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Cialis In Uae for the treatment of erectile dysfunction. Cialis In Uae is a reversible selective inhibitor of cyclic guanosine monophosphate (cGMP) PDE5. When sexual arousal causes local release of nitric oxide, inhibition of PDE5 by Cialis In Uae leads to an increase in the concentration of cGMP in the cavernous body of the penis. The consequence of this is the relaxation of the smooth muscles of the arteries and blood flow to the tissues of the penis, which causes an erection. Cialis In Uae has no effect in the absence of sexual arousal.


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Information

Effect of other drugs on Cialis In Uae

Cialis Farmacia Online España is mainly metabolized with the participation of the CYP3A4 isoenzyme. Selective inhibitor of CYP3A4, ketoconazole (400 mg/day) increases the AUC of Can You Buy Cialis Over The Counter Usa in a single dose by 312% and SMACNA 22%, and ketoconazole (200 mg/day) increases the AUC of Cialis Buy Dubai in a single dose by 107% and Smachna 15% relative to the AUC values for Cialis In Uae Smartelco one. Ritonavir (200 mg 2 times a day), an inhibitor of isoenzymes CYP3A4, 2C9, 2C19 and 2D6, increases the AUC of Cialis In Uae in a single dose by 124% without changing Cmax. Although no specific interactions have been studied, it can be assumed that other HIV protease inhibitors such as saquinavir and CYP3A4 isoenzyme inhibitors such as erythromycin and Itraconazole increase Cialis In Uae activity.

Selective inducer of CYP3A4, rifampin (600 mg/day), reduces the exposure of a single dose of Cialis In Uae (AUC) by 88% and SMACNA 46% relative to the AUC values for Cialis Generico Online Italia Smartelco one. It can be assumed that the simultaneous use of other inducers of CYP3A4 isoenzyme should also reduce the concentration of Cialis In Uae in plasma.

Simultaneous administration of antacid (magnesium hydroxide/aluminum hydroxide) and Cialis In Uae reduces the rate of absorption of Can I Buy Cialis Over The Counter Uk without changing the area under the pharmacokinetic curve for Cialis In Uae. The increase in gastric pH as a result of the H2-histamine receptor blocker nizatidine had no effect on the pharmacokinetics of Cialis In Uae.

The safety and effectiveness of the combination of Cialis Tablets In Uae with other types of treatment of erection disorders have not been studied, so the use of such combinations is not recommended.

Buy Cialis Over The Counter Usa does not potentiate the increase in bleeding time caused by taking acetylsalicylic acid.

Mechanism of action

The active substance of Cialis In Uae is Cialis 20 Mg Price Uae, which contributes to the inhibition of the production of the enzyme phosphodiesterase type 5 (PDE5). The enzyme (PDE5) regulates the concentration of cGMP (cyclic guanosine monophosphate) in the smooth muscles of the penis's tricky body.

After taking the pill, the concentration of cGMP increases to normal, which creates conditions for a full, healthy erection with sexual arousal. After the act of love, the penis, as expected, relaxes.

The highest concentration of the substance in the blood occurs approximately 2 hours after taking Cialis In Uae.

Rules of admission

The duration of the generic Cialis In Uae reaches 36 hours, but it is recommended to take a 20mg tablet 30 minutes before the intended sexual intercourse. Drink Cialis Buy South Africa should be water.

Per day is allowed to take no more than 40mg, the optimal dose — 1 tablet 20mg. And, as before taking any other medication, you should carefully study the instructions, namely the indications and contraindications.

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Pharmacokinetics

The pharmacokinetics of Comprar Cialis Online En Usa in patients with erectile dysfunction is similar to the pharmacokinetics of Cialis In Uae in persons without erectile dysfunction.

Suction

After taking Comprar Cialis Online Canada inside Cialis In Uae is rapidly absorbed. The average plasma Cmax is achieved in an average of 2 hours after ingestion. The rate and degree of absorption of Can I Buy Cialis Over The Counter does not depend on the meal, so Cialis In Uae® can be used regardless of the meal. The time of administration (morning or evening) had no clinically significant effect on the rate and degree of absorption.

The pharmacokinetics of Cialis In Uae in healthy individuals is linear in terms of time and dose. In the dose range from 2.5 to 20 mg AUC increases in proportion to the dose.

Distribution

Css in plasma are attained within 5 days while taking Cialis Online Kaufen Forum 1 time/day.

The average Vd is about 63 liters, which indicates that Cialis In Uae is distributed in the tissues of the body.

The plasma protein binding of Cialis Kaufen Online Rezeptfrei at therapeutic concentrations 94%.

In healthy individuals, less than 0.0005% of the administered dose was found in sperm.

Metabolism

Cialis Online Kopen Belgie is mainly metabolized with the participation of the CYP3A4 isoenzyme. The major circulating metabolite is methylethanolamine. This metabolite is at least 13,000 times less active against PDE5 than Cialis In Uae Price. Therefore, the concentration of this metabolite is not clinically significant.

Breeding

In healthy individuals, the average clearance of Cialis Online Spedizione Veloce when administered is 2.5 l/h, and the average T1/2 - 17.5 h. Cialis In Uae is excreted mainly in the form of inactive metabolites, mainly with feces (about 61% of the dose) and, to a lesser extent, with urine (about 36% of the dose).

Pharmacokinetics in special clinical cases

Binding to proteins does not change with impaired renal function.

Healthy elderly patients (65 years and more) had a lower clearance of Cialis In Uae when administered, which was expressed in an increase in AUC by 25% compared with healthy individuals aged 19 to 45 years. This difference is not clinically significant and does not require dose adjustment.

In patients with renal insufficiency of mild to moderate severity dose adjustment is not required. Due to the increased exposure of Cialis In Uae (AUC), patients with severe renal insufficiency are not recommended to use Cialis In Uae®.

The pharmacokinetics of Cialis Kupovina Online in patients with weak and moderate hepatic insufficiency is comparable to that in healthy individuals In patients with severe hepatic insufficiency (class C according to the child-Pugh classification) data are not available. When prescribing Cialis In Uae Cialis In Uae® patients with severe liver failure must first assess the risk and benefit of Cialis In Uae.

In patients with diabetes mellitus during the use of Cialis In Uae AUC was less by about 19% than in healthy individuals. This difference does not require dose selection.

Dosage and administration

Inside. Use of Cialis In Uae Buy Cialis Miami according to the indication of erectile dysfunction (ED). For patients with frequent sexual activity (more than 2 times a week): the recommended frequency of intake is daily, 1 time per day 5 mg, at the same time, regardless of food intake. The daily dose can be reduced to 2.5 mg, depending on individual sensitivity. For patients with infrequent sexual activity (at least 2 times a week): it is recommended to prescribe Cialis In Uae at a dose of 20 mg, immediately before sexual activity, according to the instructions for medical use of Buy Cialis Taiwan. The maximum daily dose of Cialis In Uae is 20 mg. the Use of Cialis In Uae according to the indication of BPH or ED/BPH. The recommended dose of Cialis In Uae when used once a day is 5 mg; Comprar Cialis Online Entrega Urgente should be taken at approximately the same time of day, regardless of the time of sexual activity. The duration of treatment is set by the doctor individually. In patients with mild renal insufficiency (creatinine Cl from 51 to 80 ml/min) and moderate (creatinine Cl from 31 to 50 ml/min) dose adjustment is not required. In patients with severe renal failure (Creatinine CL <30 ml/min and hemodialysis): use of Cialis In Uae is contraindicated.

Side effect

Most often: headache, dyspepsia. Possible: back pain, myalgia, nasal congestion, blood flow to the face. Rarely: swelling of the eyelids, pain in the eyes, conjunctival hyperemia, dizziness.

Overdose

Symptoms: with a single appointment to healthy individuals Cialis In Uae at a dose of up to 500 mg and patients with erectile dysfunction - repeatedly up to 100 mg/day, the undesirable effects were the same as when using Buy Cialis Denmark in lower doses. Treatment: in case of overdose, standard symptomatic treatment is necessary. In hemodialysis Cialis Ireland To Buy practically displayed.

Interaction with other drugs

Cialis In Uae is mainly metabolized by the enzyme CYP3A4. Selective inhibitor CYP3A4 ketoconazole increases AUC by 107%, and rifampicin reduces it by 88%. Although specific interactions have not been studied, it can be assumed that protease inhibitors such as ritonavir and saquinavir, as well as CYP3A4 inhibitors such as erythromycin and Itraconazole, increase the activity of Cialis Price In Uae Dirham. The simultaneous administration of antacid (magnesium hydroxide/aluminium hydroxide) and Cialis In Uae reduced the rate of absorption of the latter without changing the AUC. Cialis In Uae enhances the hypotensive effect of nitrates. This is due to the additive effect of nitrates and Cialis 5mg Daily Buy Online on the metabolism of nitric oxide and cGMP. Therefore, the use of Cialis In Uae in patients receiving nitrates is contraindicated

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