To normalize erection in case of serious potency disorders, drugs related to selective PDE-5 inhibitors are most often used. They act quickly and help achieve the desired result in most cases.
The Russian drug Tadalafil S-3 Northern Star belongs to precisely such drugs. It is a generic version of the branded American Cialis tablets, known throughout the world and has been popular among men for many years.
What's included
Tadalafil C-3 is produced only in the form of film-coated tablets. The main active component of the drug is tadalafil. The auxiliary ingredients included in the product are lactose, cellulose, croscarmellose sodium, crospovidone, hyprolose, as well as sodium lauryl sulfate and stearyl fumarate. The film shell also contains other substances. These are opadry, macrogol, titanium dioxide, talc, dye.
Tadalafil S-3 North Star is available in several versions: 5 mg of tadalafil per tablet and 20 mg. Moreover, a pack can contain 1, 4, 8, 10 or even 30 pieces. Additionally, each blister containing the drug is supplied by the manufacturer with cardboard packaging and detailed instructions, which it is advisable to read before taking the product.
Tadalafil should be stored at room temperature and normal humidity. It is recommended to protect the product from direct sunlight and store it out of the reach of children. The shelf life of the tablets is 3 years. After its expiration, and also if the drug is damaged or has changed its appearance, it should not be taken.
Reviews
Patients respond to the drug as follows:
- Alexey, 37 years old: “I work as a department head in a bank. The work is stressful and I am constantly under stress. I have been married for 10 years and have never had problems in bed. But as they say, no one is immune. Once during sex, “my friend” let me down, but I wasn’t very upset, I thought it was due to nervous tension. Over time, such incidents began to repeat themselves and I panicked. My wife hinted that it was time to seek help from a doctor. Without thinking twice, I went to see a urologist and passed all the tests. His verdict did not please me - the initial category of prostatitis. He prescribed me medications, and to solve problems with sex - Ciales at a dosage of 5 mg. At first I didn’t have much hope for this drug, but the effect amazed me. My wife hasn’t been so happy for a long time, and I felt like a man. I advise everyone to try Ciales.
- Mikhail, 43 years old: “My job is mostly sitting in front of a computer monitor. I'm a bachelor who likes to spend a nice evening with a pretty girl on the weekends. But then one day I embarrassed myself,
During sex, my penis didn’t want to get up, my girlfriend left me disappointed, at least she didn’t call me impotent. I didn't know what to think. I decided to seek help from a qualified specialist on these issues. He advised me to buy Tadalafil at the pharmacy and spend less time at the computer. I bought the pills, but I didn’t really believe in their effect, but I still decided to spend Saturday evening with another pretty lady. I took the drug according to the instructions and felt something was wrong, a headache appeared, and my nose was stuffy. Well, I think we’ve arrived, and the evening has just begun. But there was nothing to do, I went to my friend’s bedroom, my dick didn’t let me down this time. I was completely satisfied, as was my partner. One minus is a headache and a constant erection for 24 hours. It’s good that the next day was Sunday, and I didn’t have to go to work; I don’t know how I would have looked my colleagues in the eyes. I installed protection on my computer monitor and started taking long walks in the evenings. Now I don’t need medicine, but I have it in my medicine cabinet just in case.”
- Alexander, 52 years old: “Everything is fine with my erection, despite my age. My problem is different - I stopped liking how I felt during sex. I want bright impressions, but there are none. I divorced my wife, but I have a permanent girlfriend. I thought that if I changed my partner, everything would change, but it turned out not to be the case. While on vacation, I went to see a doctor I knew and asked for advice. He recommended Cialis to me at a dosage of 20 mg. But I decided that this was too much and decided to take only 5 mg of the drug. There was no effect. Then I increased the dose to 10 mg. I drank before sexual intercourse, my hard-on was as if I was a student again. I experienced orgasm several times during the night and again in the morning. But I didn’t like the side effects; my legs hurt a lot, as if I had been running all day. The effect of the drug lasts for 36 hours, so you can drink it once every two days. I gave my doctor friend a good mogarych. He brought me back to life. I now want to have sex every day, and not once a week, as before.”
- Igor, 56 years old: “Friends invited me to the sauna, and there, as usual, there was a steam room, alcoholic drinks and girls. I’m not young anymore, and I didn’t want to embarrass myself in front of my friends. One friend recommended Cialis. I went to the pharmacy and bought the drug in a dose of 20 mg. I decided that this was too much for the first time, so I only took 0.5 tablets. And he did the right thing. The effect was amazing, my friends were even jealous and asked what I had done to get such a result. I told them everything without hiding. Many of my friends use Cialis and there are no dissatisfied ones among them. Some people have side effects written in the instructions, and I have them too, but the end result covers them completely.”
About the drug Viardot, reviews can be read here
When can you take the drug?
The main indications for the use of Tadalafil are listed in the instructions for use in the following cases:
- potency disorders of various types, including those caused by injuries, chronic diseases and other reasons;
- the presence of benign prostatic hyperplasia, as well as associated symptoms.
The product is never used as a prophylaxis for the occurrence of disorders and failures in potency. This is a prescription drug that can only be used as directed by a doctor. It can be drunk separately to stimulate an erection, or used as part of a complex treatment.
Action
Tadalafil S-3 North Star acts directly on the very mechanism of erection. The effect of taking the drug can be seen already 30-50 minutes after taking the drug. An erection occurs only in the presence of natural stimulating factors.
The length of time the result lasts may vary and depends not only on the dosage and regimen of tablets, but also on the individual characteristics of the man. In some cases it may exceed 36 hours.
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Immediately after administration, the drug enters the bloodstream and begins its effect. When there is natural arousal in a man's body, a local release of nitric oxide occurs. Tadalafil helps to increase the concentration of this substance and accelerate the process of its release in the cavernous body of the penis.
Thanks to this, the smooth muscles of the arteries relax, increasing blood flow to the genitals. And this contributes to the occurrence of an erection and its maintenance during the time necessary for full sexual intercourse.
The drug Tadalafil does not affect sperm quality. It does not cause withdrawal or addiction effects, does not require an increase in dosage with frequent or long-term use, but can cause various side effects. Some of them can cause a decrease in reaction speed, deterioration in general well-being and concentration.
Therefore, when using Tadalafil, it is recommended to be careful when operating complex mechanisms, including driving vehicles and when engaging in other potentially dangerous activities.
Tadalafil - instructions for use
Tadalafil is taken as follows:
- The tablets are taken orally with boiled water at room temperature;
- They can be drunk both before and after meals;
- The daily dose of the drug is 20 mg;
- Must be used 20 minutes before sexual intercourse;
Sexual intercourse can be resumed within 36 hours after using the drug;
- Men can independently choose the optimal time for taking Tadalafil;
- Do not use the medication frequently;
- It is recommended to take Tadalafil no more than once every 24 hours;
- If a man is over 65 years old, then he can use the drug in a dosage intended for middle-aged men;
- If you are allergic to the components of Tadalafil, then you need to reduce the dosage. If this does not help, then you need to stop taking the medicine;
- You can increase the dosage to 40 mg, but no more;
- If a man takes Saquinavir or Nefazodone, then Tadalafil should be taken only 10 mg and no more than once every 3 days;
- You may experience a painful erection after taking the medicine, but it will only last for a few hours. This can happen if Tadalafil is taken simultaneously with medications of the inhibitor group;
- If an erection lasts more than 4 hours, you should consult a doctor.
Use for renal failure:
- If kidney function is slightly impaired, then Tadalafil is taken as usual.
- If there is moderate renal failure, then the initial dose should be no more than 5 mg, the maximum dosage is 10 mg for 2 days.
- If renal failure is severe, then the dose of the drug per day is no more than 5 mg.
Use for liver failure:
- For mild or moderate forms of the disease, the dose of the medication should be 10 mg per 24 hours.
- In severe cases of the disease, you should refrain from using Tadalafil.
Overdose
Symptoms of drug overdose:
- The side effects that accompany taking the drug are aggravated even with normal dosage.
- In case of overdose, conventional therapy is prescribed.
Compatibility with other drugs
Use with other drugs:
- The effect of Tadalafaline is enhanced: If Ritonavir, Itraconazole, Cimetidine or Ketoconazole are used simultaneously with the drug in question.
- The drug is used together with nitric oxide donors. For example, Tivortin, Molsidomin or Nitroglycerin.
- Tadalafil is taken at the same time as Viagra.
- When taking Rifampicin;
- If the medicine is used together with anti-inflammatory drugs, for example, Nise or Aspirin.
Side effects
When using the drug, the following side effects may occur:
- A headache occurs;
- Abdominal pain appears;
- Intestinal upset occurs;
- Pain may appear in the back area;
Pain in muscle tissue;
- Nasal congestion occurs;
- Tides appear;
- There may be pain in the lower extremities;
- The eyelids swell;
- Pain in the eyes;
- The person may feel dizzy;
- Blood pressure may increase or decrease;
- There is pain in the chest area;
- The heart begins to beat faster;
- Exacerbation of gastritis;
- The person will not be able to sleep;
- Exacerbation of problems with the respiratory system, for example, pharyngitis;
- Allergic reaction: itching or rash;
- Spontaneous erection may occur.
How to take Tadalafil correctly
Using generic Tadalafil C-3 North Star is quite simple. The dosage and regimen of taking the drug is selected individually. The doctor takes into account the man’s lifestyle, the presence of various diseases, the nature of problems with potency, as well as other characteristics of the body. The manufacturer recommends starting to drink the product with a minimum dosage of 2.5 mg. The standard dosage is 5 mg per day. In some cases it needs to be increased to 20 mg.
For people who do not frequently have sex (no more than 2 times a week), it is recommended to take Tadalafil immediately before intended intimacy, 30-50 minutes. Before using the product, you should not drink alcohol or eat too fatty foods. Take the tablet with plain water, tea, juice or another drink. The tablet or part of it must be swallowed whole; the product must not be chewed.
Those men who are used to being sexually active (more than 2 times a week) can take the drug daily. It is recommended to do this at approximately the same time, regardless of meals. In this case, the recommended daily dose is 2.5-5 mg, but if necessary it can be increased. You can take the drug only once a day in a dosage of no more than 20 mg.
Tadalafil: contraindications
Cialis has categorical and relative contraindications. It is not recommended to take the drug if:
- minors (under 18 years of age, Cialis is strictly prohibited);
- pregnancy and lactation;
- intolerance to components.
Relative contraindications include:
- heart failure type 2 or higher;
- angina pectoris;
- hypotension;
- deformation of the penis (curvature, phimosis);
- concurrent use of PDE-5 medications;
- hypertension.
Of course, every person should understand that when taking stimulants, mandatory consultation with a specialist is necessary, especially if there are chronic diseases.
Contraindications
Tadalafil C-3 is a powerful drug that has many restrictions on its use, like other PDE-5 inhibitors. The following cases are contraindications to the use of this drug:
- hypersensitivity to at least one of the substances included in the drug;
- taking certain medications, including nitrates and nitrites, other PDE-5 inhibitors, riociguat and some other drugs (you need to check this information with your doctor and in the instructions for Tadalafil);
- conditions in which sexual intercourse is contraindicated, for example, the period of rehabilitation after serious illnesses, surgical interventions;
- problems with vision and hearing (with extreme caution after consulting a doctor);
- some neuropsychiatric diseases;
- tendency to priapism;
- severe diseases of the liver, kidneys and other internal organs;
- childhood and adolescence, female gender;
- severe heart and vascular diseases, including heart attack and stroke (even in history), angina pectoris, high or low blood pressure, uncontrolled arrhythmias, unstable angina;
- simultaneous use with alcohol and alcohol-containing drugs;
- lactase deficiency and lactose intolerance.
It is recommended to use Tadalafil S-3 with special caution in the presence of tumors of various locations and nature, blood diseases, and congenital and acquired deformities of the penis. In some of these cases, dosage adjustments will be required, and in some of them, taking the drug will be hazardous to health.
You should also be careful when using Tadalafil simultaneously with other drugs, for example, alpha-blockers, drugs that lower or increase blood pressure, ritonavir and other inhibitors of the CYP3A4 isoenzyme.
Tadalafil-SZ tablet p o film 20 mg x1
Tadalafil-SZ tablet film 20 mg x1 Northern Star, ATX code: G04BE08 (Tadalafil) Active substance: tadalafil (tadalafil) Rec.INN registered by WHO
Dosage form
TADALAFIL-SZ
tab., cover film-coated, 20 mg: 4, 7, 8, 10 or 20 pcs.reg. No.: LP-004487 dated 10/05/17 - Valid
Release form, composition and packaging
The film-coated tablets are pinkish-orange, round, biconvex; in cross-section, the tablet core is white or almost white.
1 tab.
tadalafil 20 mg
Excipients: lactose monohydrate - 100.2 mg, lactose monohydrate (lactopress) - 123 mg, microcrystalline cellulose - 53 mg, croscarmellose sodium - 17 mg, crospovidone M (Kollidon CL-M) - 5 mg, crospovidone (Kollidon CL) - 2 mg , extra thin hyprolose - 5 mg, hyprolose - 2 mg, sodium stearyl fumarate - 2 g, sodium lauryl sulfate - 0.8 mg.
Film shell composition: opadry II 85F22037 pink - 10 mg (polyvinyl alcohol, partially hydrolyzed - 4 mg, titanium dioxide E171 - 2.236 mg, macrogol (polyethylene glycol 3350) - 2.02 mg, talc - 1.48 mg, iron dye oxide (II) yellow E172 - 0.143 mg, dye iron oxide (II) red E172 - 0.121 mg).
Pharmacotherapeutic group: Erectile dysfunction treatment, PDE-5 inhibitor The scientific information provided is general and cannot be used to make a decision about the possibility of using a specific drug.
pharmachologic effect
The drug for the treatment of erectile dysfunction is a reversible selective inhibitor of the specific PDE5 cGMP. When sexual arousal causes local release of nitric oxide, inhibition of PDE5 by tadalafil results in increased cGMP levels in the corpus cavernosum of the penis. The consequence of this is relaxation of the smooth muscles of the arteries and blood flow to the tissues of the penis, which causes an erection. Tadalafil is ineffective in the absence of sexual stimulation.
In vitro studies have shown that tadalafil is a selective PDE5 inhibitor. PDE5 is an enzyme found in the smooth muscles of the corpus cavernosum, in the smooth muscles of the vessels of internal organs, in skeletal muscles, platelets, kidneys, lungs, and cerebellum.
The effect of tadalafil on PDE5 is more active than on other phosphodiesterases. Tadalafil is 10,000 times more active against PDE5 than against PDE1, PDE2, PDE4, which are localized in the heart, brain, blood vessels, liver and other organs. Tadalafil is 10,000 times more potent at blocking PDE5 than PDE3, an enzyme found in the heart and blood vessels. This selectivity for PDE5 over PDE3 is important because PDE3 is an enzyme involved in cardiac muscle contraction. In addition, tadalafil is approximately 700 times more active against PDE5 than against PDE6, which is found in the retina and is responsible for phototransmission. Tadalafil is also 10,000 times more active against PDE5 compared to its effect on PDE7-PDE10.
Effective for 36 hours. The effect appears within 16 minutes after ingestion in the presence of sexual arousal.
Tadalafil in healthy individuals does not cause significant changes in systolic and diastolic blood pressure, compared with placebo, in the supine position (average maximum decrease is 1.6/0.8 mmHg, respectively) and standing (average maximum decrease is 0.2/4.6 mmHg. respectively). Tadalafil does not cause a significant change in heart rate.
Tadalafil does not cause changes in color recognition (blue/green), which is explained by its low affinity for PDE6. In addition, there was no effect of tadalafil on visual acuity, electroretinogram, intraocular pressure and pupil size.
There were no clinically significant effects on sperm characteristics in men taking tadalafil in daily doses for 6 months.
Pharmacokinetics
After oral administration, tadalafil is rapidly absorbed. Cmax is reached on average after 2 hours. The rate and degree of absorption do not depend on food intake. The pharmacokinetics of tadalafil in healthy individuals is linear with respect to time and dose. In the dose range from 2.5 to 20 mg, AUC increases proportionally to the dose. Css in plasma are achieved within 5 days when taking the drug 1 time per day.
The pharmacokinetics of tadalafil in patients with erectile dysfunction are similar to the pharmacokinetics of the drug in individuals without erectile dysfunction.
Vd is about 63 L, which indicates that tadalafil is distributed in the tissues of the body. At therapeutic concentrations, 94% of tadalafil is bound to plasma proteins. In healthy individuals, less than 0.0005% of the administered dose was found in semen.
Metabolized with the participation of the CYP3A4 isoenzyme. The major circulating metabolite is methylcatechol glucuronide, which is 13,000 times less active against PDE5 than tadalafil, so it is unlikely that this metabolite is clinically significant.
In healthy individuals, the average clearance of tadalafil when taken orally is 2.5 l/h, and the average T1/2 is 17.5 hours. Tadalafil is excreted primarily in the form of inactive metabolites, mainly in feces (about 61%) and to a lesser extent in urine (about 36 %).
In patients with mild (creatinine clearance from 51 to 80 ml/min) or moderate renal failure (creatinine clearance from 31 to 50 ml/min) the AUC is greater than in healthy individuals.
Indications: Erectile dysfunction. ICD-10 codes
Dosage regimen
Middle-aged men are recommended to take a dose of 20 mg at least 16 minutes before expected sexual activity, regardless of meals. Patients can attempt sexual intercourse at any time within 36 hours after dosing in order to determine the optimal response time to tadalafil. The maximum frequency of administration is 1 time/day.
Side effect
Most often: headache, dyspepsia.
Possible: back pain, myalgia, nasal congestion, flushing of the face.
Rarely: swelling of the eyelids, eye pain, conjunctival hyperemia, dizziness.
Contraindications for use
Concomitant use of drugs containing any organic nitrates, children and adolescents under 18 years of age, hypersensitivity to tadalafil.
Use during pregnancy and breastfeeding The drug is not used in women.
Use for liver dysfunction Tadalfil can be used with extreme caution and only in cases of extreme necessity in patients with severe liver failure.
Use for renal impairment
Tadalfil can be used with extreme caution and only in cases of extreme necessity in patients with severe renal failure (creatinine clearance≤30 ml/min).
During treatment with tadalfil, patients with moderate renal failure (creatinine clearance from 31 to 50 ml/min) were more likely to experience back pain compared with patients with mild renal failure (creatinine clearance from 51 to 80 ml/min) or healthy volunteers . In patients with CC≤50 ml/min, Tadalfil should be used with caution
Use in children Contraindicated in children and adolescents under 18 years of age.
special instructions
With extreme caution and only in cases of extreme necessity, tadalafil can be used in patients with severe renal failure (creatinine clearance ≤30 ml/min) and severe liver failure.
During treatment with tadalafil, patients with moderate renal failure (creatinine clearance from 31 to 50 ml/min) were more likely to experience back pain compared with patients with mild renal failure (creatinine clearance from 51 to 80 ml/min) or healthy volunteers . In patients with CC≤50 ml/min, tadalafil should be used with caution.
Therefore, treatment of erectile dysfunction, incl. with tadalafil should not be used in men with heart disease for which sexual activity is not recommended.
The potential risk of complications during sexual activity in patients with diseases of the cardiovascular system should be taken into account: myocardial infarction within the last 90 days, unstable angina or angina that occurs during sexual intercourse, chronic heart failure (functional class II and higher according to the NYHA classification) , developed within the last 6 months, uncontrolled heart rhythm disturbances, arterial hypotension (BP less than 90/50 mm Hg) or uncontrolled arterial hypertension, stroke suffered within the last 6 months.
Tadalafil should be used with caution in patients with a predisposition to priapism (for example, with sickle cell anemia, multiple myeloma or leukemia) or in patients with anatomical deformation of the penis (for example, with angulation, cavernous fibrosis or Peyronie's disease).
The patient should be informed of the need to immediately consult a doctor if an erection occurs that lasts 4 hours or more. Untimely treatment of priapism leads to damage to the tissue of the penis, which can result in long-term loss of potency.
No cases of priapism have been reported with the use of tadalafil.
It is not recommended to use tadalafil in combination with other types of treatment for erectile dysfunction.
Drug interactions
Tadalafil is mainly metabolized by the enzyme CYP3A4. The selective CYP3A4 inhibitor ketoconazole increases AUC by 107%, and rifampicin reduces it by 88%.
Although specific interactions have not been studied, protease inhibitors such as ritonavir and saquinavir, as well as CYP3A4 inhibitors such as erythromycin and itraconazole, can be expected to increase the activity of tadalafil.
When taking an antacid (magnesium hydroxide/aluminum hydroxide) and tadalafil simultaneously, the rate of absorption of the latter is reduced without changing its AUC.
Tadalafil enhances the hypotensive effect of nitrates. This occurs as a result of the additive effect of nitrates and tadalafil on the metabolism of nitric oxide and cGMP. Therefore, the use of tadalafil in patients receiving nitrates is contraindicated.
Possible side effects
Tadalafil in some cases may cause side effects, including the following:
- allergic reactions of general and local nature of varying degrees of complexity;
- headache, muscle, bone pain;
- exacerbation of existing chronic diseases;
- dizziness, fainting, convulsions, epileptic seizures;
- hematopoietic and circulatory disorders, including acute ones, such as stroke;
- transient amnesia;
- stool and digestive disorders, as well as nausea and vomiting, discomfort in the stomach and abdomen;
- various sleep problems;
- visual and hearing impairments, including irreversible ones;
- flushing of the face, feeling of heat;
- increase or decrease in blood pressure;
- heart rhythm disturbances, unstable angina, tachycardia, as well as other disruptions in the functioning of the cardiovascular system;
- nasal congestion, nosebleeds, difficulty breathing;
- increased sweating;
- hematuria and other kidney disorders;
- prolonged and painful erection (if it lasts more than 4 hours, you should immediately consult a specialist);
- hematospermia and bleeding from the penis;
- increased fatigue, anxiety, swelling, general weakness.
If any of these side effects are detected, you should stop taking Tadalafil. In some cases, negative reactions will go away on their own, while in others, symptomatic treatment will be required. If you are concerned about your condition, it is recommended to consult a doctor immediately. In case of overdose, the risk of side effects increases, as well as their severity.
special instructions
The most common adverse events associated with the use of Tadalafil-SZ are headache, dyspepsia, back pain and myalgia.
Erectile dysfunction should not be treated in men with cardiovascular disease, in which sexual activity poses a potential risk.
Priapism may occur during treatment with tadalafil. Therefore, the patient should be informed that if an erection continues for 4 hours or more, it is necessary to urgently seek medical help to avoid damage to the tissue of the penis and the onset of irreversible impotence.
When prescribing Tadalafil-SZ to patients with cardiovascular diseases, the physician should carefully assess the expected degree of transient decrease in blood pressure that occurs as a consequence of the systemic vasodilatory effect of the drug.
The effectiveness of Tadalafil-SZ in men who have undergone radical neurosparing prostatectomy or pelvic surgery has not been established.
To confirm the diagnosis of benign prostatic hyperplasia, the patient must undergo an examination to rule out prostate cancer.
Patients should be informed about the possibility of sudden loss of vision and the need to stop taking Tadalafil-SZ and consult a doctor in this case. It should be taken into account that patients who have undergone NAPION have an increased risk of its recurrence.
During the period of use of Tadalafil-SZ, it is recommended to be careful when driving vehicles and performing potentially dangerous activities that require increased attention and high speed of psychomotor reactions.
Where to buy Tadalafil S-3 Northern Star
You can buy Tadalafil at any pharmacy in your city in Russia or in other countries. This product can also be ordered online.
The price of the product depends on many factors, including the number of tablets in the package, the concentration of the active substance in them and the pricing policy of the pharmacy. On average, for 10 tablets of Tadalafil 20 mg you will need to pay 1350-1450 rubles, and for a pack of 1 piece - 180-220 rubles. The price of 30 tablets of Tadalafil C-3 5 mg varies between 850-900 rubles.
Reviews of men and doctors about the drug
Most expert reviews of Tadalafil C-3 North Star are positive. Although doctors say that most generics do not purify the main component from impurities as well as the branded drug, they note that the product has practically the same properties.
In addition, they recommend taking Tadalafil only after a diagnostic examination and only in cases where other methods have not helped restore potency.
Reviews from men about Tadalafil are mostly positive. Of course, there are many comments that the product has caused various negative reactions even when used correctly. But people also note its high effectiveness. Men say that they are glad to buy a good erection stimulant at such an affordable price. After all, the price of a branded drug is several times higher.
Analogues of Tadalafil
Tadalafil S-3 Northern Star has many analogues. Among the products that have the same main active ingredient, it is worth noting the following drugs:
- Cialis;
- Tadasoft;
- Tadalis;
- Apkalis;
- Tadalafil Teva;
- Arista;
- Tadagra;
- Cialis Tadarise and Super Tadarise.
In addition, there are other analogues of Tadalafil. These are drugs related to PDE-5 inhibitors, but containing other active ingredients. These include Viagra, Levitra, Zidena, as well as all their generics.
Only a doctor can decide whether Tadalafil or Sildenafil is better for you, and select the appropriate drug, its dosage and regimen. Before prescribing the drug, the specialist must examine the man and examine the tests taken. It may also be necessary to conduct a hardware test, such as an ultrasound, or consult with other doctors.
Analogs
Analogues of Tadalafalin:
- Pills:
- Viagra;
- Sealex;
- Levitra;
- Tribestan;
- Capsules:
- Impaza;
- Ali Kaps;
- Laveron;
- Vuka-Vuka;
- Viardo Forte;
- Stalon;
- Tongkat Ali Platinum;
- Qi-Klim Alanin.
- Cream for external use – Himcolin.
