Cialis 20 mg

What Is Cialis 20 mg?

Cialis is an effective drug used to treat impotence in men and symptoms of enlarged prostate. It contains tadalafil as its active ingredient, a phosphodiesterase type 5 (PDE5) inhibitor with a high success rate of about 70%. This means that it is likely to help most men who use it to achieve and maintain an erection. The drug was approved by the Food and Drug Administration (FDA) on November 21, 2003. Ever since it has grown to become one of the most recommended orally administered ED medications by doctors.

It is available in generic form under different brand names, including Cialis Soft, Cialis Professional, and Tadafil, among others. Generic Cialis costs much less than its brand-name counterpart while providing the same benefits, dosage, and level of safety & effectiveness. Although some people believe that generic versions are cheaper because they are inferior, that is far from the case. The real reason they cost less is that the companies that produce them do not have to invest as much money in research, development, trials, and marketing as the companies that produce original versions do [1].

Cialis is generally safe and effective. However, it is advisable to strictly adhere to the doctor’s instructions for use to avoid any adverse effects. Consult your doctor before starting treatment with it.

Full Information About the Manufacturer of This Drug

Cialis 20 mg is manufactured by Eli Lilly and Company, a leading pharmaceutical company based in Indianapolis, Indiana, USA. It was founded in 1876 by Colonel Eli Lilly, who was a pharmacist and veteran of the US Civil War. Although the company initially started out producing vaccines and medicines, it has since expanded its operations and grown to become one of the world’s largest pharmaceutical companies, with a presence in more than 120 countries across the world [2].

Today, Eli Lilly and Company produces a wide range of other medications, including treatment for osteoporosis, cancer, and diabetes, among other health conditions. It is a reputable drug manufacturer with a long history and a strong track record of producing high-quality medications. Patients who intend to use Cialis or other medications it produces can rest assured that they are receiving a safe and effective product.

Where to Buy Cialis 20 mg Online?

There are several e-pharmacies that sell Cialis 20 mg, but it is advisable to be cautious when buying it online. Many e-pharmacies have been found selling substandard or counterfeit pills, which can be ineffective, or even worse, harmful to health [3]. Most of them sell the pills at a street value much lower than what reputable vendors offer to entice unsuspecting potential buyers. It is advisable to avoid such farmacia.

To rest assured you are getting high-quality Cialis, source it from reputable online pharmacies such as ViaBestBuys.com, CialisBit.com, and HighStreetPharma.com. Just like brick-and-mortar stores like Walmart and Costco, these drugstores offer safe and reliable Cialis and other ED meds at an affordable price. Let’s take a deeper look into what each of them has to offer.

ViaBestBuys.com

ViaBestBuys (VBB) is a reputable online pharmacy that is known for working round the clock to provide exceptional services to its customers. It offers ultra-fast delivery, reasonable prices, mouth-watering discounts, and customer service that equals what you’d find on Amazon. Its starting price for Cialis 20 mg sits at $179 for 200 tablets, which translates to $0.89 per tablet. It’s worth noting that the price may vary based on the number of pills you are purchasing: the higher number of pills translates to a higher cut in price for each pill.

The pharmacy fulfills orders to most parts of the world via two main shipping options: Registered Airmail and Express Mail Service (EMS). However, it does not ship to countries with stringent customs laws, such as Taiwan, the United Arab Emirates, Israel, and Pakistan, among others.

With EMS, it fulfills orders from New Zealand, Australia, the UK, the US, and Europe within 7 to 12 business days. On the other hand, parcels shipped to the same countries via Airmail typically have a waiting period of 10 to 18 business days. Note that delivery of orders from other countries not listed above may take 14 to 30 days, irrespective of the shipping option implied. While EMS delivery costs $39 and has a tracking feature available, Airmail shipment costs $29 but has no provision for real-time tracking of orders.

VBB offers amazing discounts and coupons, including free shipping via Airmail on orders worth $80+ and via EMS for orders over $180. It issues a 25% discount to customers paying with Bitcoin, 10 extra soft pills for returning customers, and 20 free tabs for those who write an honest review about their experience after shopping. Besides crypto, the vendor offers other payment options including credit cards and PayPal.

The pharmacy has a refund policy indicating that it will either provide a 100% refund or reship an order for free if it goes missing, damaged, or delayed for too long.

CialisBit.com

CialisBit (CB) is a reputable online pharmacy that prides itself on selling high-quality ED drugs, including Cialis 20 mg, at affordable prices while providing excellent customer service. Like VBB, it takes orders from many countries worldwide, except those with strict customs laws such as South Africa, Taiwan, Israel, the United Arab Emirates. However, it is possible for individuals in these countries to still buy from it successfully, using a parcel forwarding service such as Skypax.

CB equally fulfills orders with either EMS or Registered Airmail, depending on which option a customer indicates. Delivery time for express orders from the US, Australia, the UK, New Zealand, and Europe typically ranges anywhere from 7 to 12 business days, while deliveries from other parts of the world take 14 to 30 days. On the other hand, the delivery time for orders from the aforementioned countries via Airmail is 10 to 18 business days and 14 to 30 days for orders to other parts of the world.

The pharmacy accepts multiple methods of payment, including Bitcoin, e-Check, MasterCard, and American Express. Its discount offers include a 25% special discount on all bitcoin payments and 10 free Cialis or Viagra soft tabs for returning customers. This is not to mention other profitable offers it provides via coupon codes and vouchers. While deliveries via Airmail and EMS cost $39 and $49, respectively, customers who spend a minimum of $130 or $180 become automatically eligible for free shipping via Airmail or EMS, respectively.

HighStreetPharma.com

HighStreetPharma (HSP) is a reliable online pharmacy that provides excellent customer service, fast shipping, and high-quality pills at the cheapest possible price. In addition to brand-name Cialis and other ED meds, it also has a wide range of drugs for treating problems that have to do with sex, blood pressure, etc., up for sale.

HSP fulfills orders via standard shipping and EMS, with delivery times varying slightly from those at CB and VB. Orders shipped via EMS typically have a waiting period that ranges from 7 to 14 days, while those shipped via standard shipping can take anywhere from 14 to 21 days to arrive. It is worth noting that customers can get free shipping via EMS if they purchase meds worth $150 from the pharmacy.

Potential customers have the option of exploring several payment methods, including credit cards, PayPal, e-Checks, gift cards, and cryptocurrency. Its profitable offers include a 10% discount for all returning customers and lots more that apply, based on the medications purchased.

HSP only sells FDA-approved meds directly sourced from reputable manufacturers that meet regulatory standards. Consequently, you can expect to get high-quality Cialis or other meds if you choose to buy from it.

How Much Does Cialis 20 mg Cost?

The price of Cialis 20 mg may vary depending on where you buy it from and how many pills you purchase. Typically, the price of a single pill starts anywhere from $12 to $70 [4]. However, the above-mentioned online pharmacies offer discounts and promotions that make it possible to get them at a more affordable price. For example, you can get each pill at $1.55 on HighStreetPharma if you order 180 pills at once. On ViaBestBuys and CialisBit, you can get a pack of 200 pills for $179 – about $0.89 per pill. The prices go lower if you are buying more pills.

Cialis 20 mg Pills vs Viagra 100 mg

Cialis 20 mg and Viagra 100 mg are both safe and effective medications used to treat ED; however, they have some key differences. For starters, while they both work by increasing blood flow to the penis, Cialis 20 mg has a longer half-life than Viagra. Cialis’ effects can last up to 36 hours compared to Viagra’s, which only lasts for about 4 to 5 hours.

What’s more, many people find Cialis 20 mg better tolerated and posing fewer side effects than its counterpart. Most men who experience adverse reactions to Viagra see it as the go-to remedy. Both drugs have an excellent reputation, as they have been widely tested and found to be safe for most men who take them.

User reviews show both drugs to be safe, effective, well-tolerated, and easy to use. However, another key difference between both meds can be seen in their price, which can vary depending on several factors, including where it is purchased, whether it is generic or brand-name, and the quantity purchased.

Generally, in the US, the average price for a single pill of Cialis sits at around $40 to $45, while the average price for a single Viagra 100 mg pill is around $70. It is worth noting that both medications can be gotten from online pharmacies at a more affordable price.

Safe Taking of Cialis 20 mg Medication

While Cialis can be used in two ways, daily and “as needed,” the 20 mg dose strength should be taken only on an “as needed” basis. Do not take it every day, as the lower Cialis doses (2.5 mg and 5 mg) are available for that.

The tablet should be taken at least 30 minutes before engaging in sexual activity. Once taken, the effects can last for up to 36 hours, allowing for greater flexibility in timing sexual activity. Never take more than one tablet per day, as this can increase the risk of side effects.

It is advisable to swallow the pill whole with or without food, but it must be taken with a substantial amount of water. The tablet should never be crushed and snorted or dissolved in water and drunk, as the required dose can be altered in the process, causing the drug to be ineffective.

As with any other medication, it is important to always consult your doctor or healthcare specialist before starting treatment with Cialis or changing the dosage.

Interaction with Alcohol and Other Medicines

Cialis is generally safe and effective for most men who take it; however, it is worth noting that it can interact with alcohol and some other medications. Interactions can cause one or more of the meds taken concomitantly to be ineffective, or even worse, increase the risk of side effects. The following medications are to be avoided while on Cialis [8]:

• nitrates such as nitroglycerine and isosorbide dinitrate (Isordil);
• CYP3A4 inducers such as phenytoin (Dilantin), rifampin, phenobarbital, and carbamazepine (Tegretol);
• medications that lower blood pressure, e.g. metoprolol (Toprol XL), enalapril (Vasotec), and amlodipine (Norvasc);
• CYP3A4 inhibitors such as HIV medicines and some antibiotic and antifungal drugs;
• other ED drugs such as Viagra by Pfizer and Levitra by Bayer;
• alpha-blockers such as tamsulosin (Flomax), doxazosin (Cardura), and alfuzosin (Uroxatral).

Note that alcohol, grapefruit, and grapefruit juice interact with Cialis and should therefore be avoided when taking it. Because of its effects on blood pressure, taking it alongside alcohol can lead to a dangerous drop in blood pressure. On the other hand, grapefruit and grapefruit juice are known to inhibit an enzyme called CYP3A4 that breaks down Cialis in the liver. If this enzyme is blocked, it can prevent the medication from being adequately broken down, and this can result in higher concentrations and an increased risk of side effects [9].

Inform your doctor about any drug you intend to take while undergoing treatment with Cialis. Note that this is not an all-encompassing list of substances that can interact with this medication; refer to the instruction leaflet to find out more.

FAQ

Final Thoughts

Cialis 20 mg is a safe and effective medication for impotence. However, it is important to strictly adhere to your doctor’s directions for use and watch out for possible interactions, as they can render it ineffective or even cause serious adverse effects. Overall, if you follow precautions and guidance from your doctor, Cialis can reverse the symptoms of ED, enhance your sexual function, and help you satisfy your partner in bed.

References:

1. Generic Drugs: Questions & Answers. Retrieved: March 5, 2023. Fda.gov.
2. Key Facts About Lilly. Retrieved: March 5, 2023. Lilly.com.
3. Counterfeit Medicine. Retrieved: March 5, 2023. Fda.gov.
4. Tadalafil Cost: What Is the Price of Tadalafil? Written by Forhims Editorial Staff. Medically reviewed by Katelyn Hagerty, FNP. Retrieved: March 5, 2023. Forhims.com.
5. Phosphodiesterase-5 (PDE5) Inhibitors in the Management of Erectile Dysfunction. By Sharon A. Huang and Janette D. Lie, PharmD, BCACP. Retrieved: March 5, 2023. Ncbi.nlm.nih.gov.
6. PDE5 Inhibitor. Retrieved: March 5, 2023. Wikipedia.org.
7. Tadalafil (Oral Tablet): Side Effects, Dosage, and Review. Written by University of Illinois. Medically reviewed by Alexandra Perez, PharmD, MBA, BCGP. Retrieved: March 5, 2023. Healthline.com.
8. Cialis (Tadalafil): Dosage, Side Effects, How Long It Lasts, and More. Written by Jennifer Mitri Williamson, Pharm.D. Medically reviewed by Dena Westphalen, Pharm.D. Retrieved: March 5, 2023. Medicalnewstoday.com.
9. Cialis and Alcohol/Food Interactions. Retrieved: March 5, 2023. Drugs.com.