Cialis Extra Dosage is a high-potency formulation of tadalafil, specifically engineered for men with more pronounced erectile dysfunction (ED) who have demonstrated inadequate response to standard-dose therapies. This medication provides an extended therapeutic window, allowing for improved spontaneity and reliability in achieving and sustaining erections sufficient for sexual activity. It is indicated for adult males and requires careful medical supervision to ensure appropriate use and risk mitigation.

Features

• Contains tadalafil 10mg or 20mg per tablet
• Long duration of action: up to 36 hours
• Rapid onset: effects may be observed within 30 minutes
• Can be taken with or without food
• Formulated for oral administration

Benefits

• Provides a prolonged period of responsiveness to sexual stimulation
• Enhances confidence by offering reliable erectile support
• Allows greater flexibility in timing sexual activity
• Improves overall sexual satisfaction for both partners
• Supports treatment of benign prostatic hyperplasia symptoms (when applicable)
• May reduce performance anxiety associated with ED

Common use

Cialis Extra Dosage is primarily prescribed for the treatment of erectile dysfunction in adult men. It may also be used off-label for pulmonary arterial hypertension under specialist supervision. The medication works by inhibiting phosphodiesterase type 5 (PDE5), enhancing blood flow to the penile tissues during sexual stimulation.

Dosage and direction

The recommended starting dose is 10mg taken at least 30 minutes before anticipated sexual activity. Based on efficacy and tolerability, the dose may be increased to 20mg or decreased to 5mg. The maximum recommended dosing frequency is once per day. For daily use regimens, a lower 2.5mg or 5mg dose is typically prescribed. Do not exceed one dose within a 24-hour period.

Precautions

• Cardiovascular status should be assessed before prescribing
• Use caution in patients with anatomical penile deformity or conditions that may predispose to priapism
• Not recommended for use with other ED treatments
• May cause hypotension; avoid sudden position changes
• Use protective measures against sexually transmitted diseases
• Contains lactose; caution in patients with galactose intolerance

Contraindications

• Concomitant use of organic nitrates in any form
• History of hypersensitivity to tadalafil or any component
• Severe hepatic impairment (Child-Pugh Class C)
• Unstable angina or recent myocardial infarction
• Uncontrolled hypertension or hypotension
• History of non-arteritic anterior ischemic optic neuropathy (NAION)

Possible side effects

• Headache (15%)
• Dyspepsia (10%)
• Back pain (6%)
• Myalgia (5%)
• Flushing (3%)
• Nasal congestion (3%)
• Dizziness (2%)
• Visual disturbances (1%)
• Priapism (rare but serious)

Drug interaction

• Nitrates: Potentiates hypotensive effects (absolute contraindication)
• Alpha-blockers: Increased risk of hypotension
• CYP3A4 inhibitors (ketoconazole, ritonavir): Increase tadalafil exposure
• Antihypertensives: Additive blood pressure lowering effects
• Grapefruit juice: May increase bioavailability

Missed dose

For as-needed dosing: Take as soon as remembered if sexual activity is anticipated. Do not double the dose. For daily dosing: Take the missed dose as soon as remembered, unless it is almost time for the next dose. In that case, skip the missed dose and resume the regular schedule.

Overdose

Symptoms may include severe headache, visual disturbances, priapism, syncope, and hypotension. Management includes supportive care and symptomatic treatment. Priapism requires immediate medical attention to prevent permanent tissue damage. Hemodialysis is not expected to enhance elimination.

Storage

Store at room temperature (15-30°C) in the original container. Protect from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.

Disclaimer

This information is for educational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional before starting or changing any medication regimen. Individual results may vary based on health status and other factors.

Reviews

“After struggling with standard ED medications, my physician recommended Cialis Extra Dosage. The extended effectiveness window has significantly improved my quality of life and relationship satisfaction.” - Verified Patient

“As a urologist with over 20 years of experience, I find the higher dosage options provide an important therapeutic alternative for patients who haven’t achieved desired results with conventional treatments.” - Medical Professional