialist.

Will Cialis affect my blood pressure?

When used alone, it typically causes only modest blood-pressure changes, but combining it with nitrates or certain antihypertensives can lead to significant hypotension.

Is there a generic version of Cialis available in Singapore?

Yes, generic tadalafil tablets are marketed by several manufacturers and provide the same therapeutic effect at a lower cost.

How often can I safely take Cialis?

For as-needed use, do not exceed one dose per day. Daily regimens require a physician-guided dose, usually 2.5 mg or 5 mg.

Does Cialis improve sexual desire?

Tadalafil enhances erectile response but does not directly increase libido; underlying psychological or hormonal factors need separate evaluation.

Glossary

• Phosphodiesterase-5 (PDE-5) inhibitor: A drug class that blocks the enzyme responsible for breaking down cG-c, thereby promoting smooth-muscle relaxation and blood vessel dilation.
• Priapism: An erection that persists longer than four hours and is not related to sexual stimulation; it is a medical emergency.
• Benign prostatic hyperplasia (BPH): Non-cancerous enlargement of the prostate gland, causing urinary symptoms such as frequent or weak stream.

Disclaimer

The information provided here is for general educational purposes only and does not replace professional medical advice. Off-label use, dosage adjustments, and treatment decisions should be discussed with a qualified healthcare provider. Our service offers access to licensed pharmacies in Singapore; it does not prescribe medication. Readers are responsible for ensuring the suitability of any medication for their personal health circumstances.