Cialis is a drug that is actively used in modern medicine for the treatment of erectile dysfunction. Its main active ingredient is Tadalafil. This substance belongs to selective inhibitors of PDE-5 (phosphodiesterase type 5). PDE-5 is an enzyme that is expressed mainly in the cavernous bodies of the penis and, through complex biochemical reactions, is responsible for inhibiting the mechanism of erection. Tadalafil has a vasodilating effect on the arteries of the cavernous bodies, which contributes to increased inflow of blood to the penis and, in combination with increased production of nitric oxide, causes an enhanced and longer erection.
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Cialis Tablets in Pakistan Erectile dysfunction (sometimes called impotence) means that you cannot get or maintain a proper erection. There are several causes, the most common being due to a narrowing of the arteries that take blood to the penis. Tadalafil works by preventing the action of a chemical in your body, called phosphodiesterase type 5. This helps to relax (widen) blood vessels and improves the flow of blood to the penis following sexual stimulation. This helps to maintain an erection. Tadalafil is available on prescription, but it is only prescribed on the NHS for men with erectile dysfunction resulting from certain medical conditions. If you are given a private (non-NHS) prescription, you will be asked to pay for the tablets. Tadalafil is also prescribed for men with prostate gland enlargement. The prostate gland commonly becomes larger in older men. The condition is also called benign prostatic hyperplasia (BPH). The prostate is situated close to the bladder, so its enlargement can cause problems with passing urine. Common symptoms that are experienced are having to wait before your urine starts to flow, taking longer at the toilet, dribbling urine, and a feeling that your bladder is not quite empty. Tadalafil works by improving the blood flow to the prostate and bladder, and also by relaxing the muscles in these areas. These actions help urine to follow more easily. Another brand of tadalafil tablets called Adcirca® is used to treat a completely different condition called pulmonary arterial hypertension - see the separate medicine leaflet called Tadalafil for pulmonary hypertension if you have been prescribed this brand of tadalafil tablets.
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking tadalafil it is important that your doctor knows Cialis Tablets 20mg in Pakistan:
➤ If you have any disease, injury or deformity of your penis.
➤ If you have a heart condition, or blood vessel disease.
➤ If you have had an eye condition causing loss of vision.
➤ If you have low blood pressure or angina.
➤ If you have any problems with the way your liver works, or if you have any problems with the way your kidneys work.
➤ If you have had a stroke or a heart attack.
➤ If you have sickle cell disease.
➤ If you have ever had bone marrow cancer or leukaemia.
➤ If you are taking or using any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines, and recreational drugs.
➤ If you have ever had an allergic reaction to a medicine.
Although Cialis is the best tolerated drug of all PDE5 inhibitors, it has its own limitations to its use. They can be divided into absolute and relative contraindications.
➤ Delivery will be performed within 2 to 3 working days in all over Pakistan.
➤ Payment will be paid by Cash on delivery method.
➤ If you want to return any product it will take 3 days to return.