There is a number of circumstances that prohibit the use of Tadacip. The list includes hypersensitivity to any of the ingredients of the preparation, as well as simultaneous use of organic nitrate-based medications. Contraindications must be taken into account prior to the course because of the risk of significant side effects. The drug is not designed for use in women and individuals under 18 years of age. Those individuals suffering from renal insufficiency (regardless of its form) must see a physician before beginning the course. Clinical practice lacks data on the impact of medication on individuals with severe renal impairment, therefore, the use of this remedy is not recommended. In people with heart diseases dosage adjustment is needed, as well as in older patients. The fact should be underlined that at age 65+ malestadalafil demonstrates low clearance values.
Normally, Tadacip is recommended to be taken without food before sexual activity (however, the food intake shall not dramatically impact it). The maximum single dose is 20 mg of tadalafil within 36 hours. If the user needs a smaller dosage, Cialis 20 mg can be split or quartered.
20 mg dose is suitable for occasional use and works within 20-60 minutes. The preparation is available without prescription from a doctor. In any case, consultation with a physician should take place before picking up the course to clarify exact causes for erectile dysfunction and get a proper remedy.