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Active Ingredient: Tadalafil

Cialis black – a medical product designed to restore erectile function, an improved version of the simple tool "Cialis". The main component that determines pharmacodynamics is tadalafil. Tadalafil is a selective type 5 phosphodiesterase inhibitor. Blocking the enzyme increases the concentration of cGMP, activates blood flow to the cavity of the cavernous bodies of the penis, causing an erection. It is worth noting that it is almost useless in the absence of sexual attraction.


The article discusses the properties, contraindications, positive and negative consequences of "Cialis Black" used in the fight against erectile dysfunction.

Description. Properties. Contraindications

Let's look at the main parameters that you need to know when using it:

  • Active substance: tadalafil.
  • Pharmacological group: potency regulators.
  • The main pharmacological effect:
    – improves erectile function. The result is visible in half an hour from the moment of reception and is stored up to forty hours;
    – treatment of prostate adenoma.
  • Additional scope of use:
    – as part of the complex therapy of pulmonary arterial hypertension.

An undoubted advantage, unlike similar stimulants, is the ability to drink it with food, heavy food does not reduce its effectiveness.

Indications for use:

Erectile dysfunction and symptoms of the lower urinary tract (urgency, frequent urination, dysuria, nocturia).

Form release: black tablets of 800 mg.


  • individual intolerance of components;
  • defects in the structure of the penis (cavernous fibrosis (replacement of cavernous bodies with scar tissue), angular curvature, Peyronie's disease (curvature during arousal));
  • lactose Allergy;
  • violation of blood supply to the brain (stroke);
  • the presence of a diagnosis of hypotension, hypertension;
  • lactase deficiency;
  • diseases of the endocrine system;
  • pathology of the heart, cardiovascular system (recently suffered an attack, heart attack).

It is forbidden to prescribe for children under the age of eighteen. Despite the success of practical testing, it should be used with extreme caution in the following cases:

  • severe liver failure;
  • treatment with alpha-blockers, as this can cause hypotension;
  • renal failure.

Drug Name: Cialis Black
Tablet Strength: 80mg | 800mg
Available Packages: 10-180 pills
Best Price: $1.11 Per Pill
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Before use, you should consult your doctor.

When may I need it?

Before you start using it, you need to find out what the disease is associated with, since there are many factors that can provoke it. The most common causes:

  • staying in a state of long-term stress (at work, at home);
  • low self esteem;
  • neurosis, nervous breakdown;
  • injury of the penis;
  • infections, diseases of the genitourinary system;
  • complications of hepatitis;
  • diabetes;
  • excess weight;
  • kidney and liver diseases.

According to statistics, this failure in the body becomes the result of a disease. Only 25% is associated with psychological factors (conflicts in the family, stress, neurosis, psychological trauma).

When faced with this problem, you should find out what it is associated with, find the source of the disease. Consultation with a competent specialist and analysis will determine whether it is appropriate to prescribe such therapy.

How much to take Black Cialis pills?

It is produced at 800 mg. it should be taken half an hour before the intended proximity, with a large volume of water, but not more than once a day. To select the optimal volume, you need to consult a specialist.

Violation of the established daily norm, the frequency of its use may cause side effects.

Dosage features

Doctors recommend starting with the minimum portion, increasing it if the desired result is not achieved. A higher dose can be selected when the patient has not had negative reactions to such substances.

A low single serving is recommended:

  • for problems with the functioning of the liver and kidneys;
  • entities in parallel, the receiving alpha-blockers;
  • men who are trying this group of drugs for the first time.

The advantage of a small dosage is that the percentage of side effects is reduced.

If a small dose is ineffective, then, on the doctor's recommendation, it can be increased. This option is suitable in the following cases:

  1. the presence of good health;
  2. experience in the treatment of these pills without achievement of the desired result;
  3. no side effects on similar pharmacological agents.

An increased dose demonstrates productivity even when a low dose does not help, allowing you to treat complex cases.

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Interaction with medicinal substances

Contraindicated combination with drugs containing any organic nitrates (nitroglycerin, isosorbide dinitrate, isosorbide Mononitrate). Against the background of these substances, the activity of Cialis black increases, which can cause adverse consequences.

Simultaneous use with erectile dysfunction products is prohibited.

Interaction with alcohol

It is noted that the quality of the effect can be reduced by drinking alcohol. Combination with alcoholic beverages can cause low blood pressure, feelings of drowsiness.

The maximum allowable volume is 50 g of vodka. It is necessary to take into account that in any case, abuse leads to pathologies of the reproductive function, a decrease in the level of testosterone.

Can I take it with a meal?

You can take generic Cialis Black before meals and after – there is no categorical ban. However, there are several significant nuances related to the indicators and quality of food consumed.

It is not the availability or quantity of food that is important, but its indicators. It should not be greasy. For the assimilation of heavy food, the body spends a lot of time and resources, its digestion can take several hours – this will significantly delay the absorption of the drug, reduce its pharmacodynamics.

You should not abuse such products as mayonnaise, fried potatoes, fast food, cheese and any other heavy and fatty. It is better to limit yourself to a light snack.

This does not apply to high dosages. With a significant concentration of the active component, even the fattiest food does not have a negative impact.

Combination with coffee

Some people think about how safe it is to drink coffee when you can drink it before or after. According to research, this combination may even be useful.

One of the recognized properties of caffeine is the ability to increase blood pressure, accelerate metabolism, contributing to the rapid assimilation of the most important components of the drug.

In addition, coffee is considered a natural aphrodisiac, a substance that stimulates sexual attraction to a partner.

Adverse reaction

Clinical trials have revealed the following side effects:

  • most often, patients complained of headaches, digestive disorders, pain in the stomach, back muscles, and arms. The appearance of these symptoms was noted by up to 10% of the subjects;
  • 1% have the following reactions: dizziness, abdominal pain, bleeding from the penis, tachycardia, tinnitus, nose bleeding;
  • approximately 0.1% had fainting, hearing loss, memory loss, skin irritation, and vision impairment.

It was found that symptoms from the cardiovascular system were manifested in men who have problems with these organs.

It is worth noting that when the optimal dosage is observed, only weak, poorly expressed phenomena are observed.

Reduced hearing acuity, deafness

The Agency of us Department of health and human services (FDA) has warned of unmotivated hearing loss due to therapy. Since 2007, the FDA has required manufacturers to write about possible hearing loss as a result of using the drug.

Reduction, hearing loss may be accompanied by noise in the ears, dizziness. If these symptoms occur, stop using the medication.

Suspected cancer

In a January-February 2017 report, the FDA rated phosphodiesterase type 5 inhibitors as elements that increase the risk of skin cancer.

Clinical approbation

The drug was tested in 16 trials involving 3,000 patients.

Studies have shown that 58.6% of those taking the drug recovered erectile function with the introduction of 20 mg, 39.7% with 10 mg. the Same indicator in the groups taking placebo was 11.9% of the subjects.

The impact of daily consumption on spermatogenesis

Some studies have been conducted to identify the effects of daily tablet use on the spermatogenesis process. For six months to 9 months, the subjects received 10, 20 mg.

No studies have found a negative effect on the activity and structure of spermatozoa. In two of the three cases, there was a decrease in sperm concentration compared to the placebo. This indicator was the result of an increase in the number of ejaculations. At the same time, there was no negative effect on the level of testosterone, luteinizing and follicle-stimulating hormones compared to placebo.

Cases of prolonged arousal

There are several facts of long-term erection (4 hours) and priapism.

Priapism is a long, unmotivated erection, accompanied by painful sensations. If you do not start immediate treatment, it can lead to serious consequences, including damage to the erectile tissue.

It should be remembered that if you observe arousal for more than 4 hours, you should seek help from specialists.

Do not forget that older people have increased sensitivity to various components, so you do not need to prescribe them yourself without visiting a medical institution.

Distinctive features compared to conventional cialis

Cialis black differs from the usual one in the following features:

  • first, it is distinguished by the black color of the tablets, the usual one is orange;
  • second, it selectively blocks type 5 phosphodiesterase (PDE5), which is responsible for the breakdown of cGMP and relaxes vascular smooth muscle cells. As a result, they allow men to maintain an erection for longer;
  • third, a higher concentration of tadalafil, which significantly increases the duration of action up to 40 hours;
  • fourth, it can be taken with food.

Attitudes in different countries

The drug was approved for medicinal use in Europe and the United States in 2003 as a remedy for impotence. In 2010, it was approved for the treatment of pulmonary arterial hypertension.

In 2012, it was adopted by Europe as a treatment for prostate adenoma, which made it the only treatment method to combat prostate hyperplasia and erectile dysfunction.

In 2011, the United States officially allowed the use of "Cialis black 800mg" to fight prostate adenoma.

Approved in Argentina, Canada, South Korea, Mexico, Israel, India, Italy, France, Germany, and several other countries. In the United States and Europe, it is sold strictly by prescription, but a lot of sites offer to buy Cialis black without a prescription.

Valid period of admission

The duration limit is not set. Since this drug only overcomes the symptoms of erectile disorder, without eliminating its cause, the period of its administration can stretch for several years, depending on the desire of the person taking it.

If the treatment is carried out within the manufacturer's instructions and does not become a source of adverse reactions, the duration of its administration is not limited.

List of proven benefits

The following advantages can be noted:

Duration of exposure It is characterized by the longest action, giving the patient a lot of opportunities. Other drugs in this group have a much shorter period of activity.
Delayed effect The prolonged nature of the action allows you not to worry about taking the medication here and now, this means that you do not need to interrupt the prelude to drink the stimulant before entering into intimacy. This may be necessary when using short-acting stimulants.
Efficiency Clinical trials have shown that even a dosage of twenty milligrams has a high efficiency index-73-81% of subjects;
Simplicity of application The ability to drink the prescribed amount once a day and not worry about anything makes it irreplaceable.

Disadvantages of the application

Several significant disadvantages have been identified: Interaction with medications-requires careful study and control, as inattention can cause unpleasant surprises.

Incompatibility with alcohol – if a person likes to abuse alcohol-containing beverages, then he will have to choose one of two because these two "ingredients" do not interact well. A large amount of alcohol can cause dizziness, hypotension.

Popular question

  1. What is the main difference between Cialis black and simple?
    – this improved version helps men maintain an erection for forty hours, while the simple version lasts thirty-six hours.
  2. Do they cause sexual stimulation?
    – no, they only help to neutralize erectile dysfunction that prevents sexual intercourse.
  3. Can I drink pills at the same time with alcohol, food?
    - food products have no effect on the performance of the active component. But it is better to give up a large
  4. Can they be used in conjunction with potency stimulants?
    – no, it's better to give up this combination.
  5. Where is the safest place to buy Cialis Black?
    – given its popularity and attractiveness for illegal production, it is better to buy it in a licensed pharmacy. When you buy medicine in a proven place, you can be sure that it is licensed, produced without violating the technology and ingredients.