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Overview

Cialis 20Mg Tablet

Manufacturer: Lupin Ltd
Medicine composition: Tadalafil
Prescription vs.OTC: Prescription by Doctor required

Cialis 20Mg Tablet effectively helps in relaxing the muscles that are present in blood vessel walls, thus successfully increasing the flow of blood to certain areas in the body. The drug is thus used in the treatment of erectile dysfunction, also known as impotence and benign prostatic hypertrophy, that is, enlarged prostate. Cialis 20Mg Tablet also aids in the treatment of pulmonary arterial hypertension as well as effectively increases the capacity to exercise in both men and women.

It is important to know that there are a few medicines which react with Cialis 20Mg Tablet resulting in dangerous side effects. Thus, make sure that you inform your health practitioner about your medical history and provide him with a complete list of medicines that you are taking at present. Also inform him of any health problems that you have currently.

Cialis 20Mg Tablet can result in some major as well as minor side effects. Major side effects that you may experience are-

In case your experience any of the above symptoms get in touch with your doctor as soon as possible.

When it comes to minor side effects, Cialis 20Mg Tablet can lead to-

These side effects go away with time. If they do persist it is best that you seek medical help.

If you are taking the medication to treat erectile dysfunction and experience a painful erection or your erection lasts for more than 4 hours contact your medical adviser. An erection that lasts for a long period of time can cause potential damage to the penis.

Erectile Dysfuntion
Cialis 20Mg Tablet is used for the treatment of impotence; where achieving and sustaining an erection is a problem while having sexual intercourse. However, it will work only if there is sexual stimulation.
Pulmonary arterial hypertension
Cialis 20Mg Tablet is used to treat high blood pressure of arteries present in the lungs and right side of the heart. It also improves exercise capacity in such patients.
Benign prostatic hyperplasia
Cialis 20Mg Tablet is used to treat the symptoms of age related prostate gland enlargement which may include painful, difficult, and frequent urination.
Cialis 20Mg Tablet is not recommended for use if you have a history of allergy to sildenafil or any other component of this medicine.
Organic nitrates
Cialis 20Mg Tablet is not recommended for use if you are currently using any medicine that contains organic nitrates. Example: Nitroglycerin, Isosorbide etc.
Riociguat
Cialis 20Mg Tablet is not recommended for use if you are consuming a medicine named Riociguat (Popular trade name is Adempas).
In addition to its intended effect, Cialis 20Mg Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache Major Common
Heartburn Minor Common
Nausea Moderate Less Common
Diarrhea Major Rare
Flushing Moderate Less Common
Persistent cough Moderate Less Common
Decrease/loss of vision Major Rare
Change in color vision Major Less Common
Decrease/loss of hearing Major Rare
Prolonged and painful erection Major Rare
Dizziness Moderate Less Common
Allergic skin reaction Moderate Rare
Difficulty in breathing Major Less Common
Difficulty in swallowing Moderate Less Common
Swelling of face, lips, eyelids, tongue, hands and feet Major Rare
Peeling and blistering of skin Major Rare
Upper respiratory tract infection Major Less Common
Pain in the arms, legs and the back Moderate Less Common
Uterine bleeding Moderate Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 36-40 hours.
What is the onset of action?
The effect of this medicine can be observed within 30-60 minutes of oral administration.
Are there any pregnancy warnings?
This medicine is not recommended for consumption by pregnant women unless clearly needed. Consult a doctor and discuss the benefits and risks before taking this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
The use of this medicine should be avoided by nursing mothers. Consult your doctor so that suitable substitute may be advised.
Missed Dose instructions
Take the missed dose as soon as you remember. It can be skipped if it is almost time for the next scheduled dose. This applies to conditions like Pulmonary Hypertension where the dose regimen is fixed.
Overdose instructions
Contact a doctor immediately if an overdose is suspected. You might require immediate medical attention if the overdose is severe.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Cardiovascular disease Major
Report the incidence of any disease of the heart and blood vessel to the doctor. Use of Cialis 20Mg Tablet is not recommended in such patients especially the ones who are advised to refrain from any sexual activity due to the risk of adverse effects on the heart.
Kidney Disease Major
Report the incidence of any kidney disease to the doctor. Use of Cialis 20Mg Tablet is not recommended in patients having severe kidney impairment. If the impairment is mild then this medicine can be used with suitable dose adjustments.
Obstructive disease of the lungs Major
Report the incidence of any obstructive disease of the lungs (veno-occlusive disease, emphysema, bronchitis etc.). Use of Cialis 20Mg Tablet is not recommended as the risk of adverse effects are significantly high.
Priapism Moderate
Report the incidence of prolonged and painful erection to the doctor. This may be due to underlying conditions such as sickle cell anemia, leukemia or deformation of the penis. The risk of permanent tissue (penis) damage is high in such patients and hence caution is advised while administering Cialis 20Mg Tablet.
Disease of the retina Moderate
Cialis 20Mg Tablet should be used with caution in patients suffering from a disorder of the retina in which color discrimination is impaired. Use of this medicine should be avoided in this cases.
Interaction with Alcohol
Ethanol Moderate
Use of alcohol should be avoided or kept to a minimal level while you are taking Cialis 20Mg Tablet. Symptoms like dizziness, fainting, flushing, persistent headaches should be reported to the doctor.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Amlodipine Moderate
Report the use of Amlodipine or any blood pressure lowering medicine to the doctor. The risk of side effects is very high if these medicines are consumed without a doctor's supervision. Do not stop the use of any medicine without consulting your doctor.
Carbamazepine Moderate
Report the use of either of the medicine to the doctor. Suitable dose adjustments and clinical monitoring may be needed if these medicines are taken together. Do not stop the use of any medicine without consulting your doctor.
Ketoconazole Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent clinical monitoring while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
Phenytoin Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent clinical monitoring while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
Nitroglycerin Major
Report the use of either of the medicine to the doctor. Combining these medications may cause some very severe side effects. Use of nitroglycerin or any other medication containing nitrates should be avoided. Do not stop or start the use of any medicine without consulting your doctor.
Cimetidine Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent clinical monitoring while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
What are you using Cialis 20Mg Tablet for?
Erectile Dysfuntion
How much was the improvement?
Excellent
Average
How long did it take before seeing improvement?
Within 2 hours
More than 2 days
Within 6 hours
Within a day
How frequently did you take this medicine?
Once a day
Not taking on daily level
How did you take this medicine?
With Food
With or without food
What were the side effects of this medicine?
Flushing
Headache
Diarrhea
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

Is there any natural treatment instead of taking cialis. To get permanent solution.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Is there any natural treatment instead of taking cialis. To get permanent solution.
Non-drug treatments for ED include penile vacuum pumps, penile implants, and blood vessel surgery. A pump is used right before intercourse to pull blood into the penis. However, this method can cause bruising. Implants must be surgically inserted into the penis. They can then be inflated when necessary. Risks include those typically associated with surgery, such as infections. Blood vessel surgery is recommended only when leaking vessels cause ED. Even though all these methods may help some men, natural alternatives can be just as effective, but less invasive. Other alternative therapies thought to help ED may include zinc supplements (especially for men who are low in zinc), the herb ashwagandha (also called “Indian ginseng”), and ginkgo, but more studies are needed to know with certainty.
5 people found this helpful

Cialis long time use causes tolerance to it. Is it safe to use for long duration.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Cialis long time use causes tolerance to it. Is it safe to use for long duration.
Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection. Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.
2 people found this helpful

I have been taking enlarge forte sachet & cialis-20 for last 5-7 days. But there is no progress of my problems like ED, libido etc. What can I do? Please help me.

Sexologist, Delhi
I have been taking enlarge forte sachet & cialis-20 for last 5-7 days. But there is no progress of my problems like E...
You do massage with clove oil twice a day. Don't ignore this problem. It may cause sexual disorder in future. So consult with a experienced sexologist. You can consult with us on Lybrate for more suggestion.

1.Does vaccum erection device helps for erection for life long time 2.How long the ED drug (cialis) helps erection Please tell.

BHMS
Homeopath, Sindhudurg
1.Does vaccum erection device helps for erection for life long time
2.How long the ED drug (cialis) helps erection
Pl...
Side effects of using a vacuum erection device can include: pinpoint-sized red dots (petechiae). This is caused by bleeding under the surface of the skin of the penis. Numbness, coldness or bluish-colored skin. This can occur when the constriction band is in place. Pain or bruising. Knowing how to use the penis pump correctly can help you avoid injury to your penis. Feeling of trapped semen. You may feel like your semen is trapped when you ejaculate, or ejaculation might be painful. Some manufacturers make constriction rings with a small cutout that might help with this. Penis pumps have some other possible drawbacks: common side effects of viagra headache, flushing in the face, neck, or chest, upset stomach, indigestion, abnormal vision, nasal congestion, back pain, muscular pain or tenderness. Nausea, dizziness, rash, diarrhea serious side effects of viagra change or loss of vision, ringing in ears or hearing loss, chest pain or irregular heartbeat, shortness of breath, lightheadedness, swelling in the hands, ankles, and feet.
5 people found this helpful

Hello Doctors - I am having erectile dysfunction. Unless I take tablets like Cialis 20 mg or Viagra I am not able to sustain erection during sexual intercourse. Also there is pre mature ejaculation. Please help for a permanent solution for this problem.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
Hello Doctors - I am having erectile dysfunction. Unless I take tablets like Cialis 20 mg or Viagra I am not able to ...
Do kegel exercise and stop and squeeze technique and drink lots of water to detoxify body and eat veg diet and plenty of salads before each meal.
2 people found this helpful

Popular Health Tips

Sexual Disorders - 12 Symptoms

DNB - Urology, Andrology & Kidney Transplant, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Sexologist, Bangalore
Sexual Disorders - 12 Symptoms

Sexual disorders come in different forms and variety; in short they are like people who come in all shapes and sizes. If you have a sexual disorder it does not mean that something is wrong with you. It only conveys that certain issues can affect anyone at any point of time and maybe for a reason or no reason. While some sexual problems have been tracked with their diagnosis and treatment, there are many which are not yet understood well.

The best part of all this is that if you are affected with a sexual disorder something like erectile dysfunction then there is no need to worry as there is a wide range of treatment. The treatment can range from some specific form to psychotherapy. This can virtually help anyone with the sexual disorder despite the concern. 

The only concern associated with sexual disorder is that how is it affecting the person. Is it causing distress in their lives or their behavior is changing and would they k=like to change their behavior or the problem.
 
Symptoms of Sexual Disorders
- Dyspareunia: Constant and repetitive pain experienced during sexual intercourse in men and women
- Erectile Disorder (ED): Inability to maintain erection in men
- Exhibitionistic Disorder: Intense sexual urges and fantasies for over 6 months
- Female and Male Orgasmic Disorders: Repetitive and constant delay or absence of orgasm post sexual stimulation

- Female Sexual Arousal Disorder: Constant and repetitive inability of, or maintaining arousal until the sexual activity 
- Fetishistic Disorder: Also known as Fetishism, this involves eroticization of nonliving objects or body parts for sexual gratification.
- Frotteuristic Disorder: Fantasies and sexual urges that have lasted for more than 6 months
- Hypoactive Sexual Desire Disorder: Low sexual desire in men
- Premature (Early) Ejaculation: Early ejaculation, much before the person wishes for
- Sexual Masochism and Sadism: Fantasies and sexual urges that have lasted for more than 6 months
- Vaginismus: Spasm of the muscles which cause hindrance in sexual activity
- Sex Addiction (not a recognized diagnostic category at this time)

Treatments of Sexual Disorders
The most common sexual disorder, erectile dysfunction is readily treated with medication. The drugs prescribed for this are Cialis, Levitra, and Viagra. These medicines are only available if the doctor writes a prescription. They work by increasing the blood flow to the penis and in turn an easy erection in men when sexual stimulation is given. Viagra and Levita, both are effective in 30 minutes but Levita works a little longer than Viagra. The effect of both can last up to 4-5 hours. Cialis is believed to work faster that is within 15 minutes and lasts up to 36 hours. If you wish to discuss about any specific problem, you can consult a Sexologist.

3223 people found this helpful

What Are Sexual Disorders?

Graduate in Ayurvedic Medicine and Surgery ( GAMS )
Sexologist, Delhi
What Are Sexual Disorders?

Disorders come in different forms and variety; in short they are like people who come in all shapes and sizes. If you have a sexual disorder it does not mean that something is wrong with you. It only conveys that certain issues can affect anyone at any point of time and maybe for a reason or no reason. While some sexual problems have been tracked with their diagnosis and treatment, there are many which are not yet understood well.

The best part of all this is that if you are affected with a sexual disorder something like erectile dysfunction then there is no need to worry as there is a wide range of treatment. The treatment can range from some specific form to psychotherapy. This can virtually help anyone with the sexual disorder despite the concern.

The only concern associated with sexual disorder is that how is it affecting the person. Is it causing distress in their lives or their behavior is changing and would they like to change their behavior or the problem.

Symptoms of Sexual Disorders:

  1. Dyspareunia: Constant and repetitive pain experienced during sexual intercourse in men and women
  2. Erectile Disorder (ED): Inability to maintain erection in men
  3. Exhibitionistic Disorder: Intense sexual urges and fantasies for over 6 months
  4. Female and Male Orgasmic Disorders: Repetitive and constant delay or absence of orgasm post sexual stimulation
  5. Female Sexual Arousal Disorder: Constant and repetitive inability of, or maintaining arousal until the sexual activity
  6. Fetishistic Disorder: Also known as Fetishism, this involves eroticization of nonliving objects or body parts for sexual gratification.
  7. Frotteuristic Disorder: Fantasies and sexual urges that have lasted for more than 6 months
  8. Hypoactive Sexual Desire Disorder: Low sexual desire in men
  9. Premature (Early) Ejaculation: Early ejaculation, much before the person wishes for
  10. Sexual Masochism and Sadism: Fantasies and sexual urges that have lasted for more than 6 months
  11. Vaginismus: Spasm of the muscles which cause hindrance in sexual activity
  12. Sex Addiction: It is not a recognized diagnostic category at this time.

Treatments of Sexual Disorders:
The most common sexual disorder, erectile dysfunction is readily treated with medication. The drugs prescribed for this are Cialis, Levitra, and Viagra. These medicines are only available if the doctor writes a prescription. They work by increasing the blood flow to the penis and in turn an easy erection in men when sexual stimulation is given. Viagra and Levita, both are effective in 30 minutes, but Levita works a little longer than Viagra.

The effect of both can last up to 4-5 hours. Cialis is believed to work faster that is within 15 minutes and lasts up to 36 hours.

4028 people found this helpful

12 Symptoms Of Sexual Disorders

Sexologist Clinic
Sexologist, Faridabad
12 Symptoms Of Sexual Disorders

Sexual disorders come in different forms and variety; in short they are like people who come in all shapes and sizes. If you have a sexual disorder it does not mean that something is wrong with you. It only conveys that certain issues can affect anyone at any point of time and maybe for a reason or no reason. While some sexual problems have been tracked with their diagnosis and treatment, there are many which are not yet understood well.

The best part of all this is that if you are affected with a sexual disorder something like erectile dysfunction then there is no need to worry as there is a wide range of treatment. The treatment can range from some specific form to psychotherapy. This can virtually help anyone with the sexual disorder despite the concern. 

The only concern associated with sexual disorder is that how is it affecting the person. Is it causing distress in their lives or their behavior is changing and would they k=like to change their behavior or the problem.
 
Symptoms of Sexual Disorders
- Dyspareunia: Constant and repetitive pain experienced during sexual intercourse in men and women
- Erectile Disorder (ED): Inability to maintain erection in men
- Exhibitionistic Disorder: Intense sexual urges and fantasies for over 6 months
- Female and Male Orgasmic Disorders: Repetitive and constant delay or absence of orgasm post sexual stimulation

- Female Sexual Arousal Disorder: Constant and repetitive inability of, or maintaining arousal until the sexual activity 
- Fetishistic Disorder: Also known as Fetishism, this involves eroticization of nonliving objects or body parts for sexual gratification.
- Frotteuristic Disorder: Fantasies and sexual urges that have lasted for more than 6 months
- Hypoactive Sexual Desire Disorder: Low sexual desire in men
- Premature (Early) Ejaculation: Early ejaculation, much before the person wishes for
- Sexual Masochism and Sadism: Fantasies and sexual urges that have lasted for more than 6 months
- Vaginismus: Spasm of the muscles which cause hindrance in sexual activity
- Sex Addiction (not a recognized diagnostic category at this time)

Treatments of Sexual Disorders
The most common sexual disorder, erectile dysfunction is readily treated with medication. The drugs prescribed for this are Cialis, Levitra, and Viagra. These medicines are only available if the doctor writes a prescription. They work by increasing the blood flow to the penis and in turn an easy erection in men when sexual stimulation is given. Viagra and Levita, both are effective in 30 minutes but Levita works a little longer than Viagra. The effect of both can last up to 4-5 hours. Cialis is believed to work faster that is within 15 minutes and lasts up to 36 hours. If you wish to discuss any specific problem, you can consult a sexologist.

5461 people found this helpful

How Are Weight Loss And Erectile Dysfunction Related?

MD - Ayurveda
Ayurveda, Jamnagar
How Are Weight Loss And Erectile Dysfunction Related?

Impact of Weight Loss on Erectile Dysfunction

When a man fails to develop or maintain an erection, he is said to be suffering from 'Erectile dysfunction'. Intake of certain drugs, neurogenic disorders, aging, surgery, smoking, obesity, diseases like diabetes and kidney failure are among the primary causes of this condition.

What impact does excessive body weight have on erection?

Obesity is one of the most important causes of erectile dysfunction. It obstructs proper flow of blood to the penis. Also, research associates obesity with reduced levels of testosterone and lesser sex drive, in turn, causing problems related to erection. Therefore, reducing weight becomes very important in order to improve this condition.

How are weight loss and erectile dysfunction related?


Studies show that within a span of two months, losing 5-10% of the body weight helps a man to improve erectile function. Weight loss not only improves the health of the man significantly but also an improvement in the sex life is observed as a result of this. Men with this condition usually depend on pills like Viagra or Cialis to get erections. But once they start losing weight by doing proper physical exercises and maintain a proper diet, they do not feel the need to rely on them anymore.

Also, most researchers share the view that weight loss achieved through lifestyle modifications helps in relieving you from erectile dysfunction in addition to enhancing your mental health and self-confidence. These lifestyle alterations generally include consumption of a healthier diet and increasing the amount of physical activity performed during the day and show better results than drugs and surgery used for losing weight.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3397 people found this helpful

MBBSalternative Medicine, diploma in comunity medicine services
Alternative Medicine Specialist, Delhi
Erectile dysfunction herbs: A natural treatment for ED?

Some herbs claim to help erectile dysfunction. Find out the facts before trying one.

Erectile dysfunction — difficulty maintaining an erection sufficient for sex — is a common problem. You've likely seen advertisements for erectile dysfunction herbs or supplements to "increase your sexual performance." Could they work for you?

Erectile dysfunction herbs and other natural remedies have long been used in Chinese, African and other cultures. But unlike prescription medications for erectile dysfunction, such as sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis), erectile dysfunction herbs and supplements haven't been well studied or tested. Some can cause side effects or interact with other medications. And the amount of the active ingredient can vary greatly from product to product.

Here's a quick guide to erectile dysfunction herbs:

Herbal remedy Does it work? Safety
Studied in people, positive results, generally safe
DHEA
Some evidence shows that dehydroepiandrosterone (DHEA) increases libido in women and helps erectile dysfunction in men. DHEA appears to be safe at low doses. It can cause acne
.
L-arginine
Some evidence shows that taking high doses improves erectile dysfunction by stimulating blood vessels to open wider for improved blood flow. Side effects may include nausea, cramps and diarrhea. Don't take L-arginine with Viagra.

Ginseng
One study of Panax ginseng showed it improved sexual function in men with erectile dysfunction. A cream preparation is used for premature ejaculation. Panax ginseng contains many active ingredients. It appears to be safe used on a short-term basis. Insomnia is a common side effect.
Studied in people, positive results, risky

Yohimbe
A number of clinical trials have shown that the primary component of this bark from an African tree can improve sexual dysfunction associated with a drug used to treat depression. This herb has been linked to a number of side effects, including increased blood pressure, fast or irregular heartbeat, and anxiety. Yohimbe shouldn't be used without a doctor's supervision.
Not studied in people or negative results

Ginkgo
Ginkgo has potential to increase blood flow to the penis. But there's no evidence of benefit for erectile dysfunction. Ginkgo may increase the risk of bleeding.

Horny goat weed (epimedium)
Substances in the leaves of this herb have been used to improve sexual performance, but the herb has not been studied in people. This herb might lower blood pressure.
16 people found this helpful

Table of Content

About Cialis 20Mg Tablet
When is Cialis 20Mg Tablet prescribed?
What are the contraindications of Cialis 20Mg Tablet?
What are the side effects of Cialis 20Mg Tablet?
Key highlights of Cialis 20Mg Tablet
What are the dosage instructions?
Where is the Cialis 20Mg Tablet approved?
What are the interactions for Cialis 20Mg Tablet?