| Contact | English |
| Monday - Thursday | 07:30 - 16:30 | |
| Friday | 07:30 - 12:30 | |
| Saturday – Sunday | closed |
| Monday - Thursday | 07:30 - 11:30 | |
| 12:30 - 16:00 | ||
| Friday | 07:30 - 12:30 |
Seek immediate care to prevent permanent penile damage.
| Country | Legal Status | Prescription Requirement | Notes |
|---|---|---|---|
| United States | Prescribed medication | Yes | Prescription from licensed provider |
| Canada | Prescription required | Yes | Accessible via pharmacy with script |
| UK | Prescription only | Yes | Available through NHS or private clinics |
| Australia | Prescription needed | Yes | Controlled substance |
Vision Changes: Rare cases of sudden vision loss, blurred vision, or color distortion have been reported.
Stop taking Cialis and consult a doctor immediately if these occur.
Take nitrates (e.g., nitroglycerin, isosorbide mononitrate) for chest pain or heart conditions, or recreational drugs like “poppers” (amyl nitrate). Combining these with Cialis can cause a life-threatening drop in blood pressure. Severe heart disease, recent heart attack, or stroke (within the last 6 months) Non-arteritic anterior ischemic optic neuropathy (NAION), causing vision loss in one eye Peyronie’s disease or other penile deformities increasing the risk of priapism Heart Health: Sexual activity can strain the heart, particularly in men with pre-existing heart conditions. Discuss the risks with your doctor before using Cialis 20 mg. Priapism: A prolonged erection lasting over 4 hours is a medical emergency. Dizziness: Cialis may cause dizziness, especially when combined with alcohol or marijuana.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Professional | 40mg | 20 Pills | 110.24€ 104.99€ | |
| Cialis Original | 20mg | 76 + 4 Pills | 319.19€ 303.99€ | |
| Cialis Super Active | 20mg | 20 + 4 Pills | 92.35€ 87.95€ | |
| Cialis Original | 20mg | 92 + 4 Pills | 377.99€ 359.99€ | |
| Cialis Professional | 20mg | 180 + 4 Pills | 423.11€ 402.96€ | |
| Cialis Soft Tabs | 20mg | 90 + 6 Pills | 216.71€ 206.39€ | |
| Cialis Black | 80mg | 270 + 10 Pills | 502.88€ 478.93€ | |
| Cialis Professional | 40mg | 120 + 4 Pills | 436.68€ 415.89€ | |
| Cialis Generic | 5mg | 360 + 10 Pills | 268.08€ 255.31€ | |
| Cialis Generic | 60mg | 20 Pills | 65.61€ 62.49€ | |
| Cialis Generic | 5mg | 270 + 10 Pills | 205.81€ 196.01€ | |
| Cialis Professional | 20mg | 360 + 6 Pills | 807.03€ 768.60€ | |
| Cialis Generic | 10mg | 10 Pills | 31.41€ 29.91€ |
Avoid driving, operating machinery, or engaging in hazardous activities until you know how it affects you. Drug Interactions: Cialis can interact with medications like alpha-blockers (e.g., tamsulosin), antifungals (e.g., ketoconazole), antibiotics (e.g., erythromycin), or HIV protease inhibitors.
Headquartered in Bothell, Wash., ICOS is marketing its first product, Cialis (tadalafil), for the treatment of erectile dysfunction. ICOS is working to develop treatments for serious unmet medical conditions such as chronic obstructive pulmonary disease, cancer and inflammatory diseases. B-roll is available via satellite, C-band feed: WEDNESDAY, JUNE 2, 10:30 - 11:00 AM EDT C-Band, IA 6, Tr. WEDNESDAY, JUNE 2, 13:15 - 13:45 PM EDT C-Band, IA 5, Tr. THURSDAY, JUNE 3, 13:00 - 13:30 PM EDT C-Band, IA 5, Tr.
Except for historical information contained herein, this press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements are based on current expectations, estimates and projections about the industry, management beliefs and certain assumptions made by the management of ICOS and Lilly. Investors are cautioned that matters subject to forward-looking statements involve risks and uncertainties, including economic, competitive, governmental, technological, legal and other factors discussed in the two companies' respective filings with the Securities and Exchange Commission, which may affect the business and prospects of the two companies and Lilly ICOS. Results and the timing and outcome of events may differ materially from those expressed or implied by the forward-looking statements in this press release. More specifically, there can be no assurance that Cialis will achieve commercial success or that competing products will not pre-empt market opportunities that might exist for the product.
Cialis® is a registered trademark of Lilly ICOS LLC. All other trademarks are the property of their respective owners. Viagra® is a registered trademark of Pfizer, Inc. The term "new treatment initiations" indicates when a physician writes out a new prescription for patients never before treated, and for patients switching from one product to another. This does not include prescriptions conveyed to pharmacies by phone or refills of existing prescriptions. Inform your doctor about all prescription drugs, over-the-counter medications, vitamins, and herbal supplements you’re taking.
Alcohol: Excessive alcohol consumption may reduce the effectiveness of Cialis 20 mg and increase the risk of side effects like dizziness or low blood pressure.
In this release, new treatment initiations describes data from ImpactRx only. ImpactRx™ has a panel of high prescribing physicians that recorded information on patient visits (patient identity is non-identifiable), including diagnosis and treatment. ImpactRx data includes new prescriptions written and refills but not prescriptions conveyed by phone. ImpactRx records information from the physician perspective and not what happens at the pharmacy. Computed from IMS NPA Plus™, April 2004.
IMS numbers vary from those of ImpactRx primarily because IMS data represent aggregated pharmacy sales, reflecting what is filled at the pharmacy including new prescriptions for continuing users and prescriptions called in by phone. "The Three PDE 5 Inhibitors Sildenafil, Tadalafil And Vardenafil - Results Of A Comparative Preference Trial In 222 Patients With Erectile Dysfunction," Hartmut Porst, et. al., presented in poster session at American Urological Association Annual Meeting, May 2004. Computed from IMS NPA PlusTM, April 2004. The Likely Worldwide Increase in Erectile Dysfunction Between 1995 and 2025 and Some Possible Policy Consequences.
Back To Great Sex: Overcome ED and Reclaim Lost Intimacy. Receive our latest updates about our products & promotions. Skip to content Cialis 20mg - 4 Tablets ImportedFree ReturnsShipped Within 2 - 5 Bussiness DaysUses of the Cialis 20 mg Tablets1. Benign Prostatic Hyperplasia (BPH)How Does Cialis 20 mg Tablet Work?Sexual Stimulation Triggers Nitric OxideNitric Oxide Creates cGMPTadalafil Blocks PDE5How Should You Take Cialis 20 mg Tablet?Recommended Dosage of Cialis 20 mg TabletWarnings and PrecautionsHave severe medical conditions, including:Additional Precautions:Possible Side Effects of Cialis 20 mg TabletsLower Dosage Cialis 5mg available in Pakistan Information and PurposeFood SupplementsUse of InformationResponsibility and LiabilitySafety and StorageLegal and Regional ConsiderationsExcellent Result Satisfied with it GOOD Good Goood Related Products Recently Viewed Products Sign Up for Discount's Offers & Health Tips! Erectile Dysfunction (ED) Erectile dysfunction means you struggle to get or keep an erection hard enough for.. Cialis 20 mg is not intended for women, children, or men under 18.
Always purchase from trusted sources like Vitaminshouse.com to ensure you receive genuine Cialis tablets in Pakistan. Most symptoms fade within a few hours.
| Interaction Partner | Effect | Recommendation |
|---|---|---|
| Alpha-blockers | Risk of hypotension | Use with caution, at lower doses |
| CYP3A4 Inhibitors | Increased Cialis levels | Dose adjustment advised |
| Grapefruit Juice | Potential increased side effects | Avoid or limit consumption |
| Other PDE5 inhibitors | Enhanced effects or side effects | Not recommended to combine |
Call your doctor if discomfort lingers, or visit A&E for chest pain or erections beyond four hours.
| Parameter | Value | Description |
|---|---|---|
| Absorption Time | 30-60 minutes | Time to reach peak plasma concentration |
| Half-life | 17.5 hours | Duration of drug activity |
| Bioavailability | 60% | Percentage absorbed into bloodstream |
| Onset of Action | Approximately 30 minutes | When effects become noticeable |
If you’re looking for a reliable way to maintain steady support, the Cialis 5mg 28 Tablets (Tadalafil) is a convenient daily option. With its lower dose, it’s ideal for those who prefer consistent wellness support, making it easy to incorporate into your routine for long-term benefits.
Men who search “Cialis Pakistan” or “tadalafil in Pakistan” for urinary relief often find the 20 mg tablet doubly convenient—one medicine, two problems solved. Erotic thoughts, touch or visual cues prompt nerves to release nitric oxide (NO) inside the penis. Nitric Oxide tells smooth muscle to relax cialis daily generic by producing cyclic guanosine monophosphate (cGMP). Relaxed muscles open arteries and trap blood in the spongy bodies of the penis. A naturally occurring enzyme called phosphodiesterase-5 (PDE5) breaks down cGMP.
Tadalafil 20 mg inhibits PDE5, so cGMP survives longer, blood flow increases, and an erection lasts as long as sexual excitement continues. Because tadalafil’s half-life is almost 18 hours, enough drug remains in your system the next day for continued responsiveness—hence the nickname “weekend pill.” Most doctors start healthy adults on 10 mg, but if your clinician decides the smaller strength is inadequate—or you’ve already tried it—Cialis 20 mg becomes the go-to on-demand dose. Standard ED plan: 20 mg taken on days you anticipate intimacy. BPH plan: One 20 mg tablet daily (exact timing set with your urologist). Combined ED + BPH: Same 20 mg daily covers both conditions.
Key takeaway: Stick to your doctor’s schedule and keep every follow-up appointment to fine-tune dosing. Self-escalation beyond 20 mg is unsafe. Cialis 20 mg is a potent medication that requires careful use. Before starting treatment, discuss your medical history with your doctor. Are allergic to tadalafil or any ingredients in Cialis tablets. * Vitamins House emphasizes that Food Supplements should complement, not replace, a diverse and well-balanced diet, as well as a healthy lifestyle.
For a seamless shopping experience, Vitamins House allows you to return most new, unopened items within 14 days for a full refund. If the return is due to our error (like receiving an incorrect or defective item), we will cover the return shipping costs. You can expect your refund within four weeks of sending your item back, though it often arrives sooner. To start a return, log into your account, go to "Complete Orders" under My Account, and click "Return Item(s)." We'll email you once we've processed your returned item. Or you can contact us directly on our official number 0322-2223149.
If you need to return an item, simply login to your account, view the order using the "Complete Orders" link under the My Account menu and click the Return Item(s) button. We'll notify you via e-mail of your refund once we've received and processed the returned item. Vitamins House offers Cash on Delivery (COD) services exclusively within Pakistan, simplifying the process for our local customers. Please note, we do not provide international shipping. Shipping costs and delivery times are calculated based on your location within Pakistan.
Erectile dysfunction means you struggle to get or keep an erection hard enough for satisfying intercourse. It can stem from stress, diabetes, hypertension, surgery, hormonal shifts or simply age-related circulation changes. A single Cialis 20 mg pill increases blood flow to penile tissue for up to 36 hours, letting sexual stimulation translate into a firm, dependable erection. An enlarged prostate can squeeze the urethra and trigger frequent nighttime urination, weak flow or a feeling that the bladder never empties. Tadalafil 20 mg relaxes smooth muscle inside the prostate and bladder neck, improving stream strength and cutting bathroom trips. We do not make any medical claims or implications for our products; they are sold strictly as Nutritional/Dietary Supplements.