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    Cialis is presented in pill format
    The composition of the product.
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    in a pack with instructions for use
    Yellow dye, lactose monohydrate, titanium dioxide, hypromellose, sodium lauryl sulfate, triacetin, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, hyprolose.
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    The half-life of the dose is 17.5 hours, half-elimination is carried out with feces and urine.
    The active component of the tadalafil composition belongs to the group of reversible selective inhibitors of the specific enzyme cyclic guanosine monophosphate. With sexual arousal, nitric oxide is locally released, inhibition and an increase in the level of the enzyme in the cavernous body of the male genital organ.

This relaxes the smooth muscles of the arteries, increases blood flow to the tissues of the penis, and an erection occurs

The use of Cialis is ineffective if there is no sexual stimulation.

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The effect of the tadalafil inhibitor on phosphodiesterase is high, but since the agent works selectively, it does not affect the contraction of the heart muscle, does not cause changes in photo transmission in the retina. The drug acts 36 hours after use, and the initial effect occurs 15 minutes after taking the pill, provided that the man is sexually aroused.

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In healthy individuals, the use of the drug does not change the systolic or diastolic pressure, heart rate, does not cause changes in the recognition of blue and green colors in the retina.
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The active substance is rapidly absorbed by perfusion, reaches the limiting level after two hours, the characteristics do not depend on food intake.
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methicatechol glucuronide. There are a limited number of indications for the use of Cialis.
erectile dysfunction (erectile dysfunction)
The estimated risk of complications during sexual activity develops with myocardial infarction, unstable angina pectoris, chronic heart failure, uncontrolled heartbeat disorders, arterial hypotension or hypertension, stroke less than six months ago. Cialis is used with caution when there is a predisposition to priapism (factors are multiple myeloma, sickle cell anemia, leukemia), with anatomical deformational pathologies of the penis.