Cialis Together

The tablets contain the active ingredient tadalafil, which functions by relaxing the blood vessels in the penis, facilitating blood flow. It's crucial to note that taking Cialis Together tablets alone will not induce an erection; rather, it collaborates with your body's natural arousal response, enabling an erection only when sexual stimulation occurs. Its effects can last for up to 36 hours.

How to Use

Take one tablet with a glass of water at least 30 minutes before engaging in sexual activity, ensuring not to exceed one tablet per day. The effectiveness of the medication remains unchanged regardless of food consumption.

Create a conducive environment as Cialis Together's efficacy relies on the presence of sexual stimulation.

Medicine remains effective for up to 36 hours after ingesting a single tablet.

When consumed properly, the effects of Cialis Together typically begin to manifest within 30 to 60 minutes after ingestion.

Who can take Cialis Together?

Only men aged 18 or older have the ability to purchase Cialis Together over the counter.

It is advisable to abstain from consuming alcohol or grapefruit before using Cialis Together, as these substances might interfere with the medication, potentially reducing its effectiveness or causing undesired side effects. Moreover, certain conditions or lifestyle choices might render Cialis Together unsuitable for use.

Regarding medications and pre-existing conditions, you might not be suitable for taking Cialis if you're also using:

• Nitrates (e.g., isosorbide mononitrate, glyceryl trinitrate, amyl nitrate, also known as "poppers")
• Specific antibiotics (like erythromycin)
• Antifungals (such as ketoconazole or itraconazole)
• Antivirals (such as ritonavir or saquinavir)
• Alpha-blockers (like tamsulosin, doxazosin, or alfuzosin)
• Other erectile dysfunction medications (such as Viagra or regular Cialis)

Additionally, you may not be eligible to take Cialis if you have:

• Peyronie's disease (a condition causing a curved penis)
• A heart condition
• A history of stroke
• Specific visual or eye conditions
• Kidney or liver disease
• Sickle cell anaemia
• Multiple myeloma
• Leukaemia

How Cialis Together Works

Cialis Together is presented in film-coated tablets containing 10mg of tadalafil. Tadalafil operates as a selective and reversible inhibitor of PDE5 (phosphodiesterase type 5). Similar to other medications in the PDE5 inhibitor class, tadalafil's mechanism involves the stimulation of nitric oxide (NO) release during sexual arousal.

Upon release of NO due to sexual stimulation, tadalafil inhibits PDE5, leading to increased levels of cyclic guanosine monophosphate (cGMP) in the corpus cavernosum, the smooth muscle area within the penis. Consequently, this relaxation of smooth muscle facilitates enhanced blood flow into penile tissues, resulting in the ability to achieve an erection. It's important to note that for tadalafil to be effective, a local release of nitric oxide is necessary.

Clinical trials have evidenced Cialis Together's efficacy in treating erectile dysfunction (ED) at the recommended non-prescription 10mg dosage. These studies, conducted on a group of 706 men spanning various ages and experiencing ED of diverse severity levels (ranging from mild to severe) and concurrent medical conditions, revealed that men were capable of achieving and sustaining erections suitable for successful intercourse within 30 minutes after taking the medication, compared to a placebo. Cialis Together showcased statistically notable enhancements in erectile function and the ability to engage in successful intercourse for up to 36 hours post-dosing.

Like all medications belonging to the PDE5 inhibitor class, while many patients experience effectiveness with Cialis Together after the initial or second usage, some individuals might need to make multiple attempts on different occasions before attaining the maximum benefit from the treatment.

Certain patients might necessitate a higher or more regular dosage of Cialis Together and should seek advice from their doctor for appropriate treatment. In the United Kingdom, the higher 20 mg dosage and the daily 5 mg dosage are exclusively available via prescription.

Side Effects

Similar to all medications, this product may induce side effects, although most individuals may not experience them, and they generally tend to be mild to moderate. Should you encounter any side effects, it is advisable to consult your doctor or pharmacist. For further details, refer to the leaflet provided with the medication. In case of the following side effects, DISCONTINUE use of the medicine and SEEK IMMEDIATE medical attention:

• Allergic reaction: This is infrequent and characterized by sudden wheeziness, breathing difficulty, dizziness, swelling of eyelids, face, lips, or throat, and rashes.
• Chest pains: Occurring infrequently, if experienced before, during, or after sexual activity, assume a semi-sitting position, refrain from using nitrates for chest pain, and seek urgent medical help.
• Prolonged and potentially painful erection lasting more than 4 hours: A rare occurrence.
• Sudden loss or decrease in vision: A rare incidence.
• Stevens-Johnson Syndrome (SJS): A rare, severe skin disorder causing flu-like symptoms and a spreading, blistering rash.

Other commonly reported side effects include headache, back pain, muscle aches, discomfort in the arms and legs, facial flushing, nasal congestion, and indigestion.

Effectiveness

Medicine demonstrates effectiveness in approximately 60-70% of men when used as directed. To optimize the effects of Cialis Together, implementing certain lifestyle adjustments can be beneficial. These include:

• Quitting smoking
• Limiting alcohol intake
• Managing stress levels
• Regular exercise regimen
• Maintaining a healthy, balanced diet
• Avoiding fatty or processed foods before consuming the medication
• Sustaining a healthy BMI (Body Mass Index)

Storage

Ensure to keep this medication out of the sight and reach of children.

Avoid using this medicine after the expiration date indicated on the carton and blister pack, following 'EXP'. The expiration date denotes the last day of the specified month.

Store the medicine in its original packaging to shield it from moisture. Refrain from storing it above 30°C.

Dispose of any unused medicines through appropriate channels and avoid discarding them via wastewater or household waste. Seek guidance from your pharmacist regarding the proper disposal of medications you no longer require. These actions contribute to safeguarding the environment.

Cialis Together vs. Generic Cialis

Cialis is also accessible in its generic form known as Tadalafil. Tadalafil comprises identical active ingredients as Cialis and functions in precisely the same manner. The primary distinction lies in its branding, with generic tadalafil often being more cost-effective due to its unbranded nature. It's essential to note that generic tadalafil remains a prescription medication and is not obtainable over the counter.

Can I buy Cialis Together without RX?

Indeed, Cialis Together has received approval as a pharmaceutical medication from the Medicines and Healthcare products Regulatory Agency (MHRA). Consequently, it is accessible for purchase over the counter at pharmacies or through online pharmacies.