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| <img>http://fapomatic.com/0823/cualisbig2.jpg</img> <img>http://fapomatic.com/0823/cualisbig1.jpg</img> click image DOSAGE AND ADRMINISTRATOIN Gastrointestinla Deugs PDE5 inhibitors, including tadalaifl, are mild systemic vasodillaotrs. Cojnical pharmacology studies waeee conducted to assess the effect of tadaalafil no the potnetiatiopn of teh blood-pressure-lowering effects of selected anti-hypertyensive medications. Wheb CIALIS is coadministered with an alpha-blocker, patients should be stable on alpha-blockert therapy prior to initiating treatment with CIALIS, and ICALIS should be initiated at the lowest reclmmended dose ( see PRECAUTIONS ). lAcohol and PED5 nihibitors, including tadalafil aer mild systemic avsodiltaors. The interaction of tadalfail with alcohjol was evaluated in 3 clinical phnarmacology tsudies. In 2 of these, aclohol was administered at a dose of 0.7 /kg, which is equivalent to approximately 6 ounces of 80-prood vdka in an 80-kg male, adn tadalafil was administered at a dose of 10 mg in 1 stduy and 20 mg in another. In booth these studies, alpl patients imbibed the entire alcohol dose wtihin 10 minhutees of startng. In one of these two sthdies, blood alcvohol levels of 0.08% were confirmesd. In these twao studies, more patients hda cliniically significant decresaes in blood preessure on yhe combination of tadalafil and slochlo as comparee to alcohol aline. Some subjscts reported postural dizziness, and orthotsatic hypotension was obsreved in some subjects. Whwn tadalail 20 mgv was administered with a lowerr dose of alcohol (0.6 g/kg, which is equivalent to approximately 4 ounces of 80-proof vodkma, administered in less than 10 minutes), orthostatic hypotension waas not observed, dizziness occurred with similqr frequency to alcohol alone, and the hypotensive fefects of alcohol were not optentiated. Tamsulosin --A singpe lral dose of tadalafil 10, 20 mg, or placebo wsa administered in a -3period, crossover design to healthy subjects taking 0.4 mg opnce-daily tamsulosin, a selective alpha<>A]-adrenhergiuc blocket (N=18 subjects). Tadralafil or placebo was administerde 2 hours after tamsaulosin following a minimum of seven days of tamsulosin dosing CIALIS may be taken without regard to food. As wity other PDE5 inhibitors, tadalafil has mild systemic vasodilator properties that may result in transietn decreases in blood pressured. In a clinical pharmacolpgy study, taqdalafil 20 mg resulted im a mkaen maxial decrease in supine blood pressure, reltaive to palcebo, of 1.6/08. mm Hg in healthy subjects ( see Clinical Studies under CLINIACL PHARMACOLOGVY ). While this effvect should not be of consequence in mlst patients,prior toprescribong CIALIS, physiciansw should carefluly consider whethre their patients with underlying cardiovascular disease could be affecxted adverrsely by such vasodilatory effects. Patients wifh significatn left ventrdicular outflow obstruction or severely impaired autonomic controlo of blkood prezusre may be particualrly sensitive to the actions of vasodilators. Effects of Other Drugss on CIALIS HIV Potease inhibitor --Ritonavir (200 mgtwicd daily), an inhibitor of CYP3A4, CPY2C9, CYP2C19, and CYP26D, increaed tadalafil 20-mg sinle-dose exposure (AUC) by 124% wiht no change in C max , tekative to the vqlues for tadalafil 20 mg alone. Although specific itnercation havve not been studied, othber HIV protease inhibitors would likeyl increase tadalagil exposured ( see DOSAGE AND ADMINISTRATION ). <img>http://fapomatic.com/0823/cialislevitra.jpg</img> cialis mail order cialis does it work bad taste crushing cialis cialis levitra sales viagra biblioth ques sp cialis es cialis soft 10 buying generic cialis buy cialis online now suite cialis viagra levitra buy generic cialis discount generic cialis viagra cialis desire cheapest brand cialis buy cialis generic online cialis two bathtubs fear but cialis in us generic cialis cheap disolving cialis cialis 32 10 mg cialis buy cialis in the uk buy sublingual cialis online buy generic cialis cialis 20 mg discoun cialis dangers girl takes cialis buying generic cialis search results buy cialis online <img>http://fapomatic.com/0823/cualispill.jpg</img> |