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What is Cialis Super Active Plus?
Cialis Super Active Plus is a capsule form of the drug produced on the basis of Tadalafil. The capsular shape allows active agent – 20 mg Tadalafil be in liquid form inside the capsule after rapid and complete gelatin capsule dissolution in the stomach, it is absorbed into the blood as fast as possible and shows their operating properties compared with tablet form of tadalafil.
Its effect duration is up to 36 hours. The active ingredient is Tadalafil, contained in preparation, maintains an erection and helps treat erectile dysfunction in men. The current effect of Cialis Super Active Plus is manifested 20 minutes after taking the capsules washing with water. One capsule contains dosage 20 mg tadalafil, it is most suitable 75% patients suffering from erectile dysfunction of various severity.
Taking 1 capsule a man will gain confidence in his abilities to satisfy your partner in any situation during 36 hours. Elderly men are eligible to take this ED drug to improve sexual function.
As in the case with other drugs to increase potency this one exerts its action to strengthen erection only during sexual excitement.
Cialis Super Active Plus contains 20 mg of tadalafil in one capsule. Selecting appropriate dosage is determined by your physician based on your age, physical condition, the degree of dysfunction and the maximum daily dose – 20 mg of tadalafil. Read more about what Cialis Super Active + is…
Generics
Cialis Super Active Plus from Canada is already an analog of brand Cialis. This medication is effective as well as the original drug because the same formula is used to achieve the best result.
Buy generic Cialis is not only cheaper, but also more convenient. Firstly, a purchase does not require a prescription. But My Canadian Pharmacy recommends you to consult a doctor about the possibility of using such drugs. Secondly, it is not necessary to rush to the pharmacy. Make an order on our site. Thirdly, entire purchasing process takes place in full confidentiality: at home in the relaxed and comfortable atmosphere. Surely, you should use these benefits.
Dosage
Cialis Super Active Plus should be taken 10-15 minutes before sexual intercourse. The maximum daily dose – 1 capsule containing 20 mg of tadalafil. The capsules should be swallowed washing down with a little amount of water. Grapefruit juice is not recommended as means to wash down the capsule because of the risk of side effects. It is valid moderate doses of alcohol consumption. The effect of the drug begins already after 10-15 minutes (providing sexual stimulation) and continues until 36 hours after administration.
Overdose
With single tadalafil assignment in a dose of 500 mg by healthy persons and patients with erectile dysfunction – repeatedly to 100 mg/day, adverse effects were the same as in case of Cialis Super Active Plus in lower doses application. In case of overdose, it should be carried out standard symptomatic treatment. In case of hemodialysis, tadalafil is not practically excreted.
Side Effects
Adverse events associated with taking tadalafil, in particular, are usually minor or moderate in severity, transient and diminished with continued drug use. The most common (≥ 1%, <10%) adverse events were:
- headache;
- dyspepsia;
- back pain;
- myalgia;
- blood flushing to face;
- nasal congestion.
Spontaneous (postmarketing) Data
Adverse reactions encountered more often than in a few cases are listed according to the following gradation: very often (≥ 10%); often (≥ 1%, <10%); uncommon (> 0.1% <1%); rarely (> 0.01% <0.1%); very rare (<0.01%), not known (it is not possible to evaluate frequency of responses from available data).
Cardiovascular system violations:
- Uncommon (> 0.1% <1%): palpitations, tachycardia, decreased blood pressure (in patients who are already taking antihypertensive agents), increased blood pressure;
- Rare (> 0.01% <0.1%): myocardial infarction;
- Unknown (impossible to estimate the frequency of responses from available data): unstable angina.
Nervous system disorders:
- Very common (> 10%): Headache;
- Often (> 1%, <10%): dizziness;
- Rare (> 0.01%, <0.1%): syncope, migraine, transient ischemic attack, stroke.
Organs of vision violations:
- Uncommon (> 0.1%, <1%): blurred vision;
- Rare (> 0.01%, <0.1%): visual fields violation;
- Unknown (impossible to estimate frequency of responses from available data): anterior ischemic optic neuropathy, optic nerve, retinal vein occlusion.
Respiratory system disorders:
- Uncommon (> 0.1%, <1%): epistaxis.
Digestive system disorders:
- Often ≥ 1%, <10%): abdominal pain;
- Uncommon (> 0.1%, <1%): gastro-oesophageal reflux.
Skin and subcutaneous tissue violations:
- Uncommon (> 0.1%, <1%): rash, urticaria, hyperhidrosis (excessive sweating);
- Unknown (impossible to estimate the frequency of responses from available data): Stevens-Johnson syndrome and exfoliative dermatitis.
General disorders:
- Uncommon (> 0.1%, <1%): chest pain;
- Rare (> 0.01%, <0.1%): facial edema;
- Unknown (impossible to estimate the frequency of responses from the available data): sudden cardiac death.
Immune system violations:
- Uncommon (> 0.1%, <1%): hypersensitivity reactions.
Reproductive system violations:
- Rare (> 0.01%, <0.1%): prolonged erection;
- Unknown (impossible to estimate frequency of responses from available data): priapism.
Contraindications
- Hypersensitivity to tadalafil or to any substance that is part of the drug;
- In case of taking the drugs containing any organic nitrates;
- The use by persons under 18 years of age.
The presence of contraindications to sexual activity in patients with cardiovascular system diseases:
- myocardial infarction within the past 90 days;
- unstable angina;
- angina occurrence during sexual intercourse;
- chronic heart failure II-IV class classification NYHA;
- uncontrolled arrhythmia;
- hypotension;
- uncontrolled hypertension;
- ischemic stroke within the last 6 months.
- loss of vision due to anterior ischemic optic neuropathy (regardless of connection with taking PDE-5 inhibitors);
- simultaneous treatment with doxazosin, as well as drugs for erectile dysfunction treatment;
- frequent (more than 2 times per week) application in patients with chronic renal failure (creatinine clearance less than 30 mL/min);
- deficiency of lactose, lactose intolerance, glucose-galactose malabsorption.
Carefully
Since there is no data in patients with severe hepatic impairment, Cialis Super Active Plus should be taken with caution. Patients receiving alpha 1-blocker should be cautious because their simultaneous use can lead to symptomatic hypotension in some patients. In clinical pharmacology study in 18 healthy volunteers who received a single dose of tadalafil, there was no symptomatic hypotension in case of introduction of tamsulosin, alfa 1A-blocker.
Diagnosis of erectile dysfunction should include the identification of potential underlying cause, appropriate medical examination and treatment determination.
Tadalafil should be used with caution in patients with a predisposition to priapism (sickle cell anemia, multiple myeloma, leukemia) or in patients with anatomical deformation of the penis (angulation, cavernous fibrosis or Peyronie’s disease). You should also be careful while reception with potent inhibitors of CYP3A4 isoenzyme (ritonavir, saquinavir, ketoconazole, itraconazole, erythromycin), antihypertensives.
Interactions with Other Medications
There are no features relating to Cialis Super Active reception in conjunction with other drugs. But it is impossible to carry out simultaneous reception with nitrate drugs and nitric oxide.
Cialis Super Active Plus and Alcohol Consumption
A question of compatibility of Cialis Super Active Plus with alcohol is significant. The fact is that almost all people worldwide use this means to improve erection only when expected to be very active in sex.
But such cases happen usually after parties and visits to restaurants/cafes, where, of course, you cannot do without alcohol. And besides, during many sexual adventures alcohol is necessary to overcome psychological barriers and mutual as certain doping. From here relevance regarding Cialis compatibility with alcohol appears.
Judging by reviews people have repeatedly used this means (as in combination with alcohol or without), it turns out that alcohol does not affect its action, as, indeed, tadalafil does not aggravate adverse effects of alcohol. In addition, it appears that combination of alcohol with Cialis Super Active + online does not arise at all, no additional side effects appear.
This is subjective opinion of consumers. And what does Medicine Say?
It is reported that there were specially conducted series of laboratory studies of Cialis Super Active Plus from Canadian Pharmacy interaction with alcohol. And here are the results of these studies.
Moderate alcohol dosage does not alter the concentration of Cialis active compound (tadalafil) in blood, at least during the first hours after admission. There were no detected additional side effects and it does not affect the concentration of alcohol in blood, it has no effect on blood pressure and heart rate.
That is, to put it simply if you rely on pharmacologist’s research, it can be concluded that Cialis Super Active Plus and alcohol do not interact with each other, and therefore are fully compatible.
However, it should be remembered that when serious heart disease and chronic kidney dysfunction are present a combination of alcoholic drinks (especially carbonated – beer, champagne) in large quantities with Cialis can be dangerous. This danger is not so much related to chemical drug action as a combination of high alcohol sexual activity in these diseases.