Cialis Black
In brief
- Cialis Black is a manufacturer's label under which we offer tadalafil tablets; packs contain 30 up to 360 tablets.
- Cialis Black contains tadalafil, a PDE5 inhibitor prescribed for erectile dysfunction in adult men.
- Cialis Black is a prescription medicine, so a doctor decides whether it is appropriate and sets the dose.
- The tablet strength is the one printed on the pack label, and your doctor tells you how much tadalafil to use.
- Cialis Black only works with sexual stimulation and is taken ahead of sexual activity as your doctor directs.
- Cialis Black must never be mixed with nitrates or riociguat, since blood pressure can fall to a dangerous level.
- If an erection after Cialis Black lasts longer than 4 hours, treat it as a medical emergency.
- Tell your doctor about every medicine you use, particularly alpha-blockers, blood pressure medicines, and antifungals or antivirals that change tadalafil levels.
- Delivery time depends on the shipping method and is shown at checkout.
Cialis Black Key Facts
- Active substance (INN): tadalafil
- Form we offer: tablets sold under the manufacturer's label "Cialis Black 800 mg"; your doctor or pharmacist should confirm the tadalafil strength from the pack
- Pack sizes: 30 to 360 tablets
- Medicine group: phosphodiesterase type 5 (PDE5) inhibitor
- Supply status: prescription medicine
What the Cialis Black Listing Means
Cialis Black is a name the manufacturer uses for tadalafil tablets. Our Cialis Black listing covers tadalafil tablets whose strength is as labelled on the pack. We do not restate the amount of tadalafil per tablet here, so read your pack and talk it through with your doctor. Cialis Black is a prescription medicine and a doctor makes and supervises the treatment decision. What follows rests on standard references; it is general information and not personal medical advice.
Is Cialis Black Suitable for You?
Cialis Black is not for the following people:
- anyone who uses nitrates in any form, including tablets, sprays, patches or "poppers" such as amyl nitrite;
- anyone who uses riociguat or another guanylate cyclase stimulator;
- people allergic to tadalafil or to any component of the tablets;
- men who have been advised against sexual activity because of heart disease, a recent heart attack or stroke, severe low blood pressure or uncontrolled high blood pressure;
- women and children.
Before Cialis Black, tell your doctor about liver or kidney disease, a deformity of the penis, sickle cell anemia, leukemia, or any earlier sudden loss of vision.
What Cialis Black Is Used For
The tadalafil in Cialis Black treats erectile dysfunction, meaning a lasting difficulty in getting or keeping an erection firm enough for sex. Doctors also use tadalafil, in other forms and at their own discretion, for symptoms of benign prostatic hyperplasia. Cialis Black does not address a lack of desire and gives no protection against sexually transmitted infections. It is for adult men only.
How Cialis Black Works
Tadalafil blocks the enzyme PDE5, so the messenger molecule cGMP accumulates. That relaxes smooth muscle in the blood vessels of the penis and improves blood flow when a man is sexually aroused. Without arousal, Cialis Black does not produce an erection. Tadalafil stays in the body for a long time, so its action can last longer than that of some other drugs in the class.
Cialis Black Dosage and Directions
The doctor always sets the dose. As general background for erectile dysfunction, tadalafil is commonly started at 10 mg as needed, at least 30 minutes before sexual activity, and the doctor may adjust this within 5–20 mg, with a maximum of one dose per day. A separate daily regimen uses 2.5–5 mg once daily. Kidney or liver disease and interacting medicines can call for lower doses or longer intervals, and the doctor chooses the regimen. These figures describe tadalafil in general and not the content of any particular tablet. Check the strength printed on the Cialis Black pack and ask your doctor how to use it.
Taking Cialis Black Tablets Correctly
- Cialis Black tablets are swallowed whole with water, with or without food.
- Never take more than one dose of tadalafil within 24 hours or more than your doctor advised.
- Do not add other PDE5 inhibitors or other treatments for erectile dysfunction to Cialis Black unless a doctor tells you to.
Cialis Black and Your Heart
Sex puts extra work on the heart. A doctor should check that your heart is fit for sexual activity before you start Cialis Black. If chest pain, dizziness or nausea strikes during intercourse, stop and seek urgent medical help. Do not take nitroglycerin or any other nitrate on your own, and tell emergency staff when you last used tadalafil.
Cialis Black Side Effects
The product monograph gives the frequency of each effect.
Common Cialis Black Side Effects
- headache;
- heartburn or indigestion;
- aching in the back or muscles;
- facial flushing, a blocked nose or dizziness.
Serious Cialis Black Side Effects
- an erection that goes on for more than 4 hours (priapism);
- abrupt loss of sight in one or both eyes;
- abrupt decrease or loss of hearing, which may come with ringing in the ears or dizziness;
- chest pain, fainting or an uneven heartbeat;
- swelling of the face or throat, or a severe rash.
Priapism, sudden vision loss or sudden hearing loss after Cialis Black calls for emergency care at once, because waiting can cause permanent damage.
Cialis Black and Other Medicines
- Nitrates and riociguat: contraindicated with Cialis Black.
- Alpha-blockers (for prostate symptoms or high blood pressure) and other blood pressure medicines can lower blood pressure too far; your doctor advises on timing and dose.
- Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir and clarithromycin raise tadalafil levels, which may mean a lower dose.
- CYP3A4 inducers such as rifampin, carbamazepine and phenytoin may weaken the effect of Cialis Black.
- Grapefruit juice in large quantities may raise tadalafil levels.
Cialis Black, Alcohol and Driving
Drinking heavily while on Cialis Black can worsen dizziness, lower blood pressure and make erections harder to get, so keep alcohol moderate. Some men feel dizzy or notice visual disturbances with Cialis Black, so do not drive or run machinery until you know your reaction.
Storing Cialis Black
Keep Cialis Black tablets in their original package at room temperature, away from moisture and light, and out of the reach of children. Do not use them once the expiry date has passed.
Cialis Black Next to Other PDE5 Inhibitors
| Feature | Cialis Black | Viagra | Levitra | Cialis |
|---|---|---|---|---|
| Active substance | tadalafil | sildenafil | vardenafil | tadalafil |
| Worth knowing | long-acting; strength as labelled on the pack | shorter duration; best on an empty or light stomach | shorter duration | same substance under the original brand label; dose set by the doctor |
Cialis Black FAQ
What is in Cialis Black?
Cialis Black contains tadalafil. The strength is the one labelled on the pack and is not restated on this page.
Does Cialis Black work without arousal?
No. Sexual stimulation is needed. Tadalafil is generally taken at least 30 minutes before sexual activity, and your doctor gives personal directions for Cialis Black.
Is Cialis Black safe with nitroglycerin?
No. Nitroglycerin and any other nitrate must never be combined with Cialis Black, as blood pressure may drop dangerously.
Which Cialis Black packs are offered?
Cialis Black is offered in packs of 30 to 360 tablets. Delivery time depends on the shipping method and is shown at checkout.
