Cialix Tablet | 20mg | Tadalafil | Price in Bangladesh | ePharma
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Description:

Cialix 20mg Tablet is a medication containing Tadalafil, a member of the phosphodiesterase type 5 (PDE 5) inhibitors group. Here's a summary of its uses, precautions, and potential side effects:

Usage: This medication is prescribed to adults for 2 main purposes:

  • Erectile Dysfunction: It is used to treat erectile dysfunction, a condition where a man has difficulty achieving or maintaining an erection for satisfactory sexual activity. This condition often results from reduced blood flow to the penis.
  • Pulmonary Arterial Hypertension (PAH): It is also used to manage pulmonary arterial hypertension, a condition characterized by high blood pressure in the vessels supplying the lungs. PAH can result from the narrowing of arteries supplying the heart and lungs and may lead to symptoms such as shortness of breath, fatigue, weakness, and fainting.

Pre-existing Conditions: Before taking Cialix 20mg Tablet, it is crucial to inform your doctor if you have pre-existing liver, kidney, or heart problems. Additionally, notify your doctor if you have any penile deformities or have undergone surgical removal of all or part of the prostate gland.

Blood Pressure and Stroke: This medication is not recommended for individuals with severely low or high blood pressure or those who have experienced a recent stroke.

Prolonged Erection: In rare cases, this medication may lead to a painful and prolonged erection (priapism). Seek immediate medical attention if you experience this condition, whether painful or not, as it can result in permanent damage to the erectile tissue.

Cialix 20mg Tablet is not an aphrodisiac, which means it does not stimulate sexual thoughts or enhance sexual performance or pleasure in healthy men. It primarily assists in achieving and maintaining an erection when sexual stimulation occurs.

Safety Advices


Alcohol
UNSAFE

Alcohol is not recommended when you are using this medicine. 


Pregnancy
UNSAFE

Cialix 20mg Tablet is not intended for use in pregnant women.


Breastfeeding
UNSAFE

Cialix 20mg Tablet is not intended for use in breastfeeding women.


Driving
CAUTION

If you experience dizziness and altered vision after taking Cialix 20mg Tablet, it is advised to avoid driving or be cautious while driving.


Kidney

Dose adjustment may be needed. Please consult your doctor before taking Cialix 20mg Tablet if you have kidney impairment/kidney disease or any concerns regarding this.


Liver

Dose adjustment may be needed. Please consult your doctor before taking Cialix 20mg Tablet if you have liver impairment/liver disease or any concerns regarding this.

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Uses of Cialix 20mg Tablet
  • Erectile Dysfunction
  • Benign Prostatic Hyperplasia
  • Pulmonary Arterial Hypertension (PAH)
How does Cialix 20mg Tablet work?

Cialix 20mg Tablet works by relaxing the smooth muscles in the penis and increasing the blood flow. This helps the penis to harden and leads to an erection. Cialix 20mg Tablet also relaxes the muscles present in the prostate gland and bladder. Thus, it helps to improve the symptoms of BPH such as increased urinary frequency, difficulty in urination, slow urine stream, etc.

Side Effects of Cialix 20mg Tablet
  • Headache
  • Nausea
  • Diarrhea
  • Flushing
  • Stuffy nose
  • Decrease/loss of vision
  • Change in color vision
  • Decrease/loss of hearing
  • Prolonged and painful erection
  • Dizziness
  • Pain in the arms, legs, and the back
  • Indigestion
  • Muscle pain
Quick Suggestions:
  • It is best to take Tadalafil approximately one hour before engaging in sexual activity. However, you have a window of flexibility, and you can take it anytime between 30 minutes and up to 4 hours before sexual intercourse.
  • Do not take Tadalafil more than once a day. Stick to the prescribed dosage schedule provided by your doctor.
  • Tadalafil can also be used to address the urinary symptoms associated with an enlarged prostate gland (benign prostatic hyperplasia). Follow your doctor's guidance for the appropriate dosage and timing if you are using it for this purpose.
  • Do not use Tadalafil if you have recently taken nitrates. Nitrates are medications used for angina (chest pain). Also, avoid Tadalafil if you have experienced a heart attack in the past three months or a stroke or heart failure in the past six months.
  • If your erection lasts for more than four hours after sexual intercourse, seek immediate medical attention. Prolonged erections can be a medical emergency.
Indications:

Cialix 20mg Tablet is used in men to treat erectile dysfunction. Erectile dysfunction is a common type of male sexual dysfunction in which a man has difficulty in getting or keeping an erection.

Pharmacology:
  • Tadalafil is a PDE5 inhibitor that raises cGMP levels, relaxing smooth muscles and increasing blood flow to the corpus cavernosum for penile erection.
  • It also relaxes smooth muscles in the prostate and bladder, improving urine flow.
Dosage & Administration of Cialix 20mg Tablet

Here are the recommended dosages and administration instructions for Tadalafil in different conditions:

Erectile Dysfunction:

For Use as Needed:

  • The recommended starting dose is 10 mg taken before anticipated sexual activity.
  • The dose can be adjusted based on individual efficacy and tolerability, with a maximum recommended dosing frequency of once per day.
  • You can take it 30 minutes to 12 hours before sexual activity, and its effectiveness may last up to 24 hours post-dose.

For Once Daily Use:

  • The recommended starting dose for daily use is 2.5 mg taken at approximately the same time every day, without regard to the timing of sexual activity.
  • The dose may be increased to 5 mg based on individual efficacy and tolerability.

Benign Prostatic Hyperplasia (BPH):

  • For the treatment of BPH symptoms, the recommended dose is 5 mg once daily.
  • If you have both BPH and erectile dysfunction, the recommended dose is also 5 mg once daily, taken at approximately the same time each day without regard to sexual activity.
  • If you're taking finasteride for BPH, the recommended dose is tadalafil 5 mg plus finasteride 5 mg once daily for less than 26 weeks.

Pulmonary Arterial Hypertension:

  • The recommended dose for pulmonary arterial hypertension is 40 mg once daily.
  • Dividing the dose for more frequent dosing is not recommended.

Hepatic Impairment (Erectile Dysfunction):

  • For mild-to-moderate hepatic impairment (Child-Pugh class A or B), the dose should not exceed 10 mg once daily.
  • Tadalafil is not recommended for severe hepatic impairment (Child-Pugh class C).

Hepatic Impairment (Pulmonary Arterial Hypertension):

  • For mild-to-moderate hepatic impairment (Child-Pugh class A or B), consider starting with a dosage of 20 mg once daily.
  • Tadalafil should be avoided in cases of severe hepatic impairment (Child-Pugh class C).

Renal Impairment (Erectile Dysfunction):

  • For mild renal impairment (CrCl >51 mL/min), no dosage adjustment is needed.
  • In moderate renal impairment (CrCl 30-50 mL/min), the dose should not exceed 5 mg once daily initially, with a maximum dosage of 10 mg once every 48 hours.
  • In severe renal impairment (CrCl <30 mL/min and on hemodialysis), the dose should not exceed 5 mg once every 72 hours.

Renal Impairment (Pulmonary Arterial Hypertension):

  • For mild-to-moderate renal impairment (CrCl 31-80 mL/min), the initial dose is 20 mg once daily, which may be increased to 40 mg once daily based on tolerability.
  • Tadalafil should be avoided in cases of severe renal impairment (CrCl <30 mL/min and on hemodialysis).

Please note that these dosages and administration recommendations are provided as general guidelines, and it's important to follow your doctor's specific instructions and dosing recommendations tailored to your individual medical condition.

Interaction

Before taking Cialix 20mg Tablet, it's crucial to inform your doctor about any medications you are currently taking, including:

  • Bosentan or riociguat: These are used to treat pulmonary arterial hypertension, and combining them with Cialix 20mg Tablet may lead to interactions or side effects.
  • Nitrates or amyl nitrites: Medications used to relieve chest pain. Combining them with Cialix 20mg Tablet can cause a dangerous drop in blood pressure.
  • Alpha-blockers: These are used to treat high blood pressure or benign prostatic hyperplasia (BPH). Using them with Cialix 20mg Tablet can also lead to low blood pressure.
  • Other medications for high blood pressure: Inform your doctor if you are taking drugs like atenolol, propranolol, enalapril, or lisinopril.
  • Ketoconazole or itraconazole: Antifungal medications that can interact with Cialix 20mg Tablet.
  • Protease inhibitors: Used to treat HIV infection, such as ritonavir and lopinavir.
  • Antiepileptic drugs: Medicines like phenobarbital, phenytoin, and carbamazepine, which are used to treat seizures.
  • Antibiotics: Rifampicin, erythromycin, clarithromycin, and other antibiotics used for bacterial infections.
  • Other medications for erectile dysfunction: If you are already taking medications like sildenafil for ED, it's important to inform your doctor.
Contraindications

Allergy

Pregnancy & Lactation
  • Cialix 20mg Tablet is not intended for use in pregnant women.
  • Cialix 20mg Tablet is not intended for use in breastfeeding women.
Precautions & Warnings

Do not take Tadalafil if:

  • You are allergic to any of its components.
  • You are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension), or alpha-blockers.
  • You have heart problems or have had a stroke.
  • You have low blood pressure or uncontrolled high blood pressure.
  • You have ever experienced a loss of vision?
  • You have sickle cell anemia (abnormal red blood cells), multiple myeloma (bone marrow cancer), leukemia (blood cell cancer), or penile deformities.
  • You have severe kidney or liver problems.
Storage Conditions
  • Store Cialix 20mg Tablet in a cool and dry place.
  • Keep it away from children and pets.
Frequently Asked Questions (FAQ)

No

Seek immediate medical attention if you encounter: Sudden Vision Loss: If you experience an abrupt loss of vision in one or both eyes. Sudden Decrease in Hearing: In the event of a sudden decrease in hearing or hearing loss. Ringing in Ears and Dizziness: Contact your doctor if you encounter tinnitus (ringing in the ears) or dizziness. Prolonged Erections: If you have an erection that lasts for more than 4 hours or if you experience painful erections lasting longer than 6 hours.

Cialix 20mg Tablet relaxes the muscles in the bladder and prostate, thereby reduces the symptoms of benign prostatic hyperplasia (BPH) or enlarged prostate such as difficulty in urination and urgent need to urinate.
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Disclaimer:
ePharma sole intention is to ensure that its consumers get proper information as musch as possible. Although we do not guarantee the accuracy and the completeness of the information that provided and here information is for informational purposes only. The information contained herein should NOT be used as a substitute for the advice of a qualified physician. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your healthcare professional and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Pricing Information, Availability:
ePharma reserves the right to make adjustments to pricing, Products and Service offerings for reasons including, but not limited to, changing market conditions, Product discontinuation, Product unavailability, manufacturer price changes, supplier price changes and errors in advertisements. All orders are subject to Product availability and the availability of Personnel to perform the Services. Therefore, Seller cannot guarantee that it will be able to fulfill Customer’s orders. If Services are being performed on a time and materials basis, any estimates provided by Seller are for planning purposes only.
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