Apcalis SX is a high-quality generic of Cialis. It is produced according to the same chemical formula, as Cialis and has the properties and effectiveness of original and contains the same active substance- Tadalafil, belonging to the group of selective inhibitors. Its action begins 30 minutes after the oral intake and lasts about 36 hours.
The effect of medication appears at the time of natural sexual stimulation, which causes the release of nitrous oxide and delayed developing of PDE 5. The level of cGMP in the cavernous body of penis is increasing. It results in the relaxation of unstriated muscles of vessels and activates the blood flow to the penis, which causes erection. These processes can’t be activated without sexual stimulation. The intake of low fat and not too abundant food doesn’t affect the degree and level of absorption of Tadalafil.
When you should use Apcalis SX
The drug is used for the treatment of any forms and degrees of severity of erectile dysfunctions. Besides, its safety and good tolerance allow buying Apcalis and using it for the prevention of such disorders and increasing the quality of sexual act.
Directions for use
Apcalis SX must be chewed properly and washed down with a small amount of water or juice. Don’t take the drug with grapefruit juice. Some substances, contained in it, are incompatible with Tadalafil and can cause the unpredictable consequences, up to the symptoms of overdose.
Fat food hinders the absorbing of active substance in blood. Alcohol drastically reduces the sensitivity of penis, that’s why its high doses can’t be mixed with the drug. If there will be a feast before sex, you can allow yourself a light dinner with a glass of wine.
The recommended initial dose of Apcalis SX is 10 mg. If it doesn’t have a desired effect, you can increase it to 20 mg. The interval between the intakes must be no less than 24 hours.
Apcalis SX is sold over-the-counter. However, you should consult the doctor before taking it, to exclude possible contraindications.
The drug is contraindicated in the following cases:
- hypersensitivity to Tadalafil;
- multiple myeloma;
- sickle cell anemia;
- kidney failure;
- any deformation of penis;
- kidney failure;
The drug is contraindicated to the women and children under the age of 18.
Tadalafil can’t be mixed with the drugs, containing nitrates and nitrogen oxides. The drug is not combined with ketoconazole, rifampicin, ritonavir, sanquinavir, erythromycin, itraconazole and other drugs for erectile dysfunctions.
Besides, the patients who suffered a stroke or myocardial infarction or has an unstable blood pressure must take the drug with great caution.
The side effects of Apcalis SX are quite rare. But there can be: blood flows to the face, dizziness or headache, myalgia, back pain, nasal congestion, sickness, dyspepsia, vision disorder (short-term), arrhythmia, painful erection, heart attack.