Cialis Professional

Drugs for increasing potency have long become irreplaceable helpers of modern men. It is difficult to overestimate importance of «male power». This is not just a fundamental superiority, but also a source of self-confidence and an important criterion for self-esteem. But, unfortunately, men often face certain problems with erectile dysfunction. Causes of deviations of such nature can serve as a variety of disorders in nervous system. And not always erectile dysfunction symptoms  signify development of serious pathological processes. Often, such troubles with erectile dysfunction can be resolved with the help of special drugs, bright representative of which is Cialis Professional.

After development of famous Viagra, pharmacists did not stop there, persistently continued to work in this direction and the result of their work was invention of Cialis. And the next stage was development of Cialis Soft and Cialis Professional 20 mg and Cialis Super Active Plus. What is the difference between Cialis (tadalafil) and Cialis Professional? It has a little more active ingredient and its effect on male body continues not for 36, but 48 hours, in other aspects generic Cialis Professional pills according to customers and scientists reviews have absolutely identical effect, that is, after its dosage application there is a stable and prolonged erection, but it is adequate, appears in presence of sexual excitement and partner. It is enough to drink just one pill and you can have unforgettable wonderful moments of intimacy with your partner.

Detailed Description of Canadian Pharmacy Cialis Professional

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Cialis Professional

Cialis Professional only for

  $ 4.26

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Delivery Methods:

  • Regular Airmail
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Drug Category:

Men's Health

Cialis Professional Application:

ED, Erectile Dysfunction, Erection, Impotence

Cialis Professional Generic names:

Tadalafil

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Extra Bonuses:

  • Free Regular Airmail (10-21 days) for orders starting with $150.00!
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  1. What is Cialis Professional?
  2. Indications for Cialis Professional Use
  3. Cialis Professional Dosage
  4. Overdose
  5. How to Take Cialis Professional for Best Results
  6. Cialis Professional Contraindications
  7. Side Effects
  8. Interaction with Other Drugs
  9. Cialis Professional and Alcohol
  10. Cialis Generics vs Original
  11. Reviews about Cialis Professional

What is Cialis Professional?

Cialis professional Canadian Pharmacy Canadian Cialis Professional is a version of generics of the last generation. Its pharmacological action is focused on treatment and stabilization of erectile function in men. This drug is characterized by high degree of effectiveness and no significant side effects (the latter mainly relate to possible individual intolerance of ingredients or serious health problems).

Generic Cialis Professional is able to reliably relieve problems with erection, its improved formula gives the drug new properties. Erection becomes stronger and more lasting, orgasms are emotionally more saturated. In addition, maximum filling of penis with blood can significantly increase its size, which will bring your sex life to a new level.

What is Ciailis Professional made of?

In Canadian Health and Care Mall Cialis Professional is available in the form of pills with active ingredient doses. As active component the drug includes a chemical substance – tadalafil. As auxiliary components Cialis Professional contains the following substances:

  • lactose;
  • giprolose;
  • croscarmellose sodium;
  • microcrystalline cellulose;
  • magnesium stearate;
  • sodium lauryl sulfate;
  • titanium dioxide;
  • triacetin.

Cialis Professional pills are almond shaped, and on top are covered with a film shell, painted in yellow or red. On one side of the pill there are engraved numbers indicating dosage.

Active substance of the drug – tadalafil – is one of inhibitors of PDE-5 enzyme, the main advantage of these enzymes in their high selective effect on male reproductive system. This important discovery allowed to effectively solve a whole complex of male problems without harm to health and without harmful influence on other organs and systems of the body. Effect of tadalafil is aimed at activating nitric oxide in the body and inhibiting production of PDE-5 enzyme. Nitric oxide reduces tone of blood vessels. They relax and with sexual excitement are tightly filled with blood, causing potent erection. All this happens precisely at natural sexual excitement and is perfectly controlled. In addition, tadalafil inhibits production of fifth-type phosphodiesterase enzyme, which has opposite to nitric oxide effect – increases tone of blood vessels, squeezing blood out of them and leading penis into relaxed state. The result of this delay is prolongation of erection time and, accordingly, sexual intercourse.

PDE enzymes exist not only in vessels of penis, but also in arteries of retina, skeletal and cardiac muscles, lungs, etc. PDE in each organ is indicated by a certain number, for example, PDE-5 is an enzyme that works in vessels of penis, PDE-6 is localized in retina of the eye, and PDE-3 in heart muscle. Cialis Professional has a high specificity, and therefore acts selectively only on PDE-5. That is why the drug has no side effects such as influence on blood pressure, change in color perception, etc. These side effects are present in Viagra (sildenafil), which does not have such high specificity as Cialis Professional.

Cialis Professional is able to increase cGMP by several times, while it acts gently and naturally, which leads to appearance of quality and long-lasting erection. A special feature of Cialis Professional from other PDE-5 inhibitors is record-breaking long-term beneficial effect lasting up to 36 hours. During this period, if there is sexual stimulation, you can have successful sex. Clinical studies have not revealed negative effect of Cialis Professional on spermatogenesis.

For whom the drug is intended?

  • if you have erection disorder for any reason, and you are not able to achieve it as much as necessary for full sexual intercourse;
  • if you plan a date that requires a lot of emotional stress and will cause excitement;
  • if you want to be always in perfect sexual form and always be in full combat readiness, regardless of circumstances.

Cialis Professional is solution to your problems and the way to achieve your desires. It was created just for you. Please note that each of these cases requires individual dosage. Therefore, to define it, contact the doctor.

Cialis Professional is an effective medicine of new generation, which allows to reliably relieve men from problems with potency. Despite the fact that causes of erectile dysfunction are very diverse, Cialis Professional can quickly cope with any of them without harming other organs and systems. Cialis Professional can be used regardless of age, if you are already 18 years old, older people should not adjust dosage. Generic Cialis Professional can also be safely consumed by those representatives of the stronger sex who do not suffer from violation of erectile function. Its reception is able to open up unlimited possibilities, which will give unforgettable sensations.

Medical consultation is mandatory before using Cialis Professional, despite good clinical performance and compatibility with other medications, you need to see a doctor for qualified counseling. With this purpose it is possible to address your attending physician, therapist, cardiologist, endocrinologist and other experts. They will help you to choose optimal dosage and determine possible restrictions for use of the drug.

Advantages of the drug:

  1. prolonged impact. Only Cialis Professional of all PDE-5 inhibitors has a record long positive effect, reaching up to 36 hours;
  2. reduction of time needed for rest and recovery between sexual acts;
  3. due to increased blood flow to penis, there is strong filling of it with blood, which makes it possible to significantly increase penis in volume.

Since Cialis Professional is an improved version of earlier released Cialis, it has some differences. Among them:

  • more rapid action: action of the drug is manifested after 15 – 30 minutes after intake (full effect of Cialis Professional begins after an hour);
  • increased effectiveness: thanks to improved formula of drug composition, efficacy of components lasts for 36 hours, which allows a man to increase potency and maintain spontaneous sexual activity;
  • high level of adaptation to external factors: in this case we are talking about high-calorie food and alcoholic beverages, which do not affect drug in any way.

The drug can also be taken as courses, which significantly increases therapeutic effect and fixes it for a longer period of time for those who suffer from acute problems with erectile dysfunction, because main purpose of Cialis Professional is treatment of sexual disorders. And unlike Viagra when taking generic Cialis Professional fewer side effects occur. But you need to bear in mind that generic Cialis Professional works similarly to Viagra, it also does not cause sexual excitement, this process depends solely on mind of the man taking the drug, it only provides stable erection.

Cialis Professional is quite compatible with various medications and has no contraindications for conceiving children, even opposite in this process the drug can be of great value. Effect on the body of generic Cialis Professional does not differ from original, but its more affordable price on Canadian Pharmacy Mall website makes this drug a much more interesting acquisition.

Indications for Cialis Professional Use

  • symptoms of lower urinary tract in patients with benign prostatic hyperplasia;
  • erectile dysfunction (ED);
  • erectile dysfunction in patients with symptoms of lower urinary tract on the background of benign prostatic hyperplasia.

To date, main indication for use of Cialis Professional is treatment of erectile dysfunction, that is, a condition in which penis does not become sufficiently firm and excited for full intimate contact. Cialis Professional is indicated for use at weak erection caused by the following factors:

  • psychoemotional disorders;
  • organic erectile dysfunction;
  • diabetes;
  • removed prostate gland;
  • obesity;
  • hypertension;
  • spinal cord injury.

Cialis Professional Dosage

How much Cilis Professional to take? Cialis Professional is taken 15 to 30 minutes before sexual intercourse. Action lasts from 36 to 48 hours. Average recommended single dose of the drug is 20 mg. It is not recommended to take more than one tablet a day. Absorption in the body occurs regardless of fatty foods or alcoholic beverages. However, you should not abuse them, because, in large doses, fatty foods and alcohol slow action of the drug.

  • Middle-aged men are recommended to take Cialis Professional at dosage of 20 mg;
  • For older men special dosage is not required. Recommendations for taking medication for middle-aged men are also applicable to elderly patients;
  • For patients with impaired renal and hepatic function (CK>= 30 ml/min) special dosage is not required.

Cialis Professional is not intended for use by persons under 18 years of age and women.

To avoid overdose and side reactions, optimal amount of substance should be selected by doctor. If a smaller dosage is prescribed, pill should simply be broken into parts.Cialis professional Canadian Pharmacy

Overdose

Overdose can occur either due to misdirected prescribing or due to improper intake of Cialis Professional by patient himself. All symptoms of overdose consist in prolonged action of the drug; special treatment is not carried out.

With single appointment of the drug to healthy volunteers at dosage of 500 mg/day and to patients with erectile dysfunction – repeatedly up to 100 mg/day, undesirable effects were the same as at use of the drug in lower doses.

Treatment: ordinary symptomatic therapy. Symptomatic therapy for removal of side effects of Cialis Professional because of overdose consists in use of local drugs and methods of treatment.

Canadian HealthCare Mall reminds: do not allow overdose with Cialis Professional, especially, several times. After all, this drug affects condition of blood vessels.

 How to Take Cialis Professional for Best Results

Cialis Professional pills should be taken orally, with small amount of water. The pill can be taken regardless of food. A pill with the appropriate dosage should be taken no earlier than 16 minutes before planned sexual contact. After taking Cialis Professional, you can make attempts to have sexual intercourse within 36 hours. In this case, it is possible to establish optimal time during which effect of the drug develops. Then a man will be able to choose individual for himself time for which he needs to take a pill to make successful sexual contact. Do not abuse frequent use of the drug. It is recommended to take Cialis Professional not more than once a day.

Cialis Professional Contraindications

Cialis Professional has absolute and relative contraindications for use. In presence of absolute contraindications, the drug is prohibited for use under any circumstances. And in presence of relative contraindications Cialis Professional can be used with caution and careful monitoring of health state.

Absolute Contraindications to Cialis Professional Use

  • sensitivity, allergy or intolerance of tadalafil and other components of the drug;
  • age under 18 years.

Relative Contraindications to Cialis Professional Use

  • sexual activity has a potential risk for patients with cardiovascular disease, therefore, treatment of erectile dysfunction, including using Cialis Professional, should not be performed in men with heart diseases at which sexual activity is not recommended.
  • cardiac insufficiency of II and above class that developed over six-month period;
  • unstable cardiac angina;
  • cardiac angina developing during lovemaking;
  • hypotension below 90/50 mm Hg;
  • heart attack or blood stroke in the last six months;
  • since there are no data from controlled clinical trials on safety and efficacy of Cialis Professional in patients with severe renal insufficiency (CK <= 30 ml/min) and severe hepatic insufficiency, the drug should be used with caution in this category of patients only in case of extreme necessity. On the background of treatment with Cialis Professional patients with moderate renal insufficiency (CK 31-50 ml/min) more often had back pain compared to patients with mild renal insufficiency (KK 51-80 ml/min) or healthy volunteers. Patients with CK <= 50 ml/min should administer the drug with caution;
  • degenerative diseases of retina, for example, pigmented retinitis;
  • caution should be taken when taking Cialis Professional in patients with predisposition to priapism (e. g., sickle-cell anemia, multiple myeloma or leukemia) or in patients with anatomical penis deformities (e. g., angulation, cavernous fibrosis or Peyronie’s disease). Patient should be informed of the need to seek immediate medical attention in case of erection lasting for 4 hours or more. Untimely treatment of priapism leads to damage to penile tissues, as a result of which a long-term loss of potency may occur;
  • uncontrolled arrhythmias or hypertension;
  • use of drug for self-treatment should be excluded – Cialis Professional is first of all a medicine, not a BAA.

Influence on ability to drive vehicles and operate mechanisms
There are no specific recommendations.

Side effects

Cialis Professional has quite a wide range of side effects that develop with varying frequency. Side effects of Cialis Professional are associated primarily with incorrect dosage resulting from self-medication. So, the most frequent side effects of the drug (developing in 5 to 15% of men taking pills) are the following conditions:

  • when taking Cialis Professional side effect can manifest as headaches. In some cases, these pains do not stop until drug is canceled. Usually they are successfully solved using means for headache;
  • a greater number of men noted that after taking medication they had various gastric disorders. Most noted pain in stomach, heaviness, swelling, that is, all symptoms of dyspepsia;
  • also some patients noted that after appointment of Cialis Professional they had pains in back area. Such patients are very few;
  • some patients reported pain in muscles, but there were very few of such patients, as well as in case of back pain;

*** Back or muscle pain usually develops within 12 to 24 hours after taking the pill, and disappear within 2 days. These pains occur most often in the lower part of lower back, buttocks, hips, coccyx or sacrum. Especially pain in muscles and back is felt in lying position. Pain is slight or moderate. In some cases, these pains do not stop until drug is canceled. But in most cases they are successfully solved using painkillers.

  • nasal congestion;
  • hot flashes;
  • pain in limbs;
  • approximately 1% of patients had swelling of eyes or conjunctivitis, also these patients complained on pain in the eyes;
  • several patients reported blurred vision after taking medication;
  • dizziness;
  • in some patients various allergic reactions were noted, but all of them were of short and mild nature. Problem was solved either by using antihistamines or by canceling the main drug;
  • several patients noted that after using the drug they were excessively sweating. Problem was solved by cancellation of Cialis Professional;
  • patients who had previously suffered from cardiovascular diseases noted pain in chest. But since symptoms were very weak and unclear, it is not clear whether this pain was caused by Cialis Professional or by cardiovascular disorder due to sexual activity.Cialis professional Canadian Pharmacy

Interaction with Other Drugs

If you need to take Cialis Professional with other medicines, you should know their effects on each other. If medications weaken Cialis Professional effect, it is necessary to increase dosage of the latter. If the drug, on the contrary, enhances its effect, then dosage should be reduced, or even such combinations should be avoided. There are drugs that do not affect Cialis Professional action – in this case, there is no need to adjust its dosage.

Effect of Other Drugs on Cialis Professional

Cialis Professional is mainly metabolized with participation of CYP3A4 isoenzyme. Selective inhibitor of CYP3A4 isoenzyme – ketoconazole (400 mg/day) – increases exposure of single dose of Cialis Professional (AUC) by 312% and Cmax by 22%, and ketoconazole (200 mg/day) increases exposure of single dose of Cialis Professional (AUC) by 107% and Cmax by 15% relative to AUC and Cmax values for Cialis Professional only.

Ritonavir (200 mg twice a day) – inhibitor of CYP3A4, 2C9, 2S19 and 2D6 isoenzymes, increases exposure of single dose of Cialis Professional (AUC) by 124% without changing Cmax. Although specific interactions have not been studied, it can be assumed that other HIV-protease inhibitors such as saquinavir, as well as inhibitors of CYP3A4 isoenzyme such as erythromycin and intraconazole, increase activity of Cialis Professional.

Selective inducer of CYP3A4 isoenzyme – rifampicin (600 mg/day) – reduces exposure of single dose of Cialis Professional (AUC) by 88% and Cmax by 46%, relative to AUC and Cmax values for Cialis Professional only. It can be assumed that simultaneous use of other inducers of CYP3A4 isoenzyme should also reduce concentrations of Cialis Professional in blood plasma.

Simultaneous intake of antacid (magnesium hydroxide / aluminum hydroxide) and Cialis Professional reduces absorption rate of Cialis Professional without changing area under pharmacokinetic curve for Cialis Professional.

Increase in pH of stomach as a result of taking H2-histamine receptor blockers – nizatidine – did not affect pharmacokinetics of Cialis Professional.

Safety and efficacy of combination of Cialis Professional with other means for erectile dysfunction treatment have not been studied, so use of such combinations is not recommended.

Effect of Cialis Professional on Other Drugs

It is known that Cialis Professional enhances hypotensive effect of nitrates. This occurs as a result of additive action of nitrates and Cialis Professional on metabolism of nitric oxide II (NO) and cGMP. Therefore, use of Cialis Professional on the background of taking nitrates is contraindicated.

Cialis Professional does not have clinically significant effect on clearance of drugs which metabolism occurs with participation of P450 cytochrome. Studies have confirmed that Cialis Professional does not inhibit or induce CYP1A2, CYP3A4, CYP2C9, CYP2C19, CYP2D6, CYP2E1 isoenzymes.

Cialis Professional does not have clinically significant effect on pharmacokinetics of S-warfarin or R-warfarin. Cialis Professional does not affect warfarin action on prothrombin time.

Cialis Professional does not potentiate increase in hemorrhages duration caused by intake of acetylsalicylic acid.

Cialis Professional has systemic vasodilator properties and can enhance effect of antihypertensive drugs aimed at lowering blood pressure.

In addition, in patients taking several antihypertensive drugs, with poorly controlled hypertension, a somewhat greater decrease in blood pressure was observed. In the vast majority of patients, this decrease was not associated with hypotensive symptoms. Patients receiving treatment with antihypertensive drugs and taking Cialis Professional should be given appropriate clinical recommendations.

There was no significant reduction in blood pressure when using Cialis Professional by individuals who took selective alpha1-adrenoblocker – tamsulosin.

Simultaneous application of Cialis Professional with doxazosin is contraindicated. When using Cialis Professional, healthy volunteers who took doxazosin (4 – 8 mg/day) – alpha1-adrenoblocker – observed increased hypotensive effect of doxazosin. Some patients experienced dizziness. Fainting was not observed. Use of doxazosin at lower doses has not been studied.

Cialis Professional does not have clinically significant effect on pharmacokinetics or pharmacodynamics of theophylline.

Cialis Professional and Alcohol Interaction

Cialis Professional did not affect concentration of alcohol, nor did alcohol affect concentration of Cialis Professional. According to Canadian Healthcare Mall data, at high doses of alcohol (0,7 g/kg), Cialis Professional did not cause statistically significant decrease in average values of blood pressure. In some patients, postural dizziness and orthostatic hypotension were observed. When taking tadalafil in combination with alcohol in lower doses of (0,6 g/kg), blood pressure was not reduced, dizziness occurred with the same frequency as when taking alcohol only.

Cialis Generics vs Original

Tadalafil is a chemical substance, that is, it is synthesized in test tubes. In nature it does not occur, so it is impossible to find this substance in any food or medicinal plant. Method of obtaining and chemical synthesis of tadalafil was developed by British pharmaceutical corporation «Elly Lilly» in 2003. Based on this substance, pharmacologists created original drug Cialis. All other medications on the basis of tadalafil are Cialis generics, including Cialis Professional, which are completely safe. Canadian Health&Care Mall decided to consider the main differences and characteristics of generics and original medicines.

Developing original medicinal product, pharmaceutical concern synthesizes and releases a certain chemical substance, which will be the active ingredient. Then, optimal dosages of the substance are detected experimentally, which has the best positive effect with minimal side effects. Optimum auxiliary components are also indicated. Then technology of synthesis of the substance and methods of its purification from various impurities, which often cause allergic reactions and side effects, are developed. After successful completion of all stages of development, finished medicinal product is tested and released on the market under a specific name, invented specifically for it.

Thus, there are original pharmaceutical preparations that have international patents. However, patent for medicinal product is valid for a limited period of time, after which any pharmaceutical company can take composition of original preparation (written in each instruction) and make its own medicine according to indicated dosages. It is this drug will be called a generic. In rare cases, new name comes up with a generic drug. And most often, generics are called simply by international name of the active substance. For example, in relation to active substance of Cialis Professional it looks like this: original preparation is called Cialis, and most generics – Tadalafil. That is, generic substance contains the same active substance as original preparation. Generics are usually much cheaper than original drugs .

Despite the same active ingredient in generics and original drugs, composition of auxiliary components may vary significantly. Often, the only similarity of generic with original drug is just the same active substance. In this case, as a rule, active substances to produce generics are obtained in chemical laboratories by industrial means, which are not subjected to serious and thorough purification from impurities. It is a large number of impurities that pharmacists mean when they say about the drug that it is quite «dirty».Cialis professional generic vs originalThus, Cialis Professional has a large number of generics that belong to tadalafil group. Most of Cialis generics are produced by Indian pharmaceutical corporations, which specialize precisely in this direction of the drug market.

Reviews about Cialis Professional

Reviews about Cialis Professional preparation are mostly positive, and this applies to both original Cialis 20 mg, and various generics. Pills are used by both adult men and young boys, but both of them note good effect of Cialis Professional, which manifests itself in the form of great erection, sufficient for sexual intercourse, lasting for several days – from 2 to 4.

In addition to good erection, men notice extension of sexual intercourse, that is, Cialis Professional significantly prolongs it. Also, some men note changes in feelings during sex, which they regard simply as unusual. Such interesting sensations from male point of view lead to bright and long orgasm.

On the background of undoubtedly positive action of Cialis Professional, most men developed minor side effects in the form of headaches and feeling of strong torsion of legs. However, men believe that these minor uncomfortable phenomena can be tolerated, because pleasure in sex, which Cialis Professional allows, is incommensurably higher. Therefore, these side effects men consider as a small payment for excellent sex, responding in general to drug positively.

There is also a small number of negative reviews about Cialis Professional, which are caused by development of flashes, severe back pain, nasal congestion and headache instead of erection. That is, there are side effects, which completely eclipse main action of Cialis Professional. In this situation, even with persistent and good erection it is impossible to perform sexual intercourse, which is very frustrating for men, and makes them write negative feedback about the drug.

Some men note prolonged sexual intercourse, because on the background of use of Cialis Professional it is harder to achieve ejaculation. Some people like this because it allows to enjoy sexual intercourse longer, while others, on the contrary, experience negative emotions. This phenomenon also influences opinion about the drug. Those men who like prolonged sex, consider this a plus of the drug and leave positive feedback. And those men who do not like long sexual intercourses consider inability to relatively quickly achieve ejaculation as a minus of Cialis Professional and therefore leave negative feedback about the pill.

John, 45
Having experienced an unpleasant embarrassment in bed, I talked with my doctor, from which I received a standard dose of Cialis Professional for 36 hours. I took it at 15-00, and had rendezvous at 00.00. The reason is in the unique duration of action of substance, which varies in the range of 24 – 36 hours. In patients on hemodialysis receiving 10 or 20 mg of tadalafil, no cases of back pain were reported. After onset of Cialis therapy, a month later we switched from 1 attempt to have sex to 3 sexual intercourses a day, each of which could easily last for 1 – 2 hours.

Andrew, 38
I tried Cialis Professional and I am satisfied with the result. My potency is all right – I use stimulants to enhance my abilities, it’s nice when a girl says that you are the best. About side effects yet I do not know, did not feel them (took Cialis together with vodka and beer).

Leo, 29
I am not a master to write any feedback, about Cialis Professional I can say only one thing – this generic works. Although I’m still good in bed, but extra pill of Cialis Professional to maintain my own confidence will not hurt. Let the girls use me while I’m young, and I’ll use Cialis Professional. I’ll order Viagra later to compare with Cialis.