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Tadalafil 20 mg Tablets (Ciasel 20) – Generic Cialis

Ciasel 20 – Tadalafil 20 mg Tablets

Brand name

Ciasel 20

Composition

Tadalafil 20 mg

Strength

20 mg

Dosage form

Film-coated tablet

Indication

Erectile dysfunction (ED)

Generic of

Cialis®

Manufacturer

Made in India

Packaging

Blister strip of 10 tablets
StrengthPillsPricePer pillQty · Add to cartBuy
20 Mg 90 pills 20 Mg $141.65 $1.57/pill $1.57/pill
20 Mg 120 pills 20 Mg $178.12 $1.48/pill $1.48/pill
20 Mg 150 pills 20 Mg $213.18 $1.42/pill $1.42/pill
20 Mg 300 pills 20 Mg Best value $363.25 $1.21/pill $1.21/pill
Alternative medicines
  • Free shippingOn qualifying orders
  • Delivery guaranteeReship or refund if lost
  • Best price guaranteeFound it cheaper? We match it
  • Discreet packagingPlain box, no product names
  • Secure checkoutSSL-encrypted payment
  • Prescription checkedReviewed before dispatch

Prescription medicine. Use only as directed by your doctor. We may ask for a copy of your prescription before dispatch.

Description

Buy tadalafil 20 mg tablets online as Ciasel 20, a generic Cialis tablet from India. Choose a pack of 90, 120, 150 or 300 tablets above – prices start from $0.86 per tablet, with discreet, tracked worldwide shipping. A valid prescription is required.

What is Ciasel 20?

Ciasel 20 is a generic Cialis tablet. Each tablet contains 20 mg of tadalafil – the same active ingredient, at the same strength, as Cialis® 20 mg. It is an Indian-made generic prescribed to treat erectile dysfunction (ED) in adult men.

Tadalafil is known for its long action: one tablet can stay active for up to 36 hours, which is why it is often called “the weekend pill”. Because Ciasel 20 is a generic, it costs far less per tablet than the branded medicine – down to about $0.86 per tablet on the largest pack.

Packs of 90, 120, 150 and 300 tablets are available – the bigger the pack, the lower the price per pill.

Uses of Ciasel 20

Tadalafil 20 mg is used for:

  • Erectile dysfunction (ED) – when it is hard to get or keep an erection firm enough for sex.

It only works with sexual stimulation. It does not increase sex drive, is not a treatment for premature ejaculation, and does not protect against pregnancy or sexually transmitted infections.

The 20 mg tablet is the on-demand dose. It is not meant for daily use – once-daily tadalafil uses a lower dose (2.5 mg or 5 mg) and is prescribed separately. Tadalafil is for adult men only.

How does Ciasel 20 work?

Tadalafil is a PDE5 inhibitor. When a man is aroused, the body releases nitric oxide, which relaxes the blood vessels of the penis so they fill with blood. The enzyme PDE5 breaks down the signal that keeps those vessels relaxed. Tadalafil blocks PDE5, so the signal lasts longer and an erection is easier to achieve and keep.

Onset: usually from about 30 minutes, with the best effect around 2 hours after the tablet.

Duration: up to 36 hours – much longer than sildenafil – though you still need stimulation for an erection.

Ciasel 20 dosage: how to take it

  • Swallow one tablet whole with water, at least 30 minutes before sex. It can be taken with or without food.
  • Maximum one tablet in 24 hours, and not more than the dose your doctor has prescribed. Do not take it every day.
  • Many men start with a lower dose of 10 mg; 20 mg is used if the effect is not enough. Men with liver or kidney problems, and men over 65 may need a lower dose.
  • Limit alcohol, which can add to dizziness and reduce the effect.

If you have taken more than prescribed, seek medical advice straight away.

Ciasel 20 side effects

Most side effects of tadalafil are mild and short-lived.

Common side effects:

  • Headache
  • Indigestion or heartburn
  • Back pain and muscle aches (often 12–24 hours after the dose)
  • Stuffy nose
  • Facial flushing and dizziness
  • Pain in the arms or legs

Get emergency medical help if you notice:

  • An erection lasting more than 4 hours (priapism)
  • Sudden loss of vision in one or both eyes
  • Sudden hearing loss, ringing in the ears or dizziness
  • Chest pain, irregular heartbeat or fainting
  • Swelling of the face, lips or throat, rash or difficulty breathing

Who should not take Ciasel 20?

Do not take Ciasel 20 if you:

  • Use any nitrate (e.g. nitroglycerin, isosorbide) or recreational “poppers” – blood pressure can fall dangerously low
  • Take riociguat for pulmonary hypertension
  • Are allergic to tadalafil or any other ingredient
  • Have been advised to avoid sexual activity because of heart problems
  • Had a heart attack or stroke recently, or have very low blood pressure or uncontrolled high blood pressure
  • Have severe liver disease or have lost sight in one eye from NAION

Check with your doctor first if you have heart, kidney or liver problems, a bleeding disorder, a stomach ulcer, sickle cell disease, or a condition of the penis such as Peyronie’s disease.

Ciasel 20 drug interactions

Tell your doctor or pharmacist about all medicines and supplements you use. Key interactions with tadalafil:

  • Nitrates and riociguat – never combine.
  • Alpha-blockers (e.g. doxazosin, tamsulosin) – risk of dizziness and fainting.
  • Blood pressure medicines – may add to the blood-pressure-lowering effect.
  • Strong CYP3A4 inhibitors such as ritonavir, ketoconazole, itraconazole and clarithromycin – raise tadalafil levels; the dose may need to be lowered.
  • CYP3A4 inducers such as rifampicin and carbamazepine – can make tadalafil less effective.
  • Other ED medicines – do not use with sildenafil, vardenafil or avanafil.
  • Grapefruit juice and heavy alcohol – can increase side effects.

How to store Ciasel 20

Store Ciasel 20 below 30°C in a dry place, inside the original blister strip to protect it from light and moisture. Keep out of the sight and reach of children and do not use after the expiry date on the pack.

Ciasel 20 – frequently asked questions

Is Ciasel 20 the same as Cialis?

Ciasel 20 contains the same active ingredient (tadalafil) at the same strength (20 mg) as Cialis® 20 mg, so it works in the same way. The difference is the manufacturer, the name, the price and possibly the look of the tablet.

How long does tadalafil 20 mg last?

Tadalafil can remain active for up to 36 hours, much longer than sildenafil (4–5 hours). You still need sexual stimulation to get an erection, and it does not cause a continuous erection.

How long before sex should I take it?

At least 30 minutes before, although many men find about 2 hours gives the best effect. Food does not delay it, unlike sildenafil.

Can I take tadalafil 20 mg every day?

No. The 20 mg tablet is an on-demand dose with a maximum of one tablet in 24 hours. Daily tadalafil uses a much lower dose and is prescribed separately.

Do I need a prescription to buy Ciasel 20?

Yes. Tadalafil is a prescription-only medicine. Use it only as directed by your doctor – we may ask for a copy of your prescription before your order is dispatched.

What is the difference between tadalafil and sildenafil?

Both treat erectile dysfunction in the same way. Tadalafil lasts much longer (up to 36 hours) and is not affected by food, while sildenafil works for about 4–5 hours and works faster on an empty stomach. Your doctor can help you choose.

Customer reviews
Description

Buy tadalafil 20 mg tablets online as Ciasel 20, a generic Cialis tablet from India. Choose a pack of 90, 120, 150 or 300 tablets above – prices start from $0.86 per tablet, with discreet, tracked worldwide shipping. A valid prescription is required.

Additional information
Strength20 Mg
Pills120 pills, 150 pills, 300 pills, 90 pills
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