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What is Generic Cialis?
Generic Cialis (Apcalis or Regalis) comes as light yellow, almond-shaped film-coated tablets. These tablets are available in blister packs containing 2 tablets. This medication is a treatment for men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Generic Cialis belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Generic Tadalafil works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. This drug will not help you if you do not have erectile dysfunction. It is important to note that it does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

How does it work?
In technical terms Cialis Generic exerts its action by effecting two enzymes, Cyclic guanosine monophosphate (cGMP) and phosphodiesterase type 5 (PDE5) that play important roles in erectile function. Sexual stimulation triggers the local release of nitric oxide (NO) from nerves and endothelial cells in the penis. NO stimulates an enzyme that catalyzes formation of cGMP from the nucleotide guanosine 5-triphospate (GTP) in the penile blood vessels and corpus cavernosum walls. The cGMP causes vasodilation of arteries, allowing the influx of blood into the corpus cavernosum. Increased blood flow into the penis causes the erectile tissue to expand. When the erectile tissue has expanded sufficiently, the veins draining the corpus cavernosum become compressed. This decreases the outflow of blood from the penis, and the blood remains in the corpus cavernosum to keep the penis erect. The enzyme PDE5 eventually causes degradation of the cGMP, and the erection ends.

How much time does it take to work?
During clinical studies most men were able to achieve an erection within thirty minutes of taking this medication.

How long does the effects last?
In a Phase III clinical study designed to evaluate the efficacy of Generic Tadalafil at specific time points after dosing, 348 men with mild-to-severe ED were randomly assigned to receive Regalis 20 mg (n=175) or placebo (n=173) over approximately an eight-week period. Patients were instructed to attempt intercourse with their partners on four specific occasions: on two occasions at 24 hours after dosing and on two occasions at 36 hours after dosing. The primary endpoint was the percentage of successful sexual intercourse attempts. "Cialis was statistically superior to placebo in enabling men with ED to have successful intercourse at 24 or 36 hours after taking the drug and showed a consistent effect at both time points," said Raymond Rosen, Ph.D., study author and director of the Program in Human Sexuality at the University of Medicine and Dentistry of New Jersey and professor of psychiatry, Robert Wood Johnson Medical School, Piscataway, New Jersey. "Also, in this study, the duration of effectiveness did not appear to influence the incidence or severity of side effects."

What does it not do?
Cialis does not cure erectile dysfunction. It is a treatment for erectile dysfunction. Cialis generic does not protect you or your partner from getting sexually transmitted diseases, including HIV-the virus that causes AIDS. it is not a hormone or an aphrodisiac.

Who should not take Generic Cialis (Apcalis/Regalis)?
If you are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines ('nitrates') used in the treatment of angina pectoris ('chest pain'). Tadalafil has been shown to increase the effects of these drugs. If you are taking any form of nitrates or are unsure tell your doctor. If you have serious heart disease or have had a recent heart attack / stroke. If you have low blood pressure or uncontrolled high blood pressure. If you are (hypersensitive) allergic to tadalafil / any of the other ingredients of Genric Cialis.

If you have such an erection, which lasts continuously for more than 4 hours, you should contact a doctor immediately. In case of chest pain occurring during or after sexual activity you should NOT use nitrates but you should seek immediate medical assistance. If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist. Heart attack, stroke, and irregular heart beats have been reported rarely in men taking this medication.

Side effects
These effects are normally mild to moderate in nature. The most common undesirable effects are headache and indigestion. Less commonly reported side effects are back pain, muscle aches, nasal congestion, facial flushing and dizziness. Uncommon effects are swelling of the eyelids, eye pain and red eyes. If you have any of these side effects and they are troublesome, severe, or do not go away, tell your doctor.

Allergic reactions (including skin rashes) could occur. In rare instances it is possible that a prolonged and possibly painful erection may occur.

Finding the right dose for you.
In Generic Cialis clinical testing most men were administered one 10 mg or 20 mg tablet per day. If you do not get the results you expect, talk with your doctor. You and your doctor can determine the dose that works best for you. Do not take more Apcalis/Regalis than your doctor prescribes. If you think you need a larger dose of Generic Cialis, check with your doctor.

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