The Cialis 20 mg pills are always available on our Rxpharmasmeds. Erectile Dysfunction (ED), is a condition in which a patient can’t get or maintain an erection during sexual activities. Apart from Cialis, other members of the phosphodiesterase 5 (PDE5) inhibitors class of medication are, Sildenafil (Viagra), Vardenafil (Levitra and Staxyn), and Avanafil (Stendra). The Cialis 20 mg tablets can be distinguished as yellow and almond-shaped tablets, imprinted with ‘C 20’ on one of the sides.

Cialis 20 mg Working

Cialis (tadalafil) is known to work by increasing the blood flow into the penis which promotes an erection and maintains it for a longer time. It works to treat ED by blocking PDE5 inhibitors drugs. When PDE5 is blocked, an individual’s body responds by making more cyclic GMP. Due to an increased amount of cyclic GMP, the blood vessels and muscles in your penis relax. Thus allowing more blood to flow in to promote an erection.

Effectiveness of Cialis 20 mg

It takes at least 30 to 40 minutes for the Cialis medicine to kick in. However, Cialis medication can stay active in an individual’s system for more than 2 days after a single dose. If you’re using the medication as per the prescription, the drug may increase your ability to get and maintain an erection for 2 days after the last dose.

With the help of sexual stimulation, the duration of effectiveness can be improved. Other than that, a few other factors can also affect the effectiveness of Cialis 20 mg pills, like:

• Health conditions
• Medications
• Age factor
• Regular diet
• The dose of Cialis used

How to take Cialis Pills?

• Always take this medicine exactly as scheduled by your doctor. Consult with your doctor or pharmacist if you have any dosage-related queries.
• Cialis 20 mg tablets are for oral use in men only. Try to swallow the tablet as a whole with plenty of water. These tablets can be taken with or without food as prescribed by the doctor.
• It is recommended to start with a 10 mg dose before having any sexual activities. However, this dose may be optimized up to a 20 mg dose by your concerned doctor.
• It is generally advised to take a Cialis tablet at least 30 minutes before having any sexual activities. But the Cialis drug may still be effective for up to 36 hours in the user’s system after taking the tablet.
• Do not take Cialis more than once a day. Cialis 10 mg and 20 mg are intended for use prior to anticipated sexual activity and are not recommended for continuous daily use.
• It is important to remember that Cialis medication does not work if there is not enough sexual stimulation. The stimulation may be visual, physical, or psychological.
• Consuming alcohol will affect your ability to get an erection and it may even temporarily lower your blood pressure. Avoid excessive drinking while using Cialis 20 mg medicine, since this might increase the risk of feeling extreme dizziness.

Tips to Improve Cialis 20 mg Effectiveness

• Avoid consuming excess alcohol because it may result in low blood pressure, dizziness, and fainting
• Avoid drinking grapefruit juice with Cialis 20 mg medicine, as it affects the medication
• Try to take the medication exactly as prescribed by your concerned doctor
• Try to lower the stress and be less anxious
• Increase your physical activity and improve your diet
• Consider taking professional counseling and therapies

Contraindications

Under certain circumstances, using the Cialis 20 mg tablets should be avoided. Even doctors and healthcare providers encourage their patients to inform them if they are having any health-related issues other than erectile dysfunction.

• Any heart or heart rhythm-related problems
• A history of heart attack or stroke
• Angina (chest pain)
• High or low blood pressure
• Pulmonary hypertension
• Liver or kidney ailments
• Any blood cell disorders including sickle cell anemia, multiple myeloma, or leukemia
• Having a physical deformity of the penis (such as Peyronie’s disease)
• Having a stomach ulcer

If you had or have any of these above-mentioned health issues, then you must report to your concerned doctor before starting the Cialis 20 mg medication. The doctor might adjust the doses accordingly after considering the best suitable dose for the health conditions.

Cialis Substitutes

• Drugs that may replace Cialis to treat symptoms of BPH may include:
  • alfuzosin (Uroxatral)
  • doxazosin (Cardura)
  • silodosin (Rapaflo)
  • tamsulosin (Flomax)
  • dutasteride (Avodart)
  • finasteride (Proscar)
• Drugs that may replace Cialis medicine to treat ED include:
  • sildenafil (Viagra)
  • vardenafil (Levitra)
  • avanafil (Stendra)