Cialis Extra Dosage: Enhanced Efficacy for Erectile Dysfunction
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| Product dosage: 2.5mg | |||
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| Product dosage: 20mg | |||
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Synonyms | |||
Similar products
Cialis Extra Dosage represents a significant advancement in the pharmacological management of erectle dysfunction, offering a higher concentration of the active ingredient tadalafil for patients requiring a more potent therapeutic effect. This formulation is specifically engineered for individuals who have not achieved satisfactory results with standard dosages, providing a robust option under strict medical supervision. It is critical that this medication is prescribed and monitored by a healthcare professional to ensure both safety and optimal clinical outcomes.
Features
- Contains tadalafil as the active pharmaceutical ingredient
- Available in higher strength formulations (e.g., 20mg, and potentially higher under specific branding, though standard maximum is typically 20mg per day; consult specific product labeling)
- Long duration of action, with effects lasting up to 36 hours
- PDE5 inhibitor class medication
- Formulated for oral administration
Benefits
- Provides a more potent option for patients with suboptimal response to standard-dose therapies.
- Facilitates a significantly extended window of opportunity for sexual activity, reducing time-sensitive pressure.
- Enhances the ability to achieve and maintain an erection sufficient for satisfactory sexual performance.
- Can improve overall sexual confidence and relationship satisfaction.
- Its long half-life allows for more spontaneous sexual activity compared to shorter-acting agents.
- Effective in the treatment of erectile dysfunction with concurrent benign prostatic hyperplasia (BPH) in approved formulations.
Common use
Cialis Extra Dosage is primarily prescribed for the treatment of erectile dysfunction (ED) in adult males. It is indicated for use in patients who have demonstrated an inadequate response to lower doses of tadalafil or other PDE5 inhibitors. It works by increasing blood flow to the penis during sexual stimulation, aiding in the achievement and maintenance of an erection. It is not indicated for use in women or children.
Dosage and direction
The dosage must be strictly determined by a qualified physician based on individual patient needs, efficacy, and tolerance. The typical recommended starting dose for erectile dysfunction is lower (e.g., 10mg); the “Extra Dosage” implies use of a higher strength (e.g., 20mg) which is often the maximum recommended dose. It should be taken orally at least 30 minutes before anticipated sexual activity. The frequency of administration should not exceed once per day. For daily use regimens (e.g., 2.5mg or 5mg for ED/BPH), a different dosing schedule applies and the “extra dosage” concept is not typically used; this product is intended for on-demand use. Adhere precisely to the prescribing doctor’s instructions. Do not crush or split the tablet unless advised.
Precautions
Prior to initiation, a thorough medical evaluation should be conducted to assess cardiovascular status, as sexual activity carries potential cardiac risk. Use with caution in patients with anatomical deformation of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie’s disease), conditions predisposing to priapism (e.g., sickle cell anemia, multiple myeloma, leukemia), bleeding disorders, active peptic ulceration, or severe hepatic impairment. This medication offers no protection against sexually transmitted diseases. It does not enhance libido. Avoid excessive alcohol consumption (e.g., 5 units or more) as it may increase the risk of orthostatic hypotension, dizziness, and increased heart rate.
Contraindications
This medication is absolutely contraindicated in patients using any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors (e.g., amyl nitrite “poppers”) in any capacity, whether regularly or intermittently. Concomitant use can lead to a severe, life-threatening drop in blood pressure. It is also contraindicated in patients with a known hypersensitivity to tadalafil or any excipients in the formulation, and in those with severe cardiovascular disorders where sexual activity is inadvisable (e.g., unstable angina, severe heart failure, recent myocardial infarction or stroke).
Possible side effect
While not everyone experiences them, potential side effects can include:
- Headache
- Dyspepsia (indigestion)
- Back pain and myalgia (muscle pain)
- Nasal congestion
- Flushing (redness of the face and neck)
- Dizziness
- Visual disturbances (e.g., blurred vision, changes in color vision)
- Less commonly, priapism (a prolonged and painful erection lasting more than 4 hours), which is a medical emergency requiring immediate treatment to avoid permanent damage.
- Rarely, sudden decrease or loss of hearing, tinnitus, or sudden vision loss in one or both eyes (NAION).
Drug interaction
Tadalafil is primarily metabolized by CYP3A4. Concomitant use is not recommended with:
- Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin): May significantly increase tadalafil exposure.
- Nitrates and NO donors: Absolute contraindication due to risk of profound hypotension.
- Alpha-blockers (e.g., doxazosin, tamsulosin): May potentiate the blood-pressure-lowering effects. Concomitant use with certain alpha-blockers requires careful dose adjustment and monitoring.
- Antihypertensives: May potentiate the hypotensive effect.
- Other PDE5 inhibitors: Should not be used concurrently.
Missed dose
As this medication is intended for use on an as-needed basis prior to sexual activity, the concept of a “missed dose” does not apply. It is not intended for scheduled, daily dosing. For daily dosing regimens (using lower strengths), follow your doctor’s specific instructions regarding a missed dose.
Overdose
In cases of suspected overdose, standard supportive measures should be employed. Given the vasodilatory effects, the primary expected manifestation would be severe hypotension. Management should include placing the patient in the supine position with the head lowered (Trendelenburg position if necessary) and actively managing hypotension, which may include fluid administration. Hemodialysis is not expected to accelerate clearance significantly. Seek immediate medical attention.
Storage
Store at room temperature (15°C to 30°C or 59°F to 86°F). Keep in the original container to 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 is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read here. The information provided does not cover all possible uses, directions, precautions, drug interactions, or adverse effects.
Reviews
“After standard doses were ineffective for me, my urologist carefully evaluated me and prescribed this higher strength. The difference has been remarkable. I finally have the reliable results I needed, and the long duration means my partner and I aren’t watching the clock. It has significantly improved our intimacy.” – Patient, 58 “Prescribing a higher dose of tadalafil requires a meticulous risk-benefit analysis. For appropriate patients who have failed first-line therapy, it can be a game-changer. It is imperative, however, to reinforce the absolute contraindication with nitrates and to monitor for side effects, particularly cardiovascular and musculoskeletal.” – Urologist, 15 years experience “The cost is higher, but for the efficacy it provides, it is worth it for us. We appreciate that one tablet covers the entire weekend, allowing for a much more natural and less planned experience.” – Partner of patient “As a pharmacist, I ensure extensive counseling for any patient receiving this strength. Confirming they understand the dosing instructions, the contraindication with nitrates, and the signs of priapism is a critical part of the dispensing process.” – Pharmacist