CATALOG

Buy Cialis online over the counter

buy cialis online
Active Ingredient: Tadalafil

Cialis Soft improves erection and helps to achieve a successful sexual intercourse.

Cialis 20mg
Package Per Pill Price Savings Bonus Order
10 pills $3.54 $35.38 + Viagra
20 pills $2.39 $47.83 $22.93 + Viagra
30 pills $2.01 $60.28 $45.85 + Viagra
60 pills $1.63 $97.64 $114.62 + Viagra
90 pills $1.50 $135.00 $183.40 + Viagra
120 pills $1.44 $172.36 $252.17 + Viagra
180 pills $1.37 $247.08 $389.72 + Viagra
270 pills $1.33 $359.16 $596.05 + Viagra
360 pills $1.31 $471.24 $802.37 + Viagra
Cialis 10mg
Package Per Pill Price Savings Bonus Order
10 pills $3.51 $35.11 + Viagra
20 pills $2.28 $45.67 $24.56 + Viagra
30 pills $1.87 $56.22 $49.12 + Viagra
60 pills $1.46 $87.88 $122.79 + Viagra
90 pills $1.33 $119.54 $196.47 + Viagra
120 pills $1.26 $151.20 $270.14 + Viagra
180 pills $1.19 $417.49 $214.52 + Viagra
270 pills $1.15 $309.51 $638.52 + Viagra
360 pills $1.12 $404.49 $859.54 + Viagra
Cialis 5mg
Package Per Pill Price Savings Bonus Order
10 pills $3.38 $33.82 + Viagra
20 pills $2.09 $41.90 $25.74 + Viagra
30 pills $1.67 $49.98 $51.48 + Viagra
60 pills $1.24 $74.21 $128.71 + Viagra
90 pills $1.09 $98.45 $205.93 + Viagra
120 pills $0.95 $122.68 $283.16 + Viagra
180 pills $0.95 $171.15 $437.61 + Viagra
270 pills $0.90 $243.85 $669.29 + Viagra
360 pills $0.88 $900.96 $316.56 + Viagra
Cialis 2.5mg
Package Per Pill Price Savings Bonus Order
30 pills $1.38 $41.50 + Viagra
60 pills $1.00 $60.13 $22.86 + Viagra
90 pills $0.88 $78.77 $45.72 + Viagra
120 pills $0.81 $97.40 $68.58 + Viagra
180 pills $0.75 $134.67 $114.30 + Viagra
270 pills $0.71 $190.58 $182.88 + Viagra
360 pills $0.68 $246.48 $251.47 + Viagra

Erectile Dysfunction: Causes, Symptoms and Cure

 

Erectile Dysfunction (ED), also called impotence is the inability to grow and sustain an erection during sexual activity. While the causes for this could be both physiological and mental, the consequences could be stress, lessened self-confidence, and relationship problems. While ED is definitely a problem, it is very much treatable condition. You may be reluctant to talk with your doctor, but there are scores of people who face this issue and you need not be embarrassed about it. In fact, the causes could be more physical than psychological, and if not treated on time, it could lead to more problems in the future. Your doctor will first determine the causes and prescribe the treatments accordingly.

Symptoms

Not getting the erection at all, or inability to maintain the erection until throughout a sexual activity could be the symptoms of ED. While unable to achieve the erections once in while could be because of various reasons like stress, a persist problem in penile erection needs to be talked to a doctor.

Causes

Erectile Dysfunction could be caused by both physical and psychological reasons. Sometimes it could be a combination of both.  However, ED is always associated with psychological reasons, and it need not be true. In fact, many people go have this condition because of some a mix of physical conditions and psychological. So, do not dismiss ED as just a general tress related situation, or be too embarrassed to talk to your doctor. It is important to know the reason, and if it is physical, those have to be treated.

Let’s
look at the possible causes of erectile dysfunction

Physical Causes:

  • Prescription Drugs
  • Hear Diseases
  • Diabetes
  • High Blood Pressure
  • Obesity
  • High Cholesterol
  • Cavernosal disorders like Peyronie’s disease
  • Neurogenic Diseases like multiple sclerosis, or Parkinson’s
  • Kidney Failure
  • Smoking Tobacco
  • Alcohol
  • Aging

Psychological Causes:

  • Stress
  • Anxiety
  • Depression
  • Troubled Relationships

As we have seen, there could be lots of reasons for ED. In an age of increasingly demanding jobs and unbalanced lifestyles, people are prone to more anxiety, stress, depression, and related ailments, all of which are some of the primary causes of ED. Physicals reasons like heart conditions, prescription drugs, and obesity may also contribute to this. Your doctor will be able to rightly figure out what is leading to ED in you, and help you in overcoming it.

Treatment

If you a have ED, the doctor will look to find out its causes first, and then based on these, you will be given a treatment, both lifestyle changes and medications. The physical tests could be to examine your blood pressure, diabetes, heart and kidneys, hormones and overnight erection tests. In addition to these, your doctor may also put you through mental health examination to check any signs of depression, anxiety and other common causes of ED.

If the causes are known to be psychological, you will be recommended to go through a psychotherapist for counselling to ease the anxiety and stress. The counselling sessions coupled with some healthy lifestyle changes should help you out of your problem.

If the causes are found to be physical, your doctor may recommend medications. Some of the pills your doctor may prescribe are:

  • Avanafil (Stendra)
  • Vardenafil (Levitra, Staxyn)
  • Sildenafil (Viagra)
  • Tadalafil (Cialis)

All of these are oral medicines that are taken before having sex. The time to take before sexual activity varies from one pill to another.

Instead of these pills, there are other medicines too that your doctor may prescribe. Those could be alpostradil drug either in the form of a penile injection, or as suppositories that are placed inside the penis. Depending on the condition, your doctor may also recommend vacuum devices that enhance blood flow to penis, or surgery as a last resort. Pills are the foremost thing your doctor suggests and are the easiest of the available treatments.

However, you should be utmost careful with any pill other than the one mentioned above. It is not recommended to take any medication without your doctor’s approval. Over the counter medicines that promise cure for ED may contain harmful substances and may not be always FDA approved.

Precautions while taking ED medications

 

While the recommended medicines for ED have a great positive impact in solving the problem, certain precautions need to be taken.  ED medications should not be taken if in case of high or low blood pressure. ED medications should not be taken if you experience chest pain while having sex. People with known history of recent heart ailments like a stroke, heart attack and irregular heart rate should consult a doctor.

General Side effects:

  • Headache
  • Nasal Congestion
  • Back Pain
  • Flushing
  • Stomach Upset

While all these medicines work on similar lines, differences does exist between them. Cialis is reportedly the most popular medicine for ED.

Why Cialis is best for treating Erectile Dysfunction.

 

While all the above mentioned pill work well for ED, what makes Cialis the best medicine to treat is it’s longer lasting time. Cialis lasts up to 36 hours, which is the longest compared to all the other ED medicines. Cialis is also not affected by food or alcohol. Also significantly, it is the only FDA approved ED drug for daily usage. The daily dose can be 2.5 or 5 milligrams. Because of this, erections can be achieved in relatively lesser frequencies.

Since its effect lasts for such a long time – up to 36 – hours, one need not be worried about putting it to use immediately. Also, while all the ED pills are expected give some side effects, Cialis may result in back pain occasionally unlike with other pills where the probability is high.

What is Cialis and how does it work?

 

Cialis (Tadalafil) a medication that treats Erectile Dysfunction and is also used for Benign Prostatic Hyperplasia (BPH) and pulmonary arterial hypertension. While treating BPH, which causes an enlarged prostate, Cialis is used effectively to relieve from symptoms such as weak urine stream, difficulty in starting the urination and frequent urination in the night. It does that by relaxing the prostate muscle and bladder.

While taken for treating ED, Cialis improves the blood flow to the penis to cause erections. Penile erection happen when the blood is accumulated in the penis. The blood flow through the vessels is increases, and at the same time, the vessels that bring the blood out of penis contract. This makes the blood get accumulated in the penis and cause the erections.

This whole process of blood accumulation and the contraction of vessels that bring the blood out, is caused by nitric oxide which is released into the penis during stimulation. When it enters the penis, Nitric acid produces a substance called cGMP which is controls the dilations and contractions of the vessel.

The cGMP is destroyed by another substance called PDE5 that causes the dilations and contractions of the blood vessels to stop. As a result, the erections end and the penis goes back to its original form and shape. When you buy Cialis and take it, the Tadalafil will stop PDE from destroying cGMP, and in turn, make the erection stay longer.

Cialis is one the most commonly used medicines to treat ED and is also one of the most popular one among the users.

Dosage and Effect of Cialis

 

Cialis comes in tablet form in 5, 10 and 20 milligram dosages. The dosage should be taken at least 30 minutes before having sex. The amount of the dosage can be varied between 5, 10 and 20 mg. When in doubt about the dosage, always consult your doctor, but never taken more than 20 mg.

Never take Cialis for more than once in a day. While the FDA approves it to be taken daily in 5 and 10 mg doses, consult your physician before you do it. The reason being its longevity in your system. So, the safest way to taking it is in exact doses prescribed the doctor.

While Cialis is taken for erectile dysfunction, the erection cannot happen just with the drug per se. Sexual stimulations are required for the erections.

Side Effects

 

Cialis side effects are similar to all the ED medications. Some of the commonly seen side effects of Cialis are:

  • Stomach upset and nausea
  • Back Pain
  • Flushing
  • Headache
  • Muscle pains and back pain

Cialis can cause sudden drop in blood pressure if taken along with a nitrate medications. So if you are taking nitrate as a prescription drug for chest pain or heart problems, stop taking Cialis.

In rare cases, taking Cialis may cause priapism. It is a condition of penis staying erected for more than 4 hours. It is dangerous and immediate medical help should be taken.

Sexual activity also makes the heart active and may put extra strain on it. If you have known history of heart ailments, and experience nausea, left arm pain, fainting or dizziness during sex, seek medical help immediately.

There may be a vison loss or decreased vison in one or two eyes in rare cases. Seek medical help immediately.

Allergic reactions by Cialis are rare. If you experience one, such as rash or itching, get immediate medical help. In rare cases, if you experience sudden hearing loss, get immediate medical help.

Recommendations for taking Cialis

 

If you have any of the following conditions, talk to your doctor before taking Cialis:

  • Any type of Heart Diseases
  • Low and High Blood Pressure
  • Heart ailments like stroke or attack occurred in the last 6 months
  • Kidney or liver ailments
  • Ulcers in stomach
  • Penis conditions like Peyronie’s

Cialis is generally a safe medicine to take. However, it is important to be mindful of the expected side effects of taking Cialis. If you are experiencing any of the most common one, nothing to be worried about. But if you face the rarer one mentioned above, make sure you seek medical help.

Cialis vs Viagra

 

Both of these drugs are some of the mostly widely used for treating Erectile Dysfunction. They need a man to be sexually aroused before they work. While the context of the usage is similar and so is the expected result, they have many differences. While Viagra lasts for only 4 to 5 hours once taken, Cialis can last up to 36 hours. Food may decrease the effectiveness of Viagra, whereas Cialis’s activity is not affected by food. Viagra is harmful if taken daily, while Cialis is can be taken every day in prescribed doses. Cialis also treats prostatic hyperplasia (HBP).

Here are some more differences between these two drugs:

Ingredients

To start with, both Cialis and Viagra are brand names. Tadalafil is branded as Cialis, while Sildenafil as Viagra. Both are PDE5 inhibitors. PDE5 helps nitric oxide that is released into the penis continue storing blood in penis to maintain the erection.

Longevity

Viagra lasts for 4-5 hours once taken. On the other hand, Cialis can last up to 36 hours.

Time taken to start the effect

Both Viagra and Cialis almost take the same time to start the effect with slighter variance. Viagra starts working within 30 minutes, and Cialis may take 15 to 45 minutes to show the effect.

Effect of food

Viagra is recommended to be taken with empty stomach as it may be affected by food. Food does not have any effect on Cialis. The overall effect of the medicine is same, but Cialis is preferred for its long lasting effect.

Dosage

This is where the major difference is between these two drugs aside to the longevity.

The dosage of Cialis is smaller at only 5mg whereas Viagra is usually taken in 50 mg doses. Cialis dosage may be increased to 10 mg if it is not effective or reduced to 2.5 mg in case of too many side effects. On the other hand, Viagra dosage can be increased to 100 mg if it is ineffective or decreased to 25mg in case of side effects.

Cialis can be taken daily but not more than one in a day. Recommended dosage for daily use is 2.5 mg. Viagra should be taken only when needed. Taking it daily will be harmful. The common side effects such as headache, nausea, and flushing are similar in both the drugs. Viagra may result in color vison, which is not seen with Cialis.

Cost

Viagra can be costlier compared to Cialis. A recommended dose of Viagra, which is usually 50mg costs around $24 while Cialis costs around $8.50 for 5mg. Of course, this price can go up for higher doses, such as around $28 for a 20mg tablet.

Cialis and Alcohol

 

This is a question many people have. If consuming alcohol have a serious effect on you while taking Cialis. Well, a glass of alcoholic beverage may not cause a huge concern or side effects. But going overboard with alcohol while taking Cialis may cause serious problems.

Mixing too much of alcohol with Cialis will lead to a condition called Orthostatic Hypotension. This results in dizziness, headaches and fastened heartbeat. This problem is of this condition occurring is highest with Cialis compared to other ED drugs for the sheer reason of it longevity. Since it stays in the system for loner time, Orthostatic Hypotension also stays for a longer time.

Drug or no drug, alcohol always has a negative impact on sexual function. Add alcohol to it, the Cialis may not even wok to its potential.

So what is the right amount of alcohol to drink while being on Cialis medication? Doctors suggest to drink moderately while being on Cialis and not to exceed 3 drinks in a day. Now the next question is: what amount of alcohol is considered moderate? A single drink of 12 ounces of beer, 5 ounces of wine, and 1,5 ounce of liquor is standard and having three such drinks is called moderate. If you exceed these limits of alcohol while taking Cialis, it may shoot up the chances of Orthostatic Hypotension. Hence before careful with your drinks while taking Cialis. In fact, avoiding alcohol during sex will improve your sex life.

Why are online pharmacies better than local pharmacies?

 

Today you can get everything you need by shopping online. In fact, you can never step outside your home for shopping, and yet get your whole monthly requirements bought online. The same is the case with pharmacy shopping too. You can buy medicines online and many people are buying their medications by visiting a website instead of a store. Why these online pharmacies are so much better than the local stores, even to buy Cialis. Let’s have a look.

Advantages to buy Cialis or any other medicines online

Discounts

Online pharmacies offer a lot of discounts to attract sales. You may get the medicines at more competitive prices than what you get for in a local store. The availability of most of the drugs is also high in online pharmacies.

Home Delivery

Online pharmacies deliver the medicines to your door step. So you can order and just sit at home instead of driving to the local store.

Anonymity

Visiting stores to buy certain medicines like ED drugs can be embarrassing to certain people. With online pharmacies, you can buy Cialis without the drug store guy knowing who you are, or the condition you have. You can buy lots of medicine privately without any issues.

Convenient for elderly

Seniors find online ordering of medicines to be very convenient. They need drive to a local store to get medicines, especially if they do not have help at hand. Even prescription medicines can be purchased by uploading the prescriptions.

Where to buy Cialis over the counter?

 

You can buy Cialis online or in local pharmacy stores. But you need to be cautious. Any pharmacy that sells medications, including online stores, need to follow the FDA guidelines such as:

  • Have required licence and located in U.S.
  • The pharmacist employed should be a licenced one
  • Do not sell medications without a prescription

While there are lots of advantages of buying the medications online, there are certain red flags to be aware of. Like:

  • Advertise that prescription is not required
  • Way too lower prices than what they actually cost
  • No contact details on the website

So a drug like Cialis can be purchased online or in a local store over the counter as long as the pharmacy is following all the required guidelines. Buy the medication only on the websites that are attached to reputed stores. Almost all the recognized pharmacies have online stores now. Purchasing your medications from them is always safer.

So, we have seen what ED is, its causes and the medications available in the market along with their side effects. But what can we do to prevent it from occurring?

Preventing Erectile Dysfunction:

 

They say prevention is better than cure. It is true for ED as well. If you can take certain measures around your lifestyle, ED can be prevented from occurring.

Stop Smoking

Smoking is known to have adverse effects on health and can also cause Erectile Dysfunction. Stop smoking to prevent ED in the future.

Physical Activity

Working out regularly will keep your body active, and your heart healthy. Heart diseases may compound the issues of ED.

Manage Weight

This is directly related to the previous point. Obesity is one of the causes of ED. Eating right and maintaining your weight is as important as working out.

Stay away from Alcohol

Alcohol has an adverse effect on sexual function. Avoid it all together, and if you cannot, limit yourself to moderate drinking. Too much alcohol may not lead to just ED, but many more life threating conditions.

Avoid Drugs

This is a no brainer. Illegal drugs are not good for anything, let alone a good sex life. Stay away from then to lead a healthy life.

Manage your existing ailments properly

If you already have health conditions related to heart, kidney, liver, etc., manage them properly. Follow through with the doctor’s guidelines, and medications to keep them under control.

Conclusion

 

Erectile Dysfunction, while is a genuine problem, is definitely treatable. If you have the persistence problem of ED, do not shy away from talking to a doctor. There are so many who have this problem, and you are not alone. Never take over the counter drugs that promise a solution without talking to your doctor. Be aware of the side effects and understand how to manage them. Take help if you are undergoing stress, anxiety or similar kind of situation. Involve your partner as well. Most importantly, try to maintain a healthy and active life style.