Cialis Black represents a specialized formulation within the phosphodiesterase type 5 (PDE5) inhibitor class, designed for the medical management of erectile dysfunction. This product features a higher concentration of the active pharmaceutical ingredient tadalafil, offering a potent and prolonged therapeutic window. It is engineered for patients requiring a robust pharmacological response, providing a reliable option for those who may not achieve desired results with standard-dose therapies. Clinical use should always be guided by a healthcare professional following a comprehensive medical evaluation.

Features

• Contains 80mg of tadalafil per tablet
• Formulated for enhanced bioavailability
• Provides up to 36 hours of therapeutic effect
• Designed for oral administration
• Manufactured under strict pharmaceutical quality standards

Benefits

• Facilitates the achievement and maintenance of erections sufficient for sexual activity
• Offers an extended duration of action, reducing timing anxiety
• Provides a high-potency option for patients with suboptimal response to lower doses
• Supports improved sexual confidence and relationship satisfaction
• Functions only with sexual stimulation, allowing for natural spontaneity

Common use

Cialis Black is primarily indicated for the treatment of erectile dysfunction (ED) in adult males. It is used to improve erectile function by increasing blood flow to the penis during sexual stimulation. It may also be used off-label, under strict medical supervision, for certain cases of benign prostatic hyperplasia (BPH) or pulmonary arterial hypertension (PAH), though these uses are not the primary indication for this specific high-dose formulation.

Dosage and direction

The recommended dosage is one tablet (80mg) taken orally, approximately 30–60 minutes prior to anticipated sexual activity. Administration should not exceed once in a 24-hour period. The tablet may be taken with or without food, though high-fat meals may delay the onset of action. Dosage adjustments may be necessary based on individual efficacy and tolerability, as determined by a prescribing physician. Do not crush or split the tablet.

Precautions

Prior to initiation, a thorough cardiovascular assessment is mandatory due to the potential cardiac risk associated with sexual activity. Use with caution in patients with anatomical deformation of the penis, history of priapism, bleeding disorders, or active peptic ulceration. Renal or hepatic impairment necessitates dosage adjustment or avoidance. This medication offers no protection against sexually transmitted infections. Avoid concurrent consumption of grapefruit or grapefruit juice.

Contraindications

Absolute contraindications include concurrent administration of any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or guanylate cyclase stimulators (e.g., riociguat). Contraindicated in patients with a known hypersensitivity to tadalafil or any excipients in the formulation. Not for use in women or children. Avoid in patients with severe cardiovascular instability, hypotension, or uncontrolled hypertension.

Possible side effects

Common adverse reactions may include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and dizziness. These are typically mild to moderate and transient. Less frequently, visual disturbances, hearing loss, or tinnitus may occur. Priapism (a prolonged and painful erection lasting more than 4 hours) is a rare but serious medical emergency requiring immediate intervention to prevent permanent tissue damage.

Drug interaction

Concomitant use with nitrates is prohibited due to the risk of severe hypotension. Alpha-blockers (e.g., doxazosin, tamsulosin) may potentiate hypotensive effects—concurrent use requires careful medical supervision. CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, erythromycin) can significantly increase tadalafil plasma concentrations, necessitating dose adjustment or avoidance. Use with other antihypertensives may have an additive effect on blood pressure lowering.

Missed dose

Cialis Black is not intended for regular daily dosing but is taken on an as-needed basis. Therefore, the concept of a “missed dose” does not apply. If a dose is not taken prior to sexual activity, it should simply be taken at the next appropriate opportunity, ensuring at least 24 hours have passed since any previous dose. Do not double the dose.

Overdose

In case of suspected overdose, standard supportive measures should be employed. The primary expected manifestation would be severe hypotension. Medical attention should be sought immediately. Management may include placing the patient in a supine position with legs elevated and administering intravenous fluids. Hemodialysis is not expected to significantly accelerate clearance, as tadalafil is highly protein-bound.

Storage

Store at room temperature (15–30°C or 59–86°F) in the original container. Protect from light and moisture. Keep tightly closed and out of reach of children and pets. Do not use after the expiration date printed on the packaging. Properly discard any unused or expired medication according to local guidelines, preferably via a drug take-back program.

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 before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here.

Reviews

“After standard PDE5 inhibitors provided insufficient duration, my physician recommended trying this formulation. The extended window of efficacy has significantly reduced performance anxiety and improved my quality of life. No notable side effects beyond mild flushing.” – Patient, 54 “As a urologist, I reserve this high-dose option for specific patient profiles where standard therapy is inadequate. It is a powerful tool in our arsenal, but requires careful patient selection and clear communication about risks and administration.” – Dr. Evans, MD “The potency is effective, but the incidence of myalgia and lower back pain was more pronounced for me compared to lower doses. Managing the timing with food intake was crucial to mitigate a delayed onset.” – Patient, 61 “From a clinical perspective, it’s important to reinforce that this is a prescription medication, not a lifestyle drug. Its use must be predicated on a confirmed diagnosis of ED and a thorough evaluation of the patient’s cardiovascular health.” – Clinical Pharmacist