Cialis Extra Dosage represents a specialized formulation designed for men requiring a higher therapeutic threshold to achieve and sustain erections sufficient for sexual activity. This product contains Tadalafil, a potent phosphodiesterase type 5 (PDE5) inhibitor, at an elevated strength to address more pronounced erectile dysfunction (ED). It is engineered to provide a prolonged window of efficacy, supporting spontaneity and reducing performance anxiety. Medical supervision is imperative prior to initiation to ensure appropriate patient selection and mitigate associated risks.

Features

• Active ingredient: Tadalafil 20mg (extra dosage formulation)
• Pharmacological class: Phosphodiesterase type 5 (PDE5) inhibitor
• Onset of action: As early as 30 minutes post-administration
• Duration of efficacy: Up to 36 hours
• Administration: Oral tablet, taken with or without food
• Available in blister packs ensuring product integrity and stability

Benefits

• Facilitates reliable erectile response even in cases of moderate to severe ED
• Extended therapeutic window allows for greater spontaneity in sexual activity
• Reduces performance-related anxiety through predictable pharmacokinetics
• Supports improved sexual confidence and relationship satisfaction
• Single-dose efficacy minimizes frequent dosing requirements
• Proven high efficacy rate in clinical populations with challenging ED profiles

Common use

Cialis Extra Dosage is indicated for the treatment of erectile dysfunction in adult males. It is specifically suited for individuals who have demonstrated suboptimal response to standard-dose Tadalafil or other PDE5 inhibitors under medical guidance. It is not indicated for use in women, adolescents, or men without erectile dysfunction. Use is strictly limited to sexual stimulation; it does not enhance libido or serve as protection against sexually transmitted infections.

Dosage and direction

The recommended dose is one tablet (20mg) taken orally at least 30 minutes prior to anticipated sexual activity. Do not exceed one dose within a 24-hour period. Tablet may be taken with or without food; however, avoid consumption with high-fat meals as this may delay onset. Efficacy is dependent on sexual stimulation. Do not crush, split, or chew the tablet. Dosage adjustment may be necessary in patients with renal or hepatic impairment—consult a healthcare provider for individualized guidance.

Precautions

Prior to use, disclose full medical history, especially concerning cardiovascular status. PDE5 inhibitors can cause modest reductions in blood pressure; avoid use in patients with hypotension or uncontrolled hypertension. Use with caution in those with anatomical penile deformities, predisposition to priapism, or bleeding disorders. Vision or hearing loss has been reported in association with PDE5 inhibitor use—discontinue use and seek medical attention if sudden changes occur. Not recommended for use with other ED treatments.

Contraindications

Contraindicated in patients using organic nitrates or nitric oxide donors in any form due to risk of severe hypotension. Do not use in individuals with known hypersensitivity to Tadalafil or any component of the formulation. Avoid in patients with severe hepatic impairment, end-stage renal disease requiring dialysis, or recent history of stroke or myocardial infarction. Concomitant use with potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) is contraindicated.

Possible side effects

Common adverse reactions include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and limb pain. These are generally mild to moderate and transient. Less frequently, dizziness, visual disturbances, or palpitations may occur. Rare but serious side effects include priapism (prolonged erection >4 hours), sudden hearing loss, non-arteritic anterior ischemic optic neuropathy (NAION), and cardiovascular events. Discontinue use and seek immediate medical care if any severe or persistent reaction develops.

Drug interaction

Tadalafil is primarily metabolized by CYP3A4. Concomitant use with CYP3A4 inhibitors may increase plasma concentrations—avoid use with strong inhibitors. Alpha-blockers and antihypertensives may potentiate hypotensive effects. Avoid concurrent use with other PDE5 inhibitors. Grapefruit juice may increase Tadalafil exposure and should be avoided. Inform your physician of all prescription, non-prescription, and herbal products you are using.

Missed dose

Cialis Extra Dosage is not intended for regular daily dosing. If a dose is missed, take it as soon as remembered if sufficient time remains prior to sexual activity. Do not double the dose to make up for a missed one. The extended half-life allows flexibility, but adherence to the 24-hour dosing interval is critical to avoid overdose.

Overdose

In case of suspected overdose (e.g., taking more than one tablet within 24 hours), symptoms may include severe headache, profound hypotension, syncope, or prolonged erection. Seek emergency medical attention immediately. Supportive measures should be instituted; hemodialysis is not expected to enhance elimination due to high protein binding.

Storage

Store at room temperature (15–30°C) in the original packaging, protected from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.

Disclaimer

This product is available only with a valid prescription. This information is for educational purposes and does not replace professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized recommendations and to discuss potential risks and benefits based on your health profile.

Reviews

“After standard doses proved insufficient, my physician recommended Cialis Extra Dosage. The difference was remarkable—consistent efficacy and no timing pressure. Follow-up and monitoring were essential.” — Verified patient, 54

“As a urologist, I reserve this formulation for select patients with demonstrated need. When used appropriately, it significantly improves quality of life. Strict adherence to contraindications is non-negotiable.” — Dr. Evans, MD

“Effective but requires careful patient education. Not a first-line option, but valuable in resistant cases. Cardiovascular screening is mandatory.” — Clinical Pharmacist

“The 36-hour window reduces anxiety markedly. However, side effects like backache were noticeable initially. Dose timing and hydration helped manage them.” — Verified patient, 61

“Robust clinical data supports its use in non-responders to conventional therapy. Always initiate under supervision and with clear safety counseling.” — Researcher, Sexual Medicine