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In 2003, the Food and Drug Administration approved Tadalafil (under its brand name Cialis) as the third oral erectile dysfunction medication sold in the United States and even though it was the last pill to arrive, it has great number of qualities that make it very effective. Due to its qualities, it has been steadily gaining market share and some estimate that this market share was 35% in the United States only four years after the launch and it has been growing worldwide as well.
The medication is sold in three different doses: 5mg, 10mg, and 20mg and it is common practice that the patient is started on either the 5mg or the 10mg tablets, and then the dose is adjusted to Tadalafil 20mg if necessary. As already mentioned, the medication is sold under the brand name Cialis, but quite a few pharmaceutical companies manufacture the generic versions and the generic Tadalafil tablets are easily obtainable online.
However, the misuse of this or any other synthetic drug can cause number of adverse reactions and Tadalafil has been created to specifically help men, suffering from erectile dysfunction and should not be used as recreational pill. If you have problems with obtaining and maintaining an erection, which problems have occurred over a longer period of time, you should consult with your doctor and let him determine the proper treatment.
The tablets like Tadalafil 20 mg have extremely high success rate (more than 70%), but are not the only available treatments and they should be taken only after a doctor has recommended them. However, once you obtain a prescription, you could purchase them either off the Internet (where the prices are lower) or from your local pharmacy and then all you have to do is take them as directed. The tablets should be swallowed with a full glass of water and no more than one pill should be taken in a single day and although some side effects are possible, they are usually mild. In the case of serious adverse reaction or overdose, it is imperative to seek medical help as soon as possible.
Keep in mind that although Tadalafil is an extremely safe medication compliant with all safety standards, it is known to react with other medications and is not prescribed to patients that suffer from certain serious health conditions. If you are discussing the possibility of taking this drug with your doctor, make sure to inform him about your medical history and all the pills, supplements and herbal remedies that you are taking.
How does Tadalafil work?
Although the mechanism of action is quite complicated, in essence the tablets drive more blood to the penile chambers, which in turn aids the achievement of firm erection. The important part is that unlike some older treatments, the erection is not achieved in mechanical way, but occurs only after sexual stimulation. Tadalafil needs anywhere from 30 to 60 minutes to start working, which makes it extremely convenient as it is only taken when needed. The tablets should not be used in conjunction with another PDE-5 inhibitor or together with organic nitrates that are often prescribed for chest pain, but they can work well with therapies.
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