APCALIS 20 Tab (Tadalafil 20 mg)

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There are a number of pharmaceutical manufacturers who make generic Cialis (Tadalafil tablets).

The active ingredient in Apcalis SX 20 mg (generic Cialis) is Tadalafil 20 mg. Cialis is merely a trade name. Generic Cialis is any medication that contains tadalafil in the same concentrations as in Cialis.

Apcalis SX 20 mg is the weekend pill – you do not have to take a pill every day. It’s an ideal choice for men who want to be sexually active. Last up to 36 hours!

For 90% of men with erectile dysfunction, the primary cause is related to psychological, not physical problems. In these cases, Apcalis SX is very effective form of treatment. You can get cheap Apcalis SX 20 mg without prescription right here.


Apcalis SX is used 30-40 minutes before planned intimacy. Swallow it whole with plenty of water. As human trials confirm, 20 mg is an optimal therapeutic dosage for the majority of users. If men take the drug for the first time, they should start with a smaller dose of 10 mg and increase it gradually in case of need. This Cialis representative is not suitable for daily use. Due to a longer action period, Apcalis SX is taken once in 2 days.

The drug is well-tolerated by most users, however, elderly patients are advised taking it under medical control. Their body resistance worsens, and a number of accompanying diseases acquired up to this age can make the medicine unsafe. Check with your therapist, if you have the following conditions:

cardiovascular disorders;
stomach ulcers;
liver or kidney problems;
allergy to tadalafil;
high cholesterol;
penile physical deformities;
eye impairment;
bleeding malfunction.
Follow all recommendations of your GP and inform him of any abnormalities during treatment.


Tadalafil side effectsApcalis SX is known by its mild action and rarely causes side effects in users. Tell your physician, if you have the following symptoms:

stuffy nose;
back pain;
dry mouth;
redness or warmth of neck, or face;
upset stomach.
More serious adverse reactions are less typical and require an immediate medical assistance:

vision or hearing changes, or loss;
shortness of breath;
irregular heart rhythm;
swelling of hands/feet;
chest/left arm pain.
Sexual activity is rather stressful and puts pressure on the cardiovascular system, so tell your doctor about all unpleasant and bothersome symptoms that are not included in the list.

Some symptoms may lead to dizziness, so be careful, if you are engaged in activities that demand concentration and alertness.

If male individuals have hypersensitivity to the drug components, they may get allergic reactions, like swelling of tongue, face or throat.


Interaction of tadalafil with other medicines may alter its work or provoke dangerous side effects. Share with your physician a list of all consumed tablets, vitamins and supplements.

Grapefruit and grapefruit juice
Coadministration with nitrates results in the most hazardous consequences with Apcalis SX. Don’t consume the drug with the following meds:

alpha-blockers used for hypertension and enlarged prostate (Doxazosin, Tamsulosin, etc.);
tabs to treat angina or chest pain (Nitroglycerin, Isosorbide, etc.);
recreational drugs comprising amyl or butyl nitrite;
hepatitis C pills (Boceprevir, Telaprevir, etc.);
HIV medicines (Fosamprenavir, Ritonavir, etc.);
antibiotics (Clarithromycin, Erythromycin, etc.);
drugs that include tadalafil or similar substances (Viagra Soft, Super P-Force, etc.);
antifungals (Itraconazole, Ketoconazole, etc.).
Apcalis SX can be consumed with any food and with no restrictions. Used after heavy meals, it may need extra time to act. Grapefruit (and its juice) is the only prohibited product. It interferes with enzymes that metabolize tadalafil and leads to its accumulation in a body. Absorbed in the tissues, tadalafil may provoke side effects.

Apcalis SX users like the fact that the drug can be used with small amounts of alcohol, which usually precedes the intimacy. Excessive consumption of alcoholic beverages is not allowed, as they interact with tadalafil and induce adverse effects in users. Mixed together, they provoke an extreme drop of blood pressure that may cause fainting and dizziness.


We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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